Sources of information and the influence of misinformation on COVID-19 vaccine uptake hesitancy among frontline workers in Tanzania: evidences from Dar es Salaam and Dodoma

Purpose: This study aims to assess the sources of COVID-19 information respondents relied for COVID-19 pandemic information access and use, forms of misinformation and their influence on COVID-19 vaccine uptake hesitancy among frontline workers. Design/methodology/approach: A Google Form developed questionnaire, distributed conveniently through link shared through WhatsApp groups was used to collect data from frontline workers from Dar es Salaam and Dodoma cities. Analysis was done using a binary regression analysis. Findings: It was found that it was not the source that mattered for one to be hesitancy or not on COVID-19 vaccination, but the extent to which the information the source channels was manipulated or false. Research limitations/implications: Relying only Google Form questionnaire sent through a link on WhatsApp may have compromised the quality of information gathered and the quality of conclusion. Another study may have conducted through researcher administered questionnaire to a bigger sample to increase conclusion reliability and validity. Practical implications: This study urges that to increase the COVID-19 vaccine uptake, it is important to ensure that the quality of information from the revealed dependable sources is checked to avoid possible consequential disquiet resulting from misinformation. Originality/value: As the world is striving toward combating the COVID-19 or at least lessening its effects, this paper is of its own kind, using the theory of informative fictions to guide the assessment of the sources of information and the extent to which they influence misinformation on COVID-19 vaccine uptake hesitancy. © 2022, Emerald Publishing Limited.

Compliance to infection prevention and control interventions for slowing down COVID-19 in early phase of disease transmission in Dar es Salaam, Tanzania.

Introduction: on 16th March 2020, Tanzania announced its first COVID-19 case. The country had already developed a 72-hour response plan and had enacted three compulsory infection prevention and control interventions. Here, we describe public compliance to Infection Prevention and Control (IPC) public health measures in Dar es Salaam during the early COVID-19 response and testing of the feasibility of an observational method. Methods: a cross sectional study was conducted between April and May 2020 in Dar es Salaam City. At that time, Dar es Salaam was the epi centre of the epidemic. Respondents were randomly selected from defined population strata (high, medium and low). Data were collected using a structured questionnaire and through observations. Results: a total of 390 subjects were interviewed, response rate was 388 (99.5%). Mean age of the respondents was 34.8 years and 168 (43.1%) had primary level education. Out of the 388 respondents, 384 (98.9%) reported to have heard about COVID-19 public health and social measures, 90.0% had heard from the television and 84.6% from the radio. Covering coughs and sneezes using a handkerchief was the most common behaviour observed among 320 (82.5%) respondents; followed by hand washing hygiene practice, 312 (80.4%) and wearing face masks, 240 (61.9%). Approximately 215 (55.4%) adhered to physical distancing guidance. Age and gender were associated with compliance to IPC measures (both, p<0.05). Conclusion: compliance to public health measures during the early phase of COVID-19 pandemic in this urban setting was encouraging. As the pandemic continues, it is critical to ensure compliance is sustained and capitalize on risk communication via television and radio.

Adherence to Antiretroviral Therapy and Associated Factors Among People Living With HIV Following the Introduction of Dolutegravir Based Regimens in Dar es Salaam, Tanzania.

Background: Adherence to antiretroviral therapy (ART) is the key determinant of virological suppression in people living with HIV (PLHIV). This study reports factors associated with non-adherence among PLHIV one year after introducing dolutegravir (DTG) based regimens in Tanzania. Methods: A hospital-based cross-sectional study was conducted in two health facilities in Dar es Salaam, Tanzania, in 2020. Results: A total of 406 PLHIV were recruited, where the majority (73.4%) were females, with 94.6% of patients being on DTG based regimens. Factors such as refill interval and sharing of antiretrovirals had significant effects on adherence. Multivariate analysis found that patients attending care and treatment center (CTC) at Temeke Regional Referral Hospital (RRH) were 4.3 times more likely to have non-adherence compared to those attending Amana RRH (aOR [adjusted odds ratio] 4.3, 95% CI [confidence interval]: 2.38 - 7.91, p-value < 0.0001). Conclusions: Sustainable adherence counseling is warranted to overcome non-adherence to ART.