Exploring COVID-19 vaccine uptake among healthcare workers in Zimbabwe: A mixed methods study.

Autor:	Taruvinga T; The Health Research Unit Zimbabwe, Biomedical Research & Training Institute, Harare, Zimbabwe.; Department of Global Health and Development, London School of Hygiene and Tropical Medicine, London, UK.; Africa Centres for Diseases Prevention and Control (Africa CDC), Addis Ababa, Ethiopia., Chingono RS; The Health Research Unit Zimbabwe, Biomedical Research & Training Institute, Harare, Zimbabwe., Marambire E; The Health Research Unit Zimbabwe, Biomedical Research & Training Institute, Harare, Zimbabwe.; Division of Infectious Diseases and Tropical Medicine, LMU University Hospital, LMU Munich, Germany., Larsson L; The Health Research Unit Zimbabwe, Biomedical Research & Training Institute, Harare, Zimbabwe.; Division of Infectious Diseases and Tropical Medicine, LMU University Hospital, LMU Munich, Germany., Olaru ID; The Health Research Unit Zimbabwe, Biomedical Research & Training Institute, Harare, Zimbabwe.; Clinical Research Department, London School of Hygiene and Tropical Medicine, London, UK., Sibanda S; The Health Research Unit Zimbabwe, Biomedical Research & Training Institute, Harare, Zimbabwe., Nzvere F; The Health Research Unit Zimbabwe, Biomedical Research & Training Institute, Harare, Zimbabwe., Redzo N; The Health Research Unit Zimbabwe, Biomedical Research & Training Institute, Harare, Zimbabwe., Ndhlovu CE; Internal Medicine Unit, University of Zimbabwe Faculty of Medicine and Health Sciences Harare, Zimbabwe., Rusakaniko S; Department of Community Medicine, College of Health Sciences, University of Zimbabwe, Harare, Zimbabwe., Mujuru H; Department of Paediatrics and Child Health, University of Zimbabwe College of Health Sciences, Harare, Zimbabwe., Sibanda E; Bulawayo City Council Health Department, Bulawayo, Zimbabwe., Chonzi P; Harare City Council Health Department, Harare, Zimbabwe., Siamuchembu M; Ministry of Health and Child Care, Provincial Medical Directorate, Bulawayo, Zimbabwe., Chikodzore R; Ministry of Health and Child Care, Department of Epidemiology and Diseases Control, Harare, Zimbabwe., Mahomva A; National Response to the COVID-19 Pandemic, Office of the President, and Cabinet, Harare, Zimbabwe., Ferrand RA; The Health Research Unit Zimbabwe, Biomedical Research & Training Institute, Harare, Zimbabwe.; Clinical Research Department, London School of Hygiene and Tropical Medicine, London, UK., Dixon J; The Health Research Unit Zimbabwe, Biomedical Research & Training Institute, Harare, Zimbabwe.; Department of Global Health and Development, London School of Hygiene and Tropical Medicine, London, UK., Kranzer K; The Health Research Unit Zimbabwe, Biomedical Research & Training Institute, Harare, Zimbabwe.; Division of Infectious Diseases and Tropical Medicine, LMU University Hospital, LMU Munich, Germany.; Clinical Research Department, London School of Hygiene and Tropical Medicine, London, UK.
Jazyk:	angličtina
Zdroj:	MedRxiv : the preprint server for health sciences [medRxiv] 2023 Jul 23. Date of Electronic Publication: 2023 Jul 23.
DOI:	10.1101/2023.07.17.23292791
Abstrakt:	With COVID-19 no longer categorized as a public health emergency of international concern, vaccination strategies and priority groups for vaccination have evolved. Africa Centers for Diseases Prevention and Control proposed the '100-100-70%' strategy which aims to vaccinate all healthcare workers, all vulnerable groups, and 70% of the general population. Understanding whether healthcare workers were reached during previous vaccination campaigns and what can be done to address concerns, anxieties, and other influences on vaccine uptake, will be important to optimally plan how to achieve these ambitious targets. In this mixed-methods study, between June 2021 and July 2022 a quantitative survey was conducted with healthcare workers accessing a comprehensive health check in Zimbabwe to determine whether and, if so, when they had received a COVID-19 vaccine. Healthcare workers were categorized as those who had received the vaccine 'early' (before 30.06.2021) and those who had received it 'late' (after 30.06.2021). In addition, 17 in-depth interviews were conducted to understand perceptions and beliefs about COVID-19 vaccines. Of the 2905 healthcare workers employed at 37 facilities who participated in the study, 2818 (97%, 95% CI [92%-102%]) reported that they had received at least one vaccine dose. Geographical location, older age, higher educational attainment and having a chronic condition was associated with receiving the vaccine early. Qualitatively, (mis)information, infection risk perception, quasi-mandatory vaccination requirements, and legitimate concerns such as safety and efficacy influenced vaccine uptake. Meeting the proposed 100-100-70 target entails continued emphasis on strong communication while engaging meaningfully with healthcare workers' concerns. Mandatory vaccination may undermine trust and should not be a substitute for sustained engagement. Competing Interests: Conflicts of interest None declared.
Databáze:	MEDLINE
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