Eighty-six percent of Sri Lankans Wish to Receive COVID-19 Vaccine: A Window of Opportunity for Rolling Out a Successful Vaccination Campaign

Abstract
All countries look up to the COVID-19 vaccine as the panacea against the pandemic. COVID-19 vaccination campaigns have been rolled out globally, while Sri Lanka, too, is ready for its own. To assess the public opinion concerning the COVID-19 vaccination in Sri Lanka, we carried out an online survey from 17.12.2020 to 18.01.2021. Eighty-six percent (n = 1080) of the respondents reed to accept the vaccine. In the meantime, 9 % (n = 108) did not agree to receive the vaccine, while 5% (n = 62) had no idea. The protection given by the vaccine, trends in spreading the disease in the country, and the trust in the vaccine were reasons given for agreeing to get it. Reasons for not agreeing to get the vaccine were “being developed too fast”, the concern of side effects, and lack of trust in the vaccine. Ninety-one percent (n = 1120) of respondents agreed that other preventive measures such as handwashing, social distancing, and wearing face masks must be continued even with COVID-19 vaccination. The respondents prioritized frontline staff, elderly persons, and persons with chronic diseases for receiving the COVID-19 vaccine first. Transparent and accountable vaccine procurement, a robust health system with a well-performing Expanded Program of Immunization (EPI), and creative vaccine financing tools were seen as key strengths in the COVID-19 vaccination program. Besides, Sri Lanka, a health-literate and vaccine loving nation with an almost non-existent anti-vaccination movement, was also seen as a crucial contributor. While the current public opinion provides an ideal ground for a successful COVID-19 vaccination program, due to the inherent vulnerability of misinformation and outrages associated with adverse events following immunization, existing programs for surveillance of adverse events following immunization and surveillance risk communication strategy must be augmented. The window of opportunity of favorable public opinion must be utilized to roll out a successful COVID-19 vaccination campaign in Sri Lanka. Keywords: COVID-19, Vaccine acceptance, Vaccine hesitancy, COVAX, Sri Lanka

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