Determinant Factors of Acceptance of COVID-19 Booster Vaccine in Elderly in Bogor City

Abstract

Objective: WHO issued a PHEIC revocation status for COVID-19. Prevention efforts with vaccination must still be carried out for long-term plans due to decreased effectiveness and virus mutations. The most severe impact was felt by the elderly, with 49.40% of the total 151,951 deaths recorded in Indonesia due to COVID-19. The aim of this research was to determine the determinants factor of receiving the COVID-19 booster vaccine for the elderly in Bogor City.   Methods: uses the document review method sourced from the website www.covid-19.go.id and qualitatively uses the Social Ecological Model and the Health Belief Model theory. Documents were reviewed from 2020 to June 2023. Qualitative data were collected by selecting informants using purposive sampling and processed using the Nvivo application.   Results: Based on extrinsic factors, there were 40 policies issued by the government specifically regarding the COVID-19 vaccine but have not been issued in Bogor City. The role of the community, organizations, and elderly families has not been maximized because of low knowledge regarding vaccines, dissemination of information on the COVID-19 vaccine still in general, and some families have not allowed the elderly to be vaccinated. Based on intrinsic factors, it shows that perceived susceptibility, perceived barriers, and cues to action have an influence on the acceptance of the COVID-19 vaccine in the elderly in Bogor City.   Conclusion: The determinants of the achievement of the COVID-19 booster vaccine in the elderly, there is no policy that has been issued specifically for the elderly in Bogor City. Community, organizations and elderly families have not played a sufficient role in implementing vaccinations and the elderly have low knowledge about vaccines, remote vaccine locations, unpleasant side effects after being vaccinated, and family directions that are not fully supportive.