African health workers are avoiding COVID-19 vaccination – WHO

On Nov 26, 2021

World Health Organisation -WHO says its minor analysis has disclosed that only 27 per cent of health workers in Africa have been fully vaccinated against COVID-19.

The WHO Regional Director for Africa, Dr Matshidiso Moeti revealed this during a virtual news conference on yesterday.

She said that the analysis was leaving the bulk of the workforce on the frontlines against the pandemic unprotected.

She noted that the analysis of data reported from 25 countries finds that since March 2021, 1.3 million health workers were fully vaccinated, with just six countries reaching more than 90 per cent.

Nine countries have fully vaccinated less than 40 per cent of its health workers.

According to Moeti, in sharp contrast, a recent WHO global study of 22 mostly high-income countries reported that above 80 per cent of their health and care workers are fully vaccinated.

Moeti said that majority of Africa’s health workers were still missing out on vaccines and remained dangerously exposed to severe COVID-19 infection.

She said that unless the doctors, nurses and other frontline workers got full protection, we risked a blowback in the efforts to curb the disease.

“We must ensure our health facilities are safe working environments.

“It is important to have high vaccine coverage among health workers not only for their own protection but also for their patients and to ensure health care systems keep operating during a time of extreme need.

Africa’s shortage of health workers is acute and profound, with only one country in the region having the required health workers (10.9 per 1000 population) to deliver essential health services.

“Sixteen countries in the region have less than one health worker per 1000 population.
“Any loss of these essential workers to COVID-19 due to illness or death, therefore, heavily impacts on service provision capacity.

“Based on data reported to WHO by countries in the African Region, since March 2020 there have been more than 150 400 COVID-19 infections in health workers, accounting for 2.5 per cent of all confirmed cases and 2.6 per cent of the total health workforce in the region.

“Five countries account for about 70 per cent of all the COVID-19 infections reported in health workers, Algeria, Ghana, Kenya, South Africa and Zimbabwe.

“After almost four months of a sustained decline, COVID-19 cases in the general population in Africa have plateaued.

“For the first time since the third wave peak in August, cases in Southern Africa have increased, jumping 48 per cent in the week ending on Nov. 21, compared with the previous week,“ she said.

According to her, the risk of health worker infection rises whenever cases surge.

She said it was a pattern that has been observed during the previous three waves of the pandemic.

According to her, with a fourth wave likely to hit after the end-of-year travel season, health workers will again face risks amid low vaccination coverage.

“To date, more than 227 million vaccine doses have been administered in Africa.

“In 39 countries that provided data, 3.9 million doses have been given to health workers.

“With a new surge in cases looming over Africa following the end-of-year festive season, countries must urgently speed up the rollout of vaccines to health care workers,” Moeti said.

She said that vaccine shipments have been on the rise over the past three months.

She said that Africa has received 330 million doses from the COVAX Facility, the African Vaccine Acquisition Task Team and from bilateral agreements since February 2021.
According to her, of these 83 per cent have been delivered since August alone.

She said as vaccine supply peaked, addressing uptake bottlenecks and accelerating rollout became more critical.

Moeti said that all countries in Africa have prioritised health workers in their vaccination plans. The low coverage is likely due to the non-availability of vaccination services, especially in rural areas, as well as vaccine hesitancy.

“Recent studies found that only around 40 per cent of health workers intended to receive a COVID-19 vaccine in Ghana and less than 50 per in Ethiopia.

“Concerns over vaccine safety and the adverse side effects of the vaccines have been identified as the main reasons for their hesitancy,” she said.

According to her, health workers are key sources of information for the general population and their attitudes can influence vaccine uptake.

“The COVID-19 vaccine stands among humanity’s extraordinary scientific feats. In Africa, we’re gradually overcoming supply constraints. Now is not the time to stumble over vaccine mistrust,” Moeti said.

According to her, to drive up health worker vaccination, WHO is coordinating training and dialogue on vaccine safety and efficacy to help address doubts or misconceptions around the COVID-19 vaccine.

She said the organisation was also advocating open and honest communication about the benefits and side effects of vaccination.

Oluchi Okwuego/NAN