We would like to comment on the article “Knowledge, attitude, intentional practice and individualised determinants of COVID-19 vaccine uptake among adults: A cross-sectional study in Tanzania”, published in Nursing Open (Nassoro et al. 2024). This hospital-based cross-sectional study sheds important light on the variables affecting Tanzanian adults' poor COVID-19 vaccination uptake. The study found that many participants had negative attitudes and insufficient knowledge, leading to vaccine hesitancy (Nassoro et al. 2024). These results underline the pressing need for focused campaigns to raise vaccination awareness and dispel common misconceptions about the COVID-19 vaccine in the public. A potential limitation of this study is its small sample size of 312 individuals, which may not fully represent Tanzania's adult population. Furthermore, the cross-sectional design limits the ability to determine causal relationships between sociodemographic factors and vaccine uptake, as discussed in methodological literature (Savitz and Wellenius 2023). Larger sample sizes and longitudinal approaches to monitor attitudes and behaviours toward vaccines throughout time could be advantageous for future research. To improve vaccine uptake in Tanzania, public health officials should prioritise education and awareness campaigns. Targeted programmes for groups such as males and young adults may improve vaccine acceptance. Partnerships with media organisations, healthcare organisations, and community leaders may also improve outreach initiatives and encourage better-informed vaccination decisions. To increase adult COVID-19 vaccination uptake in Tanzania, this study's conclusion emphasises the significance of addressing knowledge gaps and unfavourable attitudes regarding the vaccine. Nurses may play an important role in improving COVID-19 vaccine uptake through context-specific education and community engagement. In Tanzania and similar settings, nurses could provide culturally appropriate education during routine clinical encounters, address misconceptions about vaccine safety and efficacy, and support informed decision-making. They may also collaborate with community leaders and local health workers to deliver outreach programmes, particularly in underserved or hesitant populations. In addition, nurses could advocate for vaccination by reinforcing public health messages and building trust within communities. These approaches represent potential strategies rather than direct findings from the present study. Targeted programs for groups such as males and young adults may improve vaccine acceptance. Nurses can play a role in addressing low COVID-19 vaccine uptake through direct patient education, advocacy, and community engagement (Shakory et al. 2022). In clinical practice, nurses can educate patients on vaccine safety and efficacy, provide evidence-based information, and address misconceptions. ‘Further research should track vaccination trends and evaluate the impact of educational interventions on attitudes and behaviours.’ H.D.: writing, analysing, approval. V.W.: supervision, approval. The authors have nothing to report. The authors have nothing to report. We confirm that we have read the Journal's position on issues involved in ethical publication and affirm that this report is consistent with those guidelines. The authors declare no conflicts of interest. There is no new data generated.
Daungsupawong et al. (Fri,) studied this question.