Vaccine uptake, barriers and enhancers of COVID-19 vaccination among healthcare workers from high-burden cities in Ethiopia.

作者信息

Tura Gutema B, Teni Derbachew A, Abdella Saro, Tura Jaleta B, Wondarad Yakob, Fetensa Getahun, Gelanew Tesfaye, Abdissa Alemseged, Sembuche Senga, Gonese Elizabeth, Shaweno Tamrat, Dereje Nebiyu, Fallah Mosoka P, Mbabazi Leah, Ayebare Rodgers R, Kiragga Agnes, Kakooza Francis, Hailu Mesay, Tollera Getachew, Tajudeen Raji, Tsegaye Aster

机构信息

Ethiopian Public Health Institute, Addis Ababa, Ethiopia.

Ministry of Health, Addis Ababa, Ethiopia.

出版信息

J Public Health Afr. 2025 Apr 9;16(1):673. doi: 10.4102/jphia.v16i1.673. eCollection 2025.

DOI:10.4102/jphia.v16i1.673

PMID:40356731

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12067571/

Abstract

BACKGROUND

Coronavirus disease 2019 (COVID-19) vaccination is crucial for healthcare workers (HCWs) to protect themselves and promote public health.

AIM

This study assessed COVID-19 vaccination uptake, barriers and enhancers among HCWs in high-burden cities in Ethiopia.

SETTING

A cross-sectional survey among 600 randomly selected HCWs from 30 health facilities (May 2023 to July 2023).

METHODS

Interviewer-administered questionnaires assessed vaccination status, concerns and motivators. Descriptive statistics and modified Poisson regression identified factors associated with vaccination.

RESULTS

Overall, 70.3% ( = 422) received at least one dose, and 39.2% ( = 235) were fully vaccinated. Safety concerns (51.9%) were the main barrier. More information on safety and efficacy (53.1%) and regulatory approval (27.3%) were key motivators. Those not recommending vaccination were less likely to be vaccinated (prevalence ratio [PR] = 0.59, 95% confidence interval [CI]: 0.41-0.85). Professionals such as radiographers (PR = 0.78), pharmacists (PR = 0.79) and laboratory personnel (PR = 0.85) were less likely compared to physicians. Older HCWs (> 25 years) were twice as likely to be vaccinated. HCWs in health centres were more likely to be vaccinated than those in hospitals (PR = 1.201, 95% CI: 1.076-1.341).

CONCLUSION

A significant proportion of HCWs were not fully vaccinated. Targeting hospital workers and younger age groups and improving HCWs confidence in recommending vaccination can increase uptake.

CONTRIBUTION

This study reveals COVID-19 vaccine safety, efficacy and confidence concerns of HCWs, highlighting the need for targeted awareness to strengthen national vaccination efforts against pandemics.

摘要