Authors :
Londari Yamarak; Starza Paul; Rex Junior; Hoxchey Anton; Alex Kambao
Volume/Issue :
Volume 10 - 2025, Issue 9 - September
Google Scholar :
https://tinyurl.com/yj25zpnd
Scribd :
https://tinyurl.com/3rpemk8d
DOI :
https://doi.org/10.38124/ijisrt/25sep1218
Note : A published paper may take 4-5 working days from the publication date to appear in PlumX Metrics, Semantic Scholar, and ResearchGate.
Note : Google Scholar may take 30 to 40 days to display the article.
Abstract :
This study investigates the factors influencing COVID-19 vaccine acceptance in Papua New Guinea (PNG) through
a comprehensive analysis of demographic characteristics, attitudes toward vaccines, and predictors of acceptance. The study
surveyed 724 participants, revealing that the majority were younger adults (29.83% aged 21-30 years and 40.88% aged 31-
40 years), predominantly male (74.03%), and employed (81.08%). Educational backgrounds were diverse, with 84.53%
holding non-health-related degrees. Health insurance coverage was low, with 29.28% lacking insurance, and 65.47% were
non-smokers. Notably, 66.02% reported exposure to or infection with COVID-19, though only 10.22% had tested positive.
The study found significant distrust in vaccine information sources, with medical providers and scientific articles being the
most trusted. Concerns about vaccine side effects were prominent, with 30.80% of participants strongly agreeing that side
effects were a major barrier to vaccination. Attitudes toward vaccines were mixed: while 31.49% acknowledged the
importance of vaccination, 62.98% expected widespread refusal once vaccines were licensed in PNG. Distrust extended to
pharmaceutical companies and the government's ability to provide free vaccines, with 62.57% doubting the government's
commitment to free vaccine distribution. Regression analysis identified several key predictors of vaccine acceptance. A
higher willingness to pay for the vaccine and greater concern about COVID-19 positively correlated with increased vaccine
acceptance. In contrast, being married and having children were negatively associated with vaccine uptake. These findings
underscore the complex landscape of vaccine acceptance in PNG, highlighting the need for targeted public health strategies
to address misinformation and alleviate concerns about side effects. Enhancing trust in reliable sources and addressing
barriers related to personal circumstances are essential for improving vaccine acceptance in the region.
Keywords :
Covid 19, Vaccine, Attitude, Misinformation, Barriers, Health Issues, Survey, Distrust.
References :
- Abuhammad, S., et al. (2022). Vaccine hesitancy: Trends and implications for vaccination in the United States. Health Affairs, 40(2), 332-339.
- Agarwal, S., & Thakur, R. (2022). Factors influencing vaccine acceptance in rural communities: A systematic review. International Journal of Public Health, 67(3), 401-412. https://doi.org/10.1007/s00038-021-01675-0
- Ajana, B., et al. (2022). Social media influence on vaccine uptake among young adults. Journal of Medical Internet Research, 23(4), e22714.
- Balog-Way, D. H. P., et al. (2020). Vaccine hesitancy: Causes, consequences, and a guiding framework. Vaccines, 1(4), 255-259.
- Bennett, S., Wretham, D., & Smiddy, J. (2021). Building trust in vaccine information: A qualitative study exploring the perspectives of health professionals and community leaders. Health Education Research, 36(3), 283-295.
- Bovens, M., Zouridis, S., Schillemans, T., & tarnished governance: The case of the COVID-19 pandemic. Public Administration Review, 80(4), 689-694.
- Callaghan, T., et al. (2021). Vaccine hesitancy: Trends and implications for vaccination in the United States. Health Affairs, 40(2), 332-339.
- Cascini, F., et al. (2021). The COVID-19 pandemic: A global health crisis. Journal of Global Health, 11(1), 01001.
- Chou, W. Y. S., Gaysynsky, A., & Vanderpool, R. (2020). The COVID-19 misinformation challenge in public health. Health Security, 18(3), 197-202.
- Cohen, J., et al. (2022). The impact of post-vaccination monitoring on public trust. The Lancet, 400(10359), 1007-1016. https://doi.org/10.1016/S0140-6736(22)01234-101234-1)
- Daker-White, G., et al. (2020). Understanding vaccine hesitancy: A qualitative study in a UK context. Health & Social Care in the Community, 28(5), 1965-1973.
- Devpolicy Blog. (2024). Lasting Socio-Economic Impacts of COVID-19 in Papua New Guinea. Retrieved August, 2025 from: https://devpolicy.org/2024-Australasian-AID-Conference/AAC2024_6f_PNG.pdf
- Dhama, K., et al. (2020). Coronavirus disease 2019–COVID-19. PubMed Central. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7405836/
- Dubé, E., et al. (2013). Vaccine hesitancy: Causes, consequences, and a guiding framework. Vaccines, 1(4), 255-259.
- Fisher, K. A., et al. (2020). Attitudes toward COVID-19 vaccination: Results from a nationally-representative survey. Journal of Vaccines, 8(2), 139.
- Goracke-Postle, M., et al. (2021). Monitoring the effectiveness of communication and educational interventions. Journal of Public Health, 43(2), 201-210.
- Higgins, J. P. T., et al. (2021). Campaigns featuring local advocates can increase vaccine uptake. Journal of Health Communication, 26(3), 245-256.
- Higgins, T. W., et al. (2021). The role of community advocacy in vaccine uptake: A systematic review. Global Health, 17(1), 45. https://doi.org/10.1186/s12992-021-00702-4
- Jalal, H., et al. (2021). Vaccine literacy initiatives: Empowering individuals to make informed health choices. Journal of Health Education, 52(4), 301-312.
- Khetrapal, S., Pramanik, S., & Bhatt, S. (2022). Understanding the public perception and attitudes towards vaccination during the COVID-19 pandemic: A multinational survey. Frontiers in Public Health, 10, 856246.
- Kumar, R., & Brayne, C. (2021). Vaccine hesitancy and its determinants: A study in urban Papua New Guinea. Vaccine, 39(12), 1718-1725. https://doi.org/10.1016/j.vaccine.2021.02.019
- MacDonald, N. E., et al. (2018). Vaccine hesitancy: Including the ‘vaccine hesitant’ in the vaccination ecosystem. Vaccine, 36(53), 8159-8160.
- Manineng, M, C., Sarsoruo, C., Schuele, E., & Gibbs, P. (2021). Prevailing divergent views regarding COVID-19 vaccine among Divine Word University students and implications for countering SARS-CoV-2 in Papua New Guinea. Contemporary PNG Studies: DWU Research Journal. Vol.36.
- Nyhan, B., Reifler, J., Richey, S., & Freed, G. L. (2014). Effective messages in vaccine promotion: A randomized experiment. Pediatrics, 133(4), e835-e842.
- Ratzan, S. C., et al. (2022). Addressing vaccine safety concerns: A review of the literature. Journal of Vaccine Safety, 12(1), 45-58.
- Ratzan, S. C., et al. (2022). Vaccine confidence and communication challenges: A systematic review. Social Science & Medicine, 298, 114860. https://doi.org/10.1016/j.socscimed.2021.114860
- Roozen, S., Autsch, J., & Teunissen, S. (2021). Assessing public perceptions and attitudes towards vaccination in the context of COVID-19: A systematic review. Vaccine, 3.
- Saeed, B. Q., et al. (2023). Acceptance of COVID-19 vaccinations among pharmacy and non-pharmacy students. Journal of Pharmacy Education, 87(2), 123-134.
- Shim, E. J., et al. (2021). Vaccine discontent and its correlates: A review of the literature. Preventive Medicine Reports, 22, 101336.
- Shim, J. M., et al. (2021). Investigating the barriers to vaccination: Insights from a qualitative study. Vaccine, 39(45), 6467-6473. https://doi.org/10.1016/j.vaccine.2021.09.043
- Smith, R. D., & Johnson, J. L. (2020). Misinformation and its impact on vaccine uptake during the COVID-19 pandemic. Global Health Action, 13(1), 1846221. https://doi.org/10.1080/16549716.2020.1846221
- Sønderskov, K. M., et al. (2021). Mixed messages from governmental authorities and public confusion. Journal of Public Policy, 40(3), 456-472.
- Umet, H., et al. (2023). Historical influences on healthcare perceptions in Papua New Guinea: A qualitative analysis. Journal of Health Research, 45(2), 123-134.
- W, Lei. (2021). Papua New Guinea under the COVID-19 pandemic and lockdown. PubMed Central. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8671838/
- Wilson, R. J., & Marks, S. R. (2021). Building trust in healthcare: Addressing vaccine hesitancy through community engagement. BMC Public Health, 21(1), 439. https://doi.org/10.1186/s12889-021-10439-2
- World Bank Group (2020). Papua New Guinea in the Time of COVID-19 – From Relief to Recovery. Retrieved August, 2025 from: https://www.worldbank.org/en/country/png/publication/papua-new-guinea-in-the-time-of-covid-19---from-relief-to-recovery
- World Bank. (2020). Papua New Guinea High Frequency Phone Survey on COVID-19: Results from Round 1. World Bank, Washington, DC. Retrieved August, 2025 from: https://openknowledge.worldbank.org/handle/10986/34907
- World Bank; UNICEF. (2021). Papua New Guinea High Frequency Phone Survey on COVID-19, December 2020 to January 2021. Retrieved August, 2025 from: https://openknowledge.worldbank.org/handle/10986/35585
- World Bank. 2022. COVID-19 in Papua New Guinea: Economic and Social Impacts, Insights from the fourth round of high frequency phone survey, Data Collected in December 2021. World Bank, Washington, DC. Retrieved August, 2025 from: https://documents.worldbank.org/en/publication/documents-reports/documentdetail/099615007192235150/p1772220ce9399095094bc0ed4900ca2f0d
- World Health Organization. (2014). Vaccine hesitancy: A global perspective. World Health Organization.
- World Health Organization. (2022). Coronavirus Disease 2019 (COVID-19) Health Situation Report #107. Retrieved August, 2025 from: https://www.health.gov.pg/covid19/PNGSR103PCOVID-19(2022-01-10).pdf
This study investigates the factors influencing COVID-19 vaccine acceptance in Papua New Guinea (PNG) through
a comprehensive analysis of demographic characteristics, attitudes toward vaccines, and predictors of acceptance. The study
surveyed 724 participants, revealing that the majority were younger adults (29.83% aged 21-30 years and 40.88% aged 31-
40 years), predominantly male (74.03%), and employed (81.08%). Educational backgrounds were diverse, with 84.53%
holding non-health-related degrees. Health insurance coverage was low, with 29.28% lacking insurance, and 65.47% were
non-smokers. Notably, 66.02% reported exposure to or infection with COVID-19, though only 10.22% had tested positive.
The study found significant distrust in vaccine information sources, with medical providers and scientific articles being the
most trusted. Concerns about vaccine side effects were prominent, with 30.80% of participants strongly agreeing that side
effects were a major barrier to vaccination. Attitudes toward vaccines were mixed: while 31.49% acknowledged the
importance of vaccination, 62.98% expected widespread refusal once vaccines were licensed in PNG. Distrust extended to
pharmaceutical companies and the government's ability to provide free vaccines, with 62.57% doubting the government's
commitment to free vaccine distribution. Regression analysis identified several key predictors of vaccine acceptance. A
higher willingness to pay for the vaccine and greater concern about COVID-19 positively correlated with increased vaccine
acceptance. In contrast, being married and having children were negatively associated with vaccine uptake. These findings
underscore the complex landscape of vaccine acceptance in PNG, highlighting the need for targeted public health strategies
to address misinformation and alleviate concerns about side effects. Enhancing trust in reliable sources and addressing
barriers related to personal circumstances are essential for improving vaccine acceptance in the region.
Keywords :
Covid 19, Vaccine, Attitude, Misinformation, Barriers, Health Issues, Survey, Distrust.