COVID-19 vaccine hesitancy amongst healthcare workers: An assessment of its magnitude and determinants during the initial phase of national vaccine deployment in Nigeria

Nomhwange, Terna; Wariri, Oghenebrume; Nkereuwem, Esin; Olanrewaju, Scholastica; Nwosu, Ngozi; Adamu, Usman; Danjuma, Ezekiel; Onuaguluchi, Nneka; Enegela, Joseph; Nomhwange, Erdoo; Baptiste, Anne Eudes Jean; Mulombo, Walter Kazadi

doi:10.1016/j.eclinm.2022.101499

Cited by 27 publications

(30 citation statements)

References 22 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…One interesting finding of this paper is the resistant effect of information derived from HCW reported by participants. Studies among Africans have shown that HCWs themselves are resistant to the vaccine with their information being obtained from unreliable sources such as social media, friends and family [63,64]. Safety concerns, insufficient or inaccurate information, lack of trust in the government's capacity to manage, and personal beliefs are factors that have been reported to influence the acceptance or resistance of HCWs to the vaccine [65][66][67].…”

Section: Discussionmentioning

confidence: 99%

The impact of information sources on COVID-19 vaccine hesitancy and resistance in sub-Saharan Africa

et al. 2023

View full text Add to dashboard Cite

Background Vaccination remains the most powerful weapon against the emergence of new variants of coronavirus (COVID-19). However, false information about COVID-19 vaccines through various platforms including social media remains a major threat to global public health. This study examined the impact of information sources on COVID-19 vaccine hesitancy and resistance in sub-Saharan Africa (SSA). Methods A validated web-based cross-sectional study was conducted from 14 March to 16 May 2021, and was administered in both French and English to 2572 participants aged 18 years and over. Data on sociodemographic characteristics, medical and vaccination history, and the information sources (mainstream media and social media) used by the participants during the pandemic were obtained. There were three main outcomes: The vaccinated group were those who responded in the affirmation (Yes) to the question of whether they have been vaccinated against COVID-19. Those who responded ‘not sure’ or ‘no’ to the question were then asked if they were willing to be vaccinated when the vaccine became available in their home countries. The responses to this follow-up question were used to derive the second and third outcome variables of ‘vaccine hesitancy’ and ‘vaccine resistance’, respectively. A series of logistic regression analyses were used to examine the impact of information sources on the three main outcomes. Results The prevalence of COVID-19 vaccine hesitancy among the participants was lowest among newspaper readers (42%) and highest among TV (72%) and social media users (73%). The prevalence of COVID-19 vaccine-resistance was also lowest among newspaper readers (37%) but highest among social media users (87%). Multivariate analyses revealed that compared to those who did not use these information sources, SSA participants who relied on the radio (aOR 0.83, 95%CI = 0.70, 0.99), TV (aOR 0.80, 95%CI = 0.65, 0.97) and social media (aOR 0.79, 95%CI = 0.65, 0.97) for information during the pandemic were less likely to be hesitant towards taking the vaccines. However, social media users (aOR 2.13, 95%CI = 1.62, 2.80), those who watched TV (aOR 1.40, 95%CI =1.08, 1.80), relied on healthcare workers (HCWs: aOR 1.32, 95%CI = 1.07, 1.63) and families/friends (aOR 1.31, 95%CI = 1.06, 1.61) for COVID-19 related information during the pandemic were more likely to resist taking the COVID vaccines in this study. Participants who relied on the newspaper for information during the pandemic were less likely to resist the vaccines (aOR 0.77, 95%CI = 0.62, 0.95) compared to non-readers of a newspaper. Conclusion We found that all six information sources except radio were strong predictors of the resistance towards COVID-19 vaccination. Further research on how these channels can be used to improve the availability of reliable healthcare information is needed. Investments in these resources will protect people and empower them to make appropriate choices about their health.

show abstract

Section: Discussionmentioning

confidence: 99%

The impact of information sources on COVID-19 vaccine hesitancy and resistance in sub-Saharan Africa

et al. 2023

View full text Add to dashboard Cite

show abstract

“…COVID-19 mandates have been implemented for federal HCWs in the US [ 21 ], Australia [ 22 ], Canada [ 23 ], and China [ 24 ]. Nigeria introduced a mandatory COVID-19 vaccination policy in December 2021, wherein all federal government employees were required to show evidence of COVID-19 vaccination or a negative COVID-19 PCR test result conducted within 72 h to gain access to their offices [ 25 ]. The acceptability of this policy among HCWs, who bridge the gap between health policymakers and the public, has not been well documented.…”

Section: Introductionmentioning

confidence: 99%

“I Would Rather Take the Vaccine Than Undergo Weekly Testing”: Correlates of Health Workers’ Support for COVID-19 Vaccine Mandates

Iliyasu

Garba

Aliyu

et al. 2022

IJERPH

View full text Add to dashboard Cite

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.

show abstract

“…This could be due to the difference in the availability and promotion of COVID educational information or cultural factors. Further, the study's COVID‐19 vaccine acceptance was low compared to other recent studies 33–37 . A difference in the study period could be the reason for the discrepancy.…”

Section: Discussionmentioning

confidence: 62%

“…Further, the study's COVID-19 vaccine acceptance was low compared to other recent studies. [33][34][35][36][37] A difference in the study period could be the reason for the discrepancy. Also, misinterpretations of information from the prior COVID-19 pandemic, healthcare workers may be discouraged from taking the COVID-19 vaccination.…”

Section: Determinants Of the Novel Coronavirus Vaccine Acceptancementioning

confidence: 99%

Determinants of vaccine acceptance, knowledge, attitude, and prevention practices against COVID‐19 among governmental healthcare workers in Addis Ababa and Adama, Ethiopia: A cross‐sectional study

Girmay

Weldegebriel

Serte

et al. 2023

Health Science Reports

View full text Add to dashboard Cite

Background and Aims COVID‐19 vaccines are vital tools for infection prevention and control of the pandemic. However, coronavirus immunization requires acceptance among healthcare workforces and by the community. In Ethiopia, studies focused on determinants of vaccine acceptance, knowledge, attitude, and prevention practices (KAP) contrary to the novel coronavirus among healthcare staff are limited. Hence, closing this gap requires research. Methods A cross‐sectional study was conducted on 844 governmental healthcare workers. A stratified, simple random sampling technique was used to select the respondents. Data were collected using a structured questionnaire. Binary and multivariable logistic regression statistical models were used to analyze the data. Results This study indicated that only 57.9% of the participants had good COVID‐19 vaccine acceptance, meaning they took at least a dose of the vaccine themselves. We found that 65%, 60.9%, and 51.3% of the participants had good knowledge, prevention practices, and attitude against the pandemic. The novel coronavirus vaccine acceptance rate was 2.19 times more likely among females (adjusted odds ratio [AOR] = 2.19 with 95% confidence interval [CI]: 1.54–3.10) than among male participants. Further, respondents who did not report having any chronic diseases were 9.40 times higher to accept COVID‐19 vaccines (AOR = 9.40 with 95% CI: 4.77, 18.53) than those who reported having a chronic condition. However, healthcare workers who had a habit of chewing khat at least once per week were 4% less likely to take the vaccine (AOR = 0.04 with 95% CI: 0.01, 0.32) than those who had no habit of chewing khat. Conclusion Many core factors influencing COVID‐19 vaccine acceptance were identified. A significant number of participants had poor vaccine acceptance, KAP against COVID‐19. Therefore, the government should adopt urgent and effective public health measures, including public campaigns to enhance public trust in COVID‐19 vaccines. In addition, continuous, timely, and practical training should be provided to healthcare workers.

show abstract

COVID-19 vaccine hesitancy amongst healthcare workers: An assessment of its magnitude and determinants during the initial phase of national vaccine deployment in Nigeria

Cited by 27 publications

References 22 publications

The impact of information sources on COVID-19 vaccine hesitancy and resistance in sub-Saharan Africa

The impact of information sources on COVID-19 vaccine hesitancy and resistance in sub-Saharan Africa

“I Would Rather Take the Vaccine Than Undergo Weekly Testing”: Correlates of Health Workers’ Support for COVID-19 Vaccine Mandates

Determinants of vaccine acceptance, knowledge, attitude, and prevention practices against COVID‐19 among governmental healthcare workers in Addis Ababa and Adama, Ethiopia: A cross‐sectional study

Contact Info

Product

Resources

About