Uptake of the COVID-19 vaccine among healthcare workers in Malawi

被引:26
作者
Moucheraud, Corrina [1 ]
Phiri, Khumbo [2 ]
Whitehead, Hannah S. [3 ]
Songo, John [2 ]
Lungu, Eric [2 ]
Chikuse, Elijah [2 ]
Phiri, Sam [2 ]
van Oosterhout, Joep J. [2 ,3 ]
Hoffman, Risa M. [3 ]
机构
[1] Univ Calif Los Angeles, Dept Hlth Policy & Management, Fielding Sch Publ Hlth, 650 Charles E Young Dr South, Los Angeles, CA 90095 USA
[2] Partners Hope, POB 302,Area 36 Plot 8,M1 Rd South, Lilongwe, Malawi
[3] Univ Calif Los Angeles, Dept Med, Div Infect Dis, David Geffen Sch Med, 10833 Conte Ave, Los Angeles, CA 90095 USA
来源
INTERNATIONAL HEALTH | 2023年 / 15卷 / 01期
关键词
COVID-19; healthcare workers; vaccine hesitancy; vaccines; HESITANCY; ASSOCIATION; CHALLENGES; PARENTS;
D O I
10.1093/inthealth/ihac007
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Background Little is known about coronavirus disease 2019 (COVID-19) vaccination in Africa. We sought to understand Malawian healthcare workers' (HCWs') COVID-19 vaccination and its hypothesized determinants. Methods In March 2021, as the COVID-19 vaccine roll-out commenced in Malawi, we surveyed clinical and lay cadre HCWs (n=400) about their uptake of the vaccine and potential correlates (informed by the WHO Behavioral and Social Drivers of COVID-19 Vaccination framework). We analyzed uptake and used adjusted multivariable logistic regression models to explore how 'what people think and feel' constructs were associated with HCWs' motivation to be vaccinated. Results Of the surveyed HCWs, 82.5% had received the first COVID-19 vaccine dose. Motivation (eagerness to be vaccinated) was strongly associated with confidence in vaccine benefits (adjusted OR [aOR] 9.85, 95% CI 5.50 to 17.61) and with vaccine safety (aOR 4.60, 95% CI 2.92 to 7.23), but not with perceived COVID-19 infection risk (aOR 1.38, 95% CI 0.88 to 2.16). Of all the information sources about COVID-19 vaccination, 37.5% were reportedly negative in tone. Conclusions HCWs in Malawi have a high motivation to be vaccinated and a high COVID-19 vaccine uptake. Disseminating vaccine benefits and safety messages via social media and social networks may be persuasive for individuals who are unmotivated to be vaccinated and less likely to accept the COVID-19 vaccine.
引用
收藏
页码:77 / 84
页数:8
相关论文
共 31 条
  • [1] Amit AML, 2022, PLOS GLOB PUBL HLTH, V2, DOI 10.1371/journal.pgph.0000165
  • [2] COVID-19 vaccine acceptance and hesitancy in low- and middle-income countries
    Arce, Julio S. Solis
    Warren, Shana S.
    Meriggi, Niccolo F.
    Scacco, Alexandra
    McMurry, Nina
    Voors, Maarten
    Syunyaev, Georgiy
    Malik, Amyn Abdul
    Aboutajdine, Samya
    Adeojo, Opeyemi
    Anigo, Deborah
    Armand, Alex
    Asad, Saher
    Atyera, Martin
    Augsburg, Britta
    Awasthi, Manisha
    Ayesiga, Gloria Eden
    Bancalari, Antonella
    Nyqvist, Martina Bjorkman
    Borisova, Ekaterina
    Bosancianu, Constantin Manuel
    Cabra Garcia, Magarita Rosa
    Cheema, Ali
    Collins, Elliott
    Cuccaro, Filippo
    Farooqi, Ahsan Zia
    Fatima, Tatheer
    Fracchia, Mattia
    Galindo Soria, Mery Len
    Guariso, Andrea
    Hasanain, Ali
    Jaramillo, Sofia
    Kallon, Sellu
    Kamwesigye, Anthony
    Kharel, Arjun
    Kreps, Sarah
    Levine, Madison
    Littman, Rebecca
    Malik, Mohammad
    Manirabaruta, Gisele
    Mfura, Jean Leodomir Habarimana
    Momoh, Fatoma
    Mucauque, Alberto
    Mussa, Imamo
    Nsabimana, Jean Aime
    Obara, Isaac
    Juliana Otalora, Maria
    Ouedraogo, Bechir Wendemi
    Pare, Touba Bakary
    Platas, Melina R.
    [J]. NATURE MEDICINE, 2021, 27 (08) : 1385 - +
  • [3] BNT162b2 vaccine uptake and effectiveness in UK healthcare workers - a single centre cohort study
    Azamgarhi, Tariq
    Hodgkinson, Michelle
    Shah, Ashik
    Skinner, John A.
    Hauptmannova, Iva
    Briggs, Tim W. R.
    Warren, Simon
    [J]. NATURE COMMUNICATIONS, 2021, 12 (01)
  • [4] Knowledge, risk perceptions, and behaviors related to the COVID-19 pandemic in Malawi
    Banda, Jethro
    Dube, Albert N.
    Brumfield, Sarah
    Amoah, Abena S.
    Reniers, Georges
    Crampin, Amelia C.
    Helleringer, Stephane
    [J]. DEMOGRAPHIC RESEARCH, 2021, 44 : 459 - 480
  • [5] Factors Affecting COVID-19 Vaccine Acceptance: An International Survey among Low-and Middle-Income Countries
    Bono, Suzanna Awang
    Faria de Moura Villela, Edlaine
    Siau, Ching Sin
    Chen, Won Sun
    Pengpid, Supa
    Hasan, M. Tasdik
    Sessou, Philippe
    Ditekemena, John D.
    Amodan, Bob Omoda
    Hosseinipour, Mina C.
    Dolo, Housseini
    Siewe Fodjo, Joseph Nelson
    Low, Wah Yun
    Colebunders, Robert
    [J]. VACCINES, 2021, 9 (05)
  • [6] Increasing Vaccination: Putting Psychological Science Into Action
    Brewer, Noel T.
    Chapman, Gretchen B.
    Rothman, Alexander J.
    Leask, Julie
    Kempe, Allison
    [J]. PSYCHOLOGICAL SCIENCE IN THE PUBLIC INTEREST, 2017, 18 (03) : 149 - 207
  • [7] Centre for Systems Science and Engineering, 2020, COVID 19 DASHB
  • [8] Assessment of Vaccine Hesitancy to a COVID-19 Vaccine in Cameroonian Adults and Its Global Implication
    Dinga, Jerome Nyhalah
    Sinda, Leontine Kouemou
    Titanji, Vincent P. K.
    [J]. VACCINES, 2021, 9 (02) : 1 - 14
  • [9] COVID-19 Vaccine Acceptance in the Democratic Republic of Congo: A Cross-Sectional Survey
    Ditekemena, John D.
    Nkamba, Dalau M.
    Mutwadi, Armand
    Mavoko, Hypolite M.
    Fodjo, Joseph Nelson Siewe
    Luhata, Christophe
    Obimpeh, Michael
    Van Hees, Stijn
    Nachega, Jean B.
    Colebunders, Robert
    [J]. VACCINES, 2021, 9 (02) : 1 - 11
  • [10] Freeman D., 2020, PSYCHOL MED, P15