Cargando…

COVID-19 Knowledge, Attitudes, and Vaccine Hesitancy in Ethiopia: A Community-Based Cross-Sectional Study

The current healthcare system’s efforts to reduce the spread of COVID-19 in Ethiopia and limit its effects on human lives are being hampered by hesitancy toward the COVID-19 vaccine. The aim of this study was to assess the knowledge levels, attitudes, and prevention practices of COVID-19, in the con...

Descripción completa

Detalles Bibliográficos
Autores principales: Muluneh, Muluken Dessalegn, Negash, Kasahun, Tsegaye, Sentayehu, Abera, Yared, Tadesse, Derbe, Abebe, Sintayehu, Vaughan, Cathy, Stulz, Virginia
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10140841/
https://www.ncbi.nlm.nih.gov/pubmed/37112686
http://dx.doi.org/10.3390/vaccines11040774
_version_ 1785033249422049280
author Muluneh, Muluken Dessalegn
Negash, Kasahun
Tsegaye, Sentayehu
Abera, Yared
Tadesse, Derbe
Abebe, Sintayehu
Vaughan, Cathy
Stulz, Virginia
author_facet Muluneh, Muluken Dessalegn
Negash, Kasahun
Tsegaye, Sentayehu
Abera, Yared
Tadesse, Derbe
Abebe, Sintayehu
Vaughan, Cathy
Stulz, Virginia
author_sort Muluneh, Muluken Dessalegn
collection PubMed
description The current healthcare system’s efforts to reduce the spread of COVID-19 in Ethiopia and limit its effects on human lives are being hampered by hesitancy toward the COVID-19 vaccine. The aim of this study was to assess the knowledge levels, attitudes, and prevention practices of COVID-19, in the context of the level of vaccine hesitancy with other associated factors in Ethiopia. A community-based cross-sectional design with mixed-method data sources was employed. It comprised 1361 study participants for the quantitative survey, with randomly selected study participants from the studied community. This was triangulated by a purposively selected sample of 47 key informant interviews and 12 focus group discussions. The study showed that 53.9%, 55.3%, and 44.5% of participants had comprehensive knowledge, attitudes, and practices regarding COVID-19 prevention and control, respectively. Similarly, 53.9% and 47.1% of study participants had adequate knowledge and favorable attitudes toward the COVID-19 vaccine. Only 29.0% of the total survey participants had been vaccinated with at least one dose of vaccine. Of the total study participants, 64.4% were hesitant about receiving the COVID-19 vaccination. The most frequently reported reasons were a lack of trust in the vaccine (21%), doubts regarding the long-term side effects (18.1%), and refusal on religious grounds (13.6%). After adjusting for other confounding factors, geographical living arrangements, the practices of COVID-19 prevention methods, attitudes about the vaccine, vaccination status, perceived community benefit, perceived barriers toward vaccination, and self-efficacy about receiving the vaccine were significantly associated with vaccine hesitancy. Therefore, to improve vaccine coverage and reduce this high level of hesitancy, there should be specifically designed, culturally tailored health education materials and a high level of engagement from politicians, religious leaders, and other community members.
format Online
Article
Text
id pubmed-10140841
institution National Center for Biotechnology Information
language English
publishDate 2023
publisher MDPI
record_format MEDLINE/PubMed
spelling pubmed-101408412023-04-29 COVID-19 Knowledge, Attitudes, and Vaccine Hesitancy in Ethiopia: A Community-Based Cross-Sectional Study Muluneh, Muluken Dessalegn Negash, Kasahun Tsegaye, Sentayehu Abera, Yared Tadesse, Derbe Abebe, Sintayehu Vaughan, Cathy Stulz, Virginia Vaccines (Basel) Article The current healthcare system’s efforts to reduce the spread of COVID-19 in Ethiopia and limit its effects on human lives are being hampered by hesitancy toward the COVID-19 vaccine. The aim of this study was to assess the knowledge levels, attitudes, and prevention practices of COVID-19, in the context of the level of vaccine hesitancy with other associated factors in Ethiopia. A community-based cross-sectional design with mixed-method data sources was employed. It comprised 1361 study participants for the quantitative survey, with randomly selected study participants from the studied community. This was triangulated by a purposively selected sample of 47 key informant interviews and 12 focus group discussions. The study showed that 53.9%, 55.3%, and 44.5% of participants had comprehensive knowledge, attitudes, and practices regarding COVID-19 prevention and control, respectively. Similarly, 53.9% and 47.1% of study participants had adequate knowledge and favorable attitudes toward the COVID-19 vaccine. Only 29.0% of the total survey participants had been vaccinated with at least one dose of vaccine. Of the total study participants, 64.4% were hesitant about receiving the COVID-19 vaccination. The most frequently reported reasons were a lack of trust in the vaccine (21%), doubts regarding the long-term side effects (18.1%), and refusal on religious grounds (13.6%). After adjusting for other confounding factors, geographical living arrangements, the practices of COVID-19 prevention methods, attitudes about the vaccine, vaccination status, perceived community benefit, perceived barriers toward vaccination, and self-efficacy about receiving the vaccine were significantly associated with vaccine hesitancy. Therefore, to improve vaccine coverage and reduce this high level of hesitancy, there should be specifically designed, culturally tailored health education materials and a high level of engagement from politicians, religious leaders, and other community members. MDPI 2023-03-31 /pmc/articles/PMC10140841/ /pubmed/37112686 http://dx.doi.org/10.3390/vaccines11040774 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Muluneh, Muluken Dessalegn
Negash, Kasahun
Tsegaye, Sentayehu
Abera, Yared
Tadesse, Derbe
Abebe, Sintayehu
Vaughan, Cathy
Stulz, Virginia
COVID-19 Knowledge, Attitudes, and Vaccine Hesitancy in Ethiopia: A Community-Based Cross-Sectional Study
title COVID-19 Knowledge, Attitudes, and Vaccine Hesitancy in Ethiopia: A Community-Based Cross-Sectional Study
title_full COVID-19 Knowledge, Attitudes, and Vaccine Hesitancy in Ethiopia: A Community-Based Cross-Sectional Study
title_fullStr COVID-19 Knowledge, Attitudes, and Vaccine Hesitancy in Ethiopia: A Community-Based Cross-Sectional Study
title_full_unstemmed COVID-19 Knowledge, Attitudes, and Vaccine Hesitancy in Ethiopia: A Community-Based Cross-Sectional Study
title_short COVID-19 Knowledge, Attitudes, and Vaccine Hesitancy in Ethiopia: A Community-Based Cross-Sectional Study
title_sort covid-19 knowledge, attitudes, and vaccine hesitancy in ethiopia: a community-based cross-sectional study
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10140841/
https://www.ncbi.nlm.nih.gov/pubmed/37112686
http://dx.doi.org/10.3390/vaccines11040774
work_keys_str_mv AT mulunehmulukendessalegn covid19knowledgeattitudesandvaccinehesitancyinethiopiaacommunitybasedcrosssectionalstudy
AT negashkasahun covid19knowledgeattitudesandvaccinehesitancyinethiopiaacommunitybasedcrosssectionalstudy
AT tsegayesentayehu covid19knowledgeattitudesandvaccinehesitancyinethiopiaacommunitybasedcrosssectionalstudy
AT aberayared covid19knowledgeattitudesandvaccinehesitancyinethiopiaacommunitybasedcrosssectionalstudy
AT tadessederbe covid19knowledgeattitudesandvaccinehesitancyinethiopiaacommunitybasedcrosssectionalstudy
AT abebesintayehu covid19knowledgeattitudesandvaccinehesitancyinethiopiaacommunitybasedcrosssectionalstudy
AT vaughancathy covid19knowledgeattitudesandvaccinehesitancyinethiopiaacommunitybasedcrosssectionalstudy
AT stulzvirginia covid19knowledgeattitudesandvaccinehesitancyinethiopiaacommunitybasedcrosssectionalstudy