D DETERMINANTS OF PARENTS’ INTENTION TO VACCINATE THEIR CHIL-DREN AGED 12–17 YEARS AGAINST COVID-19 IN NORTH KIVU (DRC)

  • stephane-hans bateyi-mustafa Great Lacs University of Kisumu( GLUK)
  • Michel Kabamba Department of Public Health, Faculty of Medicine, University of Kamina
  • Clément Bula Baswayi Demographer at Department of Geography and Mathematics Faculty of sciences of Pedagogical Higher Istitute (ISP), Democratic Republic of the Congo
  • Rosebella Onyango.O Faculty of Health and Community Development Great Lacs University of Kisumu
Keywords: parents’ intentions to vaccinate, coronavirus disease, children

Abstract

Background: Vaccinating children against COVID-19 is an essential public health strategy in order to reach herd immunity and prevent illness among children and adults. Parents are facing tremendous stress in relation to the COVID-19 pandemic and the effectiveness of the COVID-19 vaccination program for children. In this study, we aimed to investigate parents’ willingness to vaccinate their children against COVID-19 in North Kivu province (DRC).

Methods: A cross-sectional survey between 1 December 2021 to 20 January 2022 in six health zones (Goma, Karisimbi, Butembo, Beni, Kamango, and Katwa) was conducted in the province of North Kivu. In each health zone, we selected five clusters (Health area) using the method of probabilistic selection proportional to population size. In total, 522 parents participated in our study.

Results: Overall, 32.8% of parents intended to vaccinate their children. In the multivariate analysis, a younger age of parents (aOR: 2.40, CI: [1.50–3.83]), a higher level of fear that “a member of my family” could contract COVID-19 (aOR: 2.35, CI: [1.38–4.02]), a higher level of perceived vulnerability to COVID-19 within the family (aOR: 1.70, CI: [1.005–2.2881]), a higher level of perceived susceptibility to COVID-19 within the family (aOR: 3.07, CI: [1.80–5.23]), and a history of vaccination against COVID-19 among parents (aOR: 16.47, CI: [8.39–32.33]), were all significantly associated with the intention of parents to have their children or adolescents vaccinated.

Conclusion: The willingness of parents to vaccinate their children against COVID-19 was low in North Kivu. In this region there is an undeniable need to reassure the population about vaccine safety for both children and adults. Public health authorities should also address widespread misinformation about vaccines in a timely manner.

Downloads

Download data is not yet available.

References

. Akarsu, B.; Canbay, D.; Duygu, Ö.; Baser, A.; Fidancı, İ.; Cankurtaran, M. While studies on COVID-19 vaccine is ongoing, the public’s thoughts and attitudes to the future COVID-19 vaccine. Int. J. Clin. Pract. 2021, 75, e13891. https://doi.org/10.1111/ijcp.13891.

. Akarsu, B.; Canbay Özdemir, D.; Ayhan Baser, D.; Aksoy, H.; Fidancı, İ.; Cankurtaran, M. While studies on COVID‐19 vaccine is ongoing, the public’s thoughts and attitudes to the future COVID‐19 vaccine. Int. J. Clin. Pract. 2021, 75, e13891. https://doi.org/10.1111/ijcp.13891.

. Al-Jayyousi, G.; Sherbash, M.; Ali, L.; El-Heneidy, A.; Alhussaini, N.; Elhassan, M.; Nazzal, M. Factors Influencing Public Attitudes towards COVID-19 Vaccination: A Scoping Review Informed by the Socio-Ecological Model. Vaccines 2021, 9, 548. https://doi.org/10.3390/vaccines9060548.

. Al-Wutayd, O.; Al-Batanony, M.; Badr, N.; Abdelwanees, S. Parents’ Intentions and Associated Factors to Vaccinating Their Children Aged 12–17 Years with COVID-19 Vaccines: A Cross Sectional Study. Vaccines 2022, 10, 912. https://doi.org/10.3390/vaccines10060912.

. Aldakhil, H.; Albedah, N.; Alturaiki, N.; Alajlan, R.; Abusalih, H. Vaccine hesitancy towards childhood immunizations as a predictor of mothers’ intention to vaccinate their children against COVID-19 in Saudi Arabia. J. Infect. Public Health 2021, 14, 1497–1504. https://doi.org/10.1016/j.jiph.2021.08.028.

. Babicki, M.; Pokorna-Kałwak, D.; Doniec, Z.; Mastalerz-Migas, A. Attitudes of Parents with Regard to Vaccination of Children against COVID-19 in Poland. A Nationwide Online Survey. Vaccines 2021, 9, 1192. https://doi.org/10.3390/vaccines9101192.

. Bagateli, L.E.; Saeki, E.Y.; Fadda, M.; Agostoni, C.; Marchisio, P.; Milani, G.P. COVID-19 Vaccine Hesitancy among Parents of Children and Adolescents Living in Brazil. Vaccines 2021, 9, 1115. https://doi.org/10.3390/vaccines9101115.

. Bell, S.; Clarke, R.; Mounier-Jack, S.; Walker, J.L.; Paterson, P. Parents’ and guardians’ views on the acceptability of a future COVID-19 vaccine: A multi-methods study in England. Vaccine 2020, 38, 7789–7798. https://doi.org/10.1016/j.vaccine.2020.10.027.

. Brandstetter, S.; Böhmer, M.M.; Pawellek, M.; Seelbach-Göbel, B.; Melter, M.; Kabesch, M.; Apfelbacher, C.; Ambrosch, A.; Arndt, P.; Baessler, A.; et al. Parents’ intention to get vaccinated and to have their child vaccinated against COVID-19: Cross-sectional analyses using data from the KUNO-Kids health study. Eur. J. Pediatr. 2021, 180, 3405–3410. https://doi.org/10.1007/s00431-021-04094-z.

. Carcelen, A.C.; Prosperi, C.; Mutembo, S.; Chongwe, G.; Mwansa, F.D.; Ndubani, P.; Simulundu, E.; Chilumba, I.; Musukwa, G.; Thuma, P.; et al. COVID-19 vaccine hesitancy in Zambia: A glimpse at the possible challenges ahead for COVID-19 vaccination rollout in sub-Saharan Africa. Hum. Vaccines Immunother. 2021, 18, 1–6. https://doi.org/10.1080/21645515.2021.1948784.

. Carcelen, A.C.; Prosperi, C.; Mutembo, S.; Chongwe, G.; Mwansa, F.D.; Ndubani, P.; Simulundu, E.; Chilumba, I.; Musukwa, G.; Thuma, P.; et al. COVID-19 vaccine hesitancy in Zambia: A glimpse at the possible challenges ahead for COVID-19 vaccination rollout in sub-Saharan Africa. Hum. Vaccines Immunother. 2021, 18, 1–6. https://doi.org/10.1080/21645515.2021.1948784.

. Chen, F.; He, Y. Parents’ and Guardians’ Willingness to Vaccinate Their Children against COVID-19: A Systematic Review and Meta-Analysis. Vaccines 2022, 10, 179.

. Covello, V.T. Best Practices in Public Health Risk and Crisis Communication. J. Health Commun. 2003, 8, 5–8. https://doi.org/10.1080/713851971.

. Davis, M.M.; Zickafoose, J.S.; Halvorson, A.E.; Patrick, S. Parents’ Likelihood to Vaccinate Their Children and Themselves against COVID-19. MedRxiv 2020, https://doi.org/10.1101/2020.11.10.20228759.

. Ennaceur, S.; Al-Mohaithef, M. Parents’ Willingness to Vaccinate Children against COVID-19 in Saudi Arabia: A Cross-Sectional Study. Vaccines 2022, 10, 156. https://doi.org/10.3390/vaccines10020156.

. Fazel, M.; Puntis, S.; White, S.R.; Townsend, A.; Mansfield, K.L.; Viner, R.; Herring, J.; Pollard, A.J.; Freeman, D. Willingness of children and adolescents to have a COVID-19 vaccination: Results of a large whole schools survey in England. eClini-calMedicine 2021, 40, 101144. https://doi.org/10.1016/j.eclinm.2021.101144.

. Gaythorpe, K.A.M.; Bhatia, S.; Mangal, T.; Unwin, H.J.T.; Imai, N.; Cuomo-Dannenburg, G.; Walters, C.E.; Jauneikaite, E.; Bayley, H.; Kont, M.D.; et al. Children’s role in the COVID-19 pandemic: A systematic review of early surveillance data on susceptibility, severity, and transmissibility. Sci. Rep. 2021, 11, 13903. https://doi.org/10.1038/s41598-021-92500-9.

. Goldman, R.D.; Yan, T.D.; Seiler, M.; Cotanda, C.P.; Brown, J.C.; Klein, E.J.; Hoeffe, J.; Gelernter, R.; Hall, J.E.; Davis, A.L.; et al. Caregiver willingness to vaccinate their children against COVID-19: Cross sectional survey. Vaccine 2020, 38, 7668–7673. https://doi.org/10.1016/j.vaccine.2020.09.084.

. Goldman, R.D.; Yan, T.D.; Seiler, M.; Cotanda, C.P.; Brown, J.C.; Klein, E.J.; Hoeffe, J.; Gelernter, R.; Hall, J.E.; Davis, A.L.; et al. Caregiver willingness to vaccinate their children against COVID-19: Cross sectional survey. Vaccine 2020, 38, 7668–7673. https://doi.org/10.1016/j.vaccine.2020.09.084.

. Hetherington, E.; Edwards, S.A.; MacDonald, S.E.; Racine, N.; Madigan, S.; McDonald, S.; Tough, S. SARS-CoV-2 vac-cination intentions among mothers of children aged 9 to 12 years: A survey of the All Our Families cohort. CMAJ Open 2021, 9, E548–E555. https://doi.org/10.9778/cmajo.20200302.

. Humble, R.M.; Sell, H.; Dubé, E.; MacDonald, N.E.; Robinson, J.; Driedger, S.M.; Sadarangani, M.; Meyer, S.B.; Wilson, S.; Benzies, K.M.; et al. Canadian parents’ perceptions of COVID-19 vaccination and intention to vaccinate their children: Results from a cross-sectional national survey. Vaccine 2021, 39, 7669–7676. https://doi.org/10.1016/j.vaccine.2021.10.002.

. Ikiışık, H.; Sezerol, M.A.; Taşçı, Y.; Maral, I. COVID‐19 vaccine hesitancy: A community‐based research in Turkey. Int. J. Clin. Pract. 2021, 75, e14336. https://doi.org/10.1111/ijcp.14336.

. Jeffs, E.; Lucas, N.; Walls, T. CoVID-19: Parent and caregiver concerns about reopening New Zealand schools. J. Paediatr. Child Health 2020, 57, 403–408. https://doi.org/10.1111/jpc.15234.

. Kaplan, R.M.; Milstein, A. Influence of a COVID-19 vaccine’s effectiveness and safety profile on vaccination acceptance. Proc. Natl. Acad. Sci. USA 2021, 118, e2021726118. https://doi.org/10.1073/pnas.2021726118.

. Kostoff, R.N.; Calina, D.; Kanduc, D.; Briggs, M.B.; Vlachoyiannopoulos, P.; Svistunov, A.A.; Tsatsakis, A. RETRACTED: Why are we vaccinating children against COVID-19? Toxicol. Rep. 2021, 8, 1665–1684. https://doi.org/10.1016/j.toxrep.2021.08.010.

. Kyei-Arthur, F.; Kyei-Gyamfi, S.; Agyekum, M.W.; Afrifa-Anane, G.F.; Amoh, B.A. Parents’ and guardians’ acceptability of COVID-19 vaccination for children in Ghana: An online survey. PLoS ONE 2022, 17, e0272801. https://doi.org/10.1371/journal.pone.0272801.

. Lin, Y.; Hu, Z.; Zhao, Q.; Alias, H.; Danaee, M.; Wong, L.P. Chinese parents’ intentions to vaccinate their children against SARS-CoV-2 infection and vaccine preferences. Hum. Vaccines Immunother. 2021, 17, 4806–4815. https://doi.org/10.1080/21645515.2021.1999143.

. Mkony, M.F.; Mizinduko, M.M.; Massawe, A.; Matee, M. Management of neonatal sepsis at Muhimbili National Hospital in Dar es Salaam: Diagnostic accuracy of C—Reactive protein and newborn scale of sepsis and antimicrobial resistance pattern of etiological bacteria. BMC Pediatr. 2014, 14, 293. https://doi.org/10.1186/s12887-014-0293-4.

. Montalti, M.; Rallo, F.; Guaraldi, F.; Bartoli, L.; Po, G.; Stillo, M.; Perrone, P.; Squillace, L.; Dallolio, L.; Pandolfi, P.; et al. Would Parents Get Their Children Vaccinated against SARS-CoV-2? Rate and Predictors of Vaccine Hesitancy According to a Survey over 5000 Families from Bologna, Italy. Vaccines 2021, 9, 366. https://doi.org/10.3390/vaccines9040366.

. Murhekar, M.V.; Bhatnagar, T.; Thangaraj, J.W.V.; Saravanakumar, V.; Kumar, M.S.; Selvaraju, S.; Rade, K.; Kumar, C.P.G.; Sabarinathan, R.; Asthana, S.; et al. Seroprevalence of IgG antibodies against SARS-CoV-2 among the general population and healthcare workers in India, June–July 2021: A population-based cross-sectional study. PLOS Med. 2021, 18, e1003877. https://doi.org/10.1371/journal.pmed.1003877.

. Rudan, I.; Adeloye, D.; Katikireddi, V.; Murray, J.; Simpson, C.; Shah, S.A.; Robertson, C.; Sheikh, A.; EAVE II Collaboration. The COVID-19 pandemic in children and young people during 2020-2021: A complex discussion on vaccination. J. Glob. Health 2021, 11, 01011. https://doi.org/10.7189/jogh.11.01011.

. Schwarzinger, M.; Watson, V.; Arwidson, P.; Alla, F.; Luchini, S. COVID-19 vaccine hesitancy in a representative working-age population in France: A survey experiment based on vaccine characteristics. Lancet Public Health 2021, 6, e210–e221. https://doi.org/10.1016/s2468-2667(21)00012-8.

. Snape, M.D.; Viner, R.M. COVID-19 in children and young people. Science 2020, 370, 286–288. https://doi.org/10.1126/science.abd6165.

. WHO. COVID-19 Weekly Epidemiological Update. In World Health Organization; 2022; Issue 58. Available online: https://www.who.int/publications/m/item/covid-19-weekly-epidemiological-update (accessed on).

. Wong, L.P.; Alias, H.; Wong, P.-F.; Lee, H.Y.; Abubakar, S. The use of the health belief model to assess predictors of intent to receive the COVID-19 vaccine and willingness to pay. Hum. Vaccines Immunother. 2020, 16, 2204–2214. https://doi.org/10.1080/21645515.2020.1790279.

. Yılmaz, M.; Sahin, M.K. Parents’ willingness and attitudes concerning the COVID‐19 vaccine: A cross‐sectional study. Int. J. Clin. Pract. 2021, 75, e14364. https://doi.org/10.1111/ijcp.14364.

. Yoda, T.; Katsuyama, H. Parents’ hesitation about getting their children vaccinated against COVID-19 in Japan. Hum. Vaccines Immunother. 2021, 17, 4993–4998. https://doi.org/10.1080/21645515.2021.1981087.

. Zhang, K.C.; Fang, Y.; Cao, H.; Chen, H.; Hu, T.; Chen, Y.Q.; Zhou, X.; Wang, Z. Parental Acceptability of COVID-19 Vaccination for Children under the Age of 18 Years: Cross-Sectional Online Survey. JMIR Pediatr. Parent. 2020, 3, e24827. https://doi.org/10.2196/24827.

Published
2022-11-22
How to Cite
bateyi-mustafa, stephane- hans, Kabamba , M., Baswayi , C. B., & Onyango.O, R. (2022). D DETERMINANTS OF PARENTS’ INTENTION TO VACCINATE THEIR CHIL-DREN AGED 12–17 YEARS AGAINST COVID-19 IN NORTH KIVU (DRC). IJRDO -JOURNAL OF HEALTH SCIENCES AND NURSING, 8(11), 51-59. https://doi.org/10.53555/hsn.v8i11.5431