Uptake of Covid-19 Vaccinations in the Aftermath of Covid-19 Pandemic among Adolescents in the Bole District of the Savanna Region

Abstract:
This study examines adolescents' knowledge, attitudes, and uptake of COVID-19 vaccinations in the wake of the pandemic in the Bole district of the Savannah Region. Data was gathered through focus groups, and key informant interviews. Thematic analysis was employed for data analysis. The findings confirmed Rosenstock Health belief theory which discussed some components that may affect the behaviour of people to accept immunization/vaccination. This revealed a moderate level of knowledge among adolescents, with gaps in understanding the broader significance of vaccination. Attitudes were mixed, with positive sentiments attributed to perceived protective benefits and concerns about the necessity of vaccination. Diverse perceptions regarding safety, efficacy, and significance of COVID-19 vaccines were identified. The study recommends targeted educational programs, community engagement, and communication strategies to enhance vaccine-related knowledge and address hesitancy among adolescents. Future research is encouraged to explore broader geographical scopes and diverse populations for a more comprehensive understanding.
References:
[1]. Demuyakor, J., Nyatuame, I. N., and Obiri, S., 2021, Unmasking COVID-19 Vaccine ‘ Infodemic ’ in the Social Media, vol. 11, no. 4, pp. 1–9, 2021.
[2]. Dzinamarira, T., Nachipo, B., Phiri, B., and Musuka, G., 2021, COVID-19 Vaccine Roll-Out in South Africa and Zimbabwe : Urgent Need to Address Community Preparedness , Fears and Hesitancy, 2021.
[3]. Gebru, A. A., et al., 2021, Global burden of COVID-19: Situational analyis and review, Hum. Antibodies, vol. 29, no. 2, pp. 139–148, 2021, doi: 10.3233/HAB-200420.
[4]. Lamptey, E., and Senkyire, E. K., 2022, CLINICAL EXPERIMENTAL VACCINE Exploring the myths surrounding the COVID-19 vaccines in Africa : the study to investigate their impacts on acceptance using online survey and social media, no. December 2020, pp. 193–208, 2022.
[5]. Fazel, M., et al., 2021, ClinicalMedicine Willingness of children and adolescents to have a COVID-19 vaccination : Results of a large whole schools survey in England, vol. 40, pp. 1–9, 2021, doi: 10.1016/j.eclinm.2021.101144.
[6]. Cai, H., et al., 2021, Attitudes Toward COVID-19 Vaccines in Chinese Adolescents, vol. 8, no. July, pp. 1–6, 2021, doi: 10.3389/fmed.2021.691079.
[7]. Agyekum, M. W., Afrifa-Anane, G. F., Kyei-Arthur, F., and Addo, B., 2021, Acceptability of COVID-19 Vaccination among Health Care Workers in Ghana, Adv. Public Heal., vol. 2021, 2021, doi: 10.1155/2021/9998176.
[8]. Alhassan, R. K., Agyei, S. O., Ansah, E. K., and Gyapong, M., 2021, COVID ‑ 19 vaccine uptake among health care workers in Ghana : a case for targeted vaccine deployment campaigns in the global south, Hum. Resour. Health, pp. 1–12, 2021, doi: 10.1186/s12960-021-00657-1.
[9]. Ofori-Adjei, D., Lartey, M., and Koram, K. A., 2020, Ghana and the COVID-19 pandemic,Ghana Med. J., vol. 54, no. 4, pp. 1–2, 2020, doi: 10.4314/GMJ.V54I4S.1.
[10]. Afriyie, D. K., Asare, G. A., Amponsah, S. K., and Godman, B., 2020, COVID-19 pandemic in resource-poor countries : challenges , experiences and opportunities in Ghana, pp. 3–8, 2020, doi: 10.3855/jidc.12909.
[11]. Di Giuseppe, G., Pelullo, C. P., Volgare, A. S., Napolitano, F., and Pavia, M., 2022, Parents ’ Willingness to Vaccinate Their Children With COVID-19 Vaccine : Results of a Survey in Italy, J. Adolesc. Heal., vol. 70, no. 4, pp. 550–558, 2022, doi: 10.1016/j.jadohealth.2022.01.003.
[12]. Sam N. A., 2022, Children and adolescents in African countries should also be vaccinated for COVID- 19, pp. 1–6, 2022, doi: 10.1136/bmjgh-2021-008315.
[13]. Bole District Health Directorate, 2022, Annual District Health Performance Review, Bole, 2022.
[14]. Shapiro, G. K., Holding, A., Perez, S., Amsel, R., and Rosberger, Z., 2016, Author ’ s Accepted Manuscript Validation of the Vaccine Conspiracy Beliefs Scale Papillomavirus Res., 2016, doi: 10.1016/j.pvr.2016.09.001.
[15]. Bierwiaczonek, K., Kunst, J. R., and Pich, O., 2020, Belief in COVID-19 Conspiracy Theories Reduces Social Distancing over Time, 2020, doi: 10.1111/aphw.12223.
[16]. Douglas, K. M., 2021, COVID-19 conspiracy theories, 2021, doi: 10.1177/1368430220982068.
[17]. Jager, K. J., Van Dijk, P. C., Zoccali, C., and Dekker, F. W., 2008, The analysis of survival data: The Kaplan-Meier method, Kidney Int., vol. 74, no. 5, pp. 560–565, 2008, doi: 10.1038/ki.2008.217.
[18]. Abbas, Q., Mangrio, F., and Kumar, S., 2021, Myths, beliefs, and conspiracies about COVID-19 vaccines in Sindh, Pakistan: An online cross-sectional survey, Authorea, pp. 1–7, 2021, doi: 10.22541/au.161519250.03425961/v1.
[19]. Akram, H., Yingxiu, Y., Al-Adwan, A. S., and Alkhalifah, A., 2021, Technology Integration in Higher Education During COVID-19: An Assessment of Online Teaching Competencies Through Technological Pedagogical Content Knowledge Model, Front. Psychol., vol. 12, no. August, pp. 1–11, 2021, doi: 10.3389/fpsyg.2021.736522.
[20]. Burki, T., 2023, WHO ends the COVID-19 public health emergency, Lancet. Respir. Med., vol. 11, no. 7, p. 588, 2023, doi: 10.1016/S2213-2600(23)00217-5.
[21]. Rosenstock, I. M., and 2015, Historical Origins of the Health Belief Model, vol. 2, no. 4, 2015.
[22]. Green, E. C., Murphy, E. M., and Gryboski, K., 2022, The Health Belief Model, Wiley Encycl. Heal. Psychol., no. May 2022, pp. 211–214, 2020, doi: 10.1002/9781119057840.ch68.
[23]. BOLE DISTRICT ASSEMBLY, 2O21, BOLE DISTRICT ASSEMBLY 2O20 ANNUAL PROGRESS REPORT, 2021.
[24]. Bole district, 2010, [Online]. Available: www.ghanastatisticalservice.com
[25]. District Health Directorate, 2023, “No Title,” in Annual District Health Performance Review, 2023.
[26]. Acheampong, T., Akorsikumah, E. A., Osae-Kwapong, J., Khalid, M., Appiah, A., and Amuasi, J. H., 2021, Examining vaccine hesitancy in sub-saharan africa: A survey of the knowledge and attitudes among adults to receive covid-19 vaccines in ghana, Vaccines, vol. 9, no. 8, 2021, doi: 10.3390/vaccines9080814.
[27]. Efendi D., et al., 2022, The Role of Knowledge, Attitude, Confidence, and Sociodemographic Factors in COVID-19 Vaccination Adherence among Adolescents in Indonesia: A Nationwide Survey, Vaccines, vol. 10, no. 9, pp. 1–15, 2022, doi: 10.3390/vaccines10091489.
[28]. Lv, M., et al., 2021, Safety, immunogenicity, and efficacy of COVID-19 vaccines in children and adolescents: A systematic review, Vaccines, vol. 9, no. 10, pp. 1–13, 2021, doi: 10.3390/vaccines9101102.
[29]. Rehati, P., et al., 2022. COVID‐19 Vaccine Hesitancy among Adolescents: Cross‐Sectional School Survey in Four Chinese Cities Prior to Vaccine Availability, Vaccines, vol. 10, no. 3, pp. 1–13, 2022, doi: 10.3390/vaccines10030452.
[30]. Wang, D., et al., 2022, Levels and determinants of COVID-19 vaccine hesitancy among sub-Saharan African adolescents, medRxiv, p. 2022.05.18.22275274, 2022, [Online]. Available: https://doi.org/10.1101/2022.05.18.22275274%0Ahttp://medrxiv.org/content/early/2022/05/21/2022.05.18.22275274.abstract%0Ahttps://www.medrxiv.org/%0Ahttp://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=empp&NEWS=N&AN=2018694525
[31]. Adjaottor, E. S., Addo, F. M., Ahorsu, F. A., Chen, H. P., and Ahorsu, D. K., 2022, Predictors of COVID-19 Stress and COVID-19 Vaccination Acceptance among Adolescents in Ghana,Int. J. Environ. Res. Public Health, vol. 19, no. 13, 2022, doi: 10.3390/ijerph19137871.
[32]. Kabakama, S., et al., 2022, Commentary on COVID-19 Vaccine Hesitancy in sub-Saharan Africa, Trop. Med. Infect. Dis., vol. 7, no. 7, pp. 1–4, 2022, doi: 10.3390/tropicalmed7070130.
[33]. Fan, C. W., et al., 2021, Extended theory of planned behavior in explaining the intention to COVID-19 vaccination uptake among mainland Chinese university students: an online survey study, Hum. Vaccines Immunother., vol. 17, no. 10, pp. 3413–3420, 2021, doi: 10.1080/21645515.2021.1933687.
[34]. Uscinski, J. E., et al., 2020, Why do people believe COVID-19 conspiracy theories ? Research questions, Harvard Kennedy Sch. Misinformation Rev., vol. 1, no. 3, pp. 1–12, 2020.
[35]. van Prooijen, J. W., and Douglas, K. M., 2018, Belief in conspiracy theories: Basic principles of an emerging research domain, Eur. J. Soc. Psychol., vol. 48, no. 7, pp. 897–908, 2018, doi: 10.1002/ejsp.2530.
[36]. Wolff, K., 2021, COVID-19 Vaccination Intentions: The Theory of Planned Behavior, Optimistic Bias, and Anticipated Regret, Front. Psychol., vol. 12, no. June, 2021, doi: 10.3389/fpsyg.2021.648289.
[37]. Greenhawt, M., et al., 2021, The Risk of Allergic Reaction to SARS-CoV-2 Vaccines and Recommended Evaluation and Management: A Systematic Review, Meta-Analysis, GRADE Assessment, and International Consensus Approach, J. Allergy Clin. Immunol. Pract., vol. 9, no. 10, pp. 3546–3567, 2021, doi: 10.1016/j.jaip.2021.06.006.
[38]. Adane, M., Ademas, A., and Kloos, H., 2022, Knowledge, attitudes, and perceptions of COVID-19 vaccine and refusal to receive COVID-19 vaccine among healthcare workers in northeastern Ethiopia. BMC Public Health, vol. 22, no. 1, pp. 1–14, 2022, doi: 10.1186/s12889-021-12362-8.
[39]. Bagateli, L. E., Saeki, E. Y., Fadda, M., Agostoni, C., Marchisio, P., and Milani, G. P., 2021, Covid-19 vaccine hesitancy among parents of children and adolescents living in brazil, Vaccines, vol. 9, no. 10, pp. 1–9, 2021, doi: 10.3390/vaccines9101115.