Evidence map›Paper›PMID 36643854›Full record

ArticleVaccine: X2023

COVID-19 vaccine hesitancy among health workers in rural Uganda: A mixed methods study.

Patrick Diox Ouni, Racheal Namulondo, Benon Wanume, David Okia, Peter Olupot Olupot, Ritah Nantale, Joseph K B Matovu, Agnes Napyo, Yovani A Moses Lubaale, Nathan Nshakira and 1 more

Abstract read
In one paragraph

Article in Vaccine: X, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 3 pooled it
–field-weighted citation impact
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

14 citing papers in PubMed, 3 syntheses or guidelines pooled it.

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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

11 authors.

Patrick Diox OuniDepartment of Community and Public Health, Busitema University, Mbale, Uganda.
Racheal NamulondoDepartment of Community and Public Health, Busitema University, Mbale, Uganda.
Benon WanumeDepartment of Community and Public Health, Busitema University, Mbale, Uganda.
David OkiaDepartment of Community and Public Health, Busitema University, Mbale, Uganda.
Peter Olupot OlupotDepartment of Community and Public Health, Busitema University, Mbale, Uganda.
Ritah NantaleDepartment of Nursing, Busitema University, Mbale City, Uganda.
Joseph K B MatovuDepartment of Community and Public Health, Busitema University, Mbale, Uganda.
Agnes NapyoDepartment of Community and Public Health, Busitema University, Mbale, Uganda.
Yovani A Moses LubaaleDepartment of Community and Public Health, Busitema University, Mbale, Uganda.
Nathan NshakiraDepartment of Research, Nikao Medical Center, Kampala, Uganda.
David MukunyaDepartment of Community and Public Health, Busitema University, Mbale, Uganda.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: COVID-19 vaccination is the latest preventive intervention strategy in an attempt to control the global pandemic. Its efficacy has come under scrutiny because of break through infections among the vaccinated and need for booster doses. Besides, although health workers were prioritized for COVID-19 vaccine in most countries, anecdotal evidence points to high levels of reluctance to take the vaccine among health workers. We assessed COVID-19 vaccine hesitancy among health workers in Dokolo district, northern Uganda. Methods: This was a mixed-method, cross-sectional descriptive study. A customised self-administered data collection tool was used to collect quantitative data on characteristics, vaccination status and factors for or rejection of vaccine uptake. We conducted multivariable logistic regression to assess the association between selected exposures and vaccine hesitancy using Stata version 15. Conversely, qualitative data were collected using key informant interviews (KIIs) among 15 participants that were purposively selected. Data were analysed using thematic content analysis with the help of NVivo 12.0. Results: Of the 346 health workers enrolled, (13.3% [46/346]) were vaccine hesitant. Factors associated with vaccine hesitancy included fear of side effects (Adjusted Odds Ratio [AOR]: 2.55; 95% Confidence Interval [95%CI]: 1.00, 6.49) and health workers' lack of trust in the information provided by health authorities (AOR: 6.74; 95% CI: 2.43, 18.72). Similar factors were associated with vaccine hesitancy when we used the vaccine hesitancy score. Fear of side effects, distrust in vaccine stakeholders, and lack of trust in the vaccine were barriers to COVID-19 vaccination among health workers. Conclusion: A small proportion of health workers were found to be hesitant to take the COVID-19 vaccine in this study. The paucity of COVID-19 vaccine safety information, which eroded the health workers' trust in the information they received on the vaccine, was responsible for health workers hesitancy to take up the vaccine in Uganda.

Indexed as

COVID-19Health workersSARS-CoV-2UgandaUnwillingnessVaccine hesitancy

Identifiers

PMID36643854
PMCPMC9824947

What OpenQuestion holds

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LicenceCC BY-NC-ND
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.