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Published: 2022-07-17

Attitude and intention of Iraqi healthcare providers to get vaccinated against COVID-19: a cross-sectional study

Department of Public Health, Faculty of Medicine, Bezmialem Vakif University, Istanbul, Turkey
Department of Family and Community Medicine, Faculty of Medicine, Anbar University, Anbar, Iraq
Department of Family and Community Medicine, Faculty of Medicine, Anbar University, Anbar, Iraq
Internal Medical Department, Faculty of Medicine, Diyala University, Iraq
Internal Medical Department, Faculty of Medicine, Diyala University, Iraq
Medical Biology and Anatomy Department, Faculty of Medicine, Diyala University, Iraq


Background: International efforts to confront the COVID-19 pandemic are joining forces by accelerating the pace of vaccination. This study aims to explore the attitude and the intent to get vaccinated against COVID-19 among healthcare providers (HCPs) in Iraq.

Methods: A cross-sectional survey was conducted in January 2021 using web-based facilities to access the respondents. The data were collected through a semi-structured and self-administered questionnaire, including sociodemographic and close-ended questions related to attitude and intention toward COVID-19 vaccination. Bivariate and multivariate logistic regression were recruited to predict variables. The statistical significance is considered at less than 0.05.

Results: Data of 209 HCPs with a mean age of 45.12 (± 6.37) years have undergone final analysis. Most of the HCPs were males (112, 53.6%) and nurses (110, 52.6%), who had close contact (64.6%) with COVID-19 patients, and forty percent have been infected with COVID-19. Overall, 115 HCPs (58.0%) reported intention to get vaccinated compared to 94 (42.0%) who declined vaccination. Variables associated with intention to get vaccinated among HCPs were high attitude toward COVID-19 vaccination (odds ratio (OR) =  1.740, 95% confidence interval (CI): 0.799, 3.786), aged less than 45 years (OR = 3.713; 95% CI: 1.647, 8.367), married (OR = 2.155; 95% CI: 0.984, 4.720), highly educated (OR = 2.657; 95% CI: 1.202, 5.871), doctors (OR = 3.153; 95% CI: 1.428, 6.963), contracted with COVID-19 (OR = 4.119; 95% CI: 1.623, 10.455), directly engaged in management of COVID-19 patients (OR = 3.962; 95% CI: 1.569, 10.005), and had lost a close relative due to COVID-19 (OR = 5.698; 95% CI: 1.506, 12.564).

Conclusion: The urgent need to improve the COVID-19 vaccine uptake rates among Iraqis requires a positive attitude and a high vaccination rate among HCPs.


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  1. Jensen N, Kelly AH, Avendano M. The COVID-19 pandemic underscores the need for an equity-focused global health agenda. Humanit Soc Sci Commun2021; 8, 15:1-6.
  2. Ali Jadoo SA. The second wave of COVID-19 is knocking at the doors: have we learned the lesson? jidhealth [Internet]. 2020 Oct. 8;3(Special1):183-4. doi: 10.47108/jidhealth.vol3.issspecial1.72.
  3. Walarine MT, K V BM. Pandemic effect on the elderly and their caregivers. jidhealth [Internet]. 2020 Nov. 24;3(4):248-51. doi: 10.47108/jidhealth.vol3.iss4.76.
  4. Groenewold MR, Burrer SL, Ahmed F, Uzicanin A, Free H, Luckhaupt SE. Increases in health-related workplace absenteeism among workers in essential critical infrastructure occupations during the COVID-19 pandemic — United States, March–April 2020. MMWR Morb Mortal Wkly Rep 2020; 69:853–858. icon.
  5. Maltezou HC, Dedoukou X, Tseroni M, Tsonou P, Raftopoulos V, Papadima K, et al. SARS-CoV-2 infection in healthcare personnel with high-risk occupational exposure: evaluation of 7-day exclusion from work policy. Clin Infect Dis 2020;71(12):3182–3187.
  6. World Health Organization, WHO Director-General's opening remarks at the media briefing on COVID-19 -11 March 2020. Available from: [Accessed on 15 March 2021].
  7. Verelst F, Kuylen E, Beutels P. Indications for healthcare surge capacity in European countries facing an exponential increase in coronavirus disease (COVID-19) cases, March 2020. Euro Surveill2020; 25:2000323.
  8. Yılmaz Z, Duman S, Öztürk G, Özdemir H, Hogan G, Karataş E. Evaluating the home isolation of COVID-19 patients in primary care. Journal of Ideas in Health2021;4(2):357-64.
  9. Wilson NM, Norton A, Young FP, Collins DW. Airborne transmission of severe acute respiratory syndrome coronavirus-2 to healthcare workers: a narrative review. Anesthesia. 2020 Aug;75(8):1086-1095. doi: 10.1111/anae.15093.
  10. Johnson SB, Butcher F. Doctors during the COVID-19 pandemic: what are their duties and what is owed to them? J Med Ethics2021; 47:12–15.
  11. World Health Organization. World Health Organization Strategic Advisory Group of Experts on Immunization roadmap for prioritizing uses of COVID-19 vaccines in the context of limited supply. November 2020. Version 1.1 13, [Accessed 19 March 2021].
  12. Danchin M, Biezen R, Manski-Nankervis JA, Kaufman J, Leask J. Preparing the public for COVID-19 vaccines: How can general practitioners build vaccine confidence and optimize uptake for themselves and their patients? Aust J Gen Pract. 2020 Oct;49(10):625-629. doi: 10.31128/AJGP-08-20-5559.
  13. United Nations Office for the Coordination of Humanitarian Affairs (OCHA), IRAQ: COVID-19 Situation Report No.5, 12 March 2020. Available from: file:///C:/Users/drsaa/Downloads/12032020_COVID19_SitRep_No5.pdf [Accessed on 24 March 2021]
  14. World Health Organization, Early COVID-19 preparation saved lives in Iraq. Available from: [Accessed on 25 March 2021].
  15. Ali Jadoo SA, Alhusseiny A, Yaseen S, Al-Samarrai M, Al-Rawi R, Al-Delaimy A, Abed M, Hassooni H. Knowledge, attitude, and practice toward COVID-19 among Iraqi people: a web-based cross-sectional study. Journal of Ideas in Health.2020;3(Special2):258-65.
  16. Al-Dahhan WH, Al-Mashhadani MH, Raheem R, Yousif E. Iraq faces the COVID-19 with limited health capabilities and major medical challenges. Bionatura 2020;5(3):1271-1274.
  17. Ali Jadoo SA, Alhusseiny A, Yaseen S, Al-Samarrai M, Mahmood A. Evaluation of the health system in Iraq from people's point of view: a comparative study of two different eras. Journal of Ideas in Health2021;4(2):380-8.
  18. Alhusseiny A, Latif I, Ali Jadoo SA. Covid-19 in Iraq: an estimated cost to treat patients at a private clinic. Journal of Ideas in Health.2021;4(1):304-6.
  19. Ali Jadoo SA, Torun P, Dastan I, Al-Samarrai M. Impact of conflict related and workplace related violence on job satisfaction among physicians from Iraq - a descriptive cross-sectional multicentre study. Journal of Ideas in Health2018;1(1):14-2.
  20. Raosoft, sample size calculator. Available from: [Accessed on 17-February 2021].
  21. Shekhar R, Sheikh AB, Upadhyay S, Singh M, Kottewar S, Mir H, Barrett E, Pal S. COVID-19 Vaccine Acceptance among Health Care Workers in the United States. Vaccines (Basel). 2021 Feb 3;9(2):119. doi: 10.3390/vaccines9020119.
  22. Ahmed MH, Kanfe SG, Jarso MH. Intention to receive vaccine against COVID-19 and associated factors among health professionals working at public hospitals in resource limited settings. PLoS One. 2021 Jul 12;16(7):e0254391. doi: 10.1371/journal.pone.0254391.
  23. Maltezou HC, Pavli A, Dedoukou X, Georgakopoulou T, Raftopoulos V, Drositis I, et al. Determinants of intention to get vaccinated against COVID-19 among healthcare personnel in hospitals in Greece. Infect Dis Health. 2021 Aug;26(3):189-197. doi: 10.1016/j.idh.2021.03.002.
  24. Maraqa B, Nazzal Z, Rabi R, Sarhan N, Al-Shakhra K, Al-Kaila M. COVID-19 vaccine hesitancy among health care workers in Palestine: A call for action. Prev Med. 2021 Aug; 149:106618. doi: 10.1016/j.ypmed.2021.106618.
  25. Dzieciolowska S, Hamel D, Gadio S, Dionne M, Gagnon D, Robitaille L, et al. Covid-19 vaccine acceptance, hesitancy, and refusal among Canadian healthcare workers: A multicenter survey. Am J Infect Control. 2021 Sep;49(9):1152-1157. doi: 10.1016/j.ajic.2021.04.079..
  26. Gagneux-Brunon A, Detoc M, Bruel S, Tardy B, Rozaire O, Frappe P, et al. intention to get vaccinations against COVID-19 in French healthcare workers during the first pandemic wave: a cross-sectional survey. J Hosp Infect. 2021; 108:168–73.
  27. Williams L, Flowers P, McLeod J, Young D, Rollins L, The Catalyst Project Team. Social Patterning and Stability of Intention to Accept a COVID-19 Vaccine in Scotland: Will Those Most at Risk Accept a Vaccine? Vaccines (Basel). 2021 Jan 4;9(1):17. doi: 10.3390/vaccines9010017.
  28. Di Martino G, Di Giovanni P, Di Girolamo A, Scampoli P, Cedrone F, D'Addezio M, Meo F, Romano F, Di Sciascio MB, Staniscia T. Knowledge and Attitude towards Vaccination among Healthcare Workers: A Multicenter Cross-Sectional Study in a Southern Italian Region. Vaccines (Basel). 2020 May 24;8(2):248. doi: 10.3390/vaccines8020248.
  29. Kwok KO, Li KK, Wei WI, Tang A, Wong SYS, Lee SS. Editor's Choice: Influenza vaccine uptake, COVID-19 vaccination intention and vaccine hesitancy among nurses: A survey. Int J Nurs Stud. 2021 Feb; 114:103854. doi: 10.1016/j.ijnurstu.2020.103854.
  30. Graffigna G, Palamenghi L, Boccia S, Barello S. Relationship between citizens’ health engagement and intention to take the covid-19 vaccine in Italy: A mediation analysis. Vaccines. 2020; 8(4):1–11. PMID: 33019663
  31. Paul E, Steptoe A, Fancourt D. Attitudes towards vaccines and intention to vaccinate against COVID-19: Implications for public health communications. Lancet Reg Health Eur. 2021 Feb; 1:100012. doi: 10.1016/j.lanepe.2020.100012.
  32. Li M, Luo Y, Watson R, Zheng Y, Ren J, Tang J, Chen Y. Healthcare workers' (HCWs) attitudes and related factors towards COVID-19 vaccination: a rapid systematic review. Postgrad Med J. 2021 Jun 30: postgradmedj-2021-140195. doi: 10.1136/postgradmedj-2021-140195.
  33. Gadoth A, Halbrook M, Martin-Blais R, Gray A, Tobin NH, Ferbas KG, Aldrovandi GM, Rimoin AW. Cross-sectional Assessment of COVID-19 Vaccine Acceptance Among Health Care Workers in Los Angeles. Ann Intern Med. 2021 Jun;174(6):882-885. doi: 10.7326/M20-7580.
  34. Kabamba Nzaji M, Kabamba Ngombe L, Ngoie Mwamba G, Banza Ndala DB, Mbidi Miema J, Luhata Lungoyo C, et al. Acceptability of Vaccination Against COVID-19 Among Healthcare Workers in the Democratic Republic of the Congo. Pragmat Obs Res. 2020 Oct 29; 11:103-109. doi: 10.2147/POR.S271096.
  35. Dror AA, Eisenbach N, Taiber S, Morozov NG, Mizrachi M, Zigron A, et al. Vaccine hesitancy: the next challenge in the fight against COVID-19. Eur J Epidemiol. 2020 Aug;35(8):775-779. doi: 10.1007/s10654-020-00671-y.
  36. Ali Jadoo SA, Sulku SN, Aljunid SM, Dastan I. Validity and reliability analysis of knowledge of, attitude toward and practice of a case-mix questionnaire among Turkish healthcare providers. JHEOR. 2014;2(1):96–107.

How to Cite

Ali Jadoo SA, Ali Mustafa Al-Samarrai M, Thamer Yahyaa B, Hassan Al-Hussainy A, Ibrahim Latif I, Mahmood Yaseen S. Attitude and intention of Iraqi healthcare providers to get vaccinated against COVID-19: a cross-sectional study. jidhealth [Internet]. 2022 Jul. 17 [cited 2022 Aug. 15];5(Special1):700-6. Available from: