Department of Community Medicine, Bayero University, Kano PMB 3011, Nigeria.
Medicine, Health, and Society Program, Vanderbilt University, Nashville, TN 37240, USA.
Int J Environ Res Public Health. 2022 Oct 26;19(21):13937. doi: 10.3390/ijerph192113937.
This study examined the support for vaccine mandates and uptake among clinical and non-clinical staff at a tertiary hospital in northern Nigeria, focusing on variation of survey responses based on job position, socio-demographic characteristics, and perceived risk of infection with severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2). Using an explanatory, sequential, mixed-methods design and deploying a pragmatic paradigm, 370 healthcare workers were administered structured questionnaires. This was followed by in-depth interviews with a sub-sample of respondents to further clarify the responses regarding support for the coronavirus disease 2019 (COVID-19) vaccine mandate. Findings demonstrated that less than one-half of respondents supported the COVID-19 mandate, and only one in three had received the recommended COVID-19 vaccine doses. Support for the vaccine mandate and vaccine uptake were predicted by profession, work experience, number of children, health status, and risk perception. Support for the vaccine mandate was ascribed to ethical and professional duty, whereas opposition was associated with respect for autonomy and human rights. This study documents the need to enhance support for vaccine mandates and uptake among healthcare workers through sustainable strategies, as Nigeria's healthcare workers are considered a source of trust and role models for the rest of society.
本研究考察了尼日利亚北部一家三甲医院的临床和非临床工作人员对疫苗接种令的支持情况和接种情况,重点关注基于职位、社会人口特征以及对严重急性呼吸系统综合征冠状病毒 2(SARS-CoV-2)感染风险的感知的调查反应差异。采用解释性、顺序、混合方法设计,并采用实用范式,对 370 名医护人员进行了结构化问卷调查。随后对部分受访者进行了深入访谈,以进一步澄清对 2019 冠状病毒病(COVID-19)疫苗接种令的支持。研究结果表明,不到一半的受访者支持 COVID-19 接种令,只有三分之一的人接种了推荐剂量的 COVID-19 疫苗。对疫苗接种令的支持和疫苗接种率可由职业、工作经验、子女数量、健康状况和风险感知来预测。对疫苗接种令的支持归因于道德和专业责任,而反对则与对自主权和人权的尊重有关。本研究表明,有必要通过可持续的策略来增强医护人员对疫苗接种令和接种的支持,因为尼日利亚的医护人员被视为社会其他成员的信任来源和榜样。