Periodic vaccine stock outs, cold chain problems, high staff workload, inadequate knowledge on COVID-19, and poor attitudes and practices of some health care workers affected provision of the vaccine to the community. On the other hand, the target population’s beliefs and misconceptions about Covid-19 vaccine and distance to vaccination sites hindered the communities’ access to vaccine. Moreover, inadequate supervision by the district’s administration was the critical cause to low Covid-19 uptake. 