The dilemma of COVID-19 vaccination among Health Care Workers (HCWs) of Uttar Pradesh




COVID-19 Vaccines, Vaccines, Health Personnel, Drug-Related Side Effects and Adverse Reactions, Vaccination, Attitude


Background: Immediately after the outbreak of COVID-19 pandemic, with an unprecedented cooperation between biomedical, pharmaceutical, technological, and political sectors, new vaccines were developed and approved in record times. However, doubts were raised on their efficacy and adverse effects. Globally, it was agreed that the first recipients for vaccines would be the health care workers (HCWs). Logically, it was bound to raise some concerns and result in hesitancy among the HCWs. Aims: The current study was planned to study the proportion of HCWs having hesitancy towards COVID-19 vaccination and factors effecting it. Settings and Design: Cross-sectional study conducted among HCWs of Uttar Pradesh. Methods and Material: The survey was conducted both in online and offline mode and attempted by 254 HCWs eligible for receiving COVID-19 vaccine. Statistical analysis used: t-test, chi-square test, proportion, mean, SD Results: Vaccine hesitancy was present in 35.8% HCWs. Only social factors like caste (p=0.023) and religion (p<0.001) were found to be significantly associated with vaccine hesitancy. Gender, type of health worker, fear of COVID-19 infection, fear of lethality or pre-existing diseases did not affect vaccine hesitancy. The maximum number of HCWs (71.4%) were hesitant because they were unsure of the side-effects followed by the reason of being unsure about its effect on their own health (53.8%). When asked about their attitude towards compulsory COVID-19 vaccination for HCWs, should it be made mandatory by the government, 42.9% were in favour and 40.6% were against any such mandate. Conclusions: The study concluded that social factors like religion and caste are more deterministic for vaccine hesitancy.


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Bontempi E. The Europe second wave of COVID-19 infection and the Italy “strange” situation. Environmental Research. 2021; 193:110476.

COVID-19 and Your Health [Internet]. Centers for Disease Control and Prevention. 2021. Available from:

Callaway E. The race for coronavirus vaccines: a graphical guide. Nature. 2020;580(7805):576-577.

COVID-19 vaccine tracker. 2021. Available from:

Press Information Bureau Government of India. Press Statement by the Drugs Controller General of India (DCGI) on Restricted Emergency approval of COVID-19 virus vaccine. 2021. Available from:

Nguyen LH, Drew DA, Graham MS, Joshi AD, Guo C-G, Ma W. Risk of COVID-19 among front-line health-care workers and the general community: a prospective cohort study. Lancet Public Health. 2020;5:e475–e483. doi: 10.1016/S2468-2667(20)30164-X.

Schwierzeck V, König JC, Kühn J, Mellmann A, Correa-Martínez CL, Omran H. First reported nosocomial outbreak of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) in a pediatric dialysis unit. Clin Infect Dis. 2020 doi: 10.1093/cid/ciaa491.

Ten health issues WHO will tackle this year n.d. (accessed June25, 2021).

SAGE group vaccine hesitancy - Recherche Google n.d. (accessed June 25, 2021).

Blasi F., Aliberti S., Mantero M., Centanni S. Compliance with anti-H1N1 vaccine among healthcare workers and general population. Clinical Microbiology and Infection. 2012;18:37–41. doi: 10.1111/j.1469-0691.2012.03941.x.

Gagneux-Brunon A, Detoc M, Bruel S, Tardy B, Rozaire O, Frappe P, Botelho-Nevers E, Intention to get vaccinations against COVID-19 in French healthcare workers during the first pandemic wave: a cross sectional survey, Journal of Hospital Infection,

Detoc M., Bruel S., Frappe P., Tardy B., Botelho-Nevers E., Gagneux-Brunon A. Intention to participate in a COVID-19 vaccine clinical trial and to get vaccinated against COVID-19 in France during the pandemic. Vaccine. 2020;38:7002–7006. doi: 10.1016/j.vaccine.2020.09.041.

Dror A.A., Eisenbach N., Taiber S., Morozov N.G., Mizrachi M., Zigron A. Vaccine hesitancy: the next challenge in the fight against COVID-19. Eur J Epidemiology. 2020;35:775–779. doi: 10.1007/s10654-020-00671-y.

Verger P, Collange F, Fressard L, Bocquier A, Gautier A, Pulcini C et al. Prevalence and correlates of vaccine hesitancy among general practitioners: a cross-sectional telephone survey in France, April to July 2014. Eurosurveillance. 2016;21(47).

Kannan R. Coronavirus Study warns of COVID-19 vaccine hesitancy. The Hindu. 2021. Available from:

Siddique AR, Singh P, Trivedi G. Role of Social Mobilization (Network) in Polio Eradication in India. Indian Pediatr. 2016 Aug 7;53 Suppl 1:S50-S56. PMID: 27771640.




How to Cite

Singh AK, Kumari R, Singh S, Kandpal SD, Kaushik A. The dilemma of COVID-19 vaccination among Health Care Workers (HCWs) of Uttar Pradesh. Indian J Community Health [Internet]. 2021 Jun. 30 [cited 2024 Jul. 12];33(2):319-24. Available from:



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