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This paper [1] addresses an important and timely topic—willingness to pay for COVID-19 vaccines in a developing country context. Understanding willingness to pay is essential not only for informing current vaccine financing strategies but also for shaping policies related to equitable vaccine access in response to future public health challenges. The study is well-conceived and provides valuable insights into vaccine affordability and public perception in Bangladesh.
JMIRx Med 2025;6:e79355
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This paper [1] examines willingness to pay (WTP) for COVID-19 vaccines in Bangladesh using a cross-sectional survey. The integration of the health belief model and theory of planned behavior adds a theoretical foundation to the analysis. The study is well-structured, and the use of hierarchical logistic regression strengthens its analytical rigor.
However, several issues need to be addressed before acceptance.
JMIRx Med 2025;6:e79353
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This paper [2] examines willingness to pay (WTP) for COVID-19 vaccines in Bangladesh using a cross-sectional survey. The integration of the health belief model and theory of planned behavior adds a theoretical foundation to the analysis. The study is well-structured, and the use of hierarchical logistic regression strengthens its analytical rigor.
However, several issues need to be addressed before acceptance.
JMIRx Med 2025;6:e79352
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Willingness to Pay for the COVID-19 Vaccine and Its Correlates in Bangladesh: Cross-Sectional Study
To combat the vulnerability caused by COVID-19, the Government of Bangladesh (Go B) launched its largest vaccination program, providing vaccines free of charge. However, sustaining this free vaccination program is challenging [13] for a resource-poor country with a large population, such as Bangladesh.
JMIRx Med 2025;6:e69827
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Despite vaccines being widely recognized as a key public health intervention, individuals’ vaccination decisions have been influenced by factors such as concerns about vaccine safety and efficacy, complacency or a low perceived risk of illness, and the inconvenience of accessing vaccination services [5].
J Med Internet Res 2025;27:e65361
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Despite the demonstrated effectiveness of vaccines in significantly reducing morbidity and mortality of affected individuals, youth are less proactive in health care–seeking behaviors due to low-risk perception and are not necessarily encouraged to vaccinate for influenza and other infectious diseases [9,21-23]. For COVID-19, youth were not initially prioritized for vaccination rollout, yet they might have been in contact with vulnerable populations [24,25].
JMIR Res Protoc 2025;14:e60481
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For example, an analysis of Twitter data was conducted by Niu et al [24] to examine public opinion and sentiment before and during the administration of the COVID-19 vaccines in Japan. They found that negative sentiment toward the vaccines dominated positive sentiment in Japan, and concerns about side effects may have outweighed fears of infection at the beginning of the vaccination process.
JMIR Infodemiology 2025;5:e70576
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Pretransplant vaccines are an important strategy to decrease the risk of VPIs posttransplant. Unfortunately, despite intensive medical management in the pretransplant period, less than 20% of pediatric liver transplant recipients have received all age-appropriate vaccines by the time of transplant [6].
JMIR Form Res 2025;9:e68855
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However, they did not specifically address the relative severity of reinfections versus primary infections in the early period of the pandemic, before vaccines became available [18].
Addressing this question requires the application of extended Cox models that allow the analysis of correlated recurrent events. The Andersen-Gill (AG) model assumes a common baseline hazard function, meaning that the baseline risk remains the same for each event (eg, the first, second, or third infection).
JMIR Public Health Surveill 2024;10:e56926
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