National Measles and Rubella Surveillance, University of Al-Neelain, Khartoum, Sudan.
Department of Community, Faculty of Medicine, University of Al-Neelain, Khartoum, Sudan.
East Mediterr Health J. 2023 May 31;29(5):362-370. doi: 10.26719/emhj.23.061.
Several studies have investigated COVID-19 vaccine acceptability and hesitancy, especially among healthcare workers (HCWs). However, acceptability of the vaccine by HCWs in Sudan remains unclear.
We investigated acceptability of the COVID-19 vaccine and its determinants among HCWs in Sudan.
Using a semi-structured questionnaire, we conducted a web-based cross-sectional study of COVID-19 vaccine hesitancy and its associated determinants among healthcare workers in Sudan during March-April 2021.
A total of 576 HCWs responded to the survey. Mean age was 35 years. Females (53.3%), medical doctors (55.4%) and being located in Khartoum State (76.0%) each accounted for more than half of the participants. Absolute refusal of the COVID-19 vaccine was expressed by 16.0% of the respondents. Males were more than twice as likely to accept the vaccine as females. Lower acceptability was statistically significantly associated with the nurses (OR = 0.35, 95% CI: 0.15-0.82, P < 0.001), increased perceived harm from the vaccine (OR = 0.11, 95% CI: 0.05-0.23, P < 0.001), lack of confidence in the source of the vaccine (OR = 0.16, 95% CI: 0.08-0.31, P < 0.001) and lack of confidence in organizations or government sectors supervising the vaccination process (OR = 0.31, 95% CI: 0.17-0.58, P < 0.001).
This study highlights a moderate level of COVID-19 vaccine acceptability among HCWs in Sudan. Special consideration should be given to addressing vaccine hesitancy among female HCWs and nurses.
多项研究调查了 COVID-19 疫苗的可接受性和犹豫性,尤其是在医护人员(HCWs)中。然而,苏丹 HCWs 对接种疫苗的可接受性仍不清楚。
我们调查了苏丹 HCWs 对 COVID-19 疫苗的可接受性及其决定因素。
我们使用半结构式问卷,于 2021 年 3 月至 4 月期间对苏丹的 HCWs 进行了 COVID-19 疫苗犹豫及其相关决定因素的在线横断面研究。
共有 576 名 HCWs 回答了调查。平均年龄为 35 岁。女性(53.3%)、医生(55.4%)和位于喀土穆州(76.0%)的 HCWs 各占参与者的一半以上。16.0%的受访者明确表示拒绝 COVID-19 疫苗。男性接种疫苗的可能性是女性的两倍多。接受程度较低与护士(OR=0.35,95%CI:0.15-0.82,P<0.001)、对疫苗危害的感知增加(OR=0.11,95%CI:0.05-0.23,P<0.001)、对疫苗来源缺乏信心(OR=0.16,95%CI:0.08-0.31,P<0.001)和对监督疫苗接种过程的组织或政府部门缺乏信心(OR=0.31,95%CI:0.17-0.58,P<0.001)显著相关。
本研究表明,苏丹 HCWs 对 COVID-19 疫苗的可接受性处于中等水平。应特别关注解决女性 HCWs 和护士对疫苗的犹豫情绪。