COVID-19 and COVID-19 vaccination experiences and perceptions and their predictors among community members during the COVID-19 pandemic in Ebonyi state, Nigeria: an analytical cross-sectional study.

Publication date: Feb 22, 2024

COVID-19 is still a disease of global public health importance which requires long term application of control measures as millions of new infections or re-infections and thousands of related deaths still occur worldwide and the risk of an upsurge from new strains of the virus continues to be a threat. The decrease in the use of and non-use of preventive public health measures are among the factors fuelling the disease. The (previous) experiences and perceptions of people regarding the COVID-19 pandemic, COVID-19 vaccination, and the vaccination process are factors that will influence subsequent use of preventive/control measures. We explored the COVID-19 and COVID-19 vaccination and the vaccination process experiences and perceptions, and their predictors, among the community members in Ebonyi state, Nigeria. We conducted an analytical cross-sectional study between March 12 and May 9, 2022 among all consenting/assenting community members aged 15 years and above in 28 randomly selected geographical clusters. A structured interviewer-administered electronic questionnaire in KoBoCollect installed in android devices was used to collect data which was analysed using descriptive statistics and bivariate and multivariate generalized estimating equations. Of the 10,825 community members surveyed: only 31. 6% had strong COVID-19 experience and perception, 72. 2% had good COVID-19 vaccination expectation and perception, and only 54. 2% had positive COVID-19 vaccination process experience and perception. The most important predictors of the extent/level of COVID-19 and COVID-19 vaccination and the vaccination process experiences and perceptions were level of attitude towards COVID-19 and COVID-19 vaccination and level of knowledge about COVID-19. Other important predictors were marital status, educational level, and main occupation. This study’s evidence, including the identified predictors, will inform subsequent policy actions regarding COVID-19 in the strategies to improve the COVID-19 and COVID-19 vaccination and the vaccination process experiences and perceptions of community members (and their use of preventive/control measures) in Ebonyi state and Nigeria, and other similar contexts. It will also inform future policy actions/strategies regarding similar diseases.

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Concepts Keywords
Android Community members
Equations COVID-19
Pandemic Expectations
Vaccination Experiences
Worldwide Nigeria


Type Source Name
disease MESH COVID-19
disease VO vaccination
disease MESH infections
disease MESH re-infections
disease IDO process
drug DRUGBANK Methyltestosterone
disease MESH status educational
disease MESH Long Covid
pathway REACTOME Reproduction
drug DRUGBANK Coenzyme M
disease VO population
disease MESH emergency
disease MESH marital status
disease VO protocol
disease VO immunization
disease VO USA
disease VO monthly
disease IDO site
disease VO age
disease VO frequency
disease VO effectiveness
disease VO vaccinated
disease MESH uncertainty
disease VO effective
disease IDO susceptibility
disease VO vaccine
drug DRUGBANK Acetylsalicylic acid
disease VO organization
pathway KEGG Coronavirus disease
disease VO time
disease VO vaccine effectiveness
disease VO volume
disease MESH death
disease MESH Affective Disorders

Original Article

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