Vaccine hesitancy in East Malaysia (Sabah): A survey of the national COVID-19 immunisation programme

Submitted: 18 July 2021
Accepted: 18 October 2021
Published: 14 January 2022
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The Malaysian government has introduced the National COVID-19 Immunisation Programme (PICK) as a new mechanism to address the transmission of coronavirus disease 2019 (COVID-19). Unfortunately, the number of PICK registrations is still unsatisfactory and is now even lower. The low level of participation of the Sabah (East Malaysia) population significantly impacts the PICK registrations. Therefore, this study aims to identify the factors that cause vaccine hesitancy among the people of Sabah. This study seeks to identify these trends based on zone and district boundaries. A total of 1024 respondents were sampled in this study. Raw data collected through the survey method were analysed using K-means clustering, principal component analysis (PCA), and spatial analysis. The study discovered that factors including confidence, authority, mainstream media, complacency, social media, and convenience are the top causes of vaccine hesitancy among respondents. This study also revealed that the Sabah population's key variables causing vaccine hesitancy to vary by region (zones and districts). The conclusion is significant as a source of supporting data for stakeholders seeking to identify the Sabah population's constraints in each region and therefore, it would help improve PICK management's performance in Sabah.

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Atmi RT, Satibi IF, Cahyani IR, 2018. Media literacy skills and social media: A portray of teenagers in urban area. Int J Engine Technol 7:236-9. DOI: https://doi.org/10.14419/ijet.v7i3.7.16359
Besar JA, Jali MFM, Lyndon N, Yusof ARM, Choy LK, Ghazali AS, Ghani MHA, 2015. Pengaruh Geopolitik Popular Terhadap Gelagat Politik Pengundi Muda Universiti Awam di Lembah Klang (The Influence of Popular Geopolitics on the Political Behavior of Young Voters of Public Universities in the Klang Valley). Geografia 3:37-44.
BERNAMA, 2020. Senators call for Sabah Internet access issues to be resolved. Selangor Journal; 08 September. Available from: https://selangorjournal.my/2020/09/senators-call-for-sabah-internet-access-issues-to-be-resolved/ Accessed: 23 March 2021.
Brodeur A, Gray DM, Islam A, Bhuiyan S, 2020. A literature review of the economics of COVID-19. Available from: https://www.econstor.eu/bitstream/10419/222316/1/GLO-DP-0601.pdf. Accessed: 21 March 2021. DOI: https://doi.org/10.2139/ssrn.3636640
Coman C, Țîru LG, Meseșan-Schmitz L, Stanciu C, Bularca MC, 2020. Online teaching and learning in higher education during the coronavirus pandemic: students’ perspective. Sustainability 12:10367. DOI: https://doi.org/10.3390/su122410367
COVID-19 Vaccine Supply Assurance Special Committee, 2021. Trending statistics of the National COVID-19 Immunisation Programme. Available from: https://www.vaksinCOVID.gov.my/en/ Accessed: 19 May 2021.
Damayanti AR, Wijayanto AW, 2021. Comparison of hierarchical and non-hierarchical methods in clustering cities in Java Island using the human development index indicators year 2018. Eigen Math J 4:8-17. DOI: https://doi.org/10.29303/emj.v4i1.89
Department of Statistics Malaysia, 2021. Population and housing census of Malaysia. Available from: https://www.mycensus.gov.my/index.php/ms/125-newsletter-infographics/1646-scdp-sabah Accessed: 23 April 2021.
Durie Rainer Fong, 2021. Sabah’s low vaccine registration number worries state rep; 26 March. Available from: https://www.freemalaysiatoday.com/category/nation/2021/03/26/sabahs-low-vaccine-registration-number-worries-state-rep/ Accessed: 29 March 2021.
Elengoe A, 2020. COVID-19 outbreak in Malaysia. Osong Public Health Res Perspect 11:93-100. DOI: https://doi.org/10.24171/j.phrp.2020.11.3.08
Fauzi H, Jamali A, Mohd SZN, 2014. SPSS Research Methods & Data Analysis. Universiti Utara, Malaysia.
Fauzi TFATM, Razif NFM, Ramli MA, 2018. Polemics between acceptance and rejection of children’s vaccination: an analysis from Islamic perspective. Shariah J 26:201-30.
Fauzi TFATM, Razif NFM, Sharifuddin NM, 2016. Vaccination of children according to the perspective of Maqasid al-ShariÌ’ah. Appl Aspects Sci Technol 75-100.
Fine P. Eames K, Heymann DL, 2011. ‘Herd immunity’: a rough guide. Clin Infect 52:911-6. DOI: https://doi.org/10.1093/cid/cir007
Hafifi RR, Shah MMZ, Hafiza RR, Yusoff WW, Zulkifli MM, 2021. Reopening national border and the treat of COVID-19 towards Malaysia: a systematic review approach. The importance of new technologies and entrepreneurship in business development in the context of economic diversity in developing countries. Impact New Technol Entrepreneurs Business Develop 2106-30. DOI: https://doi.org/10.1007/978-3-030-69221-6_151
Hair JF, Black WC, Babin BJ, Anderson RE, 2010. Multivariate data analysis: a global perspective. Pearson Prentice Hall, New Jersey, USA.
Hashim R, Bakar A, Noh I, Mahyudin HA, 2020. Employees’ job satisfaction and performance through working from home during the pandemic lockdown. Environ-Behav Proc J 5:461-7. DOI: https://doi.org/10.21834/ebpj.v5i15.2515
Hastie T, Tibshirani R, Friedman J, 2009. The elements of statistical learning: data mining, inference, and prediction. Springer Science & Business Media, Berlin, Germany.
Hu X, Kurokami H, 2017. A comparison of media literacy in urban and rural middle school students. Int J Educ Media Technol 11:132-40.
Jafar A, Geogre F, Mapa MT, Sakke N, Dollah R, 2021. Perceptions of urban poor with B40 status on the impact of the implementation of movement control order (MCO) by employment sector: a case study of Kota Kinabalu City, Sabah. J Contemp Issues Business Govern 27:3603-18. DOI: https://doi.org/10.47750/cibg.2021.27.02.369
Jawatankuasa Khas Jaminan Akses Bekalan Vaksin COVID-19, 2021. Trending statistics of the National COVID-19 Immunisation Programme. Available from: https://www.vaksinCOVID.gov.my/en/ Accessed: 28 May 2021.
Jenks GF, 1967. The data model concept in statistical mapping. Int Yearbook Cartograp 7:186-90.
Johnson RA, Wichern DW, 2007. Applied multivariate statistical analysis, Sixth Edition. Springer, Berlin, Germany. DOI: https://doi.org/10.1002/0471667196.ess6094
Kadkhoda K, 2021. Herd immunity to COVID-19: alluring and elusive. Am J Clin Pathol 155:471-2. DOI: https://doi.org/10.1093/ajcp/aqaa272
Krejcie RV, Morgan DW, 1970. Determining sample size for research activities. Educ Psychol Measure 30:607-10. DOI: https://doi.org/10.1177/001316447003000308
Lee NFC, Qi CJ, Mansur K, Mahmud R, 2020. The impact of coronavirus (COVID-19) on e-business in Malaysia: a review. In The 1 st International Conference on Entrepreneurship and Small Business (ICES2020).
MacDonald NE, 2015. Vaccine hesitancy: definition, scope and determinants. Vaccine 33:4161-4. DOI: https://doi.org/10.1016/j.vaccine.2015.04.036
Maravia Usman, 2020. Vaccines: Religio-cultural arguments from an Islamic perspective. Project: congregating during COVID-19: islamic jurisprudential and ethical considerations. Available from: https://www.researchgate.net/publication/348078005_Vaccines_Religiocultural_arguments_from_an_islamic_perpective Accessed: 23 March 2021.
McCartan C, Adell T, Cameron J, Davidson G, Knifton L, McDaid S, Mulholland C, 2021. A scoping review of international policy responses to mental health recovery during the COVID-19 pandemic. Health Res Policy Systems 19:1-7. DOI: https://doi.org/10.1186/s12961-020-00652-3
Mishra SP, Sarkar U, Taraphder S, Datta S, Swain DP, Saikhom R, Laishram M, 2017. Multivariate statistical data analysis-principal component analysis (PCA). Int J Livestock Res 7:60-78. DOI: https://doi.org/10.5455/ijlr.20170415115235
Morissette L, Chartier S, 2013. The k-means clustering technique: general considerations and implementation in mathematics. Tutor Quant Methods Psychol 9:15-24. DOI: https://doi.org/10.20982/tqmp.09.1.p015
Mumin N, 2020. Are Malaysians ready for telecommuting? a case of COVID-19 movement control order. J Crit Rev 7:3979-90.
Nasution MZ, 2019. Penerapan Principal Component Analysis (PCA) dalam Penentuan Faktor Dominan yang Mempengaruhi Prestasi Belajar Siswa (Studi Kasus: SMK Raksana 2 Medan). JurTI (Jurnal Teknologi Informasi) 3:41-8. DOI: https://doi.org/10.36294/jurti.v3i1.686
Nicola M, Alsafi Z, Sohrabi C, Kerwan A, Al-Jabir A, Iosifidis C, Agha R, 2020. The socio-economic implications of the coronavirus and COVID-19 pandemic: a review. Int J Surg 78:185-93. DOI: https://doi.org/10.1016/j.ijsu.2020.04.018
Perveen A, Hamzah H, Ramlee F, Othman A, Minhad M, 2020. Mental health and coping response among Malaysian adults during COVID-19 pandemic movement control order. J Crit Rev 7:653-60. DOI: https://doi.org/10.47203/IJCH.2020.v32i03.020
Phizackerley D, 2021. COVID-19 vaccination - we need more than the ‘mum test’. Available from: https://dtb.bmj.com/content/dtb/59/1/2.full.pdf Accessed: 7 April 2021. DOI: https://doi.org/10.1136/dtb.2020.000071
Purandina IPY, Winaya IMA, 2020. Character in digital literacy: maintaining the peace of the people in the digital age. Jayapangus Press Books 1-18.
Rahman AA, Jasmin AF, Schmillen A, 2020. The vulnerability of jobs to COVID-19: the case of Malaysia. ISEAS-Yusof Ishak Institute.
Rashid SMRA, Samat N, 2018. Family poverty and its influence on rural community low education: Case study in Bachok District, Kelantan. e-Bangi 15(2). Available from: https://ejournal.ukm.my/ebangi/article/view/26796/8239 Accessed: 15 April 2021.
Ratnasingam J, Khoo A, Jegathesan N, Wei LC, Abd Latib H, Thanasegaran G, Amir MA, 2020. How are small and medium enterprises in Malaysia’s furniture industry coping with COVID-19 pandemic? Early evidences from a survey and recommendations for policymakers. BioResour 15:5951-64. DOI: https://doi.org/10.15376/biores.15.3.5951-5964
Ridauddin Daud, 2021. The number of vaccine registration is still low - Khairy Jamaluddin. Astro Awani. Available from: https://www.astroawani.com/berita-malaysia/number-vaccine-registration-still-low-khairy-jamaluddin-285431
Rousseeuw PJ, 1987. Silhouettes: a graphical aid to the interpretation and validation of cluster analysis. J Computat Appl Math 20:53-65. DOI: https://doi.org/10.1016/0377-0427(87)90125-7
Rumetta J, Abdul-Hadi H, Lee YK, 2020. A qualitative study on parents’ reasons andrecommendations for childhood vaccination refusal in Malaysia. J Infect Public Health 13:199-203. DOI: https://doi.org/10.1016/j.jiph.2019.07.027
Sabah Town Planning, 2021. Map of development control division in Sabah. Available from: https://www.townplanning.sabah.gov.my/Bahagian%20Kawalan%20Pembangunan.html
Sallam M, 2021. COVID-19 vaccine hesitancy worldwide: A concise systematic review of vaccine acceptance rates. Vaccines 9:160. DOI: https://doi.org/10.3390/vaccines9020160
Selvanathan M, Hussin NAM, Azazi NAN, 2020. Students learning experiences during COVID-19: Work from home period in Malaysian Higher Learning Institutions. Teaching Public Administration 0144739420977900. DOI: https://doi.org/10.1177/0144739420977900
Simanjuntak IM, 2018. Use of principal component analysis (PCA) method to reduce factors affecting coronary heart disease in hospitals. H. Adam Malik Medan Tahun, 2017. Available from: http://repositori.usu.ac.id/bitstream/handle/123456789/11234/141000025.pdf?sequence=1&isAllowed=y Accessed: 27 March 2021.
Sharfuddin S, 2020. The world after COVID-19. The Round Table 109:247-57. Available from: https://www.tandfonline.com/doi/full/10.1080/00358533.2020.1760498 Accessed: 23 March 2021. DOI: https://doi.org/10.1080/00358533.2020.1760498
Slocum TA, McMaster RB, Kessler FC, Howard HH, 2009. Thematic cartography and geovisualization. 3rd ed. Pearson-Prentice Hall, Upper Saddle River, NJ, USA.
Sundarasen S, Chinna K, Kamaludin K, Nurunnabi M, Baloch GM, Khoshaim HB, Sukayt A, 2020. Psychological impact of COVID-19 and lockdown among university students in Malaysia: Implications and policy recommendations. Int J Environ Res Public Health 17:6206. DOI: https://doi.org/10.3390/ijerph17176206
The Special Committee For Ensuring Access To COVID-19 Vaccine Supply (JKJAV), 2021. National COVID-19 Immunisation Programme; 1 July Available from: https://www.vaksinCOVID.gov.my/pdf/National_COVID-19_Immunisation_Programme.pdf. Accessed: 22 May 2021.
The Qur’an, 2004. Sura al-Tin; 95: 4. Abul-Qasim Publishing House. Available from: https://muslimcouncil.org.hk/wp-content/uploads/2019/01/Quran-English.pdf. Accessed: 23 March 2021.
Thompson B, 2004. Exploratory and confirmatory factor analysis. American Psychological Association, Washington, DC, USA. DOI: https://doi.org/10.1037/10694-000
Tiung LK, Idris RZ, Idris R, 2018. Propaganda and disinformation: politics of perception in Malaysian’s 14th general election (Ge-14). Jurnal Kinabalu, Special Issue, p. 171.
Williams B, Onsman A, Brown T, 2010. Exploratory factor analysis: A five-step guide for novices. Austral J Paramed 8:1-13. DOI: https://doi.org/10.33151/ajp.8.3.93
Wong A, Ho S, Olusanya O, Antonini MV, Lyness D, 2020. The use of social media and online communications in times of pandemic COVID-19. J Intens Care Soc 1751143720966280. DOI: https://doi.org/10.1177/1751143720966280
Wong LP, Alias H, Md Fuzi AA, Omar IS, Mohamad Nor A, Tan MP, Chung I, 2021. Escalating progression of mental health disorders during the COVID-19 pandemic: evidence from a nationwide survey. PLoS One 16:e0248916. DOI: https://doi.org/10.1371/journal.pone.0248916
World Health Organization, 2020a. Situation report – 151 - Coronavirus disease 2019 (COVID-19). Available from: https://www.who.int/docs/default-source/coronaviruse/situation-reports/20200619-COVID-19-sitrep-151.pdf?sfvrsn=8b23b56e_2 Accessed: 12 June 2021.
World Health Organization, 2020b. Coronavirus disease 2019 (COVID-19): situation report, 82. Available from: https://apps.who.int/iris/bitstream/handle/10665/331780/nCoVsitrep11Apr2020-eng.pdf Accessed: 23 March 2021.
Yahya MSS, Masdar NF, Samat N, 2019. The use of factor analysis to determine the driving factors of household poverty in the Northern Region of Peninsular Malaysia. e-Bangi 16(6).
Yee A, Hodori NAM, Tung YZ, Ooi PL, Latif SABA, Isa HM, Tan SB, 2021. Depression level and coping responses toward the movement control order and its impact on quality of life in the Malaysian community during the COVID-19 pandemic: a web-based cross-sectional study. Ann Gener Psychiat 20:1-9. DOI: https://doi.org/10.1186/s12991-021-00352-4

How to Cite

Jafar, A., Mapa, M. T., Sakke, N., Dollah, R., Joko, E. P. ., Atang, C. ., Awang Ahmad, S. ., Vun Hung, C. ., & Geogre, F. (2022). Vaccine hesitancy in East Malaysia (Sabah): A survey of the national COVID-19 immunisation programme. Geospatial Health, 17(s1). https://doi.org/10.4081/gh.2022.1037

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