COVID-19 vaccine hesitancy in Addis Ababa, Ethiopia: a mixed-method study

Dereje, Nebiyu; Tesfaye, Abigel; Tamene, Beamlak; D, Alemeshet; Abe, Haymanot; Tesfa, Natnael Amare; S, Gedion; Biruk, Tigist; Lakew, Yabets

doi:10.1136/bmjopen-2021-052432

Cited by 64 publications

(49 citation statements)

References 21 publications

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“…The data was collected using a structured questionnaire adapted from previous published papers [23][24][25][26][27]29,30,34,[37][38][39][40][41] and contextualized according to the study setting. The questionnaire consists of socio-demographic characteristics of the participants, socio-political perception and attitude towards COVID-19 vaccine, and willingness towards the acceptance of COVID-19 vaccine.…”

Section: Data Collection and Quality Assurancesmentioning

confidence: 99%

“…1,21 Many Ethiopians are reluctant to receive the COVID-19 vaccine. [24][25][26][27]29,30 Forty eight percent of the study populations are unsure about the COVID-19 vaccines, according to a global assessment of possible COVID-19 vaccine approval. 5 Consequently, in May 2020, the 73rd World Health Assembly passed a resolution endorsing broad immunization as a global public health objective for halting the spread of SARS-CoV-2.…”

Section: Introductionmentioning

confidence: 99%

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COVID-19 Vaccine Acceptance and Associated Factors Among College Students in Dessie City, Northeastern Ethiopia

Berihun¹,

Walle²,

Teshome³

et al. 2022

JMDH

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Background The COVID-19 vaccine is regarded as an effective measure for reducing the pandemic’s impact. But, COVID-19 disease burden reduction efforts are being affected by the rising vaccine resistance. Objective To assess the COVID-19 vaccine acceptance and associated factors among college students in Dessie city, Northeastern Ethiopia. Methods An institutional-based cross-sectional study was carried out among college students in Dessie town from July 1–20, 2021. The association between independent and dependent variables was assessed by binary logistic regression analysis using crude odds ratio and adjusted odds ratio. Variables having p values of less than 0.05 at the 95% confidence interval were regarded as potential determinants of COVID-19 vaccine acceptance. Results A total of 422 college students participated in the study with a response rate of 95.6%. More than half 226 (56.2%) of the participants had willingness to accept COVID-19 vaccine. Respondents who had history of chronic medical illness (AOR: 4.340, 95% CI: 1.166, 16.149), training on COVID-19 vaccine (AOR: 4.755, 95% CI: 2.606, 6.674), history of regular vaccine uptake (AOR: 2.534, 95% CI: 1.412, 4.549), perception of COVID-19 severity (AOR: 4.109, 95% CI: 2.190, 7.710), perception that COVID-19 can be prevented by vaccine (AOR: 2.420, 95% CI: 1.160, 5.049), and development of herd immunity against COVID-19 vaccines (AOR: 2.566, 95% CI: 1.431, 4.599) were factors significantly associated with COVID-19 vaccine acceptance. Conclusion The acceptance of COVID-19 vaccine among college students was low. The history of chronic medical illness, training on COVID-19 vaccine, history of vaccine uptake, perception that COVID-19 can be prevented by vaccine, perception of herd immunity development against COVID-19, and severity of COVID 19 infection were factors significantly associated with the acceptance of COVID-19 vaccine. Hence, it is necessary to promote COVID-19 vaccination among college students through health education and vaccine outreach.

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Section: Data Collection and Quality Assurancesmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

COVID-19 Vaccine Acceptance and Associated Factors Among College Students in Dessie City, Northeastern Ethiopia

Berihun¹,

Walle²,

Teshome³

et al. 2022

JMDH

View full text Add to dashboard Cite

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“… 26 According to different studies conducted in Ethiopia, the COVID-19 vaccine hesitancy level in the Ethiopian population ranged from 14.1% to 68.7%. 27 , 28 As of September 27, 2022, 12.71 billion, over 1.4 billion, and over 95 million doses of COVID-19 vaccine (AstraZeneca, Sinopharm, Johnson and Johnson, or Pfizer) had been administered globally, in Africa, and in Ethiopia, respectively. From this figure nearly 44.5% have received at least one dose, and 30.5% had been fully vaccinated.…”

Section: Introductionmentioning

confidence: 99%

Willingness to Accept COVID-19 Vaccine and Associated Factors Among Adult Household Members in Dire Dawa City Administration, East Ethiopia

Abdulhamid¹,

Usmael²,

Shaweno³

2022

PPA

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Background COVID-19 vaccine is a vital strategy to prevent and control this pandemic. This will depend principally on people's acceptance of COVID-19 vaccine. We aimed to determine the willingness to accept COVID vaccine among adult household members of Dire Dawa city administration. Methods A community-based cross-sectional study was conducted among randomly selected 634 adult household members in the Dire Dawa city administration during January 16–31/2022. Data were collected using face-to-face interview. Extent of willingness was estimated using participants' self-report. Bivariate and multivariate logistic regression models were fitted, and statistical significance was set at p- value <0.05. Results The estimated willingness to accept COVID-19 vaccine was 28.4% (95% CI 25.1, 31.5) in the study setting. The odds of willingness to accept COVID-19 vaccine was higher for household members living without at least one chronic disease (AOR 1.7, 95% CI 1.10, 2.70), who had good knowledge score (AOR 2.3, 95% CI 1.31, 2.18) and positive attitude score (AOR 5.5, 95% CI 2.1, 14.5) compared to their counterparts, respectively. The estimated willingness to accept COVID-19 vaccine among household members with good knowledge score was 47.4 (95% CI 42.1, 52.7) and 15.5 (95% CI 8.7, 22.2) among those with poor knowledge. Nearly, 90% of the study participants had limited knowledge about COVID 19 vaccine. Conclusion The estimated willingness to accept COVID-19 vaccine in the study setting is very low and far from the set target to be reached by the end of 2022. Being free from chronic disease, and having good knowledge and positive attitude about COVID-19 vaccine were the main drivers for willingness. Public awareness directed to increase knowledge about COVID-19 vaccine and attitude change strategies should be scaled up to increase the COVID-19 vaccine uptake. Moreover, those individuals with chronic diseases need special attention.

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“…Myths and misconceptions around the COVID 19 vaccine subject have been circulating and its impact can be observed especially in developing countries [1]. This has been shown to contribute to the observed vaccine hesitancy, which is defined by WHO as the reluctance in accepting vaccines or an outright refusal of vaccines despite their availability [7].…”

Section: Introductionmentioning

confidence: 99%

“…The novel coronavirus disease 2019 (COVID-19) caused by severe acute respiratory syndrome corona virus 2 (SARs-CoV-2) remains a significant disease of public health concern. Since its emergence, it has been shown to spread rapidly causing dramatic global health crisis [1] . It was declared as a pandemic by the World Health Organization (WHO) on the 11th of March 2020, with a total of 56,837,067 confirmed cases, 340,447 new cases and 928,593 confirmed deaths globally as of January 17, 2022 [2].…”

Section: Introductionmentioning

confidence: 99%

Health care workers’ self-perceived infection risk and COVID-19 vaccine uptake: a mixed methods study

Nyamuryekung’e

Amour

Mboya

et al. 2022

Preprint

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Background: Vaccination is the most cost-effective way of preventing COVID-19 disease although there was a considerable delay in its institution in Tanzania. This study aimed to assess healthcare workers’ (HCWs) self-perceived infection risk and uptake of COVID-19 vaccines. Methods: A concurrent embedded, mixed methods research design was utilized to collect data among HCWs in seven Tanzanian regions. Quantitative data was collected using a validated, pre-piloted, interviewer administered questionnaire whereas in-depth interviews and focus group discussions gathered qualitative data. Descriptive analyses were performed, and chi-square test used to test for associations across categories. Thematic analysis was used to analyze the qualitative data. Results: A total of 1,386 HCWs responded to the quantitative tool, 26 participated in the in-depth interviews and 74 in the focus-group discussions. About half of the HCW (53.6%) reported to have been vaccinated and three quarters (75.5%) self-perceived to be at a high risk of acquiring COVID-19 infection. Participants perceived that the nature of their work and the working environment in the health facilities increases their risk to infection. Limited availability and use of personal protective equipment was reported to elevate the perceived risks to the infection. Respondents belonging in the oldest age group and from low and mid-level health care facilities had higher proportions with a high-risk perception of acquiring COVID-19 infection compared to their counterparts. Conclusions: Only about half of the HCWs reported to be vaccinated albeit the majority recounted higher perception of risk to contracting COVID-19 due to their working environment, including limited availability and use of personal protective equipment. Efforts to address heightened perceived-risks should include improving the working environment, availability of PPEs and continue updating HCWs on the benefits of COVID-19 vaccine to limit their risks to the infection and consequent transmission to their patients and public.

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COVID-19 vaccine hesitancy in Addis Ababa, Ethiopia: a mixed-method study

Cited by 64 publications

References 21 publications

COVID-19 Vaccine Acceptance and Associated Factors Among College Students in Dessie City, Northeastern Ethiopia

COVID-19 Vaccine Acceptance and Associated Factors Among College Students in Dessie City, Northeastern Ethiopia

Willingness to Accept COVID-19 Vaccine and Associated Factors Among Adult Household Members in Dire Dawa City Administration, East Ethiopia

Health care workers’ self-perceived infection risk and COVID-19 vaccine uptake: a mixed methods study

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