Original Research – Special Collection: Vaccine Uptake in Tanzania

‘In God We Trust’: The role of religion in COVID-19 vaccinations in Dar es Salaam, Tanzania

Thomas J. Ndaluka, Ambrose T. Kessy, Chima E. Onuekwe
Journal of Public Health in Africa | Vol 16, No 3 | a707 | DOI: https://doi.org/10.4102/jphia.v16i3.707 | © 2025 Thomas J. Ndaluka, Ambrose T. Kessy, Chima E. Onuekwe | This work is licensed under CC Attribution 4.0
Submitted: 28 June 2024 | Published: 18 April 2025

About the author(s)

Thomas J. Ndaluka, Department of Sociology and Anthropology, Faculty of Social Sciences, University of Dar es Salaam, Dar es Salaam, Tanzania, United Republic of
Ambrose T. Kessy, Directorate of Research, Publications and Consultancy, The University of Dodoma, Dodoma, United Republic of Tanzania; and Planning, Finance and Administration, Dar es Salaam, Tanzania, United Republic of
Chima E. Onuekwe, Department of Immunizations, Emergency Preparedness and Response (EPR), World Health Organization, Dar es Salaam, United Republic of Tanzania; and Centre for Health and Allied Legal and Demographical Development, Research and Training (CHALADDRAT), World Health Organization, Awka, Nigeria

Abstract

Background: After the outbreak of COVID-19, the World Health Organization (WHO) identified vaccines as one of the intervention mechanisms capable of controlling and preventing COVID-19 infections. However, the uptake of the vaccine was below the expectation, while the cause for such manifestation was unclear.

Aim: This study aimed to examine the attitude of Pentecostal believers towards COVID-19 vaccines in Dar es Salaam, Tanzania. The focus was to investigate the role of religion in COVID-19 vaccinations.

Setting: This study was conducted at three Pentecostal churches, namely Arise and Shine Ministry, Ufufuo na Uzima Ministry and Tanzania Assemblies of God – Makongo-juu, all located in Dar es Salaam, Tanzania.

Methods: The study employed qualitative interviews to generate information from 55 Pentecostal believers.

Results: Findings from this study attest that the attitude of Pentecostal believers towards COVID-19 vaccines was mixed; some hesitated to be vaccinated and another quarter accepted vaccination. Despite being provided free of charge, the uptake of the COVID-19 vaccine was attributed to the social-ecological factors that the individuals were in.

Conclusion: Religion has remained a key factor for hesitancy toward COVID-19 vaccines among believers. The best way to increase acceptance of COVID-19 among believers, is to have an appreciation of the socio-cultural and ecological environment where Individuals’ member resources are stored. Acceptance of COVID- 19 was not only related to scientific and medical factors, but rather religious issue as well.

Contribution: It contributes to public health efforts that acknowledges the engagement of religious and socio-cultural dimensions to disease outbreaks and interventions.


Keywords

COVID-19 vaccines; Pentecostal believers; COVID-19; socio-ecological model; vaccine rejection; believers’ attitude; Tanzania

Sustainable Development Goal

Goal 3: Good health and well-being

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Crossref Citations

1. Understanding the socio-ecological determinants of COVID-19 vaccine uptake: A cross-sectional study of post-COVID-19 Tanzania
Chima E. Onuekwe, Ambrose T. Kessy, Egidius Kamanyi, Paul E. Kazyoba, Alexander Makulilo, Thomas Ndaluka, Magolanga Shagembe, Asha Hayeshi, Violet Mathenge, Tumaini Haonga, William Mwengee, Grace E. Saguti, Charles Sagoe-Moses
Journal of Public Health in Africa  vol: 16  issue: 3  year: 2025  
doi: 10.4102/jphia.v16i3.1145