Evidence map›Paper›PMID 33809269›Full record

ArticleVaccines2021

A Descriptive-Multivariate Analysis of Community Knowledge, Confidence, and Trust in COVID-19 Clinical Trials among Healthcare Workers in Uganda.

Keneth Iceland Kasozi, Anne Laudisoit, Lawrence Obado Osuwat, Gaber El-Saber Batiha, Naif E Al Omairi, Eric Aigbogun, Herbert Izo Ninsiima, Ibe Michael Usman, Lisa M DeTora, Ewan Thomas MacLeod and 23 more

Open access · goldAbstract read
In one paragraph

Article in Vaccines, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
2.5field-weighted citation impact, top 9% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 40 citations in OpenAlex.

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  8. COVID-19 Vaccination Intentions amongst Healthcare Workers: A Scoping Review.International journal of environmental research and public health · 2022
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

33 authors at 19 institutions in 7 countries.

Keneth Iceland KasoziInfection Medicine, Deanery of Biomedical Sciences, College of Medicine and Veterinary Medicine, The University of Edinburgh, 1 George Square, Edinburgh EH8 9JZ, UK.ORCID 0000-0002-5763-7964
Anne LaudisoitEcoHealth Alliance, 520 Eighth Ave, Suite 1201, New York, NY 10018, USA.ORCID 0000-0001-7626-9426
Lawrence Obado OsuwatSchool of Health Sciences, Soroti University, P.O. Box 211 Soroti, Uganda.ORCID 0000-0003-3821-1527
Gaber El-Saber BatihaDepartment of Pharmacology and Therapeutics, Faculty of Veterinary Medicine, Damanhour University, Damanhour 22511, AlBeheira, Egypt.ORCID 0000-0002-7817-425X
Naif E Al OmairiDepartment of Internal Medicine, College of Medicine, Taif University, P.O. Box 11099, Taif 21944, Saudi Arabia.
Eric AigbogunKampala International University Western Campus, P.O. Box 71 Bushenyi, Uganda.
Herbert Izo NinsiimaSchool of Medicine, Kabale University, P.O. Box 317 Kabale, Uganda.
Ibe Michael UsmanKampala International University Western Campus, P.O. Box 71 Bushenyi, Uganda.ORCID 0000-0001-6624-1286
Lisa M DeToraDepartment of Writing Studies and Rhetoric, Hofstra University, Hempstead, NY 11549, USA.ORCID 0000-0001-5348-2638
Ewan Thomas MacLeodInfection Medicine, Deanery of Biomedical Sciences, College of Medicine and Veterinary Medicine, The University of Edinburgh, 1 George Square, Edinburgh EH8 9JZ, UK.
Halima NalugoFaculty of Medicine, Mbarara University of Science and Technology, P.O. Box 1410 Mbarara, Uganda.
Francis P CrawleyGood Clinical Practice Alliance-Europe and Strategic Initiative for Developing Capacity in Ethical Review, BE-1050 Brussels, Belgium.ORCID 0000-0002-6893-5916
Barbara E BiererBrigham and Women's Hospital, Harvard Medical School, Boston, MA 02115, USA.ORCID 0000-0001-6448-8170
Daniel Chans MwandahFaculty of Science, Muni University, P.O. Box 725 Arua, Uganda.
Charles Drago KatoCollege of Veterinary Medicine Animal Resources and Biosecurity, Makerere University, P.O. Box 7062 Kampala, Uganda.ORCID 0000-0003-3160-6657
Kenedy KiyimbaDepartment of Pharmacology and Therapeutics, Faculty of Health sciences, Busitema University, P.O. Box 206 Mbale, Uganda.
Emmanuel Tiyo AyikobuaSchool of Health Sciences, Soroti University, P.O. Box 211 Soroti, Uganda.
Linda LillianUganda National Health Laboratory Services, Ministry of Health, P.O. Box 7272 Kampala, Uganda.ORCID 0000-0002-4915-193X
Kevin MatamaKampala International University Western Campus, P.O. Box 71 Bushenyi, Uganda.
Shui Ching Nelly MakInfection Medicine, Deanery of Biomedical Sciences, College of Medicine and Veterinary Medicine, The University of Edinburgh, 1 George Square, Edinburgh EH8 9JZ, UK.
David OnanyangDepartment of biology, Faculty of Science, Gulu University, P.O. Box 166 Gulu, Uganda.
Theophilus PiusKampala International University Western Campus, P.O. Box 71 Bushenyi, Uganda.ORCID 0000-0002-5495-7743
David Paul NalumenyaCollege of Veterinary Medicine Animal Resources and Biosecurity, Makerere University, P.O. Box 7062 Kampala, Uganda.
Robinson SsebuufuKampala International University Western Campus, P.O. Box 71 Bushenyi, Uganda.ORCID 0000-0003-2053-1696
Nina Olivia RugambwaDepartment of Library and Information Science, Faculty of Computing, Library and Information Science, P.O. Box 317 Kabale, Uganda.
Grace Henry MusokeFaculty of Science and Technology, Cavendish University, P.O. Box 33145 Kampala, Uganda.
Kevin BardoshCenter for One Health Research, School of Public Health, University of Washington, Seattle, WA 98195, USA.
Juma John OchiengKampala International University Western Campus, P.O. Box 71 Bushenyi, Uganda.
Fred SsempijjaKampala International University Western Campus, P.O. Box 71 Bushenyi, Uganda.ORCID 0000-0003-2679-8949
Patrick KyamanywaKampala International University Western Campus, P.O. Box 71 Bushenyi, Uganda.ORCID 0000-0003-1849-7185
Gabriel TumwineCollege of Veterinary Medicine Animal Resources and Biosecurity, Makerere University, P.O. Box 7062 Kampala, Uganda.
Khalid J AlzahraniDepartment of Clinical Laboratories Sciences, College of Applied Medical Sciences, Taif University, P.O. Box 11099, Taif 21944, Saudi Arabia.
Susan Christina WelburnInfection Medicine, Deanery of Biomedical Sciences, College of Medicine and Veterinary Medicine, The University of Edinburgh, 1 George Square, Edinburgh EH8 9JZ, UK.
Kampala International University · UGKabale University · UGMakerere University · UGSoroti University · UGTaif University · SAUniversity of Edinburgh · GBBrigham and Women's Hospital · USBusitema University · UGCavendish University Uganda · UGDamanhour University · EGEcoHealth Alliance · USEuropean Forum for Good Clinical Practice · BEGulu University · UGHofstra University · USMbarara University of Science and Technology · UGMinistry of Health · UGMuni University · UGUniversity of Washington · USZhejiang University-University of Edinburgh Institute · CN

Funding

University of Edinburgh 000Zhejiang Gongshang University 000
6 · The paper itself

Abstract

Background-misinformation and mistrust often undermines community vaccine uptake, yet information in rural communities, especially of developing countries, is scarce. This study aimed to identify major challenges associated with coronavirus disease 2019 (COVID-19) vaccine clinical trials among healthcare workers and staff in Uganda. Methods-a rapid exploratory survey was conducted over 5 weeks among 260 respondents (66% male) from healthcare centers across the country using an online questionnaire. Twenty-seven questions assessed knowledge, confidence, and trust scores on COVID-19 vaccine clinical trials from participants in 46 districts in Uganda. Results-we found low levels of knowledge (i.e., confusing COVID-19 with Ebola) with males being more informed than females (OR = 1.5, 95% CI: 0.7-3.0), and mistrust associated with policy decisions to promote herbal treatments in Uganda and the rushed international clinical trials, highlighting challenges for the upcoming Oxford-AstraZeneca vaccinations. Knowledge, confidence and trust scores were higher among the least educated (certificate vs. bachelor degree holders). We also found a high level of skepticism and possible community resistance to DNA recombinant vaccines, such as the Oxford-AstraZeneca vaccine. Preference for herbal treatments (38/260; 14.6%, 95% CI: 10.7-19.3) currently being promoted by the Ugandan government raises major policy concerns. High fear and mistrust for COVID-19 vaccine clinical trials was more common among wealthier participants and more affluent regions of the country. Conclusion-our study found that knowledge, confidence, and trust in COVID-19 vaccines was low among healthcare workers in Uganda, especially those with higher wealth and educational status. There is a need to increase transparency and inclusive participation to address these issues before new trials of COVID-19 vaccines are initiated.

Indexed as

clinical trials in AfricaCOVAXCOVID-19COVID-19 and medical workersCOVID-19 clinical trials in resource poor countriesvaccines

Identifiers

PMID33809269
PMCPMC8000597
OpenAlexW3138732359

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.