Factors Associated with COVID-19 Vaccine Hesitancy in Uganda: A Population-Based Cross-Sectional Survey

Allen Kabagenyi,1 Ronald Wasswa,2 Betty K Nannyonga,3 Evelyne B Nyachwo,4 Atek Kagirita,5 Juliet Nabirye,4 Leonard Atuhaire,6 Peter Waiswa4 1Department of Population Studies, School of Statistics & Planning, College of Business and Management Sciences, Makerere University, Kampala, Uganda; 2Depa...

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Main Authors: Kabagenyi A, Wasswa R, Nannyonga BK, Nyachwo EB, Kagirita A, Nabirye J, Atuhaire L, Waiswa P
Format: Article
Language:English
Published: Dove Medical Press 2022-08-01
Series:International Journal of General Medicine
Subjects:
Online Access:https://www.dovepress.com/factors-associated-with-covid-19-vaccine-hesitancy-in-uganda-a-populat-peer-reviewed-fulltext-article-IJGM
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author Kabagenyi A
Wasswa R
Nannyonga BK
Nyachwo EB
Kagirita A
Nabirye J
Atuhaire L
Waiswa P
author_facet Kabagenyi A
Wasswa R
Nannyonga BK
Nyachwo EB
Kagirita A
Nabirye J
Atuhaire L
Waiswa P
author_sort Kabagenyi A
collection DOAJ
description Allen Kabagenyi,1 Ronald Wasswa,2 Betty K Nannyonga,3 Evelyne B Nyachwo,4 Atek Kagirita,5 Juliet Nabirye,4 Leonard Atuhaire,6 Peter Waiswa4 1Department of Population Studies, School of Statistics & Planning, College of Business and Management Sciences, Makerere University, Kampala, Uganda; 2Department of Statistical Methods and Actuarial Science, School of Statistics & Planning, College of Business and Management Sciences, Makerere University, Kampala, Uganda; 3Department of Mathematics, School of Natural Science, College of Business and Management Sciences, Makerere University, Kampala, Uganda; 4Health Policy, Planning and Management, School of Public Health, Makerere University, Kampala, Uganda; 5Department of National Disease Control, Ministry of Health, Kampala, Uganda; 6Department of Planning and Applied Statistics, School of Statistics & Planning, College of Business and Management Sciences, Makerere University, Kampala, UgandaCorrespondence: Allen Kabagenyi, Department of Population Studies, School of Statistics & Planning, College of Business and Management Sciences, Makerere University, Kampala, Uganda, Email allenka79@yahoo.comPurpose: Vaccination toward coronavirus disease (COVID-19) has been recommended and adopted as one of the measures of reducing the spread of this novel disease worldwide. Despite this, vaccine uptake among the Ugandan population has been low with reasons surrounding this being unknown. This study aimed to investigate the factors associated with COVID-19 vaccine hesitancy in Uganda.Methods: A cross-sectional study was conducted on a total of 1042 adults in the districts of Mukono, Kiboga, Kumi, Soroti, Gulu, Amuru, Mbarara and Sheema from June to November 2021. Data were analyzed using STATA v.15. Barriers to vaccination were analyzed descriptively, while a binary logistic regression model was used to establish the factors associated with COVID-19 vaccine hesitancy.Results: Overall, COVID-19 vaccine hesitancy was 58.6% (611). Respondents from urban areas and those in the eastern or northern region had increased odds of vaccine hesitancy. Further, higher education level and having knowledge on how COVID-19 is transmitted significantly reduced the odds of vaccine hesitancy. The study also noted individual perception such as COVID-19 kills only people with underlying medical conditions, as well as limited awareness on vaccine types or vaccination areas as the main reasons to vaccine hesitancy. Relatedly, other misconceptions like the ability of the vaccine to cause infertility, or spreading the virus into the body, and acknowledgment of alcohol as a possible cure were other reasons for vaccine hesitancy.Conclusion: The proportion of COVID-19 vaccine hesitancy is still high among the population with this varying across regions. This is driven by low education level and limited awareness on the vaccination as well as perceived myths and misconceptions. The study recommends mass sensitization of the population on the benefits of vaccination using various channels as well as rolling out community-based outreach vaccination campaigns across the country.Keywords: COVID-19, vaccination, hesitancy, barriers, pandemic, Uganda
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spelling doaj.art-b436ba8b2c064512ba9127a625d32b562022-12-22T03:11:13ZengDove Medical PressInternational Journal of General Medicine1178-70742022-08-01Volume 156837684777729Factors Associated with COVID-19 Vaccine Hesitancy in Uganda: A Population-Based Cross-Sectional SurveyKabagenyi AWasswa RNannyonga BKNyachwo EBKagirita ANabirye JAtuhaire LWaiswa PAllen Kabagenyi,1 Ronald Wasswa,2 Betty K Nannyonga,3 Evelyne B Nyachwo,4 Atek Kagirita,5 Juliet Nabirye,4 Leonard Atuhaire,6 Peter Waiswa4 1Department of Population Studies, School of Statistics & Planning, College of Business and Management Sciences, Makerere University, Kampala, Uganda; 2Department of Statistical Methods and Actuarial Science, School of Statistics & Planning, College of Business and Management Sciences, Makerere University, Kampala, Uganda; 3Department of Mathematics, School of Natural Science, College of Business and Management Sciences, Makerere University, Kampala, Uganda; 4Health Policy, Planning and Management, School of Public Health, Makerere University, Kampala, Uganda; 5Department of National Disease Control, Ministry of Health, Kampala, Uganda; 6Department of Planning and Applied Statistics, School of Statistics & Planning, College of Business and Management Sciences, Makerere University, Kampala, UgandaCorrespondence: Allen Kabagenyi, Department of Population Studies, School of Statistics & Planning, College of Business and Management Sciences, Makerere University, Kampala, Uganda, Email allenka79@yahoo.comPurpose: Vaccination toward coronavirus disease (COVID-19) has been recommended and adopted as one of the measures of reducing the spread of this novel disease worldwide. Despite this, vaccine uptake among the Ugandan population has been low with reasons surrounding this being unknown. This study aimed to investigate the factors associated with COVID-19 vaccine hesitancy in Uganda.Methods: A cross-sectional study was conducted on a total of 1042 adults in the districts of Mukono, Kiboga, Kumi, Soroti, Gulu, Amuru, Mbarara and Sheema from June to November 2021. Data were analyzed using STATA v.15. Barriers to vaccination were analyzed descriptively, while a binary logistic regression model was used to establish the factors associated with COVID-19 vaccine hesitancy.Results: Overall, COVID-19 vaccine hesitancy was 58.6% (611). Respondents from urban areas and those in the eastern or northern region had increased odds of vaccine hesitancy. Further, higher education level and having knowledge on how COVID-19 is transmitted significantly reduced the odds of vaccine hesitancy. The study also noted individual perception such as COVID-19 kills only people with underlying medical conditions, as well as limited awareness on vaccine types or vaccination areas as the main reasons to vaccine hesitancy. Relatedly, other misconceptions like the ability of the vaccine to cause infertility, or spreading the virus into the body, and acknowledgment of alcohol as a possible cure were other reasons for vaccine hesitancy.Conclusion: The proportion of COVID-19 vaccine hesitancy is still high among the population with this varying across regions. This is driven by low education level and limited awareness on the vaccination as well as perceived myths and misconceptions. The study recommends mass sensitization of the population on the benefits of vaccination using various channels as well as rolling out community-based outreach vaccination campaigns across the country.Keywords: COVID-19, vaccination, hesitancy, barriers, pandemic, Ugandahttps://www.dovepress.com/factors-associated-with-covid-19-vaccine-hesitancy-in-uganda-a-populat-peer-reviewed-fulltext-article-IJGMcovid-19vaccinationhesitancybarrierspandemicuganda
spellingShingle Kabagenyi A
Wasswa R
Nannyonga BK
Nyachwo EB
Kagirita A
Nabirye J
Atuhaire L
Waiswa P
Factors Associated with COVID-19 Vaccine Hesitancy in Uganda: A Population-Based Cross-Sectional Survey
International Journal of General Medicine
covid-19
vaccination
hesitancy
barriers
pandemic
uganda
title Factors Associated with COVID-19 Vaccine Hesitancy in Uganda: A Population-Based Cross-Sectional Survey
title_full Factors Associated with COVID-19 Vaccine Hesitancy in Uganda: A Population-Based Cross-Sectional Survey
title_fullStr Factors Associated with COVID-19 Vaccine Hesitancy in Uganda: A Population-Based Cross-Sectional Survey
title_full_unstemmed Factors Associated with COVID-19 Vaccine Hesitancy in Uganda: A Population-Based Cross-Sectional Survey
title_short Factors Associated with COVID-19 Vaccine Hesitancy in Uganda: A Population-Based Cross-Sectional Survey
title_sort factors associated with covid 19 vaccine hesitancy in uganda a population based cross sectional survey
topic covid-19
vaccination
hesitancy
barriers
pandemic
uganda
url https://www.dovepress.com/factors-associated-with-covid-19-vaccine-hesitancy-in-uganda-a-populat-peer-reviewed-fulltext-article-IJGM
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