HomeWVSU Research Journalvol. 13 no. 2 (2024)

Hesitancy and Non-compliance to COVID-19 Vaccination of Pregnant Mothers in Bandar Lampung City, Indonesia

Rully Fatriani

 

Abstract:

Vaccination is the main strategy and effort to deal with COVID-19 pandemic, including among pregnant mothers. Studies indicate that vaccine acceptance rates in this group remain low. This study investigates reasons for hesitancy and refusal of COVID-19 vaccination among pregnant mothers in Bandar Lampung City, Indonesia. Using a descriptive quantitative approach, the study population includes 312 pregnant mothers who visited Antenatal Care (ANC) at 17 Private Midwife’s Practices in Bandar Lampung City during October to November 2022, with the study sampled 93 pregnant mothers who had not received the COVID-19 vaccine, selected using purposive sampling technique. All respondents met the inclusion and exclusion criteria. Data were collected via validated and reliable questionnaires, filled out by pregnant mothers including consent to participate in the study, identity, age, gestational age, education, and number of births, as well as reasons for not participating in the COVID-19 vaccination. Univariate analysis was carried out for the data obtained on the respondent’s characteristics and the reasons for not participating in the COVID-19 vaccination. The findings reveal that most respondents were aged 20-35 years old (88.2%), in their third trimester (52.7%), with primary-level education (79.6%), and nulliparous (36.6%). Fear of vaccine side effects (37.6%) and concerns about fetal health (35.5%) were the primary reasons for vaccine refusal. It is recommended that health workers should focus on educating pregnant mothers about vaccine safety to improve acceptance rates in Bandar Lampung City.



References:

  1. Acob, J. R., Seriño, M. N. V., Sabanal, R. N., Ratilla, T. C., Yu, E. J., Nuñez, L. B., & Bellezas, M. H. I. (2021). Willingness to be vaccinated against COVID-19 among higher education institutions. The Malaysian Journal of Nursing (MJN), 13(2), 56–62. https://doi.org/10.31674/mjn.2021.v13i02.01
  2. Aggarwal, R., & Ranganathan, P. (2019). Study designs: Part 2 - Descriptive studies. Perspectives in Clinical Research, 10(1), 34–36. https://doi.org/10.4103/picr.PICR_154_18
  3. Ayhan, S. G., Oluklu, D., Atalay, A., Beser, D. M., Tanacan, A., Tekin, O. M., & Sahin, D. (2021). COVID-19 vaccine acceptance in pregnant women. International Journal of Gynaecology and Obstetrics, 154(2), 291–296. https://doi.org/10.1002/ijgo.13713
  4. Badell, M. L., Dude, C. M., Rasmussen, S. A., & Jamieson, D. J. (2022). COVID-19 vaccination in pregnancy. BMJ, 378, e069741. https://doi.org/10.1136/bmj-2021-069741
  5. Bhattacharya, O., Siddiquea, B. N., & Shetty, A. (2022). COVID-19 vaccine hesitancy among pregnant women: A systematic review and meta-analysis. BMJ Open, 12, e061477. https://doi.org/10.1136/bmjopen-2022-061477
  6. Carbone, L., Mappa, I., & Sirico, A. (2021). Pregnant women’s perspectives on severe acute respiratory syndrome coronavirus 2 vaccine. American Journal of Obstetrics & Gynecology MFM, 3, 100352. https://doi.org/10.1016/j.ajogmf.2021.100352
  7. Egloff, C., Couffignal, C., Cordier, A. G., Deruelle, P., & Sibiude, J. (2022). Pregnant women’s perceptions of the COVID-19 vaccine: A French survey. PLOS ONE, 17(2), e0263512. https://doi.org/10.1371/journal.pone.0263512
  8. Firouzbakht, M., Sharif, N. H., Kazeminavaei, F., & Rashidian, P. (2022). Hesitancy about COVID-19 vaccination among pregnant women: A cross-sectional study based on the health belief model. BMC Pregnancy and Childbirth, 22, 611. https://doi.org/10.1186/s12884-022-04941-3
  9. Indonesian Ministry of Health. (2021). COVID-19 vaccination for pregnant women and screening adjustments in the implementation of COVID-19 vaccination. Jakarta: Indonesian Ministry of Health. Circular Letter Number: HK.02.01/I/2007/2021.
  10. Jones, T. L., Baxter, M. A., & Khanduja, V. (2013). A quick guide to survey research. Annals of the Royal College of Surgeons of England, 95(1), 5–7. https://doi.org/10.1308/003588413X13511609956372
  11. Kalafat, E., Heath, P., Prasad, S., O’Brien, P., & Khalil, A. (2022). COVID-19 vaccination in pregnancy. American Journal of Obstetrics & Gynecology, 227(2), 136–147. https://doi.org/10.1016/j.ajog.2022.05.020
  12. Kumari, A., Mahey, R., Kachhawa, G., Kumari, R., & Bhatla, N. (2022). Knowledge, attitude, perceptions, and concerns of pregnant and lactating women regarding COVID-19 vaccination: A cross-sectional survey of 313 participants from a tertiary care center of North India. Diabetes & Metabolic Syndrome, 16(3), 102449. https://doi.org/10.1016/j.dsx.2022.102449
  13. Lasmita, Y., Misnaniarti, M., & Idris, H. (2021). Predisposing factors related to the acceptance of the COVID-19 vaccination program in the community. Jurnal Kesehatan Masyarakat Indonesia (The Indonesian Journal of Public Health), 16(4). Retrieved from https://jurnal.unimus.ac.id/index.php/jkmi
  14. Lellyawaty, L., Vaira, R., & Karinda, M. (2021). Interest of pregnant women in receiving COVID-19 vaccination. Sehatmas (Jurnal Ilmiah Kesehatan Masyarakat), 1(3), 294–300. https://doi.org/10.55123/sehatmas.v1i3.637
  15. Levy, A. T., Singh, S., Riley, L. E., & Prabhu, M. (2021). Acceptance of COVID-19 vaccination in pregnancy: A survey study. American Journal of Obstetrics & Gynecology MFM, 3(5), 100399. https://doi.org/10.1016/j.ajogmf.2021.100399
  16. Makayaino, H., & Dolang, M. W. (2022). Determinants of pregnant women’s willingness to receive COVID-19 vaccination. Window of Health: Jurnal Kesehatan, 5(4), 752–759. Retrieved from http://jurnal.fkmumi.ac.id/index.php/woh/article/view/woh5406
  17. Moini, A., Rabiei, M., Pirjani, R., Abiri, A., & Maleki-Hajiagha, A. (2023). COVID-19 vaccine hesitancy among pregnant women and their reported reasons for vaccine refusal - A prospective study in Tehran, Iran. Vaccine, 41(8), 1490-1495. https://doi.org/10.1016/j.vaccine.2023.01.022
  18. Nalubega, P., Namugumya, R., Zalwango, F., Ssali, A., Mboizi, R., Hookham, L., Seeley, J., & Doare, K. L. (2023). COVID-19 disease and vaccination in pregnancy: Understanding knowledge, perceptions, and experiences among pregnant women and community leaders in Uganda. Transactions of The Royal Society of Tropical Medicine and Hygiene. https://doi.org/10.1093/trstmh/trad028
  19. Ningsih, D. A., Fitria, R., & Risneni, R. (2022). Hubungan karakteristik ibu hamil dengan keikutsertaan vaksinasi COVID-19. Jurnal Medika Malahayati, 6(3). Nugroho, H. S. W., Acob, J. R. U., & Martiningsih, W. (2021). Healthcare worker’s mental health during the epidemic peak of COVID-19 [Letter]. Psychology Research and Behavior Management, 14, 333-334. https://doi.org/10.2147/PRBM.S309309
  20. Pragitara, C., Rahmasena, N., Ramadhani, A., Fauzia, S., Erfadila, R., Faraj, D., Rahmadhanti, D., & Handayani, S. (2022). COVID-19 concerns, influenza vaccination history and pregnant women’s COVID-19 vaccine acceptance: A systematic review. International Journal of Public Health Science (IJPHS, 11, 490. https://doi.org/10.11591/ijphs.v11i2.21187
  21. Puspaningrum, N. (2022). Hubungan motivasi dengan keraguan terhadap vaksin COVID-19 pada ibu hamil di Klinik Bidan Bening Nawangsari Kota Bekasi. Repositori Skripsi Universitas Pembangunan Nasional Veteran Jakarta. Retrieved from https://repository.upnvj.ac.id/18420
  22. Rahayuwati, R. (2021). Penolakan vaksinasi: Imajinasi moral dan peran media sosial. Humanika, 28(2). Retrieved from http://ejournal.undip.ac.id/index.php/humanika
  23. Saimin, J., Lianawati, L., Monovalentino, M., Purnamasari, N. I., & Ridwan, S. (2022). Keraguan dan penerimaan vaksin COVID-19 pada ibu hamil di Sulawesi Tenggara tahun 2021. Medula, 9(2).
  24. Skirrow, H., Barnett, S., & Bell, S. (2022). Women’s views on accepting COVID-19 vaccination during and after pregnancy, and for their babies: A multi-methods study in the UK. BMC Pregnancy and Childbirth, 22, 33. https://doi.org/10.1186/s12884-021-04321-3
  25. Skjefte, M., Ngirbabul, M., Akeju, O., Escudero, D., Hernandez Diaz, S., Wyszynski, D. F., & Wu, J. W. (2021). COVID-19 vaccine acceptance among pregnant women and mothers of young children: Results of a survey in 16 countries. European Journal of Epidemiology, 36, 197-211. https://doi.org/10.1007/s10654-021-00728-6
  26. Tao, L., Wang, R., Han, N., Liu, J., Yuan, C., Deng, L., Han, C., Sun, F., Liu, M., & Liu, J. (2021). Acceptance of a COVID-19 vaccine and associated factors among pregnant women in China: A multi-center cross-sectional study based on the health belief model. Human Vaccines & Immunotherapeutics, 17(8), 2378–2388. https://doi.org/10.1080/21645515.2021.1892432
  27. World Health Organization. (2021). Update on WHO interim recommendations on COVID-19 vaccination of pregnant and lactating women. Retrieved from https://www.who.int/publications/m/item/update-on-who-interim-recommendations-on-COVID-19-vaccination-of-pregnant-and-lactating-women
  28. Yuliyaningsih, R. S., Karyus, A., Noviansyah, & Irianto, S. E. (2022). Faktor-faktor yang mempengaruhi kepatuhan vaksinasi COVID-19 pada ibu hamil. Jurnal Ilmiah Permas: Jurnal Ilmiah STIKES Kendal, 12(3), 651–660. Retrieved from https://journal2.stikeskendal.ac.id/index.php/PSKM/article/view/248
  29. Yu, V. G., Lasco, G., & David, C. C. (2021). Fear, mistrust, and vaccine hesitancy: Narratives of the dengue vaccine controversy in the Philippines. Vaccine, 39(35), 4964-497