Assessing COVID-19 vaccine roll-out in Uganda: a case study of uptake and associated factors among health care workers and older people

Open research Africa Pub Date : 2024-03-20 DOI:10.12688/openresafrica.14719.1

U. Bahemuka, A. Abaasa, Robert Asaba, E. Ssemwanga, M. Muwanga, C. Nsereko, D. Nsubuga, Slivesteri Sande, A. Wajja, Janet Seeley, Alison M. Elliott, E. Ruzagira

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Abstract

Introduction We conducted a survey to investigate the uptake of COVID-19 vaccination among healthcare workers (HCWs) and older persons (≥ 50 years) in Uganda, groups at particular risk of infection and severe disease outcomes respectively. Methods The survey was conducted between May and August 2021, during the early phase of COVID-19 vaccine roll-out. All HCWs at Entebbe and Kisubi hospitals, Wakiso district (urban/peri-urban) and Villa Maria hospital, Kalungu district (rural), and non-healthcare worker (non-HCW) individuals enrolled in an ongoing older persons’ cohort study in Wakiso district, completed an interviewer-administered questionnaire on socio-demographics, pre-existing medical conditions, attitudes regarding COVID-19 vaccines, and vaccination uptake. Logistic regression was performed to investigate factors associated with uptake. Findings A total of 746 individuals, 597 HCWs and 149 non-HCW older persons, participated. Majority were aged ≤50 years (71.6%), female (63.1%), and had secondary school/other higher-level education (77.8%). COVID-19 uptake was 63.7%, overall; 95.2%, Entebbe Hospital; 75.4%, Kisubi Hospital; 49.5%, Villa Maria Hospital; and 20.8%, non-HCW. Among HCWs, health facility [Entebbe hospital (aOR 18.9, 95% CI 8.9-40.2), Kisubi hospital (aOR 5.2, 95% CI 3.0-9.0) all compared with Villa Maria], age >50 years (aOR 3.1, 95% CI 1.2-8.4) and positive attitude towards COVID-19 vaccines (aOR 5.0, 95% CI 2.1-11.8) were associated with high uptake, while female sex (aOR 0.5, 95% CI 0.3-0.9) was associated with low uptake. Among non-HCW older persons, absence of chronic infectious disease (aOR 4.3, 95% CI 1.1-16.3) good attitude towards COVID-19 vaccines (aOR 29.2, 95% CI 4.1-208.8) were associated with high uptake, while advanced age 70-79 years (aOR 0.1, 95% CI 0.01-0.97) was associated with low uptake. Conclusion COVID-19 vaccine uptake was lowest among rural-based HCWs and non-HCW older persons. Vaccination campaigns during a pandemic need to foster positive attitudes towards vaccines and employ strategies specifically designed to improve vaccine uptake among disadvantaged populations.

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评估 COVID-19 疫苗在乌干达的推广情况：关于医护人员和老年人的接种情况及相关因素的案例研究

导言我们开展了一项调查，以了解乌干达医护人员（HCWs）和老年人（≥ 50 岁）对 COVID-19 疫苗接种的接受情况。方法调查于 2021 年 5 月至 8 月期间进行，当时正值 COVID-19 疫苗推广的早期阶段。瓦基索地区恩德培医院和基苏比医院（城市/城郊）以及卡伦古地区维拉玛丽亚医院（农村）的所有医护人员和瓦基索地区正在进行的老年人队列研究中登记的非医护人员（非医护人员）完成了由访谈者主持的问卷调查，内容包括社会人口统计学、既往病史、对 COVID-19 疫苗的态度以及疫苗接种情况。为调查与接种率相关的因素，进行了逻辑回归。结果共有 746 人参加了调查，其中包括 597 名医护人员和 149 名非医护人员的老年人。大多数人的年龄在 50 岁以下（71.6%），女性（63.1%），受过中学/其他高等教育（77.8%）。COVID-19 的总体接受率为 63.7%；恩德培医院为 95.2%；基苏比医院为 75.4%；玛丽亚别墅医院为 49.5%；非医护人员为 20.8%。在医护人员中，医疗机构[恩德培医院（aOR 18.9，95% CI 8.9-40.2）、基苏比医院（aOR 5.2，95% CI 3.0-9.0）均高于玛丽亚别墅医院]、年龄大于 50 岁（aOR 3.1，95% CI 1.2-8.4）和对 COVID-19 疫苗的积极态度（aOR 5.0，95% CI 2.1-11.8）与高接种率有关，而女性性别（aOR 0.5，95% CI 0.3-0.9）与低接种率有关。在非高危人群中，无慢性传染病（aOR 4.3，95% CI 1.1-16.3）和对 COVID-19 疫苗的良好态度（aOR 29.2，95% CI 4.1-208.8）与高接种率相关，而 70-79 岁高龄（aOR 0.1，95% CI 0.01-0.97）与低接种率相关。结论 COVID-19 疫苗的接种率在农村的医护人员和非医护人员的老年人中最低。大流行期间的疫苗接种活动需要培养人们对疫苗的积极态度，并采用专门设计的策略来提高弱势群体的疫苗接种率。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Open research Africa

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0.70

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0.00%

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