Health-Care Workers' Perspectives on Ebola Virus Vaccine: A Focus Group and In-Depth Interview Interventional Study

Health-care workers (HCWs) will require Ebola virus vaccine (EVV) when it is introduced because of the high risk of exposure to the disease. Evaluations of factors that facilitate or limit vaccine uptake are critical for a successful vaccine program. Nigerian HCWs were interviewed to evaluate their...

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Bibliographic Details
Published in:The American journal of tropical medicine and hygiene 2016-09, Vol.95 (3), p.654-662
Main Authors: Esangbedo, Dorothy O, Ughasoro, Maduka D, Tagbo, Beckie N, Olowu, Adebiyi, Anikene, Chukwuemeka, Iwegbulam, Chimaobi C
Format: Article
Language:English
Subjects:
Adult
Aged
Attitude of Health Personnel
Cross-Sectional Studies
Ebola Vaccines - therapeutic use
Ebolavirus
Female
Focus Groups
Health Knowledge, Attitudes, Practice
Health Personnel - psychology
Health Personnel - statistics & numerical data
Hemorrhagic Fever, Ebola - prevention & control
Hemorrhagic Fever, Ebola - transmission
Humans
Interviews as Topic
Male
Middle Aged
Nigeria
Young Adult
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Summary:Health-care workers (HCWs) will require Ebola virus vaccine (EVV) when it is introduced because of the high risk of exposure to the disease. Evaluations of factors that facilitate or limit vaccine uptake are critical for a successful vaccine program. Nigerian HCWs were interviewed to evaluate their knowledge, levels of acceptance, determinants of acceptance, and willingness to pay for EVV. The significance level was set at P ≤ 0.05. None of the 193 participating HCWs had correct knowledge of EVV; 34.7% (67/193) of workers thought that EVV was an extract of the serum of Ebola virus patients. About 77.3% (51/66) of workers in a region that reported Ebola cases (Lagos) were willing to be vaccinated, compared with 4.7% (3/61) in Enugu and 13.6% (9/66) in Abia (P = 0.0001). After health education, the proportion of HCWs willing to receive EVV increased (P = 0.006) except for doctors (P < 0.1). The percentage of HCWs willing to pay for EVV was 86.4%, 72.1%, and 59% in Lagos, Enugu, and Abia, respectively. The workers had fears about EVV based on nonfactual assumptions. Therefore, the EVV introduction strategy should include a strong awareness campaign with adequate explanation about the content of EVV.
ISSN:0002-9637
1476-1645
DOI:10.4269/ajtmh.16-0206