Insight, Knowledge and Vaccination Against COVID-19 Among Pregnant Women in Two Tertiary Hospitals Southeast Nigeria, Four Years After Onset of the Pandemic

M. Nwali, Nwali Nneka Immaculata
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Abstract

Background: The study was conducted in two tertiary hospitals located in ababkaliki the capital city of Ebonyi State. These are referral centers that served the state and the neighboring states. Methods: This was a prospective study in which pregnant women accessing antenatal care in the centers were consecutively recruited till the sample size was obtained. Information on sociodemographic characteristics like age, gravidity, occupation, Religion and educational level were obtained. Insight, awareness and vaccination of COVID-19 Disease also obtained were obtained. The aim of the study was clearly explained to the women and informed consent was signed prior to recruitment into the study. The exclusion criterion was those who did not sign consent. Results: A total of 250 pregnant women who consented were recruited into the study. The mean age was 30.2 (SD 5.3) and ranged between 18yers to 44 years. The highest age group was 30 to 39years (55.2%) followed by those aged between 20 to 29 years (40%). The median gravidity of the respondents was 2.6 (SD 2.0) and ranged between 1 to 7. Majority were traders (34.4%) followed by civil servants (19.2%), thirdly students (16.0) and self-employed (13.2%). Most of them (98.3%) were Christians while 96.4% had tertiary education (62.8%). The awareness of COVID-19 was high but very poor knowledge of spread 18.8% and preventive measures 20.8%. Vaccine uptake was low 21.2% with major reason being fear of side effect (22.4) though 36% gave no reason while some believed vaccine is a scam. Conclusion: There was high insight of COVID-19 disease among these pregnant women but very poor knowledge of its mode of spread and preventive measures as well as very low uptake of anti-COVID-19 vaccines 4 years on from the onset of the pandemic.
疫情爆发四年后尼日利亚东南部两家三甲医院孕妇对 COVID-19 的洞察力、知识和疫苗接种情况
研究背景本研究在埃邦伊州首府阿巴卡利基的两家三级医院进行。这两家医院是为该州和邻近各州提供服务的转诊中心。研究方法这是一项前瞻性研究,连续招募在中心接受产前检查的孕妇,直至达到样本量。研究人员获得了有关社会人口学特征的信息,如年龄、孕产妇、职业、宗教信仰和教育水平。此外,还了解了对 COVID-19 疾病的认识和疫苗接种情况。在招募妇女参与研究之前,已向她们明确解释了研究目的并签署了知情同意书。排除标准是未签署同意书的妇女。结果:共招募了 250 名同意参加研究的孕妇。平均年龄为 30.2 岁(标准差为 5.3 岁),介于 18 岁至 44 岁之间。最高年龄组为 30 至 39 岁(55.2%),其次为 20 至 29 岁(40%)。受访者的孕期中位数为 2.6(标清 2.0),介于 1 至 7 之间。大多数受访者是商人(34.4%),其次是公务员(19.2%),第三是学生(16.0%)和自营职业者(13.2%)。他们大多数(98.3%)是基督徒,96.4%受过高等教育(62.8%)。对 COVID-19 的认知度很高,但对其传播途径和预防措施的了解非常少,分别为 18.8%和 20.8%。疫苗接种率较低,为 21.2%,主要原因是害怕副作用(22.4%),但有 36% 的人没有给出原因,还有一些人认为疫苗是骗局。结论这些孕妇对 COVID-19 疾病的了解程度很高,但对其传播方式和预防措施却知之甚少,而且在大流行发生 4 年后,对抗 COVID-19 疫苗的接种率非常低。
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