Determinants of Covid-19 Vaccinations among Slum Dwellers: A Case of Katanga, Kampala, Uganda

Coronavirus Disease of 2019 is caused by the Severe Acute Respiratory Syndrome coronavirus 2(SARS-COV-2).The SARS-COV-2 is a -coronavirus , which is non-segmented positivesense RNA virus.The symptoms of COVID-19 may vary.The study was carried out to; examine the individual determinants and socioeconomic determinants and to describe the Health-system determinants of age between 26 to 35 years (AOR=4.502,P=0.002), sex; being of male gender (AOR=2.267, P=0.007), marital status; being single (AOR=0.334,P=0.017), Being with primary level of education (AOR=17.707, P=0.005), occupation; being a peasant (AOR=4.857,p=0.024), religion; being a catholic (COR=0.411,CI=0.200-0.846,P-0.016), utilization of health facility for health care (COR=0.047,CI=0.014-0.162,P=0.000) and having a negative attitude towards COVID 19 vaccination (AOR=42.637,CI=320.65,P=0.000).The socio-economic factors were; income (x2=18.861,p=0.000), cost of transport (x2=19.492,p=0.000), cost of vaccination (x2=124.34,p=0.000) and the type of social class of respondents (x2=23.73,p=0.000).In multivariate analysis; only work effect was a determinant of .The health facility determinants were; sensitization (AOR=1.889,P=0.037), availability of health workers at facility (AOR=0.211,CI=0.04-0.006,P=0.012), attitudes of health workers (AOR=79.97, P=0.000), and Availability of COVID 19 vaccines at the health facility (AOR=0.054,CI=0.006-0.514,P=0.011).The study recommended Increased and continued sensitization for awareness promotion towards the benefits of uptake of COVID-19 vaccination as well as the associated dangers of non-compliance.