COVID-19 vaccine uptake and predictors of hesitancy among healthcare workers in Côte d’Ivoire
Background: Vaccine hesitancy hinders COVID-19 control, especially among healthcare workers (HCWs). Aim: This study examined factors influencing COVID-19 vaccine uptake and hesitancy among HCWs in Abidjan, Côte d’Ivoire. Setting: The study was conducted among healthcare workers in Abidjan, the cap...
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| Main Authors: | , , , , , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
AOSIS
2025-04-01
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| Series: | Journal of Public Health in Africa |
| Subjects: | |
| Online Access: | https://publichealthinafrica.org/index.php/jphia/article/view/678 |
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| Summary: | Background: Vaccine hesitancy hinders COVID-19 control, especially among healthcare workers (HCWs).
Aim: This study examined factors influencing COVID-19 vaccine uptake and hesitancy among HCWs in Abidjan, Côte d’Ivoire.
Setting: The study was conducted among healthcare workers in Abidjan, the capital city of Côte d’Ivoire.
Methods: A cross-sectional study was conducted from May 2023 to June 2023 in Abidjan. A total of 240 HCWs completed a questionnaire on vaccination attitudes, hesitancy factors and willingness to recommend vaccines. Descriptive statistics and modified Poisson regression estimated adjusted prevalence ratios (aPR) at a 95% confidence interval.
Results: Among participants, 57.5% were female, with a median age of 40 years (IQR: 33–45). HCWs included physicians (26.7%), nurses/midwives (22.5%) and pharmaceutical staff (19.2%). They worked in teaching hospitals (23.3%), general hospitals (30.8%) and community hospitals (45.8%). Vaccine uptake was 73.3%, with 53.3% fully vaccinated and only 4.6% receiving a booster dose. However, 42.1% exhibited vaccine hesitancy, mainly due to concerns about side effects (52.2%). While 55.0% would recommend the vaccine, only 46.3% felt confident addressing patient questions. Age was positively correlated with vaccine uptake: HCWs aged 35–44 years, 45–54 years and 55–65 years were 1.60, 1.68 and 1.78, respectively times more likely to be vaccinated, respectively, compared to those aged 22–34 years.
Conclusion: Vaccine hesitancy (25%) and low booster uptake (4.6%) highlight the need for targeted education and pharmacovigilance. Strengthening HCWs vaccine knowledge and trust is essential for epidemic control.
Contribution: This study underscores the importance of Ministry of Health-led interventions to improve HCWs vaccination rates in Africa. |
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| ISSN: | 2038-9922 2038-9930 |