Purpose: Willingness to work in disasters is context-specific and corresponds to the nature, magnitude, and threats posed by a particular public health emergency . None us is certain that our health professionals will continue to provide service should the COVID-19 pandemic crisis climb to its worst level . It was with this uncertainty in mind that this study was done to assess predictors of the unwillingness of health-care workers (HCWs) to continue providing their professional services during the climax of the COVID-19 crisis .
Methods: This was a facility-based descriptive cross-sectional study undertaken among 633 HCWsin western Ethiopia .
Results: Overall , 205 (32.4 %) providers said that they would be unwilling to continue work if COVID-19 peaked . Of these , 176 (27.9 %) respondents reported that they would stop going in to work before they were at greatest risk . Statistical analysis performed to predict HCWs unwillingness' to continue work at peak COVID-19 showed male sex (AOR 11.4 , 95% CI 8.32-12.6), younger age (AOR 25.3 , 95% CI 4.61-40.67), lack of experience in handling similar pandemics (AOR 5.15 , 95% CI 1.1-255), and low perceived level of hospital preparedness (AOR 2.05 , 95% CI 0.80-5.21) were predictors of unwillingness . In accordance with the extended parallel-process model, higher threat perception (P≤0.001) and low efficacy perception (P ≤0.040) were associated with unwillingness of the HCWs to continue working . Conclusion: The proportion of HCWs unwilling to continue their job during COVID-19 is sufficient to affect efforts tof fight the pandemic . As the question of whether our HCWs must risk themselves to treat COVID-19 patients does not have a uniform answer, working on predictors of potential unwillingness is of paramount importance.
Index: COVID-19, health-care workers, pandemic, unwillingness