Assessment of Knowledge and Attitude towards Coronavirus Disease 2019 Vaccines among Students in Zambia - A Case Study of the University of Zambia

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DOI: 10.21522/TIJPH.2013.11.01.Art019

Authors : Richard Haakonde, Lawson Simapuka, Tapiwa Lundu

Abstract:

Equitable access to safe and efficacious vaccines is essential to the fight against Covid-19. Low vaccine acceptance poses a challenge to controlling the Covid-19 pandemic. Young people are key in the fight against Covid-19, as they are a majority in most African populations. A cross-sectional study was used to assess the knowledge and attitude toward Covid-19 vaccines among university students in Zambia. This study comprised a total of 160 respondents with an average age of 21.0 + 3.6 years, ranging from 18 to 46 years. The study was done between January and February 2022. Random sampling was used for participant enrollment, and an interviewer-administered questionnaire was used for data collection. Spearman’s Rank Correlation test and Binary Logistic Regression were performed to establish relationships among the study variables. The study revealed a knowledge score of 61.3%, and a Covid-19 vaccine acceptance score of 28.0%. Knowledge was also found to be associated with Covid-19 vaccine acceptance (p<0.05). Covid-19 vaccine acceptance showed an association with history of having a relative or close friend who had Covid-19 infection (OR=2.041, C.I. 95%, 1.010-4.127; p<0.05), as well as knowledge (OR=1.275, C.I. 95%, 1.045-1.556; p<0.05). The results showed good knowledge of Covid-19 vaccines among students. The attitude was however found to be negative, as indicated by a vaccine acceptance score of 28.0%. Evidence-based health education on the importance of Covid-19 vaccination is needed to counter myths and conspiracy beliefs about the disease to improve vaccine uptake.

Keywords: Vaccines; Covid-19; Acceptance; Attitude; Knowledge; Zambia.

References:

[1] Zhu, N., Zhang, D., Wang, W., Li, X., Yang, B., Song, J., & Tan, W. (2020). A novel coronavirus from patients with pneumonia in China, 2019. New England Journal of Medicine. https://www.nejm.org/doi/full/10.1056/nejmoa2001017.

[2] Cucinotta, D., Vanelli, M. (2020). WHO Declares Covid-19 a Pandemic. Acta Biomed. Mar 19;91(1):157-160. doi: 10.23750/abm. v91i1.9397. PMID: 32191675; PMCID: PMC7569573. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6357666/.

[3] World Health Organization. (2022, August 18a). Coronavirus Disease (Covid-19) Dashboard. Retrieved from https://covid19.who.int/table.

[4] Africa Centre for Disease Control and Prevention. (2021, August 17a). Coronavirus Disease (Covid-19) Dashboard. Retrieved from http://africacdc.org/covid-19.

[5] Mwai, P. (2021, October 1). Covid-19 vaccinations: More than 50 nations have missed a target set by the WHO. BBC Reality Check. Retrieved from https://www.bbc.com/news/56100076.

[6] Elhadi, M., Alsoufi, A., Alhadi, A., Hmeida, A., Alshareea, E., Dokali, M., ... & Msherghi, A. (2021). Knowledge, attitude, and acceptance of healthcare workers and the public regarding the Covid-19 vaccine: a cross-sectional study. BMC Public Health, 21(1), 1-21. https://link.springer.com/article/10.1186/s12889-021-10987-3.

[7] World Health Organization (2021, April 16c). WHO Africa /Zambia Launches the Covid–19 Vaccination. Retrieved from https://www.afro.who.int/news/zambia-launches-covid-19-vaccination.

[8] Barello, S., Nania, T., Dellafiore, F., Graffigna, G., & Caruso, R. (2020). ‘Vaccine hesitancy among university students in Italy during the Covid-19 pandemic. European Journal of Epidemiology, 35(8), 781-783. https://link.springer.com/article/10.1007/s10654-020-00670-z.

[9] Pourhoseingholi, M. A., Vahedi, M., & Rahimzadeh, M. (2013). Sample size calculation in medical studies. Gastroenterology and hepatology from bed to the bench, 6(1), 14–17. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4017493/.

[10] Mulenga, L. B., Hines, J. Z., Fwoloshi, S., Chirwa, L., Siwingwa, M., Yingst, S., ... & Malama, K. (2021). Prevalence of SARS-CoV-2 in six districts in Zambia in July 2020: a cross-sectional cluster sample survey. The Lancet Global Health, 9(6), e773-e781. https://www.sciencedirect.com/science/article/pii/S2214109X2100053X.

[11] The University of Zambia Official Website. (2021) Retrieved from https://www.unza.zm.

[12] Ab Hamid, M. R., Sami, W., & Sidek, M. M. (2017, September). Discriminant validity assessment: Use of Fornell & Larcker criterion versus HTMT criterion. In Journal of Physics: Conference Series (Vol. 890, No. 1, p. 012163). IOP Publishing. https://iopscience.iop.org/article/10.1088/1742-6596/890/1/012163/pdf.

[13] Sallam, M., Dababseh, D., Eid, H., Hasan, H., Taim, D., Al-Mahzoum, K., Al-Haidar, A., Yaseen, A., Ababneh, N. A., Assaf, A., Bakri, F. G., Matar, S., & Mahafzah, A. (2021). Low Covid-19 Vaccine Acceptance Is Correlated with Conspiracy Beliefs among University Students in Jordan. International journal of environmental research and public health, 18(5), 2407. https://www.mdpi.com/1660-4601/18/5/2407/pdf.

[14] Islam, M. S., Siddique, A. B., Akter, R., Tasnim, R., Sujan, M. S. H., Ward, P. R., & Sikder, M. T. (2021). Knowledge, attitudes, and perceptions towards Covid-19 vaccinations: a cross-sectional community survey in Bangladesh. medRxiv. https://link.springer.com/article/10.1186/s12889-021-11880-9.

[15] Gallè, F., Sabella, E. A., Roma, P., De Giglio, O., Caggiano, G., Tafuri, S., ... & Napoli, C. (2021). Knowledge and Acceptance of Covid-19 Vaccination among Undergraduate Students from Central and Southern Italy. Vaccines, 9(6), 638. https://www.mdpi.com/2076-393X/9/6/638/pdf?version=1623327543.

[16] Sallam, M. (2021). Covid-19 vaccine hesitancy worldwide: a concise, systematic review of vaccine acceptance rates. Vaccines, 9(2), 160. https://www.mdpi.com/2076-393X/9/2/160/pdf.

[17] Bai, W., Cai, H., Liu, S., Liu, H., Qi, H., Chen, X., & Xiang, Y. T. (2021). Attitudes toward Covid-19 vaccines in Chinese college students. International Journal of Biological Sciences, 17(6), 1469. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8071773/.

[18] Abebe, H., Shitu, S., & Mose, A. (2021). Understanding Covid-19 Vaccine Knowledge, Attitude, Acceptance, and Determinates of Covid-19 Vaccine Acceptance Among Adult Population in Ethiopia. Infection and Drug Resistance, 14, 2015. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8179743/.