Intra-Household Dynamics and Attitudes toward Vaccines : Experimental and Survey Evidence from Zambia
This paper explores how intra-household dynamics relate to attitudes toward vaccines in low- and lower-middle-income countries, by drawing on two novel data sources from Zambia. The first is a nationally representative, in-person survey of more tha...
| Main Authors: | , , |
|---|---|
| Format: | Working Paper |
| Language: | English English |
| Published: |
World Bank, Washington, DC
2022
|
| Subjects: | |
| Online Access: | http://documents.worldbank.org/curated/en/099239408032215339/IDU00eb25fa7060d9046af09f400895c23d855f9 http://hdl.handle.net/10986/37828 |
| id |
okr-10986-37828 |
|---|---|
| recordtype |
oai_dc |
| spelling |
okr-10986-378282022-08-04T05:10:42Z Intra-Household Dynamics and Attitudes toward Vaccines : Experimental and Survey Evidence from Zambia Hoy, Christopher Kanagavel, Rajee Cameron, Corey VACCINE SURVEY EXPERIMENT LOW AND MIDDLE-INCOME COUNTRIES VACCINE WILLINGNESS PANDEMIC COVID-19 CORONAVIRUS TRUST IN SCIENCE MISTRUST OF MEDICINE This paper explores how intra-household dynamics relate to attitudes toward vaccines in low- and lower-middle-income countries, by drawing on two novel data sources from Zambia. The first is a nationally representative, in-person survey of more than 10,000 households that asked all household members individually about their willingness to get a COVID-19 vaccine. The second is a randomized survey experiment with almost 3,000 social media users that tested how the impact of information about the benefits from receiving a COVID-19 vaccine on people’s willingness to get vaccinated varied based on intra-household dynamics. Both data sources showed that people’s willingness (unwillingness) to get a COVID-19 vaccine was very strongly associated with whether other household members were also willing (unwilling). The experiment found that respondents who received information emphasizing either individual or household benefits from getting a COVID-19 vaccine were around 20 percent more willing to get vaccinated than those in the control group. This information was more potent among respondents who believed other members of their household would not get vaccinated but did not have a larger impact on respondents who were involved in household decision making. There was also evidence of positive “second-round” effects whereby respondents who received the information treatments were more likely to encourage other household members to get a COVID-19 vaccine. An important implication that flows from this analysis is that although household members tend to have similar attitudes toward vaccines, communicating accurate information about the benefits of getting vaccinated can counter intra-household dynamics that undermine acceptance. 2022-08-03T18:56:15Z 2022-08-03T18:56:15Z 2022-08 Working Paper http://documents.worldbank.org/curated/en/099239408032215339/IDU00eb25fa7060d9046af09f400895c23d855f9 http://hdl.handle.net/10986/37828 English en Policy Research Working Papers;10136 CC BY 3.0 IGO http://creativecommons.org/licenses/by/3.0/igo World Bank World Bank, Washington, DC Policy Research Working Paper Publications & Research Africa Africa Eastern and Southern (AFE) Zambia |
| repository_type |
Digital Repository |
| institution_category |
Foreign Institution |
| institution |
Digital Repositories |
| building |
World Bank Open Knowledge Repository |
| collection |
World Bank |
| language |
English English |
| topic |
VACCINE SURVEY EXPERIMENT LOW AND MIDDLE-INCOME COUNTRIES VACCINE WILLINGNESS PANDEMIC COVID-19 CORONAVIRUS TRUST IN SCIENCE MISTRUST OF MEDICINE |
| spellingShingle |
VACCINE SURVEY EXPERIMENT LOW AND MIDDLE-INCOME COUNTRIES VACCINE WILLINGNESS PANDEMIC COVID-19 CORONAVIRUS TRUST IN SCIENCE MISTRUST OF MEDICINE Hoy, Christopher Kanagavel, Rajee Cameron, Corey Intra-Household Dynamics and Attitudes toward Vaccines : Experimental and Survey Evidence from Zambia |
| geographic_facet |
Africa Africa Eastern and Southern (AFE) Zambia |
| relation |
Policy Research Working Papers;10136 |
| description |
This paper explores how
intra-household dynamics relate to attitudes toward vaccines
in low- and lower-middle-income countries, by drawing on two
novel data sources from Zambia. The first is a nationally
representative, in-person survey of more than 10,000
households that asked all household members individually
about their willingness to get a COVID-19 vaccine. The
second is a randomized survey experiment with almost 3,000
social media users that tested how the impact of information
about the benefits from receiving a COVID-19 vaccine on
people’s willingness to get vaccinated varied based on
intra-household dynamics. Both data sources showed that
people’s willingness (unwillingness) to get a COVID-19
vaccine was very strongly associated with whether other
household members were also willing (unwilling). The
experiment found that respondents who received information
emphasizing either individual or household benefits from
getting a COVID-19 vaccine were around 20 percent more
willing to get vaccinated than those in the control group.
This information was more potent among respondents who
believed other members of their household would not get
vaccinated but did not have a larger impact on respondents
who were involved in household decision making. There was
also evidence of positive “second-round” effects whereby
respondents who received the information treatments were
more likely to encourage other household members to get a
COVID-19 vaccine. An important implication that flows from
this analysis is that although household members tend to
have similar attitudes toward vaccines, communicating
accurate information about the benefits of getting
vaccinated can counter intra-household dynamics that
undermine acceptance. |
| format |
Working Paper |
| author |
Hoy, Christopher Kanagavel, Rajee Cameron, Corey |
| author_facet |
Hoy, Christopher Kanagavel, Rajee Cameron, Corey |
| author_sort |
Hoy, Christopher |
| title |
Intra-Household Dynamics and Attitudes toward Vaccines : Experimental and Survey Evidence from Zambia |
| title_short |
Intra-Household Dynamics and Attitudes toward Vaccines : Experimental and Survey Evidence from Zambia |
| title_full |
Intra-Household Dynamics and Attitudes toward Vaccines : Experimental and Survey Evidence from Zambia |
| title_fullStr |
Intra-Household Dynamics and Attitudes toward Vaccines : Experimental and Survey Evidence from Zambia |
| title_full_unstemmed |
Intra-Household Dynamics and Attitudes toward Vaccines : Experimental and Survey Evidence from Zambia |
| title_sort |
intra-household dynamics and attitudes toward vaccines : experimental and survey evidence from zambia |
| publisher |
World Bank, Washington, DC |
| publishDate |
2022 |
| url |
http://documents.worldbank.org/curated/en/099239408032215339/IDU00eb25fa7060d9046af09f400895c23d855f9 http://hdl.handle.net/10986/37828 |
| _version_ |
1764487942727794688 |