At the end of 2021 the number of confirmed COVID-19 cases in Kenya (population: 54 million) was in excess of 267,000, with a death toll of more than 5,300.
A total of 6.5 million people had received at least one dose of the vaccine, representing less than 12% of the total population. Only 6.5% of the total population has been fully vaccinated against COVID-19. The Government of Kenya plans to vaccinate 50% of all adults by the end of June 2022 in a phased approach, while maintaining a prioritization matrix, using vaccines procured through COVAX in March 2021.
PEOPLE IN KENYA
CASES OF COVID-19
AS OF 12/2021
Journey to COVID Vaccince Uptake Framework
COVID-19 Disease Appraisal
What do I feel about the COVID-19 disease?
Seeking Mitigation Strategies
How can I cope with the
COVID-19 Vaccine Appraisal
How do I feel about the COVID-19 Vaccine?
Coping with Vaccine Risk
How can I cope with vaccine risk?
How can I get this vaccine?
Should I get the second dose?
This framework captures the Decision Journey to COVID-19 Vaccine Uptake. The journey framework provides a simplified/explanatory representation of the deeper decision dynamics and the process that leads to or impedes COVID-19 vaccination uptake and adherence.
“It’s something I can go for... but only after careful consideration and getting “sure-bet” proof that I will not be dying after 2 years.”
– 60+ Male, Bungoma, Kenya
The decision journey consists of decision stages through which an individual progresses in his/her endeavor to make an informed decision towards COVID-19 vaccine. Each decision stage is characterized by a desired outcome that helps them to move forward in this decision journey. Each one of the desired outcome together creates a positive pathway for vaccine uptake action. But as individual navigate through the decision stages, evaluation that leads to unfavorable assessment of COVID-19 vaccine can deter them off the positive pathway and lead them to drop off the decision stage.
The Skeptic is mostly young people with low interaction with health system, low trusting behaviors coupled with low economic hardship. They have low risk perception of the disease and endorse COVID related myths.
The Anxious comprises of mostly uneducated mothers who have strong institutional trust which is offset with some. COVID context doubt. They also suffered from severe economic hardship.
The Doubtful 21%
The Doubtful has a high number of people in the reproductive age. They have high access but low engagement with health facilities and believe that COVID is serious but not risky for themselves.
The Relieved 12%
The Relieved is skewed towards an older cohort of women who are educated and have a higher number of dependents. They have a high risk perception of the disease despite facing low economic hardships.
They have suffered from substantial economic distress during the pandemic and so hope that things can get back to normal soon.
SEGMENT NAME AND POPULATION SIZE
The Indifferent 18%
The Indifferent has the most young and educated populace with high accessibility and trust in health facilities but low engagement with the same. Family plays a big role in influencing them.
The Distrustful have low access to health facilities and lowest risk perception of COVID. They have very low trust in government and mandated laid out by them and also think that the health system is inefficient.
Voices from the Field
“My husband was vaccinated but I refused. I just told him I don’t—I will go when I am confident enough. Since he works—it was a must for him because of traveling back and forth.”
– 30-59, Female, VH, Homabay, Kenya
“COVID is very bad. How many people have died? Very many people. You can take pills for HIV but not Corona.”
– 30-59, Female, VH, Homabay, Kenya
“Not that we have decided not to take it but you give yourself time. We are still studying about that. When maybe we’ll be given the education about them. It’s just deciding that is what I haven’t yet done. Well from the beginning I listen. You know immediately it came stories just started so I was like let me wait and see.”
– 30-59, Female, Mombasa, Kenya