Barriers and enhancers to COVID-19 vaccination among healthcare workers in a metropolitan city in Nigeria
Background: Vaccine hesitancy among healthcare workers (HCWs) hinders coronavirus disease 2019 (COVID-19) control efforts. Aim: The aim of the study was to assess enhancers and barriers to the uptake of COVID-19 vaccine among HCWs in Ibadan, Nigeria. Setting: Health facility-based cross-sectional...
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AOSIS
2025-04-01
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| Series: | Journal of Public Health in Africa |
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| Online Access: | https://publichealthinafrica.org/index.php/jphia/article/view/685 |
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| author | Adewale V. Opayele Adeniyi F. Fagbamigbe Chinwe L. Ochu Rodgers R. Ayebare Adedayo O. Faneye Adewemimo C. Olaosebikan Oluwaseun E. Falayi Gloria O. Nwiyi Sunday O. Eziechina Ikemefule R. Uzoma Priscilla Ibekwe Prosper Okonkwo Tamrat Shaweno Nebiyu Dereje Suzan Nakasendwa Tonny Muwonge Mosoka P. Fallah Georgina N. Odaibo |
| author_facet | Adewale V. Opayele Adeniyi F. Fagbamigbe Chinwe L. Ochu Rodgers R. Ayebare Adedayo O. Faneye Adewemimo C. Olaosebikan Oluwaseun E. Falayi Gloria O. Nwiyi Sunday O. Eziechina Ikemefule R. Uzoma Priscilla Ibekwe Prosper Okonkwo Tamrat Shaweno Nebiyu Dereje Suzan Nakasendwa Tonny Muwonge Mosoka P. Fallah Georgina N. Odaibo |
| author_sort | Adewale V. Opayele |
| collection | DOAJ |
| description | Background: Vaccine hesitancy among healthcare workers (HCWs) hinders coronavirus disease 2019 (COVID-19) control efforts.
Aim: The aim of the study was to assess enhancers and barriers to the uptake of COVID-19 vaccine among HCWs in Ibadan, Nigeria.
Setting: Health facility-based cross-sectional study in Ibadan, a metropolitan city in Oyo state, Nigeria.
Methods: A questionnaire administered using REDCap assessed HCW vaccination status, attitudes and access using the Behavioural and Social drivers (BeSD) framework. Data analysis performed using STATA version 17 included descriptive statistics and modified Poisson regression.
Results: Of the 1227 HCWs recruited, 82.8% received at least one dose. Vaccine uptake was higher among older HCWs compared to those below 25 years (45–54 years: prevalence ratio [PR] = 1.20, 95% confidence interval [CI]: 1.09, 1.33 and ≥ 55 years: PR = 1.17, 95% CI: 1.05, 1.30) and HCWs in private health centres (PR = 1.15, 95% CI: 1.08, 1.22). Most HCWs (83.5%) believed in vaccination for infectious diseases, but only 61.9% felt the same about COVID-19 vaccines. The major reasons for vaccine hesitancy among unvaccinated HCWs included the beliefs that vaccine development and authorisation were rushed (47 [26.1%]) and concerns about serious side effects (32 [17.8%]).
Conclusion: This study found that the uncertainty about COVID-19 vaccine safety is a key barrier to its uptake. Therefore, targeted education and communication strategies to improve vaccine confidence are crucial.
Contribution: This study identifies why HCWs in Nigeria are hesitant about getting vaccinated. This information can help to improve vaccination rates in this group. It fits with the journal’s focus on making African public health responses stronger. |
| format | Article |
| id | doaj-art-5df5ae4417d04e24bdbeb16106fd620b |
| institution | DOAJ |
| issn | 2038-9922 2038-9930 |
| language | English |
| publishDate | 2025-04-01 |
| publisher | AOSIS |
| record_format | Article |
| series | Journal of Public Health in Africa |
| spelling | doaj-art-5df5ae4417d04e24bdbeb16106fd620b2025-08-20T02:41:48ZengAOSISJournal of Public Health in Africa2038-99222038-99302025-04-01161e1e910.4102/jphia.v16i1.685855Barriers and enhancers to COVID-19 vaccination among healthcare workers in a metropolitan city in NigeriaAdewale V. Opayele0Adeniyi F. Fagbamigbe1Chinwe L. Ochu2Rodgers R. Ayebare3Adedayo O. Faneye4Adewemimo C. Olaosebikan5Oluwaseun E. Falayi6Gloria O. Nwiyi7Sunday O. Eziechina8Ikemefule R. Uzoma9Priscilla Ibekwe10Prosper Okonkwo11Tamrat Shaweno12Nebiyu Dereje13Suzan Nakasendwa14Tonny Muwonge15Mosoka P. Fallah16Georgina N. Odaibo17Department of Virology, College of Medicine, University of Ibadan, IbadanDepartment of Epidemiology and Medical Statistics, Faculty of Public Health, University of Ibadan, IbadanNigeria Centres for Disease Control and Prevention, AbujaInfectious Diseases Institute, Makerere University, MakereDepartment of Virology, College of Medicine, University of Ibadan, IbadanDepartment of Epidemiology and Medical Statistics, College of Medicine, University of Ibadan, IbadanDepartment of Virology, College of Medicine, University of Ibadan, IbadanNigeria Centres for Disease Control and Prevention, AbujaNigeria Centres for Disease Control and Prevention, AbujaNigeria Centres for Disease Control and Prevention, AbujaNigeria Centres for Disease Control and Prevention, AbujaAPIN Public Health Initiative, AbujaAfrica Centres for Disease Control and Prevention, Addis AbadaAfrica Centres for Disease Control and Prevention, Addis AbadaInfectious Diseases Institute, Makerere University, MakereInfectious Diseases Institute, Makerere University, MakereAfrica Centres for Disease Control and Prevention, Addis AbadaDepartment of Virology, College of Medicine, University of Ibadan, IbadanBackground: Vaccine hesitancy among healthcare workers (HCWs) hinders coronavirus disease 2019 (COVID-19) control efforts. Aim: The aim of the study was to assess enhancers and barriers to the uptake of COVID-19 vaccine among HCWs in Ibadan, Nigeria. Setting: Health facility-based cross-sectional study in Ibadan, a metropolitan city in Oyo state, Nigeria. Methods: A questionnaire administered using REDCap assessed HCW vaccination status, attitudes and access using the Behavioural and Social drivers (BeSD) framework. Data analysis performed using STATA version 17 included descriptive statistics and modified Poisson regression. Results: Of the 1227 HCWs recruited, 82.8% received at least one dose. Vaccine uptake was higher among older HCWs compared to those below 25 years (45–54 years: prevalence ratio [PR] = 1.20, 95% confidence interval [CI]: 1.09, 1.33 and ≥ 55 years: PR = 1.17, 95% CI: 1.05, 1.30) and HCWs in private health centres (PR = 1.15, 95% CI: 1.08, 1.22). Most HCWs (83.5%) believed in vaccination for infectious diseases, but only 61.9% felt the same about COVID-19 vaccines. The major reasons for vaccine hesitancy among unvaccinated HCWs included the beliefs that vaccine development and authorisation were rushed (47 [26.1%]) and concerns about serious side effects (32 [17.8%]). Conclusion: This study found that the uncertainty about COVID-19 vaccine safety is a key barrier to its uptake. Therefore, targeted education and communication strategies to improve vaccine confidence are crucial. Contribution: This study identifies why HCWs in Nigeria are hesitant about getting vaccinated. This information can help to improve vaccination rates in this group. It fits with the journal’s focus on making African public health responses stronger.https://publichealthinafrica.org/index.php/jphia/article/view/685ibadanvaccine uptakevaccine acceptancevaccine hesitancycoronavirus |
| spellingShingle | Adewale V. Opayele Adeniyi F. Fagbamigbe Chinwe L. Ochu Rodgers R. Ayebare Adedayo O. Faneye Adewemimo C. Olaosebikan Oluwaseun E. Falayi Gloria O. Nwiyi Sunday O. Eziechina Ikemefule R. Uzoma Priscilla Ibekwe Prosper Okonkwo Tamrat Shaweno Nebiyu Dereje Suzan Nakasendwa Tonny Muwonge Mosoka P. Fallah Georgina N. Odaibo Barriers and enhancers to COVID-19 vaccination among healthcare workers in a metropolitan city in Nigeria Journal of Public Health in Africa ibadan vaccine uptake vaccine acceptance vaccine hesitancy coronavirus |
| title | Barriers and enhancers to COVID-19 vaccination among healthcare workers in a metropolitan city in Nigeria |
| title_full | Barriers and enhancers to COVID-19 vaccination among healthcare workers in a metropolitan city in Nigeria |
| title_fullStr | Barriers and enhancers to COVID-19 vaccination among healthcare workers in a metropolitan city in Nigeria |
| title_full_unstemmed | Barriers and enhancers to COVID-19 vaccination among healthcare workers in a metropolitan city in Nigeria |
| title_short | Barriers and enhancers to COVID-19 vaccination among healthcare workers in a metropolitan city in Nigeria |
| title_sort | barriers and enhancers to covid 19 vaccination among healthcare workers in a metropolitan city in nigeria |
| topic | ibadan vaccine uptake vaccine acceptance vaccine hesitancy coronavirus |
| url | https://publichealthinafrica.org/index.php/jphia/article/view/685 |
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