PREVALENCE AND DETERMINANTS OF INFLUENZA VACCINE ADMINISTRATION AMONG HEALTH CARE WORKERS AT PRIMARY HEALTHCARE CENTERS OF THE MINISTRY OF HEALTH IN JEDDAH 2019
Layan Arafah1, Shaimaa Hawsawi1, Amal Alfaifi1, Widad Berdisi1, Naeema Akbar2
1Family Medicine Program, Public Health Department, Jeddah, Saudi Arabia.
2Clinical Preventive Medicine, Public Health Department, Jeddah, Saudi Arabia.
Background: Influenza is a substantial threat to healthcare settings, and the annual influenza vaccine (IV) is an effective preventive measure against influenza. However, the vaccination rate among health care workers (HCWs) remains low. Objective: This study aimed at assessing vaccine coverage among HCWs at the primary health care centers of the Saudi Ministry of Health (MOH), and determine factors affecting compliance to vaccination. Methods: We conducted a cross-sectional study, and by applying a multistage clustering sample method, we randomly selected 83 male and 202 female HCWs. We used a self-administered questionnaire to collect information about IV uptake and its determinants. We performed the chi-square test to define associated factors and used binomial logistic regression analysis to determine the unconfounded predictors of IV. Results: The rate of IV among HCWs ranged from 53.3% during 2016 to 51.7% during the 2018 season. Compliances to successive vaccination over the past three years were only 30.2%; however, 66.2% of HCWs intended to receive the vaccine during the upcoming season. The main reasons for IV uptake included self-protection against influenza (60.7%) and caring about client's patients (44.8%). Single female nurses were more likely to be immunized against IV than other HCWs p<0.05. Both reading the official MOH IV guidelines and feeling of having sufficient knowledge about IV were unconfounded predictors for the vaccine. Conclusion: The overall immunization coverage was suboptimal, and the fact that reading the official MOH IV guidelines had a strong statistical association with a positive attitude towards vaccination emphasizes the role of governmental authorities in enhancing vaccine among the HCWs.