Article de revue

COVID-19 vaccine attitudes, beliefs, intentions and behaviors among pregnant women within the context of dynamic national policy recommendations in Brazil, Ghana, Kenya, and Pakistan

Jessica L. Schue, Emily S. Miller, Berhaun Fesshaye, Prachi Singh, Renato T. Souza, Caroline Dinam Badzi, Emefa Modey, Saleem Jessani, Muhammad Asim, Ingrid Gichere, Maria Laura Costa, Jose G. Cecatti, Kwasi Torpey, Sarah Saleem, Marleen Temmerman, Sami L. Gottlieb, Rupali J. Limaye

Abstract

Introduction

There are many factors associated with maternal immunization decision making. This study aimed to describe COVID-19 vaccination attitudes, beliefs, behaviors, and intentions among pregnant women across four countries within the context of varying and changing policy recommendations related to COVID-19 vaccination for pregnant women.

Methods

This cross-sectional quantitative study surveyed pregnant women in antenatal care facilities serving mostly urban or peri-urban populations in Campinas, Brazil; Accra, Ghana; Nairobi, Kenya; and Karachi, Pakistan. Potential participants were approached in clinic waiting rooms, and if eligible, enrolled after informed consent was obtained. Results: A total of 1603 women were surveyed, with 64 % overall reporting they received a COVID-19 vaccine, ranging from 46 % in Pakistan to 97 % in Brazil. Among those ever vaccinated, 15 % received a COVID-19 vaccine during pregnancy, most received only one dose during pregnancy and the majority (53 %) reported they were vaccinated in their first trimester. The top two reasons for vaccination were the same across all countries: protecting themselves and protecting their baby. Among those not vaccinated against COVID-19, the majority of participants (68 %) indicated that they did not intend to be vaccinated, and fears that the vaccine was not safe was the highest rank among all countries as the primary reason for not getting vaccinated. In adjusted models, higher disease risk perception (aOR: 1.88; CI: 1.35–2.62), higher beliefs in vaccine effectiveness for the pregnant women (aOR: 1.75; CI: 1.19–2.55), belief in the safety of the vaccine for their baby (aOR: 2.30; CI: 1.46–3.64), and believing that peers were taking the vaccine (aOR: 1.54; CI: 1.14–2.08) were associated with vaccination status. Holding views consistent with vaccine hesitancy was associated with lower odds of vaccination (aOR: 0.28; CI: 0.20–0.40).

Discussion

Enhancing risk perception of COVID-19 in pregnancy, knowledge about safety and benefits of the vaccine compared to the risks, and promoting supportive environments where vaccines are perceived as normative behavior can help increase vaccine uptake among pregnant women.

Auteurs

Langues

  • Anglais

Année de publication

2025

Type

Article de revue

Catégories

  • Initiatives mondiales

Maladies

  • COVID-19

Pays

  • Brésil

MIRI-KNOWLEDGE

Vous pouvez trouver plus d’informations sur "MIRI-KNOWLEDGE" dans les rubriques suivantes :

TitreAuteurAnnéeTypeLangue
Analyzing attitudes toward COVID-19 vaccine decision making among pregnant women in PakistanSaleem Jessani, Muhammad Asim, Sarah Saleem, Sidrah Nausheen, Haleema Yasmeen, Jessica L. Schue, Prachi Singh, Sami L. Gottlieb, Rupali J. Limaye2025Journal articleAnglais
Myths, mandates, and decision-making: A qualitative exploration of COVID-19 vaccine hesitancy among pregnant and postpartum women in PakistanMuhammad Asim, Saleem Jessani, Sarah Saleem, Haleema Yasmeen, Sidrah Nausheen, Jessica L. Schue, Prachi Singh, Berhaun Fesshaye, Vanessa Brizuela, Rupali J. Limaye2025Journal articleAnglais
COVID-19 vaccine attitudes and behaviors among pregnant women in Nairobi, Kenya with diverse socio-economic and educational backgroundsJessica L. Schue, Ferdinand Okwaro, Ingrid Gichere, Daizy Cherono, Mandeep Sura, Emily S. Miller, Berhaun Fesshaye, Prachi Singh, Grace Belayneh, Rupali J. Limaye, Marleen Temmerman2025Journal articleAnglais
Factors influencing COVID-19 vaccine uptake among pregnant women in Greater Accra Region, GhanaCaroline Dinam Badzi, Emefa Modey, Amos Apreku, Chris Guure, Kwasi Torpey, Berhaun Fesshaye, Jessica L. Schue, Rupali J. Limaye2025Journal articleAnglais
Examining the role of influence and trust in information sources on the COVID-19 vaccine decision-making process for pregnant and postpartum women in Brazil, Ghana, Kenya, and Pakistan: A mixed methods studyJessica L. Schue, Berhaun Fesshaye, Emily S. Miller, Prachi Singh, Ruth A Karron, Saleem Jessani, Muhammad Asim, Ferdinand Okwaro, Caroline Dinam Badzi, Emefa Modey, Renato T. Souza, Maria Laura Costa, Marleen Temmerman, Kwasi Torpey, Jose G. Cecatti, Sarah Saleem, Grace Belayneh, Vanessa Brizuela, Sami L. Gottlieb, Rupali J. Limaye2025Journal articleAnglais
COVID-19 vaccine attitudes, beliefs, intentions and behaviors among pregnant women within the context of dynamic national policy recommendations in Brazil, Ghana, Kenya, and PakistanJessica L. Schue, Emily S. Miller, Berhaun Fesshaye, Prachi Singh, Renato T. Souza, Caroline Dinam Badzi, Emefa Modey, Saleem Jessani, Muhammad Asim, Ingrid Gichere, Maria Laura Costa, Jose G. Cecatti, Kwasi Torpey, Sarah Saleem, Marleen Temmerman, Sami L. Gottlieb, Rupali J. Limaye2025Journal articleAnglais
Exploring COVID-19 vaccination behavior: A cross-country study among pregnant and postpartum women in Brazil, Ghana, Kenya, and PakistanRupali J. Limaye, Berhaun Fesshaye, Emily S. Miller, Prachi Singh, Saleem Jessani, Muhammad Asim, Ferdinand Okwaro, Caroline Dinam Badzi, Emefa Modey, Renato T. Souza, Maria Laura Costa, Sarah Saleem, Marleen Temmerman, Kwasi Torpey, Jose G. Cecatti, Vanessa Brizuela, Jessica L. Schue2025Journal articleAnglais
Pregnant women’s attitudes and intentions toward tuberculosis, malaria, group B streptococcus, and respiratory syncytial virus vaccines in pregnant: Findings from a cross-sectional study of pregnant women living in Brazil, Ghana, Kenya, and PakistanRupali J. Limaye, Jessica Schue, Berhaun Fesshaye, Prachi Singh, Emily Miller, Renato Souza, Saleem Jessani, Marleen Temmerman, Caroline Dinam Badzi, Molly Sauer, Vanessa Brizuela, Ruth Karron2025Journal articleAnglais
Properties and performance of a questionnaire assessing COVID-19 vaccine knowledge and attitudes in Brazilian pregnant womenBruna Maudonnet, Carla Silveira, Jose G. Cecatti, Maria L. Costa, Ricardo P. Tedesco, Jacinta P. Matias, Mateus Tosetto, Ana L. Arthur, Maria Eduarda De Sousa, Rupali J. Limaye, Jessica L. Schue, Emily Miller, Prachi Singh, Berhaun Fesshaye, Ruth A Karron, Sami L. Gottlieb, Vanessa Brizuela, Ibukun O. Abejirinde, Grace Belayneh, Renato T. Souza2025Journal articleAnglais

Ajouté par: Berhaun Fesshaye

Ajouté le: 2025-11-19 20:45:37

Consultations: 326

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