COVID-19 vaccine uptake among health care workers in Ghana: a case for targeted vaccine deployment campaigns in the global south

Abstract Background Health care workers (HCWs) are among the high-risk groups in contracting and dying from COVID-19. World Health Organization estimates that over 10,000 HCWs in Africa have been infected with COVID-19 making it a significant occupational health hazard to HCWs. In Ghana, over 100 HC...

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Autores principales:	Robert Kaba Alhassan, Seth Owusu-Agyei, Evelyn Korkor Ansah, Margaret Gyapong
Formato:	article
Lenguaje:	EN
Publicado:	BMC 2021
Materias:	Coronavirus disease 2019 (COVID-19) Vaccine Health care workers Trial Willingness Uptake Medicine (General) R5-920 Public aspects of medicine RA1-1270
Acceso en línea:	https://doaj.org/article/6b9fde8307384ac5a3f62a141bfae683
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spelling	oai:doaj.org-article:6b9fde8307384ac5a3f62a141bfae6832021-11-08T11:15:54ZCOVID-19 vaccine uptake among health care workers in Ghana: a case for targeted vaccine deployment campaigns in the global south10.1186/s12960-021-00657-11478-4491https://doaj.org/article/6b9fde8307384ac5a3f62a141bfae6832021-11-01T00:00:00Zhttps://doi.org/10.1186/s12960-021-00657-1https://doaj.org/toc/1478-4491Abstract Background Health care workers (HCWs) are among the high-risk groups in contracting and dying from COVID-19. World Health Organization estimates that over 10,000 HCWs in Africa have been infected with COVID-19 making it a significant occupational health hazard to HCWs. In Ghana, over 100 HCWs have already been infected and dozen others died from the virus. Acceptability and uptake of the COVID-19 vaccine is therefore critical to promote health and safety of HCWs as the country battles out of a third wave of the pandemic. Objective The study sought to ascertain the correlates of HCWs likelihood of participating in a COVID-19 vaccine trial and accepting the vaccine when given the opportunity. Methods The study was a web-based cross-sectional survey among HCWs (n = 1605) in all sixteen (16) administrative regions in Ghana. Data were analyzed with STATA statistical analysis software (version 14). Chi-square (X 2) and Fisher’s exact tests were used to test for differences in categorical variables; bivariate probit regression analysis with Average Marginal Effect (AME) was employed to ascertain the determinants of HCWs’ likelihood of participating in a COVID-19 vaccine trial and taking the vaccine. Results It was found that 48% of HCWs will participate in a COVID-19 vaccine trial when given the opportunity; 70% will accept the COVID-19 vaccine; younger HCWs (AME = 0.28, SE = 0.16, p < 0.1), non-Christians (AME = 21, SE = 0.09, p < 0.05) and those who worked in faith-based health facilities (AME = 18, SE = 0.07, p < 0.05) were more likely to participate in a COVID-19 vaccine trial. Female HCWs (AME = − 11, SE = 0.04, p < 0.05) and those with lower educational qualification were less likely to accept a COVID-19 vaccine (AME = − 0.16, SE = 0.08, p < 0.1). Reasons cited for unwillingness to participate in a COVID-19 vaccine trial or uptake the vaccine were mainly fear, safety concerns, mistrust, uncertainty, spiritual and religious beliefs. Conclusions Acceptance of the COVID-19 vaccine appear to be high among HCWs; conversely, willingness to volunteer for the vaccine trial was low. Continuous targeted and integrated public health education for HCWs will enhance vaccine acceptability to promote safety and population health in the global south as Ghana intensifies efforts to produce COVID-19 vaccines locally.Robert Kaba AlhassanSeth Owusu-AgyeiEvelyn Korkor AnsahMargaret GyapongBMCarticleCoronavirus disease 2019 (COVID-19)VaccineHealth care workersTrialWillingnessUptakeMedicine (General)R5-920Public aspects of medicineRA1-1270ENHuman Resources for Health, Vol 19, Iss 1, Pp 1-12 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Coronavirus disease 2019 (COVID-19) Vaccine Health care workers Trial Willingness Uptake Medicine (General) R5-920 Public aspects of medicine RA1-1270
spellingShingle	Coronavirus disease 2019 (COVID-19) Vaccine Health care workers Trial Willingness Uptake Medicine (General) R5-920 Public aspects of medicine RA1-1270 Robert Kaba Alhassan Seth Owusu-Agyei Evelyn Korkor Ansah Margaret Gyapong COVID-19 vaccine uptake among health care workers in Ghana: a case for targeted vaccine deployment campaigns in the global south
description	Abstract Background Health care workers (HCWs) are among the high-risk groups in contracting and dying from COVID-19. World Health Organization estimates that over 10,000 HCWs in Africa have been infected with COVID-19 making it a significant occupational health hazard to HCWs. In Ghana, over 100 HCWs have already been infected and dozen others died from the virus. Acceptability and uptake of the COVID-19 vaccine is therefore critical to promote health and safety of HCWs as the country battles out of a third wave of the pandemic. Objective The study sought to ascertain the correlates of HCWs likelihood of participating in a COVID-19 vaccine trial and accepting the vaccine when given the opportunity. Methods The study was a web-based cross-sectional survey among HCWs (n = 1605) in all sixteen (16) administrative regions in Ghana. Data were analyzed with STATA statistical analysis software (version 14). Chi-square (X 2) and Fisher’s exact tests were used to test for differences in categorical variables; bivariate probit regression analysis with Average Marginal Effect (AME) was employed to ascertain the determinants of HCWs’ likelihood of participating in a COVID-19 vaccine trial and taking the vaccine. Results It was found that 48% of HCWs will participate in a COVID-19 vaccine trial when given the opportunity; 70% will accept the COVID-19 vaccine; younger HCWs (AME = 0.28, SE = 0.16, p < 0.1), non-Christians (AME = 21, SE = 0.09, p < 0.05) and those who worked in faith-based health facilities (AME = 18, SE = 0.07, p < 0.05) were more likely to participate in a COVID-19 vaccine trial. Female HCWs (AME = − 11, SE = 0.04, p < 0.05) and those with lower educational qualification were less likely to accept a COVID-19 vaccine (AME = − 0.16, SE = 0.08, p < 0.1). Reasons cited for unwillingness to participate in a COVID-19 vaccine trial or uptake the vaccine were mainly fear, safety concerns, mistrust, uncertainty, spiritual and religious beliefs. Conclusions Acceptance of the COVID-19 vaccine appear to be high among HCWs; conversely, willingness to volunteer for the vaccine trial was low. Continuous targeted and integrated public health education for HCWs will enhance vaccine acceptability to promote safety and population health in the global south as Ghana intensifies efforts to produce COVID-19 vaccines locally.
format	article
author	Robert Kaba Alhassan Seth Owusu-Agyei Evelyn Korkor Ansah Margaret Gyapong
author_facet	Robert Kaba Alhassan Seth Owusu-Agyei Evelyn Korkor Ansah Margaret Gyapong
author_sort	Robert Kaba Alhassan
title	COVID-19 vaccine uptake among health care workers in Ghana: a case for targeted vaccine deployment campaigns in the global south
title_short	COVID-19 vaccine uptake among health care workers in Ghana: a case for targeted vaccine deployment campaigns in the global south
title_full	COVID-19 vaccine uptake among health care workers in Ghana: a case for targeted vaccine deployment campaigns in the global south
title_fullStr	COVID-19 vaccine uptake among health care workers in Ghana: a case for targeted vaccine deployment campaigns in the global south
title_full_unstemmed	COVID-19 vaccine uptake among health care workers in Ghana: a case for targeted vaccine deployment campaigns in the global south
title_sort	covid-19 vaccine uptake among health care workers in ghana: a case for targeted vaccine deployment campaigns in the global south
publisher	BMC
publishDate	2021
url	https://doaj.org/article/6b9fde8307384ac5a3f62a141bfae683
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COVID-19 vaccine uptake among health care workers in Ghana: a case for targeted vaccine deployment campaigns in the global south

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