Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2023 Mar-Apr:20:101241.
doi: 10.1016/j.cegh.2023.101241. Epub 2023 Jan 28.

Prevalence and predictive determinants of adherence to vaccination against COVID-19 among mothers who gave birth in the last two years in Morocco

Fatima Zohra Benayad  1   2 , Rachid Razine  1   2 , Abbas Ermilo Haroun  1   2 , Ahmed Oubaasri  2   3 , Elmostafa El Fahim  4   5 , Redouane Abouqal  1   2 , Majdouline Obtel  1   2
Affiliations

Prevalence and predictive determinants of adherence to vaccination against COVID-19 among mothers who gave birth in the last two years in Morocco

Fatima Zohra Benayad et al. Clin Epidemiol Glob Health. 2023 Mar-Apr.

Abstract

Background and aim: Vaccination against COVID-19 was one of the most important resolute to stop the spread of the pandemic; however, its acceptance was controversial especially by pregnant and lactating women. This study aims to assess the prevalence of vaccination among participants as well as to explore the determinants of reluctance or adherence to vaccination among this population, and to investigate the intention towards vaccination among the unvaccinated.

Method: This is a cross-sectional study conducted among mothers (n = 458) residing in the prefecture of Skhirat-Temara in Morocco, and who have children aged between one month to 2 years, the survey was conducted on the basis of a semi-structured questionnaire.

Result: The prevalence of vaccination among the participants was 61.8%, although they were all vaccinated after their delivery. Among the unvaccinated, 64% wanted to be vaccinated either because they believed the vaccines were useful or because they wanted to get the vaccine pass, while 36% absolutely refused to be vaccinated due to lack of sufficient information on the efficacy and safety of new vaccines against COVID-19. The age of the last child (p < 0.001) and no gestational diabetes during pregnancy (p = 0.016) were found to be positive predictors of vaccination adherence; however, the average or the high monthly income (p = 0.003) and the lack of medical coverage (p = 0.046) were predictive factors limiting adherence to vaccination.

Conclusion: The results of this study suggest that public health decision-makers need to increase awareness of the benefits of vaccination and to address the economic and social factors limiting access to COVID-19 vaccination.

Keywords: Breastfeeding; Covid-19; Determinants; Pregnant; Vaccination.

PubMed Disclaimer

Conflict of interest statement

The authors declare that they have no conflicts of interest.

Figures

Fig. 1
Fig. 1
The prevalence and period of vaccination against covid-19 among the participant group.
Fig. 2
Fig. 2
Perceptions of unvaccinated regarding intention to be vaccinated against COVID-19 in the future.
See this image and copyright information in PMC

References

    1. Chakraborty C., Sharma A.R., Bhattacharya M., Lee S.-S., Agoramoorthy G., et al. COVID-19 vaccine: challenges in developing countries and India's initiatives. Inf Med. 2021;29:165–166. 01. - PubMed
    1. Al-Qerem W.A., et al. Jarab A.S. COVID-19 vaccination acceptance and its associated factors among a middle eastern population. Front Public Health. 2021;9 https://www.frontiersin.org/article/10.3389/fpubh.2021.632914 Consulté le: 12 avril 2022. [En ligne]. Disponible sur: - DOI - PMC - PubMed
    1. Sallam M. COVID-19 vaccine hesitancy worldwide: a concise systematic review of vaccine acceptance rates. Vaccines. 2021;9(2) doi: 10.3390/vaccines9020160. Art. no 2, févr. - DOI - PMC - PubMed
    1. OPSFPLIMCOVID-19210008_fre.pdf ». Consulté le: 12 avril 2022. [En ligne]. Disponible sur. https://iris.paho.org/bitstream/handle/10665.2/53319/OPSFPLIMCOVID-19210...
    1. Garg I., Shekhar R., Sheikh A.B., Pal S., et al. COVID-19 vaccine in pregnant and lactating women: a review of existing evidence and practice guidelines. Infect Dis Rep. 2021;13(3) doi: 10.3390/idr13030064. Art. no 3, sept. - DOI - PMC - PubMed