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Knowledge, Perception and Acceptance of COVID-19 Vaccination Amongst Pregnant Women in Adena, Kwara State, Nigeria

Received: 14 May 2023    Accepted: 5 June 2023    Published: 15 June 2023
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Abstract

Background: COVID-19 is associated with poor pregnancy and maternal outcomes. COVID-19 vaccination is recommended all over the world, yet the vaccination rate during pregnancy in Nigeria is insignificant. The public health response to the global COVID-19 pandemic varies widely in different regions of Nigeria. Aim: To investigate the knowledge, perception and acceptance of COVID-19 vaccination amongst pregnant women in Adena, Kwara State, Nigeria. Materials and Methods: Sample size of this study consisted of two hundred and thirty (230) respondents. Data including biodata and questions relating to the aim of the study were retrieved using a structured questionnaire. These data were analyzed using the Chi-square technique (χ2) of the SPSS version 23 statistical software. Chi-square tests were used for comparative analysis of the demographic information to perception and acceptance of COVID-19 vaccination amongst pregnant women, and to test the research hypotheses at a level of significance set at p<0.05. Results: Mean age of the respondents (pregnant women) was 29.3±6.14 years and the mean parity was 2.3±1.6. 68.7% (n=158) of the women had a tertiary education. 40.9% (94) and 59.1% (136) of the respondents were Christians and Muslims respectively. 73.44% of the respondents had good knowledge about COVID-19 and 57.8% confirmed that they would accept the vaccine against SARS-CoV-2. From the research hypotheses tested, this study found that there was a significant difference in the perception of the pregnant women in Adena to COVID-19 vaccination based on their educational qualification (p=1.56624E-20) and age (p=8.53956E-18), but no significant difference was noticed based on their religion (p=0.05). There was a significant difference in the acceptance of COVID-19 vaccination amongst the pregnant women based on their educational qualification (p=3.22221E-11) and age (p=0.001473), but no significant difference was observed based on their religion (p=0.23). Conclusion: The general public needs to be sensitized on COVID-19 and any related pandemic at every gathering, e.g., churches, mosques, hospitals, etc. Health systems need to develop national surveillance systems to collect up-to-date clinical, virological, and epidemiological information on trends in human infection with seasonal influenza viruses. Health systems are also advised to keep up-to-date on the latest information concerning pandemics from trusted global sources e.g. World Health Organization (WHO), national sources e.g. Nigerian Centre for Disease Control (NCDC).

Published in World Journal of Public Health (Volume 8, Issue 2)
DOI 10.11648/j.wjph.20230802.29
Page(s) 165-174
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This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Knowledge, Perception, Acceptance, COVID-19, Pandemic, Vaccination, Pregnancy, Nigeria

References
[1] Adimuko PO, Ejimonu NC, Ekwem CE. Perceived impact of COVID-19 pandemic on the achievement of students in post-COVID-19 era in Osisioma, Ngwa Local Government Area of Abia State, Nigeria. International Journal of Research. 2023; 10 (4): 63-80.
[2] Al-Mustapha AI, Okechukwu O, Olayinka A, Muhammed OR, Oyewo M, Owoicho SA, et al. A national survey of COVID-19 vaccine acceptance in Nigeria. Vaccine. 2022; 40 (33): 4726-4731. DOI: 10.1016/j.vaccine.2022.06.050.
[3] Allotey J, Stallings E, Bonet M, et al. Clinical manifestations, risk factors, and maternal and perinatal outcomes of coronavirus disease 2019 in pregnancy: living systematic review and meta-analysis. British Medical Journal. 2020; 370: m3320.
[4] Almeida JD, Berry DM, Cunningham CH, Hamre D, Hofstad MS, MallucciL, et al. Virology: coronavirus. 2018; DOI: 10.1038%2F220650b0.
[5] Ayhan SG, Oluklu D, Atalay A, Beser DM, Tanacan A, Tekin OM, et al. COVID-19 vaccine acceptance in pregnant women. International Journal of Gynecology and Obstetrics. 2021; 154: 291–296. DOI: 10.1002/ ijgo.13713.
[6] Bayrampour H, Salmon C, Vinturache A, Tough S. Effect of depressive and anxiety symptoms during pregnancy on the risk of obstetric interventions. Journal of Obstetrics and Gynaecology Research. 2015; 41 (7): 1040–1048. DOI: 10.1111/jog.12683.
[7] Beigi RH, Krubiner C, Jamieson DJ, Lyerly AD, Hughes B, Riley L, et al. The need for inclusion of pregnant women in COVID-19 trials. Vaccine. 2021; 39: 868-870. DOI: 10.1016j.vaccine.2020.12.074.
[8] Bull BS, Lichtman MA, Beutler B, Kipps TJ, Seligsohn U, Kaushansky K, et al. Morphology of the Erythron In: WJ Williams (Ed), Williams Haematology, McGraw-Hill, USA. 2006; 369-385.
[9] Center for Disease Control and Prevention. Human Coronavirus Types. 2020; Available online: https://www.cdc.gov/coronavirus/types.html
[10] Center for Disease Control and Prevention. Investigating the Impact of COVID-19 during Pregnancy. 2022; Available online: https://www.cdc.gov/coronavirus/2019-ncov/cases-updates/special-populations/pregnancy-data-on-covid-19/what-cdc-is-doing.html
[11] Center for Disease Control. Symptoms of Coronavirus. 2021; Available online: https://www.cdc.gov/coronavirus/2019-ncov/symptoms-testing/symptoms.html
[12] Chakraborty C, Sharma AR, Bhattacharya M, Agoramoorthy G, Lee SS. Asian-Origin approved COVID-19 vaccines and current status of COVID-19 vaccination program in Asia: a critical analysis. Vaccines. 2021; 9,600. DOI: 10.3390/vaccines9060600.
[13] Cherry J, Demmler-Harrison GJ, Kaplan SL, Steinbach WJ, Hotez PJ. Feigin and Cherry's Textbook of Pediatric Infectious Diseases. 2017.
[14] Dhochak N, Singhal T, Kabra SK, Lodha R. Pathophysiology of COVID-19: why children fare better than adults. The Indian Journal of Pediatrics. 2020; 87 (7): 537–546.
[15] Di Mascio D, Khalil A, Saccone G, Rizzo G, Buca D, Liberati M, et al. Outcome of coronavirus spectrum infections (SARS, MERS, COVID-19) during pregnancy: a systematic review and meta-analysis. American Journal of Obstetrics and Gynecology. 2020; 2 (2): 100-107.
[16] Egloff C, Couffignal C, Cordier AG, Deruelle P, Sibiude J, Anselem O, et al. Pregnant women’s perceptions of the COVID-19 vaccine: A French survey. PLoS ONE. 2022; 17 (2): e0263512. DOI: 10.1371/journal. pone.0263512.
[17] Janik K, Nietupska K, Iwanowicz-Palus G, Cybulski M. Fear of COVID-19 and vaccine hesitancy among pregnant women in Poland: A cross-sectional study. Vaccines. 2022; 10 (10): 1700. DOI: 10.3390/vaccines10101700.
[18] Jerving S. The long road ahead for COVID-19 vaccination in Africa. Lancet. 2021; 398 (1303): 827–828.
[19] Jhirwal M, Singh P, Sharma C, Kathuria P, Shekhar S, Meena SP. Awareness and understanding of COVID-19 among pregnant women in Northern India. Journal of Education and Health Promotion. 2022; 11: 191. DOI: 10.4103/jehp.jehp_980_21.
[20] Ledford H, Cyranoski D, Van Noorden R. The UK has approved a COVID vaccine—here’s what scientists now want to know. Nature. 2020; 588 (7837): 205–206. DOI: 10.1038/d41586-020-03441-8.
[21] Liu Y, Chen H, Tang K, Guo Y. Withdrawn: clinical manifestations and outcome of SARS-CoV-2 infection during pregnancy. Journal of Infection. 2020; 10: S0163-4453(20)30109-2. DOI: 10.1016/j.jinf.2020.02.028.
[22] Marbán-Castro E, Nedic I, Ferrari M, Crespo-Mirasol E, Ferrer L, Noya B, et al. Perceptions of COVID-19 maternal vaccination among pregnant women and healthcare workers and factors that influence vaccine acceptance: a cross-sectional study in Barcelona, Spain. Vaccines. 2022; 10: 1930. DOI: 10.3390/ vaccines10111930.
[23] Morens DM, Breman JG, Calisher CH, Doherty PC, Hahn BH, Keusch GT, et al. The origin of COVID-19 and why it matters. The American Journal of Tropical Medicine and Hygiene. 2020; 103 (3): 955–959. DOI: 10.4269/ajtmh.20-0849.
[24] National Agency for Food and Drug Administration and Control. COVID-19 Vaccine update. 2023; Available online: https://www.nafdac.gov.ng/resources/covid-19-vaccine-update/
[25] National Center for Disease Control. COVID-19 Nigeria. 2023; Available online: https://covid19.ncdc.gov.ng/
[26] Odanwu KC. Lack of morality in the implementation of lockdown order and other measures to combat COVID-19 in Nigeria: a philosophical enquiry. Research Gate. 2020; DOI: 10.13140/RG.2.2.35678.25929.
[27] Pradhan D, Biswaroy P, Naik PK, Ghosh G, Rath G. A review of current intervention for COVID-19 prevention. Archives of Medical Research. 2020; 51: 363-374. DOI: 10.1016/j.arcmed.2020.04.020.
[28] Skjefte M, Ngirbabul M, Akeju O, Escudero D, Hernandez Diaz S, Wyszynski DF, et al. COVID 19 vaccine acceptance among pregnant women and mothers of young children: results of a survey in 16 countries. European Journal of Epidemiology. 2021; 36: 197–211. DOI: 10.1007/s10654-021-00728-6.
[29] Udeh FC, Ikwuka AO, Epete MA, Igwe EC. Effects of Local Tobacco Snuff Ingestion during Pregnancy on Renal Functions and Histological Architecture of Female Wistar Rats and on the Birth Weight of their Pups. American Journal of Medical Sciences and Medicine. 2023; 11 (1): 1-5. DOI: 10.12691/ajmsm-11-1-1.
[30] Udeh FC, Ikwuka AO, Epete MA, Igwe EC. Effects of Oral Consumption of Nicotiana Tabacum During Pregnancy on the Liver and Prolactin Levels of Adult Female Wistar Rats. European Journal of Veterinary Medicine. 2023; 3 (2): 1-5. DOI: 10.24018/ejvetmed.2023.3.2.93.
[31] Wastnedge EAN, Reynolds RM, van Boeckel SR, Stock SJ, Denison FC, Maybin JA, et al. Pregnancy and COVID-19. Physiological Reviews. 2020; 101: 303-318. DOI: 10.1152/physrev.00024.2020.
[32] Wei SQ, Bilodeau-Bertrand M, Liu S, Auger N. The impact of COVID-19 on pregnancy outcomes: a systematic review and meta-analysis. Canadian Medical Association Journal. 2021; 193 (16): E540-E548. DOI: 10.1503/cmaj.202604.
[33] World Health Organization. Clinical management of COVID-19. Living Guideline. 2023; Geneva. WHO/2019-nCoV/clinical/2023.1.
[34] World Health Organization. Coronavirus disease (COVID-19): Nigeria situation. 2023; Available online: https://covid19.who.int/region/afro/country/ng
[35] World Health Organization. Coronavirus disease (COVID-19): numbers at a glance. 2023; Available online: https://www.who.int/emergencies/diseases/novel-coronavirus-2019
[36] World Health Organization. Director-General's opening remarks at the media briefing on COVID-19. March 2020.
[37] Worldometer. COVID-19 Coronavirus pandemic. 2023; Available online: https://www.worldometers.info/coronavirus/#countries
[38] Inya AU, Achara AP, Ikwuka AO, Udeh FC, Chi-kadibia U, Onazi O. Patterns, Peculiarities and Associated Risk Factors of Anemia in Pregnancy: A Case Study of Pregnant Women Attending Antenatal Clinic in North-Central Nigeria. European Journal of Preventive Medicine. 2023; 11 (2): 21-31. DOI: 10.11648/j.ejpm.20231102.12.
[39] Ikwuka AO. Dr. Aloy's Core Essential Series (DACES) Immunology. 1st Edition. Science and Education Publishing, USA; 2023.
[40] Musa S, Aliyu A, Ikwuka AO, Udeh FC. Knowledge and Practice of Healthcare Waste Management among Healthcare Workers at Yusuf Dantsoho Memorial Hospital (YDMH), Kaduna, Nigeria. European Journal of Clinical Medicine. 2023; 4 (2): 31-36. DOI: 10.24018/clinicmed.2023.4.2.249.
[41] Inya AU, Achara AP, Ikwuka AO, Udeh FC, Chi-kadibia U, Onazi O. Clinical Dynamics of Anemia in Pregnancy: A 16-week Cross-sectional Study of Pregnant Women Who Attended Antenatal Clinic of Federal Medical Center, Keffi, Nasarawa State, Nigeria. American Journal of Clinical Medicine Research. 2023; 11 (1): 1-9. DOI: 10.12691/ajcmr-11-1-1.
[42] Musa S, Aliyu A, Ikwuka AO, Udeh FC. Knowledge and Attitude of Healthcare Workers towards Healthcare Waste Management at Yusuf Dantsoho Memorial Hospital (YDMH), Kaduna, Nigeria. British Journal of Medical & Health Sciences. 2023; 5 (2): 1364-1374.
[43] Ikwuka AO. Influence of dyslipidemia in patients with diabetes mellitus type 2 and essential hypertension. The Pharma Innovation Journal. 2017; 6 (3): 101-103.
[44] Ikwuka AO. Clinical effectiveness of GLP-1 RAs in patients with metabolic syndrome diseases. Endocrine Practice. 2019; 25 (1): 104-105. DOI: 10.1016/S1530-891X(20)46611-X.
[45] Ikwuka AO. Dyslipidemia risk severity in patients with diabetes mellitus type 2 and essential hypertension. Journal of the 21st International Medical Congress of Students and Young Scientists. 2017; p. 59.
[46] Virstyuk NG, Ikwuka AO, Haman IO, Adebomi MS. Diabetes mellitus type 2, arterial hypertension and dyslipidemia. Materials of 2nd International Scientific and Practical Conference "Therapeutic readings: modern aspects of diagnosis and treatment of diseases of internal organs". 2016; p. 46-47.
[47] Ikwuka AO. Risk factors for the pathogenesis of diabetes mellitus type 2. Materials of 84th Scientific and Practical Conference of Students and Young Scientists with International Participation “Innovations in medicine”. 2015; p. 19.
Cite This Article
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    Gloria Chijiogor Okeke, Ifesinachi Kevin Okeke, Aloysius Obinna Ikwuka, Francis Chigozie Udeh. (2023). Knowledge, Perception and Acceptance of COVID-19 Vaccination Amongst Pregnant Women in Adena, Kwara State, Nigeria. World Journal of Public Health, 8(2), 165-174. https://doi.org/10.11648/j.wjph.20230802.29

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    ACS Style

    Gloria Chijiogor Okeke; Ifesinachi Kevin Okeke; Aloysius Obinna Ikwuka; Francis Chigozie Udeh. Knowledge, Perception and Acceptance of COVID-19 Vaccination Amongst Pregnant Women in Adena, Kwara State, Nigeria. World J. Public Health 2023, 8(2), 165-174. doi: 10.11648/j.wjph.20230802.29

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    AMA Style

    Gloria Chijiogor Okeke, Ifesinachi Kevin Okeke, Aloysius Obinna Ikwuka, Francis Chigozie Udeh. Knowledge, Perception and Acceptance of COVID-19 Vaccination Amongst Pregnant Women in Adena, Kwara State, Nigeria. World J Public Health. 2023;8(2):165-174. doi: 10.11648/j.wjph.20230802.29

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  • @article{10.11648/j.wjph.20230802.29,
      author = {Gloria Chijiogor Okeke and Ifesinachi Kevin Okeke and Aloysius Obinna Ikwuka and Francis Chigozie Udeh},
      title = {Knowledge, Perception and Acceptance of COVID-19 Vaccination Amongst Pregnant Women in Adena, Kwara State, Nigeria},
      journal = {World Journal of Public Health},
      volume = {8},
      number = {2},
      pages = {165-174},
      doi = {10.11648/j.wjph.20230802.29},
      url = {https://doi.org/10.11648/j.wjph.20230802.29},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.wjph.20230802.29},
      abstract = {Background: COVID-19 is associated with poor pregnancy and maternal outcomes. COVID-19 vaccination is recommended all over the world, yet the vaccination rate during pregnancy in Nigeria is insignificant. The public health response to the global COVID-19 pandemic varies widely in different regions of Nigeria. Aim: To investigate the knowledge, perception and acceptance of COVID-19 vaccination amongst pregnant women in Adena, Kwara State, Nigeria. Materials and Methods: Sample size of this study consisted of two hundred and thirty (230) respondents. Data including biodata and questions relating to the aim of the study were retrieved using a structured questionnaire. These data were analyzed using the Chi-square technique (χ2) of the SPSS version 23 statistical software. Chi-square tests were used for comparative analysis of the demographic information to perception and acceptance of COVID-19 vaccination amongst pregnant women, and to test the research hypotheses at a level of significance set at pn=158) of the women had a tertiary education. 40.9% (94) and 59.1% (136) of the respondents were Christians and Muslims respectively. 73.44% of the respondents had good knowledge about COVID-19 and 57.8% confirmed that they would accept the vaccine against SARS-CoV-2. From the research hypotheses tested, this study found that there was a significant difference in the perception of the pregnant women in Adena to COVID-19 vaccination based on their educational qualification (p=1.56624E-20) and age (p=8.53956E-18), but no significant difference was noticed based on their religion (p=0.05). There was a significant difference in the acceptance of COVID-19 vaccination amongst the pregnant women based on their educational qualification (p=3.22221E-11) and age (p=0.001473), but no significant difference was observed based on their religion (p=0.23). Conclusion: The general public needs to be sensitized on COVID-19 and any related pandemic at every gathering, e.g., churches, mosques, hospitals, etc. Health systems need to develop national surveillance systems to collect up-to-date clinical, virological, and epidemiological information on trends in human infection with seasonal influenza viruses. Health systems are also advised to keep up-to-date on the latest information concerning pandemics from trusted global sources e.g. World Health Organization (WHO), national sources e.g. Nigerian Centre for Disease Control (NCDC).},
     year = {2023}
    }
    

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  • TY  - JOUR
    T1  - Knowledge, Perception and Acceptance of COVID-19 Vaccination Amongst Pregnant Women in Adena, Kwara State, Nigeria
    AU  - Gloria Chijiogor Okeke
    AU  - Ifesinachi Kevin Okeke
    AU  - Aloysius Obinna Ikwuka
    AU  - Francis Chigozie Udeh
    Y1  - 2023/06/15
    PY  - 2023
    N1  - https://doi.org/10.11648/j.wjph.20230802.29
    DO  - 10.11648/j.wjph.20230802.29
    T2  - World Journal of Public Health
    JF  - World Journal of Public Health
    JO  - World Journal of Public Health
    SP  - 165
    EP  - 174
    PB  - Science Publishing Group
    SN  - 2637-6059
    UR  - https://doi.org/10.11648/j.wjph.20230802.29
    AB  - Background: COVID-19 is associated with poor pregnancy and maternal outcomes. COVID-19 vaccination is recommended all over the world, yet the vaccination rate during pregnancy in Nigeria is insignificant. The public health response to the global COVID-19 pandemic varies widely in different regions of Nigeria. Aim: To investigate the knowledge, perception and acceptance of COVID-19 vaccination amongst pregnant women in Adena, Kwara State, Nigeria. Materials and Methods: Sample size of this study consisted of two hundred and thirty (230) respondents. Data including biodata and questions relating to the aim of the study were retrieved using a structured questionnaire. These data were analyzed using the Chi-square technique (χ2) of the SPSS version 23 statistical software. Chi-square tests were used for comparative analysis of the demographic information to perception and acceptance of COVID-19 vaccination amongst pregnant women, and to test the research hypotheses at a level of significance set at pn=158) of the women had a tertiary education. 40.9% (94) and 59.1% (136) of the respondents were Christians and Muslims respectively. 73.44% of the respondents had good knowledge about COVID-19 and 57.8% confirmed that they would accept the vaccine against SARS-CoV-2. From the research hypotheses tested, this study found that there was a significant difference in the perception of the pregnant women in Adena to COVID-19 vaccination based on their educational qualification (p=1.56624E-20) and age (p=8.53956E-18), but no significant difference was noticed based on their religion (p=0.05). There was a significant difference in the acceptance of COVID-19 vaccination amongst the pregnant women based on their educational qualification (p=3.22221E-11) and age (p=0.001473), but no significant difference was observed based on their religion (p=0.23). Conclusion: The general public needs to be sensitized on COVID-19 and any related pandemic at every gathering, e.g., churches, mosques, hospitals, etc. Health systems need to develop national surveillance systems to collect up-to-date clinical, virological, and epidemiological information on trends in human infection with seasonal influenza viruses. Health systems are also advised to keep up-to-date on the latest information concerning pandemics from trusted global sources e.g. World Health Organization (WHO), national sources e.g. Nigerian Centre for Disease Control (NCDC).
    VL  - 8
    IS  - 2
    ER  - 

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Author Information
  • Department of General Practice, Rehoboth Mercy Clinic, Adena, Nigeria

  • Department of General Practice, Rehoboth Mercy Clinic, Adena, Nigeria

  • College of Medicine and Health Sciences, American International University West Africa, Banjul, The Gambia

  • College of Medicine and Health Sciences, American International University West Africa, Banjul, The Gambia

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