# Acceptability of the social uses of the COVID-19 screening test among women in southern Benin

## TL;DR

This study explores why many women in southern Benin reject the COVID-19 screening test, highlighting social, educational, and contextual factors.

## Contribution

The study identifies specific individual and contextual factors influencing rejection of the test in a local context.

## Key findings

- 84.2% of women in southern Benin showed aversion to the COVID-19 screening test.
- Age, education, religion, and type of activity are key factors behind the refusal.
- Local contexts, infodemia, and health inequalities contribute to the aversion.

## Abstract

Screening tests are some of the essential measures in the fight against all diseases with epidemic potential. The refusal to use it is the major challenge that hinders this fight.

This article aims to highlight the factors for the rejection of the COVID-19 screening test among women in the informal sector in Benin.

The data were collected in southern Benin.

A cross-sectional approach was used to collect data in two areas (intervention area and buffer zone). The sample was drawn using a two-stage random sampling design. In the first stage, primary sampling units or clusters or villages or neighbourhoods were drawn, and in the second stage, 40 households were selected by primary sampling units. Overall, 2500 households per area in which about 2500 women aged 15–64 years were interviewed. Descriptive and explanatory analyses were carried out.

The results show that a strong majority (84.2%) of respondents showed aversion to the COVID-19 screening test. Individual factors (age, level of education, religion) and contextual factors (sectors and types of activities of the respondents) are the main reasons behind this refusal.

Insufficient consideration of local contexts around health emergencies, infodemia and social inequalities in health have contributed to aversion to the COVID-19 screening test.

The results call on public authorities to support a constant improvement of knowledge on COVID-19 taking into account local approaches to facilitate the adherence of populations to the screening test.