Preprint Article Version 1 Preserved in Portico This version is not peer-reviewed

COVID-19 Knowledge, Attitudes and Practices and Vaccine Acceptability in Rural Western Kenya and an Urban Informal Settlement in Nairobi, Kenya, May 2021: A Cross-sectional Survey

Carolyne Nasimiyu Wanyonyi
* ORCID logo ,
Allan Audi
,
Clifford Oduor
ORCID logo ,
Cynthia Ombok
,
Dismas Oketch
,
George Aol
,
Alice Ouma
,
Eric M. Osoro
,
Isaac Ngere
,
Ruth Njoroge
,
Peninah M. Munyua
,
Terrence Lo
,
Amy Herman-Roloff
,
Godfrey Bigogo
,
Patrick K. Munywoki
ORCID logo
Version 1 : Received: 17 August 2022 / Approved: 18 August 2022 / Online: 18 August 2022 (07:46:00 CEST)

A peer-reviewed article of this Preprint also exists.

Nasimiyu, C.; Audi, A.; Oduor, C.; Ombok, C.; Oketch, D.; Aol, G.; Ouma, A.; Osoro, E.; Ngere, I.; Njoroge, R.; Munyua, P.; Lo, T.; Herman-Roloff, A.; Bigogo, G.; Munywoki, P.K. COVID-19 Knowledge, Attitudes and Practices and Vaccine Acceptability in Rural Western Kenya and an Urban Informal Settlement in Nairobi, Kenya: A Cross-Sectional Survey. COVID 2022, 2, 1491-1508. Nasimiyu, C.; Audi, A.; Oduor, C.; Ombok, C.; Oketch, D.; Aol, G.; Ouma, A.; Osoro, E.; Ngere, I.; Njoroge, R.; Munyua, P.; Lo, T.; Herman-Roloff, A.; Bigogo, G.; Munywoki, P.K. COVID-19 Knowledge, Attitudes and Practices and Vaccine Acceptability in Rural Western Kenya and an Urban Informal Settlement in Nairobi, Kenya: A Cross-Sectional Survey. COVID 2022, 2, 1491-1508.

Abstract

An important step towards COVID-19 pandemic control is adequate knowledge and adherence to mitigation measures, including vaccination. We assessed the level of COVID-19 knowledge, attitudes, and practices among residents from an urban informal settlement in the City of Nairobi (Kibera), and a rural community in western Kenya (Asembo). A cross-sectional survey was implemented from April to May 2021 among randomly selected adult residents from a population-based infectious diseases surveillance (PBIDS) cohort in Nairobi and Siaya Counties. Factors associated with the level of COVID-19 KAP, were assessed using multivariable regression methods. COVID-19 vaccine acceptance was 83.6% for the participants from Asembo and 59.8% in Kibera. The reasons cited for vaccine hesitancy in Kibera were safety concerns (34.0%), insufficient information available to decide (18.0%), and a lack of belief in the vaccine (21.0%), while the reasons in Asembo were safety concerns (55.0%), insufficient information to decide (26.0%) and lack of belief in the vaccine (11%). Our study findings suggest the need for continued public education to enhance COVID-19 knowledge, attitudes, and practices to ensure adherence to mitigation measures. Urban informal settlements require targeted messaging to improve vaccine awareness, acceptability, and uptake.

Keywords

Urban; rural; COVID-19; Knowledge; Attitudes; Practices; vaccine acceptability; Vaccine hesitancy; Kenya

Subject

Public Health and Healthcare, Health Policy and Services

Copyright: This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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