A Mixed-Methods Study of COVID-19 Vaccine Acceptance and Its Determinants Among Pregnant Women in Northeast Ethiopia

Tefera, Zenebe; Assefaw, Mandefro

doi:10.2147/ppa.s374217

Cited by 10 publications

(24 citation statements)

References 42 publications

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“…This can be rationalized by the indispensable role played by husbands in the process of making informed decisions pertaining to the administration of vaccines for women ( 72 ). This finding is similar to a study by Tefera et al ( 73 ), who attributed the association to the ability of educated husbands to read and communicate to their wives news and social media messages related to the seriousness of COVID-19 infection and the positive effects of the vaccine. In Sudan, gender roles are characterized by a strong patriarchal influence, with rigid definitions in place.…”

Section: Discussionsupporting

confidence: 91%

COVID-19 vaccine acceptance among pregnant women: a hospital-based cross-sectional study in Sudan

Omar¹,

Osman²,

Khalil³

et al. 2023

Front. Public Health

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IntroductionPregnancy increases the risk of developing a severe illness due to COVID-19 infection. To the best of our knowledge, no previous study has been conducted on COVID-19 vaccine acceptance among pregnant women in Sudan. Hence, this study aimed to determine COVID-19 vaccination acceptance and its predictors among pregnant women.MethodsA cross-sectional study was conducted among 623 pregnant women attending Gadarif maternity hospital in eastern Sudan through a structured questionnaire. Data were obtained on sociodemographic characteristics, obstetric and health-related characteristics, COVID-19 infection, and vaccination-related information, as well as beliefs about and acceptance of COVID-19 vaccination.ResultsCOVID-19 vaccine acceptance among the pregnant women was 2.7%. The vaccine acceptance was higher if their husband’s education was secondary school or higher [adjusted odds ratio [AOR] 4.30, 95% confidence interval (CI) 1.11–16.65, p = 0.035] and discussion of COVID-19 vaccine with the pregnant women by a health care professional in the hospital (AOR 5.46, 95% CI 1.94–15.35, p < 0.001). The most common reasons for resistance to the vaccine were concerns about the side effects of the vaccine for the mother and her baby.ConclusionAcceptance of the COVID-19 vaccination among the pregnant women was very low. Discussions with pregnant women and their husbands by health care professionals regarding the safety of COVID-19 vaccine for the mother and her baby are highly recommended.

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Section: Discussionsupporting

confidence: 91%

COVID-19 vaccine acceptance among pregnant women: a hospital-based cross-sectional study in Sudan

Omar¹,

Osman²,

Khalil³

et al. 2023

Front. Public Health

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show abstract

“…Clients with favorable attitudes towards the COVID-19 vaccine were 14 fold more likely to accept the vaccine compared to client with unfavorable attitudes. This is consistent with systemic reviews and meta-analysis in East Africa ( 32 ), Ethiopia ( 44 ), Northeast Ethiopia ( 45 ), and also Northwest Ethiopia ( 46 ). The possible explanation might be that having a positive attitude towards vaccination and its potential for prevention of further complications associated with COVID-19 might encourage people to show a willingness to receive the available COVID-19 vaccine.…”

Section: Discussionsupporting

confidence: 88%

“…In this study, those clients with good adherence to COVID-19 mitigation guidelines were 1.74 times more likely to accept the COVID-19 vaccine when compared to those with poor adherence. This finding is in line with systemic reviews and meta-analysis Ethiopia, in Gonder city residents in northwest Ethiopia ( 28 ), in South Ethiopia among lactating mothers ( 25 ), and in Northeast Ethiopia ( 45 ). This could be because individuals who had good mitigation practices know the burden of COVID-19 infections on the health of the general population.…”

Section: Discussionsupporting

confidence: 86%

Predictors of willingness to accept COVID-19 vaccine among adults

Huka,

Alemeyehu,

Jara

et al. 2023

Front. Epidemiol.

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BackgroundVaccines are an effective and ultimate solution that can decrease the burden of coronavirus disease 2019 worldwide. However, poor knowledge and unwillingness to accept this vaccine are key barriers to manage the COVID-19 pandemic in different countries including Ethiopia. Control of the pandemic will depend on the acceptance of coronavirus disease vaccine. However, there is a paucity of evidence on coronavirus disease vaccine acceptance in the study area. The current study was aimed to assess willingness to accept the COVID-19 vaccine and associated factors among adult clients attending Bule Hora University Teaching Hospital, West Guji Zone, southern Ethiopia.MethodsAn institution-based cross-sectional study was conducted among 385 study participants selected by a systematic random sampling technique. Data was collected through observation and structured questionnaires from April 10 to May 30, 2022. The collected data was cleaned and entered into EpiData 3.1 software before being exported to SPSS 25 statistical software for analysis. Bi-variable and multi-variable binary logistic regression model was used to identify the predictors of COVID-19 vaccine acceptance. The strength of association was measured using AOR with 95% confidence interval and significance was declared at p- value < 0.05.ResultMagnitude of willingness to accept coronavirus disease-19 vaccine was 67.5% (95%Cl: 63–72). Good knowledge [AOR = 2.07, (1.17–3.64)], history of chronic disease [AOR = 2.59, (1.4–4.78)], being a government employee [AOR = 2.35 (1.1–5)], having a favorable attitude [AOR = 14.15 (5.25–37.46)], and good adherence [AOR = 1.74 (1.02–2.97)] were factors that significantly associated with willingness to accept the coronavirus disease 2019 vaccine.ConclusionMagnitude of willingness to accept the COVID-19 vaccine was considerable and needs to be improved. Knowledge, attitude, chronic illness, adherence, and being a government employee were factors that associated with willingness to accept the vaccine. Community awareness, advocacy, social mobilization and health education should be given at different levels.

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“…Client with favorable attitude towards COVID-19 vaccine were 14 fold more likely to accept vaccine compared to Client with unfavorable attitude. This is consistent with systemic review and meta-analysis in East Africa [31], Systemic review and meta-analysis Ethiopia [43], Northeast Ethiopia [44] ,Northwest Ethiopia [45]. The possible explanation might be having a positive attitude towards vaccination and its potential for prevention of further complications associated with COVID-19 might make people show a willingness to receive the available COVID-19 vaccine.…”

Section: Factors Associated With Willingness To Accept Covid-19 Vaccinesupporting

confidence: 80%

“…Northeast Ethiopia [44]. This could be due to individuals who had good practice knowing the burden of COVID-19 infection on the health of the general population.…”

Section: Factors Associated With Willingness To Accept Covid-19 Vaccinementioning

confidence: 99%

Predictors of Willingness to Accept COVID-19 Vaccine Among Adult Clients Attending Bule Hora University Teaching Hospital,West Guji Southern Ethiopia

Huka

Alemeyehu

Boneya

et al. 2023

Preprint

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Background: Vaccines are effective and ultimate solution that can decrease the burden of Coronavirus disease-19 worldwide. However, poor knowledge and unwillingness to accept this vaccine are key barriers to manage the coronavirus disease-19 pandemic in different country including Ethiopia. The control of pandemic principal will depend on acceptance of coronavirus disease vaccine. Therefore, there is paucity of evidence on coronavirus disease vaccine acceptance in the study area. The current study was aimed to assess willingness to accept coronavirus disease-19 vaccine and associated factors among adult clients attending Bule Hora University Teaching Hospital, west Guji zone, southern Ethiopia. Methods: Institution based cross sectional study was conducted among 385 study participants which was selected by Systematic random sampling technique. Data was collected through observation and structured questionnaires from April 10 to May 30, 2022. The collected data was cleaned and entered into Epi data 3.1 software before being exported to SPSS 25 statistical software for analysis. Bi-variable and multi-variable binary logistic regression model was used to identify the predictors of coronavirus disease-19 vaccine acceptance. The strength of association was measured using AOR with 95% confidence interval and significance was declared at p- value < 0.05. Result: - Magnitude of willingness to accept coronavirus disease-19 vaccine was 67.5 % (95%Cl: 63 -72). Good knowledge (AOR= 2.07, (1.17-3.64), history of chronic disease (AOR= 2.59(1.4-4.78) government employee (AOR= 2.35(1.1-5), favorable attitude (AOR= 14.15(5.25-37.46) and good adherence (AOR=1.74(1.023-2.97) were factors that significantly associated with willingness to accept coronavirus disease-19 vaccine. Conclusion: Magnitude of willingness to accept coronavirus disease-19 vaccine was considerable and needs to be improved. Knowledge, attitude, chronic illness, adherence, and being government employee were factors that associated with willingness to accept coronavirus disease-19 vaccine. Community awareness, advocacy, social mobilization and health education should be given at different levels.

show abstract

A Mixed-Methods Study of COVID-19 Vaccine Acceptance and Its Determinants Among Pregnant Women in Northeast Ethiopia

Cited by 10 publications

References 42 publications

COVID-19 vaccine acceptance among pregnant women: a hospital-based cross-sectional study in Sudan

COVID-19 vaccine acceptance among pregnant women: a hospital-based cross-sectional study in Sudan

Predictors of willingness to accept COVID-19 vaccine among adults

Predictors of Willingness to Accept COVID-19 Vaccine Among Adult Clients Attending Bule Hora University Teaching Hospital,West Guji Southern Ethiopia

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