Psychological Determinants of COVID-19 Vaccination Uptake among Pregnant Women in Kenya: A Comprehensive Model Integrating Health Belief Model Constructs, Anticipated Regret, and Trust in Health Authorities

COVID, Journal Year: 2024, Volume and Issue: 4(6), P. 749 - 760

Published: June 5, 2024

Pregnant women, considered at risk of COVID-19 complications because the immunosuppressive and physiological changes in pregnancy, were initially hesitant to receive vaccination. This study assessed association between vaccination uptake, psychological determinants (health belief model (HBM) constructs, anticipated regret, trust health authorities), provider recommendation among pregnant women Kenya. Using data from a cross-sectional study, we conducted correlations, binary multivariable logistic regressions, moderation analysis explore relationships variables. Of 115 64% reported receiving recommendations for There weak positive correlations Participants with high regret scores more likely compared their peers (AOR = 4.27; 95% CI, 1.23–14.85), while increased odds (OR 3.70; 1.53–8.92). None HBM constructs significantly associated The findings related variables require reconceptualization theory-informed interventions streamline healthcare provision. critical role providers suggests need empower practitioners effective communication skills improve maternal outcomes.

Language: Английский

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

Frontiers in Public Health, Journal Year: 2023, Volume and Issue: 11

Published: July 17, 2023

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

Language: Английский

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Knowledge, Attitudes, and Subjective Norms Associated with COVID-19 Vaccination among Pregnant Women in Kenya: An Online Cross-Sectional Pilot Study Using WhatsApp

International Journal of Environmental Research and Public Health, Journal Year: 2024, Volume and Issue: 21(1), P. 98 - 98

Published: Jan. 16, 2024

COVID-19 vaccination during pregnancy has been recommended, but the perceptions related to uptake remain unexplored. This pilot study aimed explore how influence vaccine among a sample of 115 pregnant women in Kenya, recruited via WhatsApp. Data were collected using an adapted online questionnaire between May and October 2022. Logistic analyses assessed relationship Theory Reasoned Action (TRA) constructs: attitudes subjective norms. coverage was 73%, with hesitancy estimated at 41.4% unvaccinated group. Most participants had completed college education good knowledge vaccines. There no significant effect enrollment WhatsApp groups on toward vaccination. Pregnant concerned about effectiveness (31.1%), almost one-half (47.3%) discouraged from receiving Positive towards associated (aOR 2.81; 95% CI 1.12–7.04; p = 0.027), found strong norms (influences get vaccines). Our findings suggest that strategies improve should consider targeting proximal social networks (friends/family) facilitate decision-making. can be used for research distribution enhance dissemination accurate information.

Language: Английский

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COVID-19 vaccine uptake and associated risk factors among first antenatal care attendees in Zambia, 2021-2022: a repeated cross-sectional study

medRxiv (Cold Spring Harbor Laboratory), Journal Year: 2024, Volume and Issue: unknown

Published: Feb. 29, 2024

ABSTRACT Introduction Pregnant women are considered a high-risk group for COVID-19, and priority vaccination. Routine antenatal (ANC) care provides an opportunity to track trends factors associated with vaccine uptake. We sought evaluate COVID-19 uptake among pregnant attending ANC in Zambia. Methods conducted repeated cross-sectional study 39 public health facilities four districts Zambia from September 2021 2022. who were aged 15-49 years enrolled during their first visit. Every month, ∼20 per facility interviewed individual HIV testing counseling. estimated as the proportion of eligible participants self-reported having received vaccine. Results A total 9,203 screened, which 9,111 (99%) had vaccination status. Of included analysis, 1,818 (20%) period, trend increasing coverage time (0.5% 2020, 27% 2022). Conversely, 3,789 (42%) reported not being offered found that older age, education, employment status, prior infection significantly Conclusion was lower than estimates general population (27% across 2022), pointing missed opportunities protect this group. visits viable point conducting surveillance. Incorporating part routine package might increase Teaser key message Antenatal clinics could be easy sustainable platform women. Key Findings Despite evidence vaccines safe pregnancy, low through end Various demographic characteristics vaccines. Implications It is acceptable feasible assess hesitancy ANC. may provide easy, routinely monitoring other disease outbreaks. messages mass strategies can designed adopted reduce consequently, incorporated into help seeking services.

Language: Английский

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COVID-19 Vaccine Acceptance and Hesitancy among Pregnant Women: A Knowledge, Attitude, and Perceived Risks Survey in Lusaka, Zambia

Pharmacology &amp Pharmacy, Journal Year: 2024, Volume and Issue: 15(05), P. 147 - 166

Published: Jan. 1, 2024

Introduction: The coronavirus disease 2019 (COVID-19) is an infectious of the respiratory tract caused by SARS-CoV-2. Since its emergence, there have been increased rates transmission and spread, morbidity mortality which led to development COVID-19 vaccines address pandemic. This study assessed acceptance, knowledge, attitude, perceived risks regarding among pregnant women attending antenatal care at two First-Level Hospitals in Lusaka, Zambia. Materials Methods: was a cross-sectional that conducted 241 using questionnaire from August 2023 October Lusaka district, collected data were analyzed IBM Statistical Package for Social Sciences (SPSS) version 22.0. analysis performed Chi-square test. statistical significance set 95% confidence level. Results: Of participants, 107 (42.7%) aged between 24 34 years. Overall, 64.3% accepted vaccines, 122 (50.6%) already vaccinated. Further, 203 (84.6%) had good 199 (82.6%) positive attitudes towards vaccines. However, 58.5% thought not safe could cause infertility. Alongside this, 70.1% harmful during pregnancy. Having knowledge associated with age (p = 0.049), education status 0.001), employment 0.001). attitude 0.001) Conclusion: found most attitudes, majority vaccine. Encouragingly, who Most side effects, safe, be Consequently, this contributed hesitancy receive vaccine some participants. findings demonstrate need provide continuous educational programs on benefits vaccinations themselves their children.

Language: Английский

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COVID-19 vaccine uptake and associated risk factors among first antenatal care attendees in Zambia, 2021–2022: A repeated cross-sectional study

PLOS Global Public Health, Journal Year: 2024, Volume and Issue: 4(10), P. e0003028 - e0003028

Published: Oct. 24, 2024

Pregnant women are considered a high-risk group for COVID-19, and priority vaccination. Routine antenatal care (ANC) provides an opportunity to track trends factors associated with vaccine uptake. We sought evaluate COVID-19 uptake among pregnant attending ANC assess the in Zambia. conducted repeated cross-sectional study 39 public health facilities four districts Zambia from September 2021 2022. who were aged 15-49 years enrolled during their first visit. Every month, ~20 per facility interviewed individual HIV counseling testing. estimated as proportion of eligible participants self-reported having received vaccine. A total 9,203 screened, which 9,111 (99%) had vaccination status. Of included analysis, 1,818 (20%) period, trend increasing coverage time (0.5% 2020, 27% 2022). Conversely, 3,789 (42%) reported not being offered found that 40-49 years, no education or attained some primary school education, employed, prior infection significantly was lower than estimates general population (27% across 2022), pointing missed opportunities protect this group. visits viable point conducting surveillance. Incorporating part routine package might increase

Language: Английский

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COVID-19 Vaccination Rates and Factors Affecting Vaccine Hesitancy among Pregnant Women during the Pandemic Period in Turkey: A Single-Center Experience

Vaccines, Journal Year: 2022, Volume and Issue: 10(11), P. 1910 - 1910

Published: Nov. 11, 2022

The new coronavirus disease (COVID-19), which was detected in the Wuhan region of China 2019 and spread rapidly all over world, declared a pandemic by WHO 2020. Since then, despite widespread recommendations to prevent provide treatment for sick people, 6,573,968 people died 101,203 Turkey. According international adult vaccination guidelines, pregnant women have been recommended get vaccinated against disease, as well influenza tetanus, during pregnancy. Before this study, not enough information available about awareness hesitancy rates living For reason, we believe that our study will contribute filling gap literature. main objective investigate local hospital Turkey reasons vaccine patient group. minimum sample size found be 241, with 80% power, 0.2 effect size, 95% confidence interval, at p < 0.05 significance level. We included 247 consecutive who applied Samsun Training Research Hospital Gynecology Obstetrics Outpatient Clinics between January 2022 April 2022. researchers prepared questionnaire taking into account characteristics community. A preliminary survey these questions also conducted before starting study. mean age participating 28.7 ± 5.3 years, gestational 28.2 7.9 weeks. Among participants, 26.3% were university graduates or had higher degree, 17% actively working; addition, 93 (37.7%) received COVID-19 vaccine, 203 (82.2%) least one dose tetanus only 1 (0.4%) person administered most common reason refusal safety concerns, while low due lack knowledge. These results show it is important inform educate population on subject improve their behavior.

Language: Английский

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COVID-19 vaccine hesitancy among pregnant women in an antenatal clinic in Durban, South Africa

Southern African Journal of Infectious Diseases, Journal Year: 2023, Volume and Issue: 38(1)

Published: Aug. 31, 2023

Background: Mass administration of vaccines against severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is the most efficient intervention disease 2019 (COVID-19) pandemic. Recently, vaccinations were shown to be safe and effective during pregnancy. However, vaccination rates are low in low- middle-income countries, vaccine hesitancy a major limiting factor. Objectives: To investigate rate COVID-19 among pregnant women. Method: A cross-sectional questionnaire-based investigation 313 unvaccinated women attending an antenatal clinic Durban, South Africa (SA). The questionnaire included clinical socio-demographic data, reasons for recorded evaluated. Results: Of participating, 126 (40.3%) vaccinated COVID-19, 21/313 = 6.7%; those unvaccinated, 21/187 (13.9%) planning vaccinated. women, 174 187 (93%), showed hesitancy. Conclusion: SA, exceptionally high. This requires urgent attention by relevant health authorities (both professional organisations SA Department Health) as many countries experience different waves variants SARS-CoV-2 herd immunity may not have been achieved. Contribution: study high acceptance SA.

Language: Английский

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Determinants of vaccination decisions and lived experiences of Ghanaians with the COVID-19 pandemic; a qualitative study

Vaccine X, Journal Year: 2024, Volume and Issue: 17, P. 100463 - 100463

Published: Feb. 20, 2024

Two years after the WHO declared a state of emergency as result rapid spread COVID-19 virus from Wuhan, China, rate new infections experienced intermittent flare-ups globally, with vaccinations still ongoing in countries such Ghana. One year implementation Ghana's vaccine deployment program, Ghanaians have had opportunity to reflect on their vaccination decisions, albeit initial hesitancy. The current paper examined knowledge and lived experiences during pandemic, factors influencing one commenced Ghana, special focus social geographical histories which influenced decisions. A qualitative approach using case study design was used conduct in-depth interviews among 25 respondents who were 18 above, not pregnant, willing participate study, between 5th 23rd September 2022. Data collected 5 hotspot areas Ghana highest cumulative counts. semi-structured interview guide collect data analyzed thematic approach. Respondents demonstrated good level related vaccines. Fear, panic, anxiety some by pandemic. decisions included conspiracy theories about vaccines, subjective notions disease, vaccine. type community in, taboos, previous successful programs geographic that informed respondents' decision vaccinate or not. Social circles, religion, opinion leaders, media-based campaigns

Language: Английский

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Vaccine patriotism and public health cultures: Cuba’s scalable best practices in the Covid-19 pandemic

Canadian Journal of Latin American and Caribbean Studies / Revue canadienne des études latino-américaines et caraïbes, Journal Year: 2024, Volume and Issue: 49(2), P. 190 - 219

Published: March 20, 2024

Media fatigue and public amnesia notwithstanding, Covid-19 continues to negatively impact humanity the global economy. Uneven vaccination coverage fosters contagion variants. High-income countries have suboptimal immunization rates due politicization of health care, fake news eugenics-tinged histories that exacerbate hesitancy. Most low-income remain under-vaccinated cost jabs. Classic tech, affordable, straightforward manufacture administer subunit protein vaccinations grant heterogeneous, accessible, time-tested highly effective protection; their broader use could improve this situation. Yet, transnational pharmaceutical industry is making even more profit on each messenger RNA (mRNA) shot now pandemic termed endemic. Cuba's vaccines are over 92% offer world choice in protection. This article draws existing academic research, reports first-hand field investigations Havana three years. It argues coordinated, nonprofit, health-based response incorporates high-uptake using high-effectiveness provides an under-acknowledged case study a system has delivered populations exceptionally positive outcomes when confronting Covid-19.

Language: Английский

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