Chapter 2 RRL

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CHAPTER 2:

REVIEW OF
RELATED
LITERATURE
TITLE: Acceptance and Attitudes of Students Toward Covid-19
Vaccines

Vaccines are effective interventions that can reduce the high


burden of disease globally.However, public vaccine hesitancy is a
pressing problem for public health authorities. With the availability
of Covid-19 vaccines, little information is available on the public
acceptability and attitudes towards the Covid-19 vaccines in P-3
San. Jose Malaybalay City,Bukidnon,Philippines. This study aimed
to investigate the acceptability of Covid-19 vaccines and its
predictors in addition to the attitudes towards these vaccines
among public in P-3, San. Jose, Malaybalay City,
Bukidnon,Philippines. Vaccines are one of the most reliable and
cost-effective public health interventions ever implemented that are
saving millions of lives each year. One major obstacle facing the
achievement of such a goal is believed to be vaccine hesitancy and
scepticism among the population worldwide. Vaccines hesitancy
was defined by the WHO Strategic Advisory Group of
Experts(SAGE) as “delayin acceptance or refusal of vaccination
despite availability of vaccination services”. Vaccines acceptability
is determined by three factors: confidence, convenience, and
complacency. Confidence is defined as the trust in the safety and
effectiveness of the vaccine,trust in the delivery system as the
healthcare system, and the trust in the policy makers.Moreover,
vaccination convenience refers to the relative ease of access to the
vaccine that includes physical availability,affordability, and
accessibility.Vaccine complacency is associated with a low realized
risk of the vaccine-preventable disease and hence more negative
attitudes towards the vaccines.Enough vaccine does to achieve the
herd immunity thereshold will not be available till 2022. Hence, it is
crucial to explore the acceptance of COVID-19 vaccines and its
predictors as well as the attitudes towards COVID-19 vaccines
among San. Jose population.
A cross-sectional surveyed-based study was conducted in June
2021. A convenient sample approach was adopted in this study
where people from the different students of P-3, San.
Jose,Malaybalay City,Bukidnon were invited to participate.
Participants were encouraged to pass on the questionnaire to their
contacts or acquintances. The main outcome of the study was the
public acceptance of the COVID-19 vaccine. The study was
approved by the Chairman of Purok San. Jose,(Sanito Tito).The
questionnaire used in this study was develop based on literature
review and discussion within the research. The questionnaire was
reviewed by Prk. Chairman for face validity. The final version of
the questionnaire required estimated of 5-10 minutes to
complete.Participants were asked to indicate if they were infected
with COVID-19 or knew anyone who was infected with
confirmation of diagnosis using standard laboratory testing
protocols.As of now, I knew few people who were affected in
COVID-19 (Frencis Vhe,2021). Another question item was
dedicated to surveying participants who believe they may have
contracted the virus but without a confirming test.We can contract
the virus without a confirming test by following the health
protocols, we just need to be obedient to follow the guidelines and
rules for us to be safe and for us to limit the virus ( Jurieme,2021).
Participants were asked to indicate their most trusted sources when
seeking knowledge of COVID-19 vaccines. Besides, participants
were asked about their concerns during the COVID-19
pandemic.Of coure, if we have a hard question or seeking a
knowledge or information, we’re always using internet or social
media to know more information ( Alliyah Jane,2021)

Participants were asked whether they accept to receive Covid-19


vaccines when they are approved and available in San. Jose with 3
response levels (non-acceptance, neutral, acceptance). The attitudes
towards COVID-19 vaccines’ section consists of 6 statements with a
5-point likert scale ( 5=strongly agree, 4=agree, 3=neutral,
2=disagree, 1=strongly disagree), with question about hesitancy
and concerns regarding COVID-19 vaccines. A total of 15 students
were enrolled in the current study. More than half of them(60%)
were females. Half of the respondents ( 40% ) were males.

In the present study, 45% of the public were acceptable,35% were


not acceptable and 20% were neutral to receive COVID-19 vaccines.
On the other hand, males were more likely to have acceptance for
COVID-19 vaccines compared to females.Furthermore, participants
who stated that vaccines are safe in general were 9 times more
likely to accept taking COVID-19 vaccines compared to those who
stated that vaccines are not safe. Moreover, participants who
expressed their willingness to pay for COVID-19 vaccines were 19
times more likely to accept taking them compared to those who did
not show their willingness to pay.

This study sought to examine, for the first time, the San Jose’s
population acceptance of covid-19 vaccines. Vaccine hesitancy
could threaten the effective of COVID-19 vaccines once they
become commercially available worldwide. Compared to reports
from studies conducted on public acceptance and willingness to
receive the COVID-19 vaccines worldwide.Younger participants
were more likely to accept COVID-19 vaccines in the current study,
contrary to studies reporting higher acceptance among older age
groups. The low acceptance level of COVID-19 vaccines among
San. Jose can be attributed to multi factors,some of which are
shared with the wide global community.

The Philippine government originally aimed to start its vaccination


program as soon as February 2021. The government was aiming to
secure at least 148 millionvaccine doses and vaccinate 50 million to
70 million Filipinos within the year to reach herd immunity against
COVID-19. The Philippine Department of Health (DOH) has also
expressed optimism that the country will receive around 44 million
doses through the COVID-19 Vaccines Global Access (COVAX)
facility, which “ provides governments with the opportunity to
benefit from a large portfolio of COVID-19 candidate vaccines
using a range of technology platforms, produced by more
manufacturers across the world, with a bigger market to provide
security of demand”. In the Philippines, the governments has been
doing a lot of efforts to promote COVID-19 vaccinations among the
genral public, assuring the vaccines’ safety and efficacy, especially
those granted with Emergency Use Authorization (EUA) by the
Food and Drug Administration (FDA).

COVID-19 pandemic as with other previous pandemics is


associated with feeling of fears, anxiety, and worries. However, it is
unique in terms that people are not worried only about getting
infected or transmit the disease to others, but they suffered societal
and economic concerns due to the measures that were undertaken
by the governments to confine the pandemic and stopping the
human-human transmission of the disease. These measures include
enforcement of curfews and lockdowns,social distancing and self-
isolation,schools and universities closures, borders’ shutdown,
travel restrictions,and quarantine. During the COVID-19 pandemic,
people used multiple information resources to gain knowledge and
health information about the disease,including
television,radio,newspaper,social media,friends,co-
workers,healthcare providers,scientists,governments,etc.

In conclusion, vaccines perceived safety concerns and cost were


associated with this refusal. Hence,the health authorities via health
care providers, who were identified by the people as the most trust
source of information regarding information about COVID-19
vaccines, should design interventions in terms of awareness
campaigns via all types of multimedia to spread more transparent
information about the safety and efficacy of the vaccines. The
awareness campaigns should also shed the light over the new
technology that was utilized in the production of few of them in
order to boost COVID-19 vaccines acceptance. Making the vaccine
available for free or at subsidized prices by the government could
as well enhance vaccines acceptance among the population.

REFERENCES:
1. World Health Organization. WHO Coronavirus Disease
( COVID-19) Dashboard: World Health
Organization;2020[cited 2020 13 December]. Available from
https://covid19.who.int/.
2. Department of Health. PH to receive 5m to 9m
ASTRAZENECA doses from COVAX by Q2.
https://doh.gov.ph/doh-press-release/PH-TO-RECEIVE-5M-
TO-9M-ASTRAZENECA-DOSES-FROM-COVAX-BY-Q2
(accessed on 12 February 2021)
3. Nicola M,Alsafi Z, Sohrabi C, Kerwan A,Al-Jabir A,losifidis
C,et al.The socio-economic implications of the coronavirus
pandemic(COVID-19):a review. International Journal of
Surgery.2020;78:185-93.doi:
https://doi.org/10.10616/j.ijsu.2020.04.018.
4. FDA Approves First Treatment for COVID-19
[Internet].2020.Available from; https://www.fda.gov/news-
events/press-announcements/fda-approves-first-treatment-
covid-19
5. MacDonald NE.Vaccine hesitancy: Definition,scope and
determinants. Vaccine.2015:33(34):4161-4. Doi:
https://doi.org/10.1016/j.vaccine.2015.04.036.
6. Luo M, Guo L, Yu M, Jiang W, Wang H. The psychological and
mental impact of corona virus disease 2019 (COVID-19) on
medical staff and general public- A systematic review and
meta-analysis. Psychiatry Res.2020;291:113190.doi:
https://doi.org/1016/?j.psychres.2020.113190.
7. Charron J, Gautier A, Jestin C. Influence of information sources
on vaccine hesitancy and practices. Med Mal Infect.
2020;50(8):727-33.doi:
https://doi.org/10.1016/j.medmal.2020.01.010.

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