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Global Health Econ Sustain                                          COVID-19 vaccine uptake in Kwara State



              As shown in (Table 10), the perception of vaccine safety   knowledge of the etiology, transmission, impact, and
            is an important determinant in COVID-19 vaccine uptake.   control of COVID-19 is expected to increase with an
            Out of the participants who believed the vaccine was safe,   increased level of education. Hence, individuals with
            116 (98%) were likely to get the vaccine, while 18 (62.1%)   higher education levels are more likely to be informed and
            of those who perceived that it was not safe at all were likely   motivated to protect themselves through vaccination.
            to get the vaccine. Participants who did not believe that
            the vaccine was safe were more unlikely to get the vaccine   4.2. Impact of health-care professional
            (34.5%) than those who believed that it was very safe   recommendation on COVID-19 vaccine acceptance
            (1.7%). The test of significance (p = 0.000) between vaccine   In this study, a significant proportion of respondents (85%)
            safety perception and vaccine acceptance, based on total   expressed positive acceptance of the COVID-19 vaccine if
            values, was also reported.                         it was recommended by health-care professionals. Despite
                                                               being health-care workers, the respondents agreed that a
            4. Discussion                                      recommendation from fellow colleagues or other health-

            4.1. Relationship between education level and      care workers positively influenced their choices regarding
            COVID-19 vaccine acceptance                        the COVID-19 vaccination. This aligns with the findings of
                                                               Shekhar et al. (2021), which reported a high level of trust
            The findings of this study revealed a significant relationship   among respondents in the recommendations of health-
            between education and COVID-19 vaccine acceptance,   care workers, despite lower levels of trust in regulatory
            with education having an overall impact of 86.9% on   authorities and the government.
            vaccine  acceptance. Specifically,  the level of  education
            directly influenced individuals’ decisions regarding   The health-care workers in this study largely agreed
            vaccine acceptance, with higher levels of education   that recommendations from their colleagues have a
            correlating with increased vaccine acceptance rates. For   positive impact on their own COVID-19 vaccine behavior,
            instance, individuals with graduate-level education were   suggesting that they also contribute to shaping the public’s
            more likely to accept the vaccine compared to those with   behavior toward vaccine acceptance. According to Li et al.
            primary school-level education. Similar findings have been   (2021), recommendations from health-care workers act
            reported in previous studies, where vaccine acceptance   as a facilitator for vaccine acceptance among the public,
            increased with higher educational levels and reduced   a sentiment supported by other studies emphasizing the
                                                               influential role of health-care workers in gaining public
            with lower educational levels (Afifi et al., 2021; Lin et al.,   trust for health interventions such as vaccination (Wang
            2020; King et al., 2021). In addition, Humer et al. (2021)   et al.,  20220;  Reiter  et al.,  2020;  Goldman  et al.,  2020).
            observed a higher willingness to accept the COVID-19   The study indicates the importance of health-care workers
            vaccine  among  educated  adolescents  compared  to their   in promoting COVID-19 vaccine acceptance, as their
            less educated counterparts of the same age.
                                                               willingness to accept the vaccine themselves correlates
              The increasing willingness to accept the COVID-19   with their likelihood of recommending it to others. This
            vaccine with increased levels of education can be attributed   highlights health-care workers as crucial channels that
            to increased knowledge, exposure, and understanding,   may be utilized to stimulate improved vaccine acceptance
            which increase with each level of education. Furthermore,   in Kwara State.

            Table 10. Relationship between vaccine safety perception and vaccine acceptance
            Perceived safety    Willingness to receive COVID‑19 vaccine                Total
            of receiving   Do not  Somewhat  Somewhat  Very likely/  Very unlikely/  Total   Total likely to   Total unlikely   Total
            COVID‑19     know    likely  unlikely  definitely   definitely   participants   get vaccine    to get vaccine   undecided
            vaccine                              would get   would not get   examined  (N [%])  (N [%])  (N [%])
                                                the vaccine  the vaccine
            Do not know/   3           14  15            2    2               36      16 (44.4%)  17 (47.2%)  3 (8.3%)
            won’t say
            Not safe at all  1          4           9           14  1           29     18 (62.1%)  10 (34.5%)  1 (3.4%)
            Mostly safe    3      108           3           66  3       183     174 (95.1%)        6 (3.3%)  3 (1.6%)
            Very safe      0           37          2           79  0    118     116 (98.3%)        2 (1.7%)      0 (0.00)
            Total          7      163     29       161        6         366     324 (88.5%)  35 (9.6%)  7 (1.9%)
            Notes: Chi-square=151.099; df=12; P=0.000.


            Volume 2 Issue 2 (2024)                         7                        https://doi.org/10.36922/ghes.2462
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