COVID-19 Vaccine Confidence in Zimbabwe and Sierra Leone: An Application of Health Behavior Change Constructs DOI Creative Commons
Joshua H. West, Simon Ssentongo,

Alex Muhereza

et al.

Research Square (Research Square), Journal Year: 2023, Volume and Issue: unknown

Published: Oct. 11, 2023

Abstract Introduction Over the past three years, global health community has been primarily focused on matters related to COVID-19, such as infection rates, mortality figures, and vaccination campaigns. While African countries, in general, experienced a milder COVID-19 impact compared Western nations, they faced challenges vaccine uptake. Specifically, Zimbabwe Sierra Leone saw acceptance rates below averages. This research delves into underlying factors that influenced these disparities two using Health Belief Model (HBM) Theory of Planned Behavior (TPB) guiding frameworks. Methods study utilized data from cross-sectional survey encompassing 2,312 participants areas where Africa Christian Associations Platform (ACHAP) operates Leone. The assessed respondents' views line with core HBM TPB constructs, addition their levels acceptance. We then employed adjusted regression models investigate correlation between behavior change theory constructs confidence, taking account variables like gender, age, education, country residence. Results Several associations were identified, including high confidence correlated heightened perceived threat recognized benefits vaccination, stronger control, fewer barriers vaccination. Conversely, low was linked diminished threats, an abundance barriers, weaker perceptions barriers. Discussion underscore significance utility theoretical understanding variations levels. They highlight importance relying well-established theories grasp decision-making mechanisms shape suggestions for modification. Consequently, boost acceptance, public campaigns should focus reshaping risk perceptions, addressing obstacles, emphasizing advantages getting vaccinated, fostering sense self-efficacy within target communities.

Language: Английский

Pandemic urbanization: Colonial imprints in the urban present DOI
Brandon Marc Finn, Patrick Brandful Cobbinah

Cities, Journal Year: 2024, Volume and Issue: 153, P. 105261 - 105261

Published: July 13, 2024

Language: Английский

Citations

6
The Coverage and Acceptance Spectrum of COVID-19 Vaccines among Healthcare Professionals in Western Tanzania: What Can We Learn from This Pandemic? DOI Creative Commons
Eveline T. Konje, Namanya Basinda, Anthony Kapesa

et al.

Vaccines, Journal Year: 2022, Volume and Issue: 10(9), P. 1429 - 1429

Published: Aug. 30, 2022

The vaccination rate against COVID-19 remains low in developing countries due to vaccine hesitancy. Vaccine hesitancy is a public health threat curbing pandemic globally. Healthcare professionals have been found play critical role advocacy and promotion campaigns the general population. A cross sectional study was conducted initial months of roll out program Tanzania determine acceptance rate, perceived barriers, cues for actions. total 811 healthcare participated from 26 facilities western Tanzania. World Health Organization (WHO) questionnaire adopted with minor modifications capture local contexts used data collection. Only (18.5%) had received 29%. majority (62%) participants were stage issues related lack effective communication reliable information regarding efficacy safety. In this era pandemic, there need engage involve figures opinion leaders through transparent dialogue clarify vaccine-related safety, quality, efficacy. These strategies will reduce misconception, mistrust, improve uptake among eventually

Language: Английский

Citations

26
Prevalence and predictors of COVID-19 vaccination hesitancy among healthcare workers in Sub-Saharan Africa: A systematic review and meta-analysis DOI Creative Commons
Eustes Kigongo, Amir Kabunga, Raymond Tumwesigye

et al.

PLoS ONE, Journal Year: 2023, Volume and Issue: 18(7), P. e0289295 - e0289295

Published: July 28, 2023

Background The COVID-19 vaccination is regarded as an effective intervention for controlling the pandemic. However, vaccine hesitancy hampering efforts geared towards reducing burden of Therefore, examining and its predictors among healthcare workers essential to improving uptake. In sub-Saharan Africa, pooled proportion yet be known. Purpose present study was estimate in Sub-Saharan Africa. Methods A systematic search articles conducted PubMed, Science Direct, African Journal Online, Google Scholar. Data extracted with help Excel. analysis using STATA 17. Heterogeneity studies assessed Cochrane Q 1 2 tests. random effects model used examine estimates determine if heterogeneity exhibited. Results total 15 involving 7498 participants were included final analysis. prevalence 46%, 95% CI (0.38–0.54). negative beliefs 14.0% (OR = 1.05, CI: 1.04, 1.06), perceived low risk infection 24.0% 1.25, 1.23, 1.28), side 25.0% 1.21, 1.24). Conclusion data revealed generally high health Future adoption uptake should improved by national individual level efforts. it crucial address myths obstacles preventing professionals from accepting soon feasible since their willingness get serves important example broader public.

Language: Английский

Citations

15
COVID-19 Vaccine Acceptance and Hesitancy among Healthcare Workers in Lusaka, Zambia; Findings and Implications for the Future DOI Creative Commons
Steward Mudenda, Victor Daka, Scott Kaba Matafwali

et al.

Vaccines, Journal Year: 2023, Volume and Issue: 11(8), P. 1350 - 1350

Published: Aug. 9, 2023

The uptake of COVID-19 vaccines is critical to address the severe consequences disease. Previous studies have suggested that many healthcare workers (HCWs) are hesitant receive vaccine, further enhancing hesitancy rates within countries. vaccine acceptance and levels currently unknown among HCWs in Zambia, which a concern given burden infectious diseases country. Consequently, this study assessed Lusaka, Zambia. A cross-sectional was conducted 240 between August September 2022, using semi-structured questionnaire. Multivariable analysis used determine key factors associated with HCWs. Of who participated, 54.2% were females. total 72.1% would accept being vaccinated, while 27.9% hesitant. Moreover, 93.3% had positive attitudes towards vaccines, medical doctors having highest mean attitude score (82%). Encouragingly, reduced odds (AOR = 0.02, 95% CI: 0.01-0.11,

Language: Английский

Citations

13
COVID-19 vaccine uptake in Zimbabwe and Sierra Leone: an application of Health Belief Model constructs DOI Creative Commons
Simon Ssentongo,

Alex Muhereza,

Morie Mustapha

et al.

BMC Public Health, Journal Year: 2025, Volume and Issue: 25(1)

Published: Feb. 4, 2025

While African countries, in general, experienced a milder COVID-19 impact compared to Western nations, they faced challenges with vaccine uptake. Specifically, Zimbabwe and Sierra Leone saw acceptance rates below global averages. This research delves into the underlying factors that influenced these disparities two using Health Belief Model (HBM) Theory of Planned Behavior (TPB) as guiding frameworks. study utilized data from cross-sectional survey encompassing 2,312 participants areas where Africa Christian Associations Platform (ACHAP) operates Leone. The assessed respondents' views line core HBM TPB constructs, addition their levels acceptance. We then employed adjusted logistic regression models investigate correlation between health behavior change theory constructs uptake, taking account variables like gender, age, education, country residence. Several associations were identified, including high uptake correlated heightened perceived threat (OR = 2.674; p < .001), recognized benefits vaccination 1.482; stronger control 2.189; fewer barriers 0.173; .001). Conversely, low was linked diminished threats 0.540; 0.762; weaker 0.429; perceptions 2.001; Results underscore significance utility theoretical understanding variations levels. They highlight importance relying on well-established theories grasp decision-making mechanisms shape suggestions for modification. Consequently, boost acceptance, public campaigns should focus reshaping risk perceptions, addressing obstacles, emphasizing advantages getting vaccinated, fostering sense self-efficacy within target communities.

Language: Английский

Citations

0
Prevalence of COVID-19 Vaccine Hesitancy Among Healthcare Workers in Nigeria: A Systematic Review and Meta-Analysis DOI Creative Commons
Taagbara Jolly Abaate,

Dabota Yvonne Buowari,

Utchay Anthony Agiri

et al.

International Journal of Public Health, Journal Year: 2025, Volume and Issue: 70

Published: Feb. 5, 2025

Objective The purpose of this systematic review and meta-analysis was to determine the prevalence COVID-19 vaccine hesitancy among Nigerian healthcare professionals. Methods An extensive language-unrestricted literature search conducted across PubMed, Scopus, Cochrane Library, African Index Medicus identify studies reporting vaccines workers in Nigeria. Quality assessment performed using Newcastle-Ottawa scale for cross-sectional studies. A single-arm a random-effects model. Results Of 206 articles, 22 publications with 20,724 participants were included. pooled 75% (95% CI: 61%–88%, I 2 = 99.69%, P &lt; 0.001). Reasons hesitancy, including concerns about side effects, lack trust, safety, prevalent at 76% (CI: 0.57–0.94, 99.24%, 0.001), 55% 0.042–0.272, 97.42%, 68% 0.047–0.89, 98.59%, respectively. Conclusion There significant towards vaccination; thus, strategies increase vaccination acceptance should be developed.

Language: Английский

Citations

0
Perceptions and predictors of COVID-19 vaccine hesitancy among healthcare providers across five countries in sub-Saharan Africa DOI Creative Commons
Isabel Madzorera,

Livesy Abokyi,

Edward Anane Apraku

et al.

PLOS Global Public Health, Journal Year: 2025, Volume and Issue: 5(2), P. e0003956 - e0003956

Published: Feb. 21, 2025

The African continent has some of the world’s lowest COVID-19 vaccination rates. While limited availability vaccines is a contributing factor, vaccine hesitancy among healthcare providers (HCP) another factor that could adversely affect efforts to control infections on continent. We sought understand extent HCP, and its factors in Africa. evaluated 1,499 HCP enrolled cross-sectional study conducted as telephone survey Burkina Faso, Ethiopia, Nigeria, Tanzania, Ghana between July December 2021. defined self-reported responses definitely not, maybe, unsure, or undecided whether get vaccine, compared getting vaccine. used log-binomial modified Poisson regression models evaluate influencing HCP. Approximately 65.6% interviewed were nurses mean age (±SD) participants was 35.8 (±9.7) years. At least 67% reported being vaccinated. affected 45.7% 25.7% 9.8% 9% 8.1% Nigeria. Among unvaccinated reasons for low uptake included concern about effectiveness, side effects, fear receiving experimental unsafe vaccines. reporting are very effective (RR: 0.21, 95% CI: 0.08, 0.55), older (45 vs.20–29 years, RR: 0.65, 0.44, 0.95) less likely be vaccine-hesitant. Nurses more vaccine-hesitant (RR 1.38, 1.01, 1.89) than doctors. Information asymmetry beliefs endorsement by public health institutions may important. Efforts address should consider information knowledge gaps different cadres alongside increase supply.

Language: Английский

Citations

0
COVID-19 prevention and preparedness among healthcare workers in Sierra Leone DOI Creative Commons
Ifeolu David, Tyler W. Myroniuk, Mansoo Yu

et al.

Journal of Public Health in Africa, Journal Year: 2025, Volume and Issue: 16(1)

Published: April 15, 2025

Language: Английский

Citations

0
The Social Ecological Model: A Framework for Understanding COVID-19 Vaccine Uptake among Healthcare Workers—A Scoping Review DOI Creative Commons
Damian Naidoo, Anna Meyer‐Weitz, Kaymarlin Govender

et al.

Vaccines, Journal Year: 2023, Volume and Issue: 11(9), P. 1491 - 1491

Published: Sept. 15, 2023

Vaccination plays a crucial role in combating the global COVID-19 pandemic. Immunizing all healthcare workers (HCWs) is essential for increasing vaccine confidence and acceptance within general population. Understanding factors that hinder or facilitate uptake among HCWs of utmost importance, considering they are first to be vaccinated. This review follows Arksey O’Malley’s five-stage methodological framework. We searched PubMed, Web Science, ProQuest, WorldCat Discovery, Google Scholar peer-reviewed articles published from 2020 2023. A descriptive analysis narrative synthesis approach were employed collect synthesize data. Using social-ecological model as framework, literature was categorized into themes at intrapersonal, interpersonal, organizational, community, policy levels. reviewed total fifty-three academic articles, with majority studies conducted Ethiopia Nigeria. The intention resulted an unsatisfactory (52%) overall rate HCWs. Individual-level determinants associated included being male, middle-aged, physician, having higher level education, chronic illness. identified significant barriers each level, such safety concerns, perceived scientific uncertainty, ineffectiveness, lack trust stakeholders, religious beliefs. Additionally, we facilitators most common promoting desire protect oneself others high susceptibility contracting COVID-19. highlights existence on African continent. Given play guiding public’s vaccination decisions, it imperative prioritize education training efforts about effectiveness vaccines.

Language: Английский

Citations

8
Knowledge, Attitudes, and Acceptance of COVID-19 Vaccines among Secondary School Pupils in Zambia: Implications for Future Educational and Sensitisation Programmes DOI Creative Commons
Steward Mudenda, Moses Mukosha, Brian Godman

et al.

Vaccines, Journal Year: 2022, Volume and Issue: 10(12), P. 2141 - 2141

Published: Dec. 14, 2022

The coronavirus disease 2019 (COVID-19) pandemic resulted in the closure of schools to slow spread virus across populations, and administration vaccines protect people from severe disease, including school children adolescents. In Zambia, there is currently little information on acceptance COVID-19 among school-going adolescents despite their inclusion vaccination programme. This study assessed knowledge, attitudes, secondary pupils Lusaka, Zambia. A cross-sectional was conducted August 2022 October 2022. Of 998 participants, 646 (64.7%) were female, 127 (12.7%) would accept be vaccinated. Those who willing vaccinated had better knowledge (68.5% vs. 56.3%) a positive attitude (79.1% 33.7%) compared those hesitant. Overall, odds vaccine higher scores (AOR = 11.75, 95% CI: 6.51–21.2), 9.85, 4.35–22.2), knew friend or relative died 3.27, 2.14–5.09). low public health concern, emphasising need for heightened sensitisation programmes that promote

Language: Английский

Citations

12