Knowledge, attitudes, and practices of pregnant women regarding COVID-19 vaccination in pregnancy in 7 low- and middle-income countries: An observational trial from the Global Network for Women and Children’s Health Research

Seemab Naqvi, Sarah Saleem, Farnaz Naqvi, Sk Masum Billah, Eleanor Nielsen, Elizabeth Fogleman, Nalini Peres-da-Silva, Lester Figueroa, Manolo Mazariegos, Ana L. Garces, Archana Patel, Prabir Das, Avinash Kavi, Shivaprasad S. Goudar, Fabian Esamai, Elwyn Chomba, Adrien Lokangaka, Antoinette Tshefu, Rashidul Haque, Shahjahan SirajSana Yousaf, Melissa Bauserman, Edward A. Liechty, Nancy F. Krebs, Richard J. Derman, Waldemar A. Carlo, William A. Petri, Patricia L. Hibberd, Marion Koso-Thomas, Vanessa Thorsten, Elizabeth M. McClure, Robert L. Goldenberg

Research output: Contribution to journalArticlepeer-review

24 Citations (Scopus)

Abstract

Objectives: We sought to determine the knowledge, attitudes and practices of pregnant women regarding COVID-19 vaccination in pregnancy in seven low- and middle-income countries (LMIC). Design: Prospective, observational, population-based study. Settings: Study areas in seven LMICs: Bangladesh, India, Pakistan, Guatemala, Democratic Republic of the Congo (DRC), Kenya and Zambia. Population: Pregnant women in an ongoing registry. Methods: COVID-19 vaccine questionnaires were administered to pregnant women in the Global Network's Maternal Newborn Health Registry from February 2021 through November 2021 in face-to-face interviews. Main outcome measures: Knowledge, attitude and practice regarding vaccination during pregnancy; vaccination status. Results: No women were vaccinated except for small proportions in India (12.9%) and Guatemala (5.5%). Overall, nearly half the women believed the COVID-19 vaccine is very/somewhat effective and a similar proportion believed that the COVID-19 vaccine is safe for pregnant women. With availability of vaccines, about 56.7% said they would get the vaccine and a 34.8% would refuse. Of those who would not get vaccinated, safety, fear of adverse effects, and lack of trust predicted vaccine refusal. Those with lower educational status were less willing to be vaccinated. Family members and health professionals were the most trusted source of information for vaccination. Conclusions: This COVID-19 vaccine survey in seven LMICs found that knowledge about the effectiveness and safety of the vaccine was generally low but varied. Concerns about vaccine safety and effectiveness among pregnant women is an important target for educational efforts to increase vaccination rates.

Original languageEnglish
Pages (from-to)2002-2009
Number of pages8
JournalBJOG: An International Journal of Obstetrics and Gynaecology
Volume129
Issue number12
DOIs
Publication statusPublished - Nov 2022

Keywords

  • COVID-19
  • low- and middle-income countries
  • pregnancy
  • vaccination

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