Tunisian Pediatricians' Attitudes and Practices Toward COVID-19 Immunization and Other Vaccines

Pediatricians are among the most trusted sources of vaccine information for parents. We aimed, in this study, to describe the attitudes and practices of Tunisian pediatricians regarding non-National Immunization Schedule (NIS) vaccines, specifically the COVID-19 vaccination for children, and to identify factors associated with their willingness to recommend it. We conducted a national cross-sectional study among Tunisian pediatricians between July and October 2023 using a standardized questionnaire administered face-to-face. We calculated prevalence with 95% confidence intervals (95%CIs) and adjusted odds ratios (aOR) using multivariable logistic regression. Of 330 contacted pediatricians, 192 (58.2%) responded (mean age: 50.9 ± 12.9 years). The majority (89.1%, 95% CI: [84.6-93.5]) said that they recommend other vaccines that are not part of the NIS and 40.6% [33.7-47.6] declared their willingness to recommend the COVID-19 vaccination for children. The odds of pediatricians willing to recommend the COVID-19 vaccination for children were higher among those who believed that this vaccine would reduce school absenteeism (aOR = 2.3 [1.1-5.1]) and among those who have great confidence in the Ministry of Health's recommendations regarding COVID-19 vaccination (aOR = 6.1 [2.2-16.9]). More than half of the pediatricians in Tunisia recommend other vaccines that are not part of the NIS but show hesitancy toward the COVID-19 vaccine. Thus, involving pediatricians in the decision-making process for childhood vaccination strategies is crucial.