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Sökning: L773:2673 8112 > (2023) > Determinants of COV...

Determinants of COVID-19 Vaccine Uptake and Hesitancy among Healthcare Workers in Tanzania : A Mixed-Methods Study

Amour, Maryam A. (författare)
Muhimbili Univ Hlth & Allied Sci, Sch Publ Hlth & Social Sci, Dept Community Hlth, POB 65001, Dar Es Salaam, Tanzania.,Muhimbili University of Health and Allied Sciences
Mboya, Innocent B. (författare)
Lund University,Lunds universitet,Lund Univ, Dept Translat Med, S-20213 Malmö, Sweden.;Kilimanjaro Christian Med Univ Coll, Inst Publ Hlth, Dept Epidemiol & Biostat, POB 2240, Moshi, Tanzania.,LUCC: Lunds universitets cancercentrum,Övriga starka forskningsmiljöer,Registerbaserad epidemiologi - Stocks,Institutionen för translationell medicin,Medicinska fakulteten,LUCC: Lund University Cancer Centre,Other Strong Research Environments,Register-based epidemiology,Department of Translational Medicine,Faculty of Medicine,Kilimanjaro Christian Medical University College (KCMUCo)
Ndumwa, Harrieth P. (författare)
Muhimbili Univ Hlth & Allied Sci, Sch Publ Hlth & Social Sci, Dept Community Hlth, POB 65001, Dar Es Salaam, Tanzania.,Muhimbili University of Health and Allied Sciences
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Kengia, James T. (författare)
Presidents Off Reg Adm & Local Govt, POB 1923, Dodoma, Tanzania.,Dodoma Regional Administration and Local Government
Metta, Emmy (författare)
Muhimbili Univ Hlth & Allied Sci, Sch Publ Hlth & Social Sci, Dept Behav Sci, POB 65015, Dar Es Salaam, Tanzania.,Muhimbili University of Health and Allied Sciences
Njiro, Belinda J. (författare)
Muhimbili Univ Hlth & Allied Sci, Sch Publ Hlth & Social Sci, Dept Community Hlth, POB 65001, Dar Es Salaam, Tanzania.,Muhimbili University of Health and Allied Sciences
Nyamuryekung'e, Kasusu Klint (författare)
Muhimbili Univ Hlth & Allied Sci, Sch Dent, Dept Community Dent, POB 65014, Dar Es Salaam, Tanzania.,Muhimbili University of Health and Allied Sciences
Mhamilawa, Lwidiko E. (författare)
Uppsala University,Uppsala universitet,Internationell barnhälsa och nutrition,Muhimbili Univ Hlth & Allied Sci, Dept Parasitol & Med Entomol, POB 65001, Dar Es Salaam, Tanzania,Muhimbili University of Health and Allied Sciences
Shayo, Elizabeth H. (författare)
Natl Inst Med Res, POB 9653, Dar Es Salaam, Tanzania.,National Institute for Medical Research, Tanzania.
Ngalesoni, Frida (författare)
Amref Hlth Afr Tanzania, POB 2773, Dar Es Salaam, Tanzania.,AMREF Health Africa in Tanzania
Kapologwe, Ntuli (författare)
Presidents Off Reg Adm & Local Govt, POB 1923, Dodoma, Tanzania.,Dodoma Regional Administration and Local Government
Sunguya, Bruno (författare)
Muhimbili Univ Hlth & Allied Sci, Sch Publ Hlth & Social Sci, Dept Community Hlth, POB 65001, Dar Es Salaam, Tanzania.
Msuya, Sia E. (författare)
Kilimanjaro Christian Med Univ Coll, Inst Publ Hlth, Dept Epidemiol & Biostat, POB 2240, Moshi, Tanzania.;Kilimanjaro Christian Med Ctr, Dept Community Med, POB 3010, Moshi, Tanzania.
Kalolo, Albino (författare)
St Francis Univ, Coll Hlth & Allied Sci, Dept Publ Hlth, POB 175, Morogoro, Tanzania.
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Muhimbili Univ Hlth & Allied Sci, Sch Publ Hlth & Social Sci, Dept Community Hlth, POB 65001, Dar Es Salaam, Tanzania Muhimbili University of Health and Allied Sciences (creator_code:org_t)
MDPI, 2023
2023
Engelska.
Ingår i: COVID. - : MDPI. - 2673-8112. ; 3:5, s. 777-791
  • Tidskriftsartikel (refereegranskat)
Abstract Ämnesord
Stäng  
  • The novel Coronavirus disease 2019 (COVID-19) presents a major threat to public health but can be prevented by safe and effective COVID-19 vaccines. Vaccine acceptance among healthcare workers (HCWs) is essential to promote uptake. This study, aimed to determine the COVID-19 vaccination uptake and hesitancy and its associated factors among HCWs in Tanzania. We employed a convergent-parallel mixed-methods design among 1368 HCWs across health facilities in seven geographical zones in Tanzania in 2021. We collected quantitative data by using an interviewer-administered questionnaire and qualitative data, using in-depth interviews and focus group discussions. Participants in the quantitative aspect were conveniently selected whereas those in the qualitative aspect were purposively selected based on their role in patient care, management, and vaccine provision. Stata software version 16.1 was used in the analysis of quantitative data and thematic analysis for the qualitative data. Multiple logistic regression was used to assess the determinants of COVID-19 vaccine uptake. The median age of 1368 HCWs was 33, and the interquartile range was 28-43 years; 65.6% were aged 30+ years, and 60.1% were females. Over half (53.4%) of all HCWs received the COVID-19 vaccine, 33.6% completely refused, and 13% chose to wait. HCWs aged 40+ years, from lower-level facilities (district hospitals and health centers), who worked 6+ years, and with perceived high/very high risk of COVID-19 infection had significantly higher odds of vaccine uptake. The qualitative data revealed misinformation and inadequate knowledge about COVID-19 vaccine safety and efficacy as the key barriers to uptake. Nearly half of all HCWs in Tanzania are still unvaccinated against COVID-19. The predominance of contextual influence on COVID-19 vaccine uptake calls for interventions to focus on addressing contextual determinants, focusing on younger HCWs' population, short working duration, those working at different facility levels, and providing adequate vaccine knowledge.

Ämnesord

MEDICIN OCH HÄLSOVETENSKAP  -- Hälsovetenskap -- Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Health Sciences -- Public Health, Global Health, Social Medicine and Epidemiology (hsv//eng)
MEDICIN OCH HÄLSOVETENSKAP  -- Hälsovetenskap -- Hälso- och sjukvårdsorganisation, hälsopolitik och hälsoekonomi (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Health Sciences -- Health Care Service and Management, Health Policy and Services and Health Economy (hsv//eng)

Nyckelord

COVID-19
vaccine hesitancy
vaccine acceptability
vaccine uptake
barriers
healthcare workers
Tanzania
barriers
COVID-19
healthcare workers
Tanzania
vaccine acceptability
vaccine hesitancy
vaccine uptake

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