A new study released today outlines the public discourse around vaccine confidence.
The research, conducted by the World Economic Forum and NetBase Quid, an analytics platform for consumer and market insights, looked at publicly available content from social media platforms and blogs over a six-month period.
The five key findings are:
Protection top concern: The most compelling reason that people publicly identify for being vaccinated is the ‘protection’ offered by the vaccine. Protection is referenced at least five times as often as other words.
Backlash for moral messaging: Messages that focus on a moral responsibility to get vaccinated, especially coming from visible public figures, can result in a sharp backlash.
Personal gratitude: Responses to images and simple messages around ‘gratitude’ received the most positive responses. Positive communications from health professionals, social media influencers were more effective than those from other groups, particularly politicians.
Low confidence and low trust: People expressing low vaccine confidence appear to align with two broad groups: one group with low confidence in components of the vaccine system, such as the government or pharmaceutical companies, and one group with concerns about how the vaccine will affect their own personal health.
Overall concern: People online rarely distinguish between the types of vaccines, but rather express general concerns that ‘the vaccine’ doesn’t work or is not guaranteed to protect you from COVID-19.
The paper also outlines some of the key drivers of vaccine confidence that underpin these findings, such as trust in government and other institutions, whether people feel like their concerns are being listened to and properly valued, and the different ways that people weigh up the risks and benefits of being vaccinated.
Heidi Larson, Director of the Vaccine Confidence Project at the London School of Hygiene & Tropical Medicine, and who advised on the research, said: “The challenge of low vaccine confidence is not new, though it is particularly pressing as governments struggle to contain COVID-19.”
“Ultimately,” said Larson, “this is a challenge that is going to be with us for the long haul. As this report shows, the general public can be highly effective at building vaccine confidence among their friends and family, so we can all play a part in listening to people who have concerns and helping address them. We need an all-of-society approach to protect ourselves and our communities against COVID-19. The trust building needed is beyond vaccines, but building vaccine confidence is an entry point to the many other layers of trust needed moving forward”
Bob Goodson, President and Co-founder of NetBase Quid, said: “One of the unique things about the system we used to analyse this content is that we can deeply understand people’s emotional reactions to messages that they encounter on social media and time-and-again, people react most positively to simple, positive messages about vaccination and negatively to being told what to do.”
Genya Dana, Head of Health and Healthcare at the World Economic Forum, said: “It is important to come together and engage in dialogue to understand public health concerns. Vaccines represent one of the greatest public health advances in modern times. Their role in ending the COVID-19 pandemic depends in large part on understanding how to meet people where they are and listening to and responding to their questions.”
Critical Reforms Needed to Reduce Inflation and Accelerate the Recovery
While the government took measures to protect the economy against a much deeper recession, it would be essential to set policy foundations for a strong recovery, according to the latest World Bank Nigeria Development Update (NDU).
The NDU, titled “Resilience through Reforms”, notes that in 2020 the Nigerian economy experienced a shallower contraction of -1.8% than had been projected at the beginning of the pandemic (-3.2%). Although the economy started to grow again, prices are increasing rapidly, severely impacting Nigerian households. As of April 2021, the inflation rate was the highest in four years. Food prices accounted for over 60% of the total increase in inflation. Rising prices have pushed an estimated 7 million Nigerians below the poverty line in 2020 alone.
The report acknowledges notable government’s policy reforms aimed at mitigating the impact of the crisis and supporting the recovery; including steps taken towards reducing gasoline subsidies and adjusting electricity tariffs towards more cost-reflective levels, both aimed at expanding the fiscal space for pro-poor spending. In addition, the report highlights that both the Federal and State governments cut nonessential spending and redirected resources towards the COVID-19 response. At the same time, public-sector transparency has improved, in particular around the operations of the oil and gas sector.
The report however, notes that despite the more favorable external environment, with recovering oil prices and growth in advanced economies, a failure to sustain and deepen reforms would threaten both macroeconomic sustainability and policy credibility, thereby limiting the government’s ability to address gaps in human and physical capital which is needed to attract private investment.
“Nigeria faces interlinked challenges in relation to inflation, limited job opportunities, and insecurity”, said Shubham Chaudhuri, the World Bank Country Director for Nigeria. ”While the government has made efforts to reduce the effect of these by advancing long-delayed policy reforms, it is clear that these reforms will have to be sustained and deepened for Nigeria to realize its development potential.”
This edition of the Nigeria Development Update proposes near-term policy option organized around three priority objectives:
- Reduce inflation by implementing policies that support macroeconomic stability, inclusive growth, and job creation;
- Protect poor households from the impacts of inflation;
- Facilitate access to financing for small and medium enterprises in key sectors to mitigate the effects of inflation and accelerate the recovery.
“Given the urgency to reduce inflation amidst the pandemic, a policy consensus and expedite reform implementation on exchange-rate management, monetary policy, trade policy, fiscal policy, and social protection would help save lives, protect livelihoods, and ensure a faster and sustained recovery” said Marco Hernandez, the World Bank Lead Economist for Nigeria and co-author of the report.
In addition to assessing Nigeria’s economic situation, this edition of the NDU also discusses how the COVID-19 crisis has affected employment; how inflation is exacerbating poverty in Nigeria; how reforming the power sector can ignite economic growth; and how Nigeria can mobilize revenues in a time of crisis.
Indonesia: How to Boost the Economic Recovery
Indonesia’s economy is projected to rebound from the 2020 recession with 4.4 percent growth in 2021. The rebound is predicated on the pandemic being contained and the global economy continuing to strengthen, according to the World Bank’s latest Indonesia Economic Prospects report (“Boosting the Recovery”), released today.
The report highlights that although consumption and investment growth were subdued during the first quarter of 2021, consumer sentiment and retail sales started to improve during the second quarter suggesting stronger growth momentum. However, it also notes that pandemic related uncertainty remains elevated due to risks of higher viral transmission.
“Accelerating the vaccine rollout, ensuring adequate testing and other public health measures, and maintaining strong monetary and fiscal support in the near term are essential to boosting Indonesia’s recovery,” said Satu Kahkonen, World Bank Country Director for Indonesia and Timor-Leste. “Parallel reforms to strengthen the investment climate, deepen financial markets, and improve fiscal space for longer-term sustainability and growth will be important to further build consumer and investor confidence.”
The report recommends the government to develop a well sequenced medium-term fiscal strategy, including clear plans to improve tax revenues and fiscal space for priority spending. It also highlights the importance of maintaining accommodative monetary policy and stimulating private credit to support the real sector while monitoring external and financial vulnerabilities.
The report highlights the critical role of adequate social assistance in mitigating rising poverty risks. It finds that maintaining the 2020 social assistance package in 2021 could potentially keep 4.7 million Indonesians out of poverty.
This edition of the report also looks at the possibilities for Indonesia to boost higher productivity jobs and women’s economic participation.
“Indonesia has reduced poverty through job creation and rising labor incomes over the past decade. The next stage is to create middle-class jobs that are more productive, earn higher incomes, and provide social benefits,” said Habib Rab, World Bank Lead Economist for Indonesia. “While the crisis risks have exacerbated Indonesia’s employment challenges, it is also an opportunity to address the competitiveness and inclusion bottlenecks to creating middle-class jobs and strengthening women’s participation in the economy.”
The report recommends a four-pronged reform strategy to address these jobs-related challenges:
- Mitigate employment losses by maintaining adequate job retention programs, social assistance, training, and reskilling programs until the recovery is stronger.
- Boost productivity and middle-class jobs by promoting competition, investment, and trade.
- Equip the Indonesian workforce to hold middle-class jobs by investing in education and training systems and programs to improve workers’ skills.
- Bring more women into the labor force and reduce earning gaps between men and women by investing in child and elderly care and promoting private sector development in the care economy.
The Indonesia Economic Prospects Report is supported by the Australian Department of Foreign Affairs and Trade.
Inequality Has Likely Increased in PNG, with Bottom 40% Hit Hardest by Latest Outbreak
A joint World Bank and UNICEF report based on mobile phone surveys of Papua New Guinean families has found that while there was a slight recovery in employment between June and December 2020, people in the bottom 40% of wealth distribution remain the hardest hit by the Coronavirus pandemic.
Conducted in December 2020, this second World Bank survey (the first was conducted in June 2020), shows that inequality has likely increased in PNG in the year since the pandemic began, and that the current COVID-19 outbreak is expected to deepen inequalities even further.
“According to the report, there were positive signs that PNG was starting to recover from the initial shocks of the pandemic between June and December 2020,” explained Stefano Mocci, World Bank Country Manager for Papua New Guinea. “However, it was largely wealthier households who were experiencing the fastest recovery in employment and income. In contrast, in areas with above average poverty, there were still high job losses.”
“Given a possible third wave of COVID-19 infections has strong potential to cause further declines in employment and income, social and economic support needs to be targeted to those most vulnerable – the bottom 40% – to try and lessen the widening inequality gap.”
“Little is known about how COVID-19 affects children in PNG,” expressed Judith Bruno, acting UNICEF PNG Representative. “Overwhelmingly, households with children under the age of 15 considered COVID-19 as a major threat to household finances and reported decreases in access to basic services, including water supply, sanitation, health care, and mental health and psychosocial support.”
“This World Bank and UNICEF collaboration will help policy makers and responders to better protect children from the virus, promote safe and continued access to services, and prevent children and their families from further economic hardship.”
Other key findings from the second of five planned World Bank surveys include:
· For those still working, more than 75% of respondents reported receiving the same income as usual in the past week, compared to less than 50% in June (the strongest gains were for those in the top 40% of wealth distribution);
· Rural households, and those in the bottom 40% of wealth distribution, were most likely to see decreases in money sent by friends or family.
· 77% of households were somewhat worried, or very worried, about their household finances in the next month.
· 33% of households in the bottom 40% of wealth distribution were unable to buy their preferred protein, compared to just four percent of households in the top 40%.
· Less than 10% of primary and elementary school students participated in distance learning while schools were closed, but there were no significant differences between boys and girls returning to school and no evidence that the pandemic has widened the education gender gap.
· Compared to the rest of the country, households in the National Capital District (NCD) were more likely to report deteriorations in theft, alcohol and drug abuse, violence by police and domestic abuse since June 2020 – all indicators of rising tensions in the capital, Port Moresby.
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