International Journal of Community Medicine and Public Health | December 2021 | Vol 8 | Issue 12 Page 5635 International Journal of Community Medicine and Public Health Aung Y et al. Int J Community Med Public Health. 2021 Dec;8(12):5635-5642 http://www.ijcmph.com pISSN 2394-6032 | eISSN 2394-6040 Original Research Article The acceptability of COVID-19 vaccination during spring crisis in Myanmar Yadanar Aung 1,2 *, Zaw Z. Htun 2 , Roy R. Marzo 3,4 INTRODUCTION Vaccine acceptability is very important in controlling communicable disease outbreaks as public acceptance has become more critical to maintain herd immunity. The control of COVID-19 is largely dependent upon its vaccine coverage. There are several factors significantly associated with the vaccine uptake while the population’s acceptability of the vaccine will most likely be influenced by their socioeconomic status, perceptions, trust, beliefs, vaccines-related knowledge and information about the trustworthiness of vaccines, side effects of the vaccine and the importance of the vaccine to prevent the health consequences of COVID-19. 1-14 Every country tries to flatten the COVID-19 epidemic curve with the ultimate goal of accepting vaccines against coronavirus. In the meantime, Myanmar’s coronavirus prevention measures have been collapsed since February 2021. 15 The military seized power and detained elected leaders on 1 February. Then, a series of mass protests happened, and the COVID-19 vaccination campaign among health care professionals across the country was stopped. 16 Doctors, nurses and health care workers have been involved in Civil Disobedience Movement (CDM), ABSTRACT Background: During the spring crisis, the coup and COVID-19 have led to a weakening vaccination program and Myanmar’s coronavirus prevention measures have been collapsed. The objective of this study was to determine the COVID-19 vaccine acceptance and assess its associated factors among the general adult population in Myanmar. Methods: A cross-sectional, web-based survey was conducted with a total of 301 participants. The association between vaccine acceptability and its determinants was assessed by binary logistic regression analysis. Results: The majority (90.4%) responded that they would like to accept vaccination if it is successfully developed and approved for listing in the future. Among the respondents, two-fifths (40.5%) had already received 1 st dose of the COVID-19 vaccine, and 86.4% of the respondents thought that doctor’s recommendation is a crucial factor in vaccination decision-making, while 70.4% responded that vaccine price is an essential factor. If the younger age of participants who possessed lower monthly household income and agreed that the doctor’s recommendation is an important factor in vaccine decision making, the probability of accepting vaccine was more chance than those of older age participants. Conclusions: The study highlighted that majority of the respondents wanted to accept the vaccine although they were concerned about the side effects and political unrest. It is the recommended to develop a strategy successfully to strengthen vaccine convenience. Keywords: Acceptability, COVID-19 vaccine, Hesitancy, Spring crisis 1 Institute for Population and Social Research, Mahidol University, Bangkok, Thailand 2 Department of Medical Research, Pyin Oo Lwin Branch, Myanmar 3 Department of Community Medicine, International Medical School, Management and Science University, Malaysia 4 Jeffrey Cheah School of Medicine and Health Sciences, Monash University, Malaysia Received: 01 October 2021 Accepted: 08 November 2021 *Correspondence: Dr. Yadanar Aung, E-mail: dryadanaraung@gmail.com Copyright: © the author(s), publisher and licensee Medip Academy. This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial License, which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. DOI: https://dx.doi.org/10.18203/2394-6040.ijcmph20214549