Uptake of COVID-19 vaccines and associated factors among adults in Uganda: a cross-sectional survey
Name
e067377.full.pdf
Description
Published version
Size
515.26 KB
Format
Adobe PDF
Checksum (MD5)
2247f4431240e8d07c3bca28b8e72544
Author(s)
Ndejjo, Rawlance
Chen, Nuole
Kabwama, Steven N
Namale, Alice
Wafula, Solomon Tsebeni
Wanyana, Irene
Kizito, Susan
Kiwanuka, Suzanne N
Sambisa, William
Tsai, Lily L
Date Issued
March 2023
Journal
BMJ Open
Publisher
BMJ
Citation
Ndejjo, Rawlance, Chen, Nuole, Kabwama, Steven N, Namale, Alice, Wafula, Solomon Tsebeni et al. 2023. "Uptake of COVID-19 vaccines and associated factors among adults in Uganda: a cross-sectional survey." BMJ Open, 13 (3).
Version
Final published version
Abstract
ObjectiveCOVID-19 pandemic remains one of the most significant public health challenges ever faced globally. Vaccines are key to ending the pandemic as well as minimise its consequences. This study determined the uptake of COVID-19 vaccines and associated factors among adults in Uganda.Design, setting and participantsWe conducted a cross-sectional mobile phone survey among adults in Uganda.Main outcome variableParticipants reported their uptake of COVID-19 vaccines.ResultsOf the participants contacted, 94% (1173) completed the survey. Overall, 49.7% had received COVID-19 vaccines with 19.2% having obtained a full dose and 30.5% an incomplete dose. Among the unvaccinated, 91.0% indicated intention to vaccinate. Major reasons for vaccine uptake were protection of self from COVID-19 (86.8%) and a high perceived risk of getting the virus (19.6%). On the other hand, non-uptake was related to vaccine unavailability (42.4%), lack of time (24.1%) and perceived safety (12.5%) and effectiveness concerns (6.9%). The factors associated with receiving COVID-19 vaccines were older age (≥65 years) (Adjusted Prevalence Ratio (APR)=1.32 (95% CI: 1.08 to 1.61)), secondary (APR=1.36 (95% CI: 1.12 to 1.65)) or tertiary education (APR=1.62 (95% CI: 1.31 to 2.00)) and health workers as a source of information on COVID-19 (APR=1.26 (95% CI: 1.10 to 1.45)). Also, reporting a medium-income (APR=1.24 (95% CI: 1.02 to 1.52)) and residence in Northern (APR=1.55, 95% CI: 1.18 to 2.02) and Central regions (APR=1.48, 95% CI: 1.16 to 1.89) were associated with vaccine uptake.ConclusionsUptake of COVID-19 vaccines was moderate in this sample and was associated with older age, secondary and tertiary education, medium-income, region of residence and health workers as a source of COVID-19 information. Efforts are needed to increase access to vaccines and should use health workers as champions to enhance uptake.
MIT Department
Massachusetts Institute of Technology. Department of Political Science
Terms of Use
Creative Commons Attribution 4.0 International license
Persistent DSpace Link
DOI of Published Version
https://doi.org/10.1136/bmjopen-2022-067377
