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COVID Appropriate Behavior Compliance and Vaccine Hesitancy: Findings From a COVID-19 Health Education Campaign in a Government Tertiary Care Hospital in Delhi, India

Published online by Cambridge University Press:  20 December 2021

Aritrik Das*
Affiliation:
Department of Community Medicine, Vardhman Mahavir Medical College and Safdarjung Hospital, New Delhi, India
Glory Ghai
Affiliation:
Department of Community Medicine, Vardhman Mahavir Medical College and Safdarjung Hospital, New Delhi, India
Mohd Alam
Affiliation:
Department of Community Medicine, Vardhman Mahavir Medical College and Safdarjung Hospital, New Delhi, India
Geeta Pardeshi
Affiliation:
Department of Community Medicine, Vardhman Mahavir Medical College and Safdarjung Hospital, New Delhi, India
Jugal Kishore
Affiliation:
Department of Community Medicine, Vardhman Mahavir Medical College and Safdarjung Hospital, New Delhi, India
*
Corresponding author: Aritrik Das, Email: dasaritrik@gmail.com

Abstract

Public health measures remain the best available approach to tackle the coronavirus disease 2019 (COVID-19) pandemic. However, little is currently known about the compliance and acceptance of these measures by people in India. The Department of Community Medicine at Vardhman Mahavir Medical College (VMMC), and Safdarjung Hospital, a tertiary care hospital in New Delhi, organized a health education campaign for raising awareness on COVID-19 in the hospital premises over a period of 15 d in May 2021. Educational and interactive sessions were conducted by medical residents, interns, and staff. Data on compliance to public health measures were collected and analyzed using SPSS 21. All quantitative variables were descriptively analyzed while qualitative data were narratively analyzed. A total of 84 (12.57%) of those observed were wearing their mask incorrectly. Social distancing was inadequate at 16 sites. Sixty-nine (10.33%) reported to have received single or both doses of vaccine. Common reasons for not getting vaccinated included doubts about vaccine efficacy, eligibility, adverse events, availability, and accessibility. Mask use was universal, but directives on correct protocol of wearing masks needs to be widely circulated. Credible information about vaccine safety, efficacy, availability, and accessibility needs to be available to the community to build confidence in COVID-19 vaccination.

Type
Report from the Field
Copyright
© The Author(s), 2021. Published by Cambridge University Press on behalf of Society for Disaster Medicine and Public Health, Inc.

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References

World Health Organization (WHO). WHO coronavirus (COVID-19) dashboard Accessed June 1, 2021. https://COVID19.who.int/ Google Scholar
Chu, DK, Akl, EA, Duda, S, et al. Physical distancing, face masks, and eye protection to prevent person-to-person transmission of SARS-CoV-2 and COVID-19: a systematic review and meta- analysis. Lancet. 2020;395(10242):1973-1987.CrossRefGoogle ScholarPubMed
World Health Organization (WHO). Actions to protect ourselves-urban settings 2020. Accessed June 1, 2021. https://www.who.int/southeastasia/outbreaks-and-emergencies/novel-coronavirus-2019/protective-measures/protect-ourselves Google Scholar
Ministry of Health and Family Welfare (MoHFW). An illustrative guide on COVID appropriate behaviors. 2020. Accessed June 1, 2021. https://www.mohfw.gov.in/pdf/Illustrativeguidelineupdate.pdf Google Scholar
The Wire Science. Experts say variants, lack of COVID appropriate behaviour may be behind second wave. Accessed January 5, 2022. https://science.thewire.in/health/experts-say-variants-lack-of-COVID-appropriate-behaviour-may-be-behind-second-wave/ Google Scholar
PMINDIA. PM reviews COVID-19 pandemic situation and vaccination program in India. Accessed January 5, 2022. https://www.pmindia.gov.in/en/news_updates/pm-reviews-COVID-19-pandemic-situation-and-vaccination-program-in-india/ Google Scholar
World Health Organization. WHO Director-General’s opening remarks at the media briefing on COVID-19-11 March 2020. Accessed January 5, 2022. https://www.who.int/director-general/speeches/detail/who-director-general-s-opening-remarks-at-the-media-briefing-on-covid-19---11-march-2020 Google Scholar
World Health Organization. Coronavirus disease (COVID-19) advice for the public. Accessed June 1, 2021. https://www.who.int/emergencies/diseases/novel-coronavirus-2019/advice-for-public Google Scholar
Manikandan, N. Are social distancing, hand washing and wearing masks appropriate measures to mitigate transmission of COVID-19? Vacunas. 2020;21(2):136-137.CrossRefGoogle ScholarPubMed
Sharun, K, Faslu Rahman, CK, Haritha, CV, et al. COVID-19 vaccine acceptance: beliefs and barriers associated with vaccination among the general population in India. J Exp Biol Agric Sci. 2020;8(Special Issue 1):S210-S.CrossRefGoogle Scholar
Panda, DS, Giri, RK, Nagarajappa, AK, et al. COVID-19 vaccine, acceptance, and concern of safety from public perspective in the state of Odisha, India. Hum Vaccin Immunother. 2021;17(10):3333-3337.Google ScholarPubMed
Zhou, Q, Gao, Y, Wang, X, et al. Nosocomial infections among patients with COVID-19, SARS and MERS: a rapid review and meta-analysis. Ann Transl Med. 2020;8(10):629.CrossRefGoogle Scholar
Supehia, S, Singh, V, Sharma, T, et al. Rational use of face mask in a tertiary care hospital setting during COVID-19 pandemic: an observational study. Indian J Public Health. 2020;64(Suppl S2):225-227.Google Scholar
Dkhar, SA, Quansar, R, Saleem, SM, et al. Knowledge, attitude, and practices related to COVID-19 pandemic among social media users in J&K, India. Indian J Public Health. 2020;64(Suppl S2):205-210.Google Scholar
Richterman, A, Meyerowitz, EA, Cevik, M. Hospital-acquired SARS-CoV-2 infection: lessons for public health. JAMA. 2020;324(21):2155-2156.CrossRefGoogle ScholarPubMed
Christy, JS, Kaur, K, Gurnani, B, et al. Knowledge, attitude and practise toward COVID-19 among patients presenting to five tertiary eye care hospitals in South India -a multicentre questionnaire-based survey. Indian J Ophthalmol. 2020;68(11):2385-2390.Google ScholarPubMed
Center for Disease Control and Prevention. Guide to masks. Accessed June 1, 2021. https://www.cdc.gov/coronavirus/2019-ncov/prevent-getting-sick/how-to-wear-cloth-face-coverings.html Google Scholar
Chughtai, AA, Seale, H, Macintyre, CR. Effectiveness of cloth masks for protection against severe acute respiratory syndrome coronavirus 2. Emerg Infect Dis. 2020;26(10):e200948.CrossRefGoogle ScholarPubMed
Miko, D, Costache, C, Colosi, HA, et al. Qualitative assessment of vaccine hesitancy in Romania. Medicina (Kaunas). 2019;55(6):282.CrossRefGoogle ScholarPubMed
Kanozia, R, Arya, R. “Fake news”, religion, and COVID-19 vaccine hesitancy in India, Pakistan, and Bangladesh. Media Asia. 2021;48(4):313-321.CrossRefGoogle Scholar
Kata, A. Anti-vaccine activists, Web 2.0, and the postmodern paradigm—an overview of tactics and tropes used online by the anti-vaccination movement. Vaccine. 2012;30:3778-3789.CrossRefGoogle ScholarPubMed
Ropeik, D. How society should respond to the risk of vaccine rejection. Hum Vaccine Immunother. 2013;9:1815-1818.CrossRefGoogle Scholar
Van der Linden, SL, Clarke, CE, Maibach, EW. Highlighting consensus among medical scientists increases public support for vaccines: evidence from a randomized experiment. BMC Public Health. 2015;15:1207.Google ScholarPubMed
Kumari, A, Ranjan, P, Chopra, S, et al. What Indians think of the COVID-19 vaccine: a qualitative study comprising focus group discussions and thematic analysis. Diabetes Metab Syndr. 2021;15(3):679-682.Google ScholarPubMed