COVID-19 Pandemic: A Survey of its Knowledge and Risk Perception among Nigerians.

Background: The effect of the current COVID-19 pandemic on economies and health systems has been profound. Knowledge of the virus continues to evolve over time. This study aimed to assess the knowledge and the factors associated with the perceived risk of contracting COVID-19 infection during the pandemic. Methodology: This was a cross-sectional study conducted in different parts of Nigeria which were stratified into east, north, and west. A self-administered questionnaire that contained questions related to socio-demographics, medical history, knowledge of COVID-19 (knowledge of viral transmission and infection symptoms), and risk perception of contracting COVID-19 among consenting individuals. The information was extracted and analysed electronically, descriptive variables were summarized in simple proportions and a chi-square test was used to test for association between dependent and non-dependent variables. The level of significance was set at p-value <0.05. Results: The study had 350 participants with 189 (52.8%) females while almost 50% (171) were aged less than 30 Years. Over 90% of participants had good knowledge of viral transmission while 37.7% and 47.2% respectively had good symptom and risk perception scores. The socio-demographic factors - education and geographical location had an association with risk perception (p = 0.02 and 0.04 respectively). Conclusion: Participants had good knowledge of viral transmission but poor symptom and risk perception scores. This could have implications for their health habits. However, proper education remains the most viable tool for bridging the existing gaps.

Determinants for Acceptance of COVID-19 Vaccine in Nigeria.

BACKGROUND: The coronavirus disease 2019 (COVID-19) pandemic heralded an unprecedented race to the development of several vaccine candidates at record speeds never seen in global health. Within nine months, Pfizer-BioNTech's COVID-19 vaccine was approved by the United States FDA. Unfortunately, while these advances were ongoing, there was a burgeoning epidemic of disinformation about the virus and the vaccines that affected the willingness of people, especially minority groups, to get vaccinated. In Nigeria, this wave of vaccine hesitancy was happening against the backdrop of landmark pharmaceutical litigations such as the 2007 Pfizer trovafloxacin lawsuit in the country. AIM: To assess the determinants of the COVID-19 vaccine's acceptability among Nigerians. MATERIALS AND METHODS: Following ethical approval, a population-based cross-sectional study was conducted from November 2020 to January 2021 using an adapted pretested, self-administered questionnaire originally designed by Amyn Malik and colleagues who conducted a similar study at Yale University School of Public Health. The participants were recruited through simple random sampling using a list of community and corporate sites obtained from Google Maps in the three regional zones of Nigeria (north, east, and west) in diverse occupational and residential settings. Information obtained includes socio-demographics, medical history related to COVID-19, level of knowledge, risk perception, and attitudes toward COVID-19 and the vaccines. Descriptive and inferential statistics were done, and results were summarized into percentages and associations. The level of statistical significance was set at a p-value of <0.05. Using the open EpiR package (Emory), we determined a minimum of 340 participants for a statistical power of 80%. RESULTS: A total of 358 responses were obtained out of the 120 questionnaires distributed in each of the three regions, of which 189 (53%) were females. The mean age of respondents was 32 years (±11.2 SD). About 75% of the participants had at least a college education. The majority (66.2%) of the participants were willing to accept the approved vaccine. The mean risk perception score for COVID-19 was 5.1 (±2.2 SD) out of 10, while the mean COVID-19 symptom knowledge score was 8.6 (±4.1 SD) out of 19. Variables such as being male, identifying as Christian, Hausa ethnicity, and living in northern Nigeria had a statistically significant relationship with the willingness to get vaccinated. CONCLUSION: Over 60% of Nigerians are willing to take the COVID-19 vaccines if recommended by health workers. We found male gender, religion, ethnicity, and geographical location to positively influence the willingness of Nigerians to get vaccinated against COVID-19. Health workers should be supported to go beyond the confines of the hospital to educate the general public in schools, marketplaces, churches, and corporate organizations on the efficacy and safety of the approved vaccines.

Assessment of the knowledge of fathers, uptake of routine immunization, and its associated factors in a rural community of North West Nigeria.

Introduction: Father's involvement is essential for the successful immunization of the child, as man is the head of the family and he takes responsibility for all decisions including health and financial issues. This study aimed to assess the knowledge of fathers, uptake of routine immunization (RI), and its associated factors in a rural community of North West Nigeria. Materials and Methods: The study was a community-based cross-sectional study conducted among the male heads of households residing in a rural community of Sokoto state. Systematic sampling was used to recruit 276 respondents. Data were obtained using a structured interviewer-administered questionnaire. Data obtained was entered into the IBM Software package and subsequently analyzed. Level of significance was set at 5%. Results: Only 2.5% and 1.4% of the respondents knew the age measles and yellow fever vaccines were given, respectively. Majority (75.4%) of the respondents' last-born child did not receive bacillus Calmette-Guérin at birth. Only (7.6%) of their last-born child were completely immunized for age. Majority of the respondents that had poor knowledge of RI had no formal education (P = 0.043). Conclusion: The study reported the knowledge of RI among fathers was poor. Having formal education and perception that children should be allowed to receive RI were correlates of good knowledge and uptake of RI. Parents, fathers, in particular, should be educated on the schedule of RI.

RésuméIntroduction: L'implication du père est essentielle à la réussite de la vaccination de l'enfant que l'homme est le chef de famille et il assume la responsabilité de toutes les décisions, y compris les questions de santé et financiers. Cette étude visait à évaluer les connaissances des pères, l'absorption de la vaccination de routine et de ses facteurs associés dans une communauté rurale du nord-ouest du Nigeria. matériaux et méthodes: L'étude était une communauté étude transversale basée menée entre les chefs de famille résidant dans une communauté rurale de l'Etat de Sokoto. L'échantillonnage systématique a été utilisé pour recruter 276 répondants. Les données ont été obtenues à l'aide d'un enquêteur structuré questionnaires. Les données obtenues ont été saisies dans progiciel IBM et ensuite analysés. Le niveau de signification a été fixé à 5%. Résultats: Seulement 2,5% et 1,4% des personnes interrogées connaissaient la rougeole d'âge et les vaccins contre la fièvre jaune ont reçu respectivement. La majorité (75,4%) des répondants de l'enfant dernier-né n'a pas reçu le BCG à la naissance. Seulement (7,6%) de leur dernier enfant ont été complètement vaccinés pour l'âge. La majorité des répondants qui avaient une mauvaise connaissance du RI avait pas d'éducation formelle (p = 0,043). Conclusion: L'étude des connaissances déclarée de vaccination de routine chez les pères était pauvre. Avoir l'éducation formelle et de la perception que les enfants devraient être autorisés à recevoir RI étaient corrélats de la bonne connaissance et l'absorption de la vaccination systématique. Les parents, les pères en particulier, doivent être éduqués sur le calendrier du RI.