Understanding Covid-19 Vaccine Hesitancy among Low-Income Earners in Oshodi/Isolo Local Government Area, Lagos State, Nigeria

COVID-19 vaccines are vital for curbing the health impacts of SARS-CoV-2 infection, yet many low-income earners in Nigeria are hesitant to get vaccinated despite accessibility. Community organizations play a key role in providing essential vaccine information and addressing hesitancy factors to promote acceptance. To understand low-income earners' knowledge, attitudes, and barriers towards COVID-19 vaccines, a descriptive cross-sectional study was conducted. Structured questionnaires with closed-ended questions were used for uniform data collection. Analysis involved Chi-square tests and logistic regression. 651 respondents participated, with the majority from Ejigbo (36.1%), Isolo (33.9%), and Oshodi (30.0%). Most were aged 26-35 (30.0%) or 36-45 (26.6%), and nearly equal gender representation was observed. Respondents' overall perception of COVID-19 vaccines was positive, with Ejigbo showing slightly higher positivity. Trust in scientists likely influenced this perception. Despite a willingness to take the vaccine, distrust in government programs and religious beliefs may hinder vaccination efforts. Targeted education initiatives are crucial, especially in communities where religious beliefs strongly influence decisions. Rebuilding trust with citizens is essential for higher vaccination rates. Addressing geographical, cultural, and socio-economic factors is vital for widespread vaccine acceptance and achieving community immunity against COVID-19.