Gutema B Tura, Derbachew A Teni, Saro Abdella, Jaleta B Tura, Yakob Wondarad, Getahun Fetensa, Tesfaye Gelanew, Alemseged Abdissa, Senga Sembuche, Elizabeth Gonese, Tamrat Shaweno, Nebiyu Dereje, Mosoka P Fallah, Leah Mbabazi, Rodgers R Ayebare, Agnes Kiragga, Francis Kakooza, Mesay Hailu, Getachew Tollera, Raji Tajudeen, Aster Tsegaye
{"title":"埃塞俄比亚高负担城市卫生保健工作者的疫苗接种、障碍和COVID-19疫苗接种促进因素","authors":"Gutema B Tura, Derbachew A Teni, Saro Abdella, Jaleta B Tura, Yakob Wondarad, Getahun Fetensa, Tesfaye Gelanew, Alemseged Abdissa, Senga Sembuche, Elizabeth Gonese, Tamrat Shaweno, Nebiyu Dereje, Mosoka P Fallah, Leah Mbabazi, Rodgers R Ayebare, Agnes Kiragga, Francis Kakooza, Mesay Hailu, Getachew Tollera, Raji Tajudeen, Aster Tsegaye","doi":"10.4102/jphia.v16i1.673","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Coronavirus disease 2019 (COVID-19) vaccination is crucial for healthcare workers (HCWs) to protect themselves and promote public health.</p><p><strong>Aim: </strong>This study assessed COVID-19 vaccination uptake, barriers and enhancers among HCWs in high-burden cities in Ethiopia.</p><p><strong>Setting: </strong>A cross-sectional survey among 600 randomly selected HCWs from 30 health facilities (May 2023 to July 2023).</p><p><strong>Methods: </strong>Interviewer-administered questionnaires assessed vaccination status, concerns and motivators. Descriptive statistics and modified Poisson regression identified factors associated with vaccination.</p><p><strong>Results: </strong>Overall, 70.3% (<i>n</i> = 422) received at least one dose, and 39.2% (<i>n</i> = 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).</p><p><strong>Conclusion: </strong>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.</p><p><strong>Contribution: </strong>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.</p>","PeriodicalId":44723,"journal":{"name":"Journal of Public Health in Africa","volume":"16 1","pages":"673"},"PeriodicalIF":0.6000,"publicationDate":"2025-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12067571/pdf/","citationCount":"0","resultStr":"{\"title\":\"Vaccine uptake, barriers and enhancers of COVID-19 vaccination among healthcare workers from high-burden cities in Ethiopia.\",\"authors\":\"Gutema B Tura, Derbachew A Teni, Saro Abdella, Jaleta B Tura, Yakob Wondarad, Getahun Fetensa, Tesfaye Gelanew, Alemseged Abdissa, Senga Sembuche, Elizabeth Gonese, Tamrat Shaweno, Nebiyu Dereje, Mosoka P Fallah, Leah Mbabazi, Rodgers R Ayebare, Agnes Kiragga, Francis Kakooza, Mesay Hailu, Getachew Tollera, Raji Tajudeen, Aster Tsegaye\",\"doi\":\"10.4102/jphia.v16i1.673\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Coronavirus disease 2019 (COVID-19) vaccination is crucial for healthcare workers (HCWs) to protect themselves and promote public health.</p><p><strong>Aim: </strong>This study assessed COVID-19 vaccination uptake, barriers and enhancers among HCWs in high-burden cities in Ethiopia.</p><p><strong>Setting: </strong>A cross-sectional survey among 600 randomly selected HCWs from 30 health facilities (May 2023 to July 2023).</p><p><strong>Methods: </strong>Interviewer-administered questionnaires assessed vaccination status, concerns and motivators. Descriptive statistics and modified Poisson regression identified factors associated with vaccination.</p><p><strong>Results: </strong>Overall, 70.3% (<i>n</i> = 422) received at least one dose, and 39.2% (<i>n</i> = 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).</p><p><strong>Conclusion: </strong>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.</p><p><strong>Contribution: </strong>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.</p>\",\"PeriodicalId\":44723,\"journal\":{\"name\":\"Journal of Public Health in Africa\",\"volume\":\"16 1\",\"pages\":\"673\"},\"PeriodicalIF\":0.6000,\"publicationDate\":\"2025-04-09\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12067571/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Public Health in Africa\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.4102/jphia.v16i1.673\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2025/1/1 0:00:00\",\"PubModel\":\"eCollection\",\"JCR\":\"Q4\",\"JCRName\":\"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Public Health in Africa","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.4102/jphia.v16i1.673","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/1/1 0:00:00","PubModel":"eCollection","JCR":"Q4","JCRName":"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH","Score":null,"Total":0}
Vaccine uptake, barriers and enhancers of COVID-19 vaccination among healthcare workers from high-burden cities in Ethiopia.
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% (n = 422) received at least one dose, and 39.2% (n = 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.
期刊介绍：
The Journal of Public Health in Africa (JPHiA) is a peer-reviewed, academic journal that focuses on health issues in the African continent. The journal editors seek high quality original articles on public health related issues, reviews, comments and more. The aim of the journal is to move public health discourse from the background to the forefront. The success of Africa’s struggle against disease depends on public health approaches.
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