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Facilitators and barriers to COVID-19 vaccination among healthcare workers and the general population in Guinea.
Toure, Almamy Amara; Traore, Fodé Amara; Camara, Gnoume; Magassouba, Aboubacar Sidiki; Barry, Ibrahima; Kourouma, Mohamed Lamine; Sylla, Younoussa; Conte, Naby Yaya; Cisse, Diao; Dioubaté, Nafissatou; Sidibe, Sidikiba; Beavogui, Abdoul Habib; Delamou, Alexandre.
Afiliação
  • Toure AA; National Centre of Training and Recherche in Rural Health of Mafèrinyah, BP 2649, Forécariah, Guinea. almamy@maferinyah.org.
  • Traore FA; Department of Public Health, Kofi Annan University of Guinea, Conakry, Guinea. almamy@maferinyah.org.
  • Camara G; Faculté des Sciences et Techniques de la Santé, Centre Hospitalo-Universitaire de Conakry, Service de Maladies Infectieuses, Université Gamal Abdel Nasser, Conakry, Guinea.
  • Magassouba AS; Agence Nationale de Sécurité Sanitaire, Conakry, Guinea.
  • Barry I; Department of Public Health, Faculty of Sciences and Health Techniques, Gamal Abdel Nasser University, Conakry, Guinea.
  • Kourouma ML; Department of Public Health, Faculty of Sciences and Health Techniques, Gamal Abdel Nasser University, Conakry, Guinea.
  • Sylla Y; National Centre of Training and Recherche in Rural Health of Mafèrinyah, BP 2649, Forécariah, Guinea.
  • Conte NY; Agence Nationale de Sécurité Sanitaire, Conakry, Guinea.
  • Cisse D; National Centre of Training and Recherche in Rural Health of Mafèrinyah, BP 2649, Forécariah, Guinea.
  • Dioubaté N; National Centre of Training and Recherche in Rural Health of Mafèrinyah, BP 2649, Forécariah, Guinea.
  • Sidibe S; Centre MURAZ, Bobo-Dioulasso, Burkina Faso.
  • Beavogui AH; Department of Public Health, Faculty of Sciences and Health Techniques, Gamal Abdel Nasser University, Conakry, Guinea.
  • Delamou A; National Centre of Training and Recherche in Rural Health of Mafèrinyah, BP 2649, Forécariah, Guinea.
BMC Infect Dis ; 22(1): 752, 2022 Sep 27.
Article em En | MEDLINE | ID: mdl-36167578
ABSTRACT

INTRODUCTION:

The advent of the effective COVID-19 vaccine was the most eagerly expected worldwide. However, this hope quickly became hesitation and denial in many countries, including Guinea. Understanding the reasons for low vaccine coverage is essential to achieving herd immunity leading to disease control. This study aimed to comprehend the facilitators and barriers to the acceptance COVID-19 vaccine in Guinea.

METHODS:

The survey focused on healthcare workers (HCWs) and the general population (GP) in 4 natural regions in Guinea from 23 March 2021 to 25 August 2021. We used the Fishbein integration model to study the behaviours of HWCs and GP regarding vaccination. A mixed cross-sectional study collected knowledge, attitudes, norms, and perceptions. Regression and thematic content analysis identified the main facilitators and barriers to vaccination.

RESULTS:

We surveyed 3547 HCWs and 3663 GP. The proportion of people vaccinated was 65% among HCWs and 31% among the GP. For HCWs the main factors associated with vaccination against COVID-19 were as follows absence of pregnancy AOR = 4.65 [3.23-6.78], being supportive of vaccination AOR = 1.94 [1.66-2.27] and being an adult AOR = 1.64 [1.26-2.16]. Regarding the GP, the following factors increased the odds of vaccination absence of pregnancy AOR = 1.93 [CI 1.01-3.91], being favourable for vaccination AOR = 3.48 [CI 2.91-4.17], being an adult AOR = 1.72 [CI 1.38-2.14] and being able to get the vaccine AOR = 4.67 [CI 3.76-5.84]. Semi-interviews revealed fear, lack of trust, and hesitant perception of the government as potential barriers to vaccination.

CONCLUSION:

This study suggests that beliefs and negative perceptions are potential barriers to vaccination against COVID-19 among HCWs and the GP. Policies should emphasise practical strategies to mitigate these barriers among young people and pregnant women. Lastly, there is a need to improve access to vaccines in the GP.
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Texto completo: 1 Coleções: 01-internacional Contexto em Saúde: 1_ASSA2030 / 2_ODS3 / 4_TD / 5_ODS3_mortalidade_materna Base de dados: MEDLINE Assunto principal: Vacinas contra COVID-19 / COVID-19 Tipo de estudo: Observational_studies / Prevalence_studies / Prognostic_studies / Qualitative_research / Risk_factors_studies Aspecto: Implementation_research Limite: Adolescent / Adult / Female / Humans / Pregnancy País/Região como assunto: Africa Idioma: En Revista: BMC Infect Dis Ano de publicação: 2022 Tipo de documento: Article

Texto completo: 1 Coleções: 01-internacional Contexto em Saúde: 1_ASSA2030 / 2_ODS3 / 4_TD / 5_ODS3_mortalidade_materna Base de dados: MEDLINE Assunto principal: Vacinas contra COVID-19 / COVID-19 Tipo de estudo: Observational_studies / Prevalence_studies / Prognostic_studies / Qualitative_research / Risk_factors_studies Aspecto: Implementation_research Limite: Adolescent / Adult / Female / Humans / Pregnancy País/Região como assunto: Africa Idioma: En Revista: BMC Infect Dis Ano de publicação: 2022 Tipo de documento: Article