Trust and historical experience as explanatory factors in public responses to COVID-19 vaccination in Ghana
摘要
The COVID-19 pandemic significantly disrupted public health systems and livelihoods worldwide, especially in Ghana, where vaccine hesitancy hindered immunization efforts. This case study examines Ghanaians’ responses to COVID-19 vaccination through an interpretive secondary analysis, based on an integrative review of academic literature, online media reports, and institutional and policy documents. Employing qualitative document analysis and thematic interpretation, the study investigates dominant narratives, traces discursive patterns, and places public responses within wider socio-historical contexts. Sources were deliberately chosen to represent diverse perspectives, including government communications, public commentary, and scholarly analyses. The analysis is anchored in theories of social trust and collective memory. By emphasizing trust, memory, and socio-historical background, the study explains vaccine hesitancy that extends beyond individual concerns or information deficits. Findings suggest that vaccine hesitancy in Ghana was not mainly due to ignorance or irrational resistance to biomedical science. Instead, it was influenced by historically rooted concerns about vaccine safety and effectiveness, combined with persistent mistrust of political and medical institutions due to memories of past medical and research misconduct.