Knowledge, attitude and acceptability of COVID-19 vaccine among residents in rural communities in Ghana: a multi-regional study

Abstract Background The Coronavirus Infectious Disease 2019 (COVID-19) pandemic has continuously affected human life with several devastating effects. Currently, there are effective vaccines to protect people from COVID‐19 and the World Health Organization (WHO) has highlighted strategies to influen...

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Main Authors: Seth Amponsah-Tabi, Rex Djokoto, Stephen Opoku, Ebenezer Senu, Derrick Kyei Boakye, Wisdom Klutse Azanu, Frank Ankobea-Kokroe, Gerald Owusu-Asubonteng, Richard Owusu Ansah, Emmanuel Owusu, Emmanuel Ackah-Avoh, Afia Agyapomaa Kwayie, Eric Appiah Boateng, Richard Pul Azavil, Frederick Ennin
Format: Article
Language:English
Published: BMC 2023-01-01
Series:BMC Infectious Diseases
Subjects:
Online Access:https://doi.org/10.1186/s12879-023-08029-x
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author Seth Amponsah-Tabi
Rex Djokoto
Stephen Opoku
Ebenezer Senu
Derrick Kyei Boakye
Wisdom Klutse Azanu
Frank Ankobea-Kokroe
Gerald Owusu-Asubonteng
Richard Owusu Ansah
Emmanuel Owusu
Emmanuel Ackah-Avoh
Afia Agyapomaa Kwayie
Eric Appiah Boateng
Richard Pul Azavil
Frederick Ennin
author_facet Seth Amponsah-Tabi
Rex Djokoto
Stephen Opoku
Ebenezer Senu
Derrick Kyei Boakye
Wisdom Klutse Azanu
Frank Ankobea-Kokroe
Gerald Owusu-Asubonteng
Richard Owusu Ansah
Emmanuel Owusu
Emmanuel Ackah-Avoh
Afia Agyapomaa Kwayie
Eric Appiah Boateng
Richard Pul Azavil
Frederick Ennin
author_sort Seth Amponsah-Tabi
collection DOAJ
description Abstract Background The Coronavirus Infectious Disease 2019 (COVID-19) pandemic has continuously affected human life with several devastating effects. Currently, there are effective vaccines to protect people from COVID‐19 and the World Health Organization (WHO) has highlighted strategies to influence COVID-19 vaccine uptake in hard-to-reach communities in Ghana. However, prior studies on COVID-19 vaccine acceptability in Ghana are online surveys targeting the literates and those in urban areas, leaving residents in far-flung communities. We assessed knowledge, attitude and acceptability of COVID-19 vaccine among residents in rural communities in Ghana. Methods This study was a community-based cross-sectional study and was conducted at three selected regions in Ghana (Northern, Ashanti and Western North) from May to November, 2021. This study included residents 15–81 years, living in the selected rural communities for more than 1 year. Study participants were recruited and questionnaires administered to collect data on knowledge, attitude and acceptance of the COVID-19 vaccine. Statistical analyses were performed using Statistical Package for Social Science (SPSS) version 26.0 and GraphPad Prism Version 8.0 software. Results Of the 764 participants included in this study, more than half had inadequate knowledge (55.0%), poor attitudes (59.4%) and bad perception about COVID-19 vaccine (55.4%). The acceptability of COVID-19 vaccine in this study was 41.9%. The acceptability of COVID-19 vaccine in Ashanti, Northern and Western North regions were 32.5%, 26.2% and 29.6% respectively. In a multivariate logistic regression analysis, receiving recent or previous vaccine such as HBV vaccine [aOR = 1.57, 95% CI (1.23–3.29), p = 0.002], having good attitude towards COVID-19 vaccine [aOR = 61.47, 95% CI (29.55–127.86), p < 0.0001] and having good perception about the COVID-19 vaccine [aOR = 3.87, 95% CI (1.40–10.72), p < 0.0001] were independently associated with higher odds of accepting COVID-19 vaccine. Conclusion More than half of residents in Ghanaian rural communities have inadequate knowledge, poor attitudes and bad perception about COVID-19 vaccine. The acceptability of COVID-19 vaccine is generally low among rural residents in Ashanti, Northern and Western North regions of Ghana. Residents living in hard-to-reach communities must be educated about the benefits of COVID-19 vaccine to achieve effective vaccination program.
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spelling doaj.art-902b29a095314c08931abe238df89bcb2023-02-05T12:05:39ZengBMCBMC Infectious Diseases1471-23342023-01-0123111110.1186/s12879-023-08029-xKnowledge, attitude and acceptability of COVID-19 vaccine among residents in rural communities in Ghana: a multi-regional studySeth Amponsah-Tabi0Rex Djokoto1Stephen Opoku2Ebenezer Senu3Derrick Kyei Boakye4Wisdom Klutse Azanu5Frank Ankobea-Kokroe6Gerald Owusu-Asubonteng7Richard Owusu Ansah8Emmanuel Owusu9Emmanuel Ackah-Avoh10Afia Agyapomaa Kwayie11Eric Appiah Boateng12Richard Pul Azavil13Frederick Ennin14Department of Obstetrics and Gynaecology, Komfo Anokye Teaching HospitalDepartment of Obstetrics and Gynaecology, Komfo Anokye Teaching HospitalDepartment of Medical Diagnostics, College of Health Sciences, Kwame Nkrumah University of Science and TechnologyDepartment of Molecular Medicine, College of Health Sciences, Kwame Nkrumah University of Science and TechnologyDepartment of Medical Diagnostics, College of Health Sciences, Kwame Nkrumah University of Science and TechnologyDepartment of Obstetrics and Gynaecology, University of Health and Allied SciencesDepartment of Obstetrics and Gynaecology, Komfo Anokye Teaching HospitalDepartment of Obstetrics and Gynaecology, Komfo Anokye Teaching HospitalDepartment of Medical Diagnostics, College of Health Sciences, Kwame Nkrumah University of Science and TechnologyLaboratory Department, Nyaho Medical CenterLaboratory Department, Nyaho Medical CenterDepartment of Medical Diagnostics, College of Health Sciences, Kwame Nkrumah University of Science and TechnologyDepartment of Medical Diagnostics, College of Health Sciences, Kwame Nkrumah University of Science and TechnologyLaboratory Department, Tamale Teaching HospitalLaboratory Department, Bibiani Government HospitalAbstract Background The Coronavirus Infectious Disease 2019 (COVID-19) pandemic has continuously affected human life with several devastating effects. Currently, there are effective vaccines to protect people from COVID‐19 and the World Health Organization (WHO) has highlighted strategies to influence COVID-19 vaccine uptake in hard-to-reach communities in Ghana. However, prior studies on COVID-19 vaccine acceptability in Ghana are online surveys targeting the literates and those in urban areas, leaving residents in far-flung communities. We assessed knowledge, attitude and acceptability of COVID-19 vaccine among residents in rural communities in Ghana. Methods This study was a community-based cross-sectional study and was conducted at three selected regions in Ghana (Northern, Ashanti and Western North) from May to November, 2021. This study included residents 15–81 years, living in the selected rural communities for more than 1 year. Study participants were recruited and questionnaires administered to collect data on knowledge, attitude and acceptance of the COVID-19 vaccine. Statistical analyses were performed using Statistical Package for Social Science (SPSS) version 26.0 and GraphPad Prism Version 8.0 software. Results Of the 764 participants included in this study, more than half had inadequate knowledge (55.0%), poor attitudes (59.4%) and bad perception about COVID-19 vaccine (55.4%). The acceptability of COVID-19 vaccine in this study was 41.9%. The acceptability of COVID-19 vaccine in Ashanti, Northern and Western North regions were 32.5%, 26.2% and 29.6% respectively. In a multivariate logistic regression analysis, receiving recent or previous vaccine such as HBV vaccine [aOR = 1.57, 95% CI (1.23–3.29), p = 0.002], having good attitude towards COVID-19 vaccine [aOR = 61.47, 95% CI (29.55–127.86), p < 0.0001] and having good perception about the COVID-19 vaccine [aOR = 3.87, 95% CI (1.40–10.72), p < 0.0001] were independently associated with higher odds of accepting COVID-19 vaccine. Conclusion More than half of residents in Ghanaian rural communities have inadequate knowledge, poor attitudes and bad perception about COVID-19 vaccine. The acceptability of COVID-19 vaccine is generally low among rural residents in Ashanti, Northern and Western North regions of Ghana. Residents living in hard-to-reach communities must be educated about the benefits of COVID-19 vaccine to achieve effective vaccination program.https://doi.org/10.1186/s12879-023-08029-xCOVID-19 vaccineAcceptabilityKnowledgeAttitudePerception
spellingShingle Seth Amponsah-Tabi
Rex Djokoto
Stephen Opoku
Ebenezer Senu
Derrick Kyei Boakye
Wisdom Klutse Azanu
Frank Ankobea-Kokroe
Gerald Owusu-Asubonteng
Richard Owusu Ansah
Emmanuel Owusu
Emmanuel Ackah-Avoh
Afia Agyapomaa Kwayie
Eric Appiah Boateng
Richard Pul Azavil
Frederick Ennin
Knowledge, attitude and acceptability of COVID-19 vaccine among residents in rural communities in Ghana: a multi-regional study
BMC Infectious Diseases
COVID-19 vaccine
Acceptability
Knowledge
Attitude
Perception
title Knowledge, attitude and acceptability of COVID-19 vaccine among residents in rural communities in Ghana: a multi-regional study
title_full Knowledge, attitude and acceptability of COVID-19 vaccine among residents in rural communities in Ghana: a multi-regional study
title_fullStr Knowledge, attitude and acceptability of COVID-19 vaccine among residents in rural communities in Ghana: a multi-regional study
title_full_unstemmed Knowledge, attitude and acceptability of COVID-19 vaccine among residents in rural communities in Ghana: a multi-regional study
title_short Knowledge, attitude and acceptability of COVID-19 vaccine among residents in rural communities in Ghana: a multi-regional study
title_sort knowledge attitude and acceptability of covid 19 vaccine among residents in rural communities in ghana a multi regional study
topic COVID-19 vaccine
Acceptability
Knowledge
Attitude
Perception
url https://doi.org/10.1186/s12879-023-08029-x
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