COVID-19 Vaccine Inequities and Hesitancy in Iraq - Results from June, July, and August 2021 - Iraq High Frequency Phone Survey (IHFPS)

Jul 19, 2026

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COVID-19 vaccination in Iraq remains very low despite continued surges in coronavirus cases. Data indicate that, by mid-January 2022, only about 15% of Iraqis were fully vaccinated and another 7% partially vaccinated, placing Iraq among the lowest performers in the Middle East and North Africa and far below global vaccination levels. The report analyzes disparities in vaccination and vaccine hesitancy using the last three rounds of the Iraq High Frequency Phone Survey conducted between June and August 2021. Conducted through mobile-phone interviews of over 1,600 nationally representative adults per round, the survey includes socioeconomic and food security modules and a specific vaccination module to monitor distribution and acceptance during the pandemic.

LanguageEnglish

CategoryResearch & Report

FormatPDF

Pages20

Reading Time50 min

Executive summary

Background

Results I: Vaccination and vaccine hesitancy

Results 2: Disparities in vaccination and vaccine hesitancy

Discussion and Conclusions

Works Cited

Annex I: Sampling Design

Annex II: Reweighting for the High Frequency Phone Survey in Iraq (IHFPS 2021)

Authorized Public Disclosure Authorized Pub l ic Disclosure Authorized Public Disclosure Authorized Wor ld Bank / CODEX Productions COVID-19 Vaccine Inequities and Hesitancy in Iraq Results from June, July, and August 2021 Rounds of Iraq High Frequency Phone Survey (IHFPS) Table of Contents List of Tables Acronyms 04 Acknowledgements 05 Executive summary 07 Background 09 Results I: Vaccination and vaccine hesitancy 15 Results 2: Disparities in vaccination and vaccine hesitancy 18 Discussion and Conclusions 28 Works Cited 30 Annex I: Sampling Design 33 Annex II: Reweighting for the High Frequency Phone Survey in Iraq (IHFPS 2021) 34 Table 1: Respondents and household characteristics (by survey round) . 14 List of Figures Figure 1: Daily new cases and deaths attributed to Covid-19 (seven day rolling average) . 10 Figure 2: Cumulative cases and deaths per 1 million population as of January 19, 2022. 11 | Figure 3: Average stringency index as of January 19, 2022. 11 | | | --- | --- | | Figure 4: Daily new Covid-19 vaccine doses administered (seven day rolling average) . 13 | | | Figure 5: Share of population vaccinated against Covid-19 as of January 19, 2022. 14 | | | Figure 6: vaccination and vaccine hesitancy among Iraqi adults aged 18 or over. | 16 | | Figure 7: Awareness and knowledge regarding Covid-19 vaccine availability among unvaccinated | 17 | | Figure 8: Awareness and knowledge of vaccine in Iraq by hesitancy category (among unvaccinated adult Iraqis) | 18 | | Figure 9: Knowledge ofwhere to get vaccine by vaccine hesitancy category (among unvaccinated adult Iraqis) | 18 | | Figure 10: Reasons why unvaccinated adult Iraqis are not sure or not planning to get vaccinated | 19 | | Figure 11: Vaccination by education status | 21 | | Figure 12: Vaccine hesitancy by education status | 21 | Figure 13: Vaccination by employment status 22 Figure 14: Vaccine hesitancy by employment status 22 Figure 15: Vaccination by age group 24 Figure 16: Vaccine hesitancy by age group 24 Figure 17: Vaccination by gender, region, and environment type 24 Figure 18: Vaccine hesitancy by gender, region, environment type 24 Figure 19: Vaccination and respondent’s household food security and expenditure 25 Figure 20: Vaccine hesitancy and respondent’s household food security and expenditure 25 Figure 21: Vaccination by asset ownership 26 Figure 22: Vaccine hesitancy by asset ownership 26 Figure 23: Vaccination by respondent’s household wealth index 27 Figure 24: Vaccine hesitancy by respondent’s household wealth index 27 Acronyms CEPI-Coalition for Epidemic Preparedness Innovations CFSVA-Comprehensive Food Security and Vulnerability Analysis FCS-Food Consumption Score IDPs-Internal Displaced Peoples IHFPS-Iraq High Frequency Phone Survey MENA-Middle East and North Africa MICS-Multi Indicator Cluster Survey MNOs-Mobile Network Operators mVAM-mobile Vulnerability Analysis and Mapping PSM-Propensity Score Matching WFP-World Food Programme Acknowledgements This report was prepared by Kwabena Krah and Lokendra Phadera from the World Bank’s Poverty and Equity Global Practice. The project was led by Lokendra Phadera, and Matthew Wai-Poi co-led the project in its early stage. The data collection was a collaborative effort between the World Food Programme (WFP) Iraq and the World Bank. We are grateful for the guidance of the peer reviewers Utz Johann Pape and Nandini Krishnan. Helpful comments and suggestions were also received from Johannes G. Hoogeveen (World Bank), Fawad Raza, and Tiwonge Machiwenyika (both WFP Iraq) . We thank Johannes G. Hoogeveen, Practice Manger for the Poverty and Equity Global Practice for the Middle East and North Africa region, and Ramzi Afif Neman, Head of the Iraq Country Office, for their overall guidance and support. We are also thankful to Suhair Murad Al-Zubairi for excellent administrative support throughout the project. We acknowle

FAQs

这份报告研究的主要主题是什么？

报告聚焦伊拉克的COVID-19疫苗接种不平等与疫苗犹豫问题，并基于2021年6—8月IHFPS最后三轮调查给出结果。

数据来源与调查对象是什么？

研究使用伊拉克高频电话调查（IHFPS）最后三轮数据。每轮通过手机访谈覆盖超过1,600名成人，样本在伊拉克范围内具有全国代表性。

报告如何评估疫苗接种情况与犹豫？

调查在多个社会经济模块之外，额外加入COVID-19疫苗模块以追踪疫苗分配与接受程度，从而分析接种水平与犹豫差异。

Jul 19, 2026

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