<p>As of 31st December 2022 Malawi had registered 88,214 confirmed cases of Covid-19, with 2685 total deaths. In addition, 33% of the population were vaccinated against Covid-19. Covid-19 vaccines have proved to reduce disease severity and death from Covid-19. The World Health Organization recommends Covid-19 vaccination coverage of 70% of the population. However, by December 2022, Mwanza district hospital had reached 32.8% Covid-19 vaccination coverage and 13.1% fully immunized against a national set target of 50% of the population. We explored the causes for low vaccination uptake at Mwanza district hospital.</p>