COVID-19 Vaccination and Its Determinant Factors among Pregnant and Lactating Women in Indonesia

Abstract

One of the efforts to control the spread of COVID-19 in Indonesia is a vaccination program for all community groups, including pregnant and lactating women. There are responses of acceptance or rejection related to vaccination policies that can affect the COVID-19 vaccination in Indonesia. This study aims to identify the COVID-19 vaccination in pregnant and lactating women in Indonesia, as well as identify the determinant factors so that effective strategies can be done to increase the vaccination. This study was an online cross-sectional study conducted in February-March 2022 to identify the vaccination status in pregnant and lactating women and its determinants. Data collection used a snowball sampling technique. Ordinal logistic regression was conducted to determine the association between socio-demographic characteristics and perceived psychological distress and vaccination status. The results of this study indicate that the highest coverage of vaccination in pregnant and lactating women was identified in the first dose (95%). Vaccination was significantly higher in pregnant women of age 26-35 years (96.6%), working as private-sector employees (98.6%) or civil servants (96.4%). In lactating women, vaccination was significantly higher in women working as private-sector employees (98%). The COVID-19 vaccination for pregnant and lactating women in Indonesia was already high. However, it still requires a strategy to increase the uptake, especially in booster doses. Socio-demographic and perceived psychological distress were determinant factors influencing the COVID-19 vaccination. The findings can be used to develop education-based strategies sensitive to the diversity of women's sociodemographic characteristic