Vaccine narratives on social media in Malaysia

September 2021

Introduction

The infodemic's earlier days were marked with false information about community spread of Covid-19, actions being taken by authorities, and even the origins of the novel coronavirus. Today, we know that it has expanded to include false information on the vaccines and vaccination process. Yet, what exactly is being discussed, in what way, and how frequent does anti-vaccine content appear remains uncertain.

Our research aims to shed light on this.

Key findings

  • The “supply and access”, “safety and efficacy” and “public health” topics collectively made up 76% of all posts analysed
  • The top three topics with the highest average engagement on Facebook are “liberty and freedom”, “morality and religion” and “development”, while on Twitter it is “public health”, “politicisation” and “safety and efficacy”
  • Sentiment of posts analysed were almost equally split, with 35% being positive, 33% neutral, and 31% negative
  • A mere 67 posts (3%) of the 2,000 posts analysed were coded as being “against” vaccines. Yet, concerns remain over how one in ten posts “against” vaccines are under the “safety and efficacy” topic, meaning more must be done to assure the people that the vaccines are safe and efficacious"

Topic of posts

Coding for topic allows us to gauge the share of conversations by topic surrounding vaccines in Malaysia. The nine topics, adapted from FirstDraft’s earlier work, are: (1) development; (2) supply and access; (3) safety and efficacy; (4) public health; (5) politicisation; (6) economics; (7) conspiracy theory; (8) liberty and freedom; and (9) morality and religion.

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The top three topics are “supply and access”, “safety and efficacy” and “public health”. Collectively making up 76% of the 2,000 posts analysed, these three topics made up the largest share of the conversations surrounding vaccines. The remaining six topics were less represented suggesting that posts on these topics were engaged less frequently.

In a cross-platform analysis, there is little differentiation between Facebook and Twitter posts with the exception of the “development” topic, present 3.1 times more in former. Results of a cross-language analysis is similar, with exceptions being the “morality and religion” and “conspiracy theory” topics represented 2.5 and 2 times more in Malay posts than English.

Number of posts by selected topics and month

Start of Phase 3 NCIP
"Supply and access" increased by 672% from April to May.

From April to May, the top four topics saw increases between 316% and 672%. Contributing factors for the increase in “supply and access” posts include May 2021 being the start of Phase 3 of the NCIP which saw everyone age 18 and above becoming eligible for vaccines, and the two AstraZeneca opt-in vaccination programmes. The latter had also contributed to the increase in “safety and efficacy” posts due to the remote concerns over blood clots. “Public health” posts increased when recipients recommended others to get vaccinated after receiving their first doses, while “politicisation” posts increased on the back of the public questioning the government’s decision to set up the first-come, first-served opt-in registration for AstraZeneca vaccines.

Contextually, eight of the nine topics peaked in May with the exception of “development”, suggesting that as more people become eligible to receive the vaccines, the more they were engaging with vaccine-related posts.

Moving forward, we expect vaccine-related conversations to continue to change in tandem with wider developments on the vaccines and vaccine-related matters. As the country loosens MCO SOP for fully vaccinated individuals, we believe that the conversations will shift towards the topic of “liberty and freedom”, specifically how vaccination can be a gateway to future freedoms.

Sentiment of posts

The sentiment of the posts acts as a proxy for how the post creator is feeling and/or reacting vis-à-vis the post being analysed. This adds another layer of analysis insofar that we are better able to determine how people are reacting to that particular vaccine-related topic.

The sentiments of the posts in our full dataset are almost equally split between “positive”, “neutral” and “negative”. Cross-language, the English dataset skews in favour of “neutral”, while the Malay dataset skews towards both “positive” and “negative”. Cross-platform, Facebook contains more positive posts (39%) compared to Twitter (32%), while Twitter contains more negative posts (35%) than Facebook (27%).

Attitude towards vaccines

We analysed posts for its attitude towards vaccines and vaccinations to gauge the number of posts recommending for and against it, and also the type of narratives present (more on this in the next section). We determine this based on whether the post had included explicit, or strongly suggestive content to indicate the creator’s attitude towards vaccines.

As a whole, 45% of all posts that we analysed had included some form of explicit public service content recommending friends and followers to get vaccinated. A mere 3% of posts indicated that they were against the vaccines. Broken down by platform and language, the Twitter English and Malay datasets contain a higher number of posts recommending vaccines than the Facebook English and Malay datasets.

Post recommending and against vaccines by platform and language

92%
recom-mended

Facebook Malay

96%
recom-mended

Facebook English

92%
recom-mended

Twitter Malay

97%
recom-mended

Twitter English

Posts recommending vaccines

Posts against vaccines

The largest share of posts recommending against vaccines were from the “safety and efficacy” topic (73%). Contextually, one in ten of all “safety and efficacy” posts were coded as being against vaccines. The rest of the topics, however, contained between one and three posts coded as being against. This highlights quite clearly how narratives against vaccinations, in our dataset at least, are generally centred on the topic of “safety and efficacy”.

Selected narratives against vaccinations

This section highlights selected narratives against vaccinations in our dataset and from our stakeholder interviews. By matching these with an explanation of why and how it is either false or misleading, we hope to help build social media users’ resilience towards these problematic narratives.


Narrative 1

Covid-19 is similar to the common flu and only the elderly or those with comorbidities are at risk, thus it is not necessary for everyone to get vaccinated.


Narrative 2

Covid-19 vaccines are not “real vaccines” as they do not cure the person from nor prevent the transmission of the novel coronavirus.


Narrative 3

Vaccinations are ineffective as even with the NCIP rolling out nationwide, the number of cases in the country is steadily rising.


Narrative 4

The vaccines were developed too quickly so we cannot be too sure of its safety.


Policy proposals

There is no one single solution, or a silver bullet, to the infodemic. There are many policy options, however, to help address this multifaceted, multisource problem. For this report, we focus on communication strategies to inform the public’s decision to get vaccinated. For a comprehensive framework to address vaccine-related false information, see here.

For government


Two-way communication channels for those with lingering questions and doubts about the vaccines

For government


Targeted digital and in-person messaging based on localities with low registration rates

For government


The NPRA needs to engage with the public directly on what it is doing to ensure vaccine safety

For government


Tracking developing news about the vaccines and vaccination process

For whole-of-society


Diversify the sources of pro-vaccine messaging to include groups with higher trust and credibility levels

For whole-of-society


Breaking down scientific concepts, such as vaccine efficacy

General strategy


Incorporating nudging tactics to get people vaccinated

General strategy


Addressing the imbalance between false but simply understood messaging and authoritative science-based messaging

General strategy


Highlighting the difference between medical consensus and opinion of individuals in the medical profession

For government


Two-way communication channels for those with lingering questions and doubts about the vaccines

For government


Targeted digital and in-person messaging based on localities with low registration rates

For government


The NPRA needs to engage with the public directly on what it is doing to ensure vaccine safety

For government


Tracking developing news about the vaccines and vaccination process

For whole-of-society


Diversify the sources of pro-vaccine messaging to include groups with higher trust and credibility levels

For whole-of-society


Breaking down scientific concepts, such as vaccine efficacy

General strategy


Incorporating nudging tactics to get people vaccinated

General strategy


Addressing the imbalance between false but simply understood messaging and authoritative science-based messaging

General strategy


Highlighting the difference between medical consensus and opinion of individuals in the medical profession

Conclusion

Our research paints a more positive picture of the information environment surrounding vaccines than initially expected. Yet, two concerns remain: (1) 73% of all posts coded as being “against” vaccines is under the “safety and efficacy” topic, meaning more must be done to assure the people that the vaccines are safe and efficacious; and (2) the posts span from October 2020 to May 2021, and narratives surrounding vaccines and the vaccination process could have changed as a response to wider developments on the topic. These are, but a few, areas we hope to look into in the coming months.

For now, no effort must be spared in reaching out, engaging, and convincing those who have yet to register for the vaccines to do so immediately. Not only does the success of the NCIP hinge on this, but also any subsequent recovery of lives and livelihoods. We hope that our work helps in getting us there.