Professional Documents
Culture Documents
Leviste, Lawrence R.
Sarmiento, Kenza D.
May 2021
APPROVAL SHEET
Manila Central University
College of Medical Technology
_________________________________
Prof. Oscar V. Punzalan Jr., PhD, RMT
Adviser
________________________________ ____________________
Josephine C. Abrazaldo, RMT, MSMT Bea Gallardo, RMT College
Chairperson Panelist
_____________________ ___________________________
Jennica Dimaranan, RMT Vladimir Viardo, Jr., RMT
Panelist Panelist
___________________________
Ferdinand A. Mortel, RMT, PhD
Dean, College of Medical Technology
ABSTRACT
2
Manila Central University
College of Medical Technology
COVID-19 pandemic posed a serious challenge to global health and had a huge
effect on all facets of life. With the rising number of COVID-19 cases in the community, it
prompted the launching of vaccination programs throughout the affected cities. In light of
this, a high-level vaccine acceptance through safe and effective vaccines would increase
the chances of putting an end to COVID-19. The vaccine acceptability of the medical
students was an important issue as they will be future professionals which will play a big
part in guiding and informing patients to the right clinical decision. This study investigated
through a Google form survey. In total, ninety-seven (97) undergraduate medical and non-
medical third year students participated. Almost all of the population agreed to accept the
COVID-19 vaccine, though the acceptability was higher among non-medical students.
ACKNOWLEDGEMENT
First of all, we would like to thank our Lord God Father for His guidance and wisdom
3
Manila Central University
College of Medical Technology
To our adviser, Dr. Oscar V. Punzalan Jr., we thank him to a great extent for
conveying his knowledge and expertise in this research and for encouraging all of us,
giving us guidance, opinions, and support which we needed from the start until the end of
this process.
To our research professor, Mrs. Ma. Cecilia C. Calisang, who guided us to the best
of her ability and constantly checked our paper from time to time, giving us also guidance
and support that we needed right from the start of the research process.
To our dear parents, who supported us with much love and understanding, thank
you for their moral encouragement and financial support in order to finish this research.
Last but not the least, we want to extend our appreciation to those who could not be
mentioned here but played their roles for rendering constructive and valuable suggestions
and comments that helped tremendously in improving the quality and content of our study
within in a limited time frame, especially expressing our gratitude to the respondents who
CHAPTER I
statement of the problem, hypothesis, scope and limitations, significance of the study, and
4
Manila Central University
College of Medical Technology
INTRODUCTION
systems around the globe. It has disrupted the normal economic and societal activities. The
significant news was about several vaccines that were in the process of clinical trials and
resulted in great effectiveness. When vaccines become available, the COVID-19 vaccine
uptake should be ensured to achieve widespread immunization. The novel coronavirus was
a new virus that was first determined in the province of Wuhan of China. Last February 11,
2020, this COVID-19 was officially announced by the World Health Organization.
Based on the American Academy of Allergy Asthma & Immunology (2019), serious
comprising 20,000 children and about 36,000 people die from this preventable disease
through immunization each year. Hence, vaccine-preventable diseases are not just part of
growing up. Stimulation of immunity through vaccination helps the body to develop
immunity like natural immunity without causing a disease. Hence, it is not much better to
Sallam (2020) concluded that there were also several reasons why the general public
had their trust eroded on whether to take the vaccine or not. One of which was the rate of
5
Manila Central University
College of Medical Technology
the development of the vaccine which seemed rushed and careless in the perspective of
the public raising doubts and anxiety towards the developed vaccine. Most governments
appear to take on the race to acquire a vaccine at the earliest time possible to gain mileage
on both economic and political aspects. There were even several countries who made false
claims about obtaining an effective vaccine despite the limited data they possess. Sallam
also revealed that 90.5% of students recognize the importance of the COVID-19 vaccine,
46% were hesitant about the vaccine, and lastly, it was also reported that there is an equal
percentage of students who either without a doubt accept or reject the vaccine at 6%. It
was mentioned that the students had a number of concerns with regards to the possible
adverse effects of the vaccine comprising 96.8% and ineffectiveness with 93.2% of the
population. The most considered determinants for vaccine hesitancy of COVID-19 vaccine
were about its adverse effects which potentially with 74.17% of the population and the
unknown comprising 56.31% and lack of information regarding the vaccine itself with
In addition, Lazarus, J.V. et al. (2021) 71.5% of the population answered that they
are willing to take a vaccine if it were proven effective and safe, and 48.1% of the
population were willing to be vaccinated, if it was required by their employers. But then
again, it is important to note that there is still a high heterogeneity in responses among the
other countries. It was reported in the study that Asian countries that belong to the study
such as China, South Korea, and Singapore showed a high vaccine acceptability
6
Manila Central University
College of Medical Technology
exceeding 80%. It was noted in the study that these Asian countries are known to trust their
government deeply. To address the low vaccine acceptance level according to the study,
vaccine communication strategies must consider the scientific literacy of the target
population. It should target specific issues in the community that cause misconception or
confusion with regards to vaccination. Most importantly, it is critical that the roots of the
variations between the vaccine acceptance levels must be identified and directly addressed
in order to ensure the rapid recovery of the countries hit by the pandemic, economically and
socially.
This study was focused on COVID-19 vaccine acceptability of medical and non-
medical third year students in a selected university in Caloocan City. According to Wang et.
al. (2020), by determining if their vaccine acceptability was high, the success of the
of the future vaccine. The researchers investigated the COVID-19 vaccine acceptability
among medical and non-medical third year students. The results of this study could give an
idea to the policymakers in order for them to have well-designed strategies and campaigns
that will emphasize the importance of vaccination, and encourage vaccine uptake and
7
Manila Central University
College of Medical Technology
Vaccines are considered as the most effective and reliable public interventions to be
indicated that when the World Health Organization (WHO) declared the pandemic in March
immediately. Vaccines were considered as interventions that can help to reduce the
worldwide disease. Vaccine hesitancy, on the other hand, is a pertinent issue in global
acceleration of the COVID-19 pandemic”. It was important for Philippines public health to
have effective intervention and strategies before a vaccine was introduced as vaccine
8
Manila Central University
College of Medical Technology
communication is very important and must reach all communities, to educate Filipinos
about the vaccinations and for prevention of future deaths and infections. Vaccine
acceptance distinguishes the vaccine attitude and demands, which happens to be a factor
for having successful immunization to have high vaccination acceptability, especially for
newly emerging infectious diseases. Wang et al. (2020), stated that there were still
significant concerns regarding future vaccination against COVID-19 which was the doubt of
The world is living on possibly only the tip of the iceberg. The deaths caused by the
substantial medical, economic, and social unpredictability. The pandemic requires action on
the fronts, which deals with the protection of examination to treatment or cure. It is a
necessity for us to generate cheap, simple, and more accessible testing for COVID-19.
Guglielmi (2020) mentioned that a rapid way has to be established to recognize the
There will be a need for a drug or mixture of drugs that will work against the
coronavirus. The medicine called Remdesivir (GS-5734 by Gilead Sciences) has given us
hope. Tabish (2020) indicated that it may validate to be a miraculous bullet Southeast
Asian Countries like Vietnam, Taiwan, Hongkong, Singapore, New Zealand, and South
9
Manila Central University
College of Medical Technology
Korea have done extraordinarily well to contain and isolate the outspread of COVID-19. It is
extensively believed that while the global pandemic treatment tolerates. Patients with some
diseases like renal failure, diabetes, cancer, and pregnant women are in need of special
treatment since they are immensely vulnerable to the virus. As the global pandemic
increases the degree of hunger among the financially incapable, the government avoids
devastating health and nutrition consequences, especially for children losing educational
opportunities due to the schools and universities closing temporarily. In addition, Guterres
(2020) mentioned in the article COVID-19 in an urban world that different states and cities
and well-coordinated method of approach is profound for addressing this global crisis.
Vaccination projects can only be considered efficient if they have a high level of
acceptance and coverage. The purpose of this study was to look into the COVID-19
vaccine acceptability of medical and non-medical third year students in selected university
in Caloocan City.
10
Manila Central University
College of Medical Technology
This study aims to look into the acceptability of the COVID-19 vaccine medical and
non-medical third year students in a selected university in Caloocan City, the following
1.1. Medical
1.2. Non-medical
0. What is the difference between the acceptability of the respondents based on their
enrolled programs?
11
Manila Central University
College of Medical Technology
This section will give a definite description of the numerous significances of the study.
The following constituents will benefit in studying the COVID-19 vaccine acceptability
among medical and non-medical third year students in selected university in Caloocan City:
For Students. The findings of this study will serve as enlightenment to the students
in accepting or rejecting the COVID-19 vaccine. It will also give them the corrective ideas to
For Public Health. This study gives the answer to the stigma of the community about
COVID-19 vaccination. This will aid them in accepting or rejecting the vaccine based on
facts. It will give enlightenment and clarification of the truth about immunization.
For the Government. This study will open opportunities for the government to
improve their campaign regarding vaccination. It will help them to find appropriate ways to
conduct the immunization program by knowing the needs of their subjected people.
For the future Researchers. The findings on this study will be of great use in the
12
Manila Central University
College of Medical Technology
13
Manila Central University
College of Medical Technology
This study only focused on the involvement of seventy-nine (79) third year medical
technology students, since they were the ones that might be on duty in the hospital in the
following semester during their internship where the vaccine was needed, while eighteen
(18) third year business and technology students, both regular and irregular, currently
enrolled in the academic year 2020-2021. Furthermore, this study only discussed the
This study no longer specified different brands of COVID-19 vaccines that were being
developed around the globe. Other medical programs such as medicine, nursing,
optometry, dentistry, pharmacy and physical therapy were not included in this study. In
addition, other non-medical programs belong in college of arts and sciences were also not
included. Moreover, the first year, second year and fourth year students were not included
this study. Upon conclusion, the researchers only determined whether the respondents will
HYPOTHESIS
vaccine among medical and non-medical students in a selected university in Metro Manila.
14
Manila Central University
College of Medical Technology
DEFINITION OF TERMS
For organized discussion, the following terms were defined conceptually and
operationally.
15
Manila Central University
College of Medical Technology
droplets from saliva or nose of an infected person by means of cough or sneeze. This has
Technology
Vaccine. It is a product that stimulates the immune system for immunity and usually
from the acceptance of all vaccines to actively support the immunization recommendations.
which it varies from time, place, and vaccine itself, which is influenced by several factors.
16
Manila Central University
College of Medical Technology
CHAPTER II
This chapter presents the review of related literature and studies from both local and
foreign studies which give clearer understanding on the present study. These
synthesized the concepts, ideas, and knowledge that were connected with one another to
17
Manila Central University
College of Medical Technology
fully understand the research and apply the gained insights within the current global
situation.
COVID-19 Vaccine
According to McCarthy (2021), the Philippines is falling behind in making sure about
reserves of the COVID-19 vaccine. Coronavirus immunizations were created in record time,
however getting those vaccines into the arms of individuals around the globe, particularly in
non-industrial nations, is an alternate story. Immunizations have not yet started in the
Philippines.
According to Aspinwall (2020), the Pfizer vaccine might be late to be imported in the
Philippines and it has not finalized a reservation of the vaccine. In the study of Fisher et. al.
(2020), multiple vaccines are currently being tested in large-scale trials, which might result
in the development of vaccines in the future. It was mentioned that there might be vaccine
hesitancy that might occur when a vaccine becomes available, which may present
As indicated by the World Health Organization (WHO), there are ten COVID-19
vaccines which are in process for phase clinical trials. Moreover, due to the process of
effective and safe vaccine, as it will be needed on a large scale, and to be distributed
18
Manila Central University
College of Medical Technology
equally, and health authorities will also need to take into consideration the complete
information regarding vaccine literacy to the public. Accurate information is required at all
levels. Imparting public trust in vaccine effectiveness and safety, just as in significance in
infection control.
COVID-19 Misconceptions
dangerous, than the novel coronavirus disease 2019 (COVID-19) as it spreads faster
through the use of social media which might cause a lack of trust to the health providers as
Another misconception about COVID-19 is it dies in warm weather which makes the
Filipinos complacent that they are safer than other countries. However, the World Health
Organization (WHO), said that the COVID-19 virus can spread in all areas with no regard to
humidity and climate. Therefore, authorities said that there is no evidence to support the
COVID-19 immunization acknowledgment proposed a test to arrive at this limit; almost 30%
of the population would hesitate to take a COVID-19 vaccine. Lazarus concluded that
19
Manila Central University
College of Medical Technology
48.1% of the population willing to get vaccinated if their employer recommended it and
71.5% responded that they are willing to get vaccinated if it were proven effective and safe.
Another study conducted in the United States about COVID-19 vaccine acceptability
by Reiter et. al (2020). 91.3% of the population mentioned that they would accept the
COVID-19 vaccine after it becomes available, with 52.2% wanting to get vaccinated as
soon as possible, while others 47.8% are hesitant to be vaccinated, as they want to confirm
In the study conducted by Saied et al (2021), 67.39% of the population believed that
mass vaccination can be used to overcome the COVID‐19 pandemic and 56.5% mentioned
that it is the best preventive measure to be vaccinated, 96.8% of the students had concerns
about the possible COVID-19 vaccine’s adverse effects, 63.3% had concerns for its
acquisition, 93.2% for the vaccine’s ineffectiveness, 54% for vaccine’s safety, and 80.2%
for vaccine’s testing. In general, 76.4% of the population had no bad adverse reaction with
any vaccines while 95.1% of the population were not against vaccination.
35% of the population were willing to pay, especially those who want to take COVID-19
vaccine.
20
Manila Central University
College of Medical Technology
In Japan, Machida et. al. (2021) concluded that 62.1% of the population wanted to
accept COVID-19 vaccine if it became available. Sex, age, and income level are some
oneself vaccinated to protect others can also be the reason behind. Furthermore, Harapan
et. al. (2020) stated that, vaccine baseline effectiveness highly influences the COVID-19
vaccine acceptability in South East Asia, mainly in Indonesia. With low effectiveness of a
A study was conducted by Saied, et.al., (2021), which includes 2133 respondents
from five medical colleges. Out of 2133, only the 34.9% (746) accepted the COVID-19
vaccine while 45.7% (974) were hesitant to take the vaccine, and 19.4% (413) refused to
get vaccinated. They concluded from their study that the confidence in the vaccination
against COVID-19 is weak. And the barriers that affect the acceptability of the students is
associated with the potential adverse effects of the vaccine and to its safety and
effectiveness. The most common source of the misinformation about the COVID-19
vaccination is social media, in which this false information can lead to vaccine hesitancy, or
21
Manila Central University
College of Medical Technology
According to Sallam, et.al. (2021), their total respondents were 1106 students which
were divided into Health, Scientific, and Humanities (academic discipline) that belong to 24
different universities. From the 1106 respondents, only 34.9% or 386 students had the
intent to get COVID-19 vaccine, and 39.6% or 438 students were not planning to get the
vaccine, and 25.5% or 282 students were hesitant. It was concluded in the study that the
result is an alarming rate which could hinder the preventive control against COVID-19.
From the study of Shekhar, et.al. (2021), accepting the COVID-19 vaccine
immediately has a low rate among the health care workers that chose to wait and review
more data before getting vaccinated. On the other hand, only a very small percent of the
respondents plans to refuse getting COVID-19 vaccine. The attitudes towards vaccination
were great but there are some concerns regarding the vaccine are common including the
strong association from health care providers that plans to recommend the COVID-19
vaccine to their friends and families. The researchers noted that as the age, income, and
education level increases, the COVID-19 vaccine acceptance increases. They concluded
that knowing the barriers towards accepting COVID-19 vaccine are essential to avoid
Sallam (2021) stated that there was large unpredictability in accepting COVID-19
vaccine. There were patterns shown from the reported rate of vaccine acceptance. There
was a high acceptance rate of the public in the East and South East Asia which includes
22
Manila Central University
College of Medical Technology
90% acceptability rate from Indonesia. Malaysia, and China, and South Korea have a
79.8% acceptability level. Additionally, more than 70% acceptability level was reported from
Brazil and Ecuador, and 76.3% in Mexico. On the other hand, only 44.2% acceptability
level was reported among students and 52.0% among health care workers in Malta. They
concluded that the vaccine hesitancy can be a huge hindrance to minimize the
there should have a collaborative effort from the government, health policy makers, and
media in order to build the trust of the public regarding the COVID-19 vaccine, through a
timely and clear messages advocacy in the efficacy and safety of the available vaccines.
Another study by Lucia et.al. (2020) which consists of 168 medical students, through
an online survey involving their behaviors and attitudes about COVID-19 vaccine. Almost
all of the medical students, greater than 98%, accepted and agreed on the importance of
having COVID-19 vaccine in order to minimize its widespread, but on the other hand, 23%
of the students are not willing to have vaccinated immediately against COVID-19 even if it
is approved by FDA. Their results showed that more than 2 in every 10 students were
hesitant to take any COVID-19 vaccines in which concerns are about the side effects of the
vaccine, including lack of trust to the public health experts. Some students also included
that there were politics involved in the vaccine, and were also concerned about the fast
development of the vaccine that may affect its safety. They concluded that the health
system should achieve a high coverage of COVID-19 vaccine acceptability in health care
23
Manila Central University
College of Medical Technology
professionals, including the medical students, once it is available to make sure that there
In the conducted study of Wang, et.al. (2021), there were 2047 respondents who
participated and provided a valid response. 34.8% of the population was willing to accept
the COVID-19 vaccine in another wave cross-sectional studies, which is lower than the first
wave that resulted in 44.2% of COVID-19 vaccine acceptability. Safety is the main concern
workers.
According to Martinez et. al. (2021) despite the vaccine’s availability, over half of the
US firefighters were hesitant or had a low COVID-19 vaccine acceptability in their group.
Among 3169 respondents, current rank fight fighters in their study had an overall mean of
According to Kelekar, A. (2021), from their respondents 45% of the dental students
and 23% medical students are hesitant to have COVID-19 vaccine. The acceptance of the
dental students regarding the COVID-19 vaccine can be related to their perception that
they do not like to take care of patients who have SARS-CoV-2, or it can be the sufficiency
of the control procedures in order for them to be kept protected against the virus from a
24
Manila Central University
College of Medical Technology
patient. The medical students said to be more concerned about the effectiveness of the
vaccine. The researchers concluded that in order to have a high vaccine acceptability is by
recommendations of the health care professionals, all medical or health care related
students should be vaccinated to have their own confidence that getting vaccinated have
more benefits that getting at risk. Also, health care professionals should know how to make
a strong recommendation about COVID-19 vaccine together with their experiences from it,
and dentists have also a role in promoting vaccination to their patients which overall can
Based from the report article entitled, “Behavioural considerations for Acceptance
and Uptake of COVID-19 Vaccines” by the World Health Organization, most people are
hesitant toward vaccination, because of concerns about COVID-19 vaccine’s safety and
lack of trust in the health system. As we are naturally exposed to misinformation, this
Based on the study conducted by Sallam (2020), vaccine hesitancy can be a major
processes were done within a short period in developing safe and effective COVID-19
vaccines that were unusual to happen. In addition, COVID-19 vaccine hesitancy might be a
hindrance when it comes to the global interventions and strategies to limit and control the
current pandemic.
25
Manila Central University
College of Medical Technology
In South Carolina, the study of Chi Tam et.al. (2020) comprising 1061 college
students, 60.6% of the population would want to accept COVID-19 vaccine when it is
available. Vaccine hesitancy and refusal among them which can be a major concern given
that there is a requirement to reach for the immunity level for widespread immunity.
among the respondents in South Carolina was very alarming. Their findings suggested that
decision in getting a vaccine would be affected by its convenience and to the beliefs
regarding the efficacy of the COVID-19 vaccine. In addition, the quality and safety concern
of the COVID-19 vaccines can add up to vaccine hesitancy and refusal. Thus, the leaders
and health care workers should be aware as they have an important role in promoting
COVID-19 vaccines.
undergraduate nursing students from seven universities from different countries are
included in the study. The results were that less than half of the population were willing to
get vaccinated, and most of the participants refused to be vaccinated because of their
doubts about COVID-19 vaccine’s effectiveness and safety and it is mentioned that their
From the study of World Health Organization Indonesia, 8% of the population said
that they would not take COVID-19 vaccination if provided by their government. More than
26
Manila Central University
College of Medical Technology
27% of the population were hesitant towards their government’s intention to distribute
COVID-19 vaccines. 38% of them were unwilling to pay, especially those who want to
receive a COVID-19 vaccine. Some concerns mentioned about the vaccine's effectiveness
and safety. The most common reasons for being hesitant in accepting COVID-19 vaccine
were about its safety comprising 30% of the population; 13% of the population have lack of
trust towards the vaccine; 12% of the population have fear of side effects such as fever and
pain; religious beliefs which comprised 8% of the population; and 22% of the population
In the study of Kanyike, et.al. (2021), there were 600 medical students surveyed
about COVID-19 vaccine acceptability and hesitancy. Out of 600 respondents, 37.3%
accepted the COVID-19 vaccine, and 62.7% of them did not want to be vaccinated for
COVID-19. In addition, the respondents cited their reasons for not accepting the vaccine,
their concern about the vaccine safety and the negative information from the different
articles circulating online. On the other hand, 37.3% of the population were willing to have a
shot of COVID-19 vaccine, their reason was to protect themselves and others from
acquiring the disease. Finally, 49.6% of the population believe in vaccines and
immunization.
Vaccine Acceptability
27
Manila Central University
College of Medical Technology
complacency is associated with hesitancy and negative attitudes towards the vaccines. In
addition, for the ease access to vaccines such as accessibility and affordability, it refers to
vaccine convenience. Confidence about the vaccine, and trust in the policymakers, and
health care system. However, most people still have doubts about the vaccine safety,
which might be a major concern by policy makers, health care providers and governments
In the United States, Quinn et al., (2019), conducted a survey in African and White
In Zambia, one study investigated by Pugliese-Garcia et al. (2018), showed that both
health workers and common people share the same high vaccine acceptance level.
However, there are still sources of hesitancy towards vaccination. This includes distrust in
western medicine, religious beliefs, alcohol use and some traditional remedies. In addition
to this, vaccine acceptance also depended on a person’s previous experience such as fear
vaccination. Some people refuse vaccination to avoid pain and “risk of infection”. It was
concluded in the study that to further increase the vaccine acceptance level in Zambia,
28
Manila Central University
College of Medical Technology
as well as a more in-depth study to understand the preferences of the common people for
vaccine acceptance.
Another systematic review by Larson et al., (2018) focused on the factor of public
increase vaccination uptake. Larson also mentioned that among the studies about between
vaccine uptake and trust, seven out of ten studies, concluded measuring trust in the health
system, five out of ten, concluded measuring trust in primary health care providers (HCPs),
four out of ten, concluded measuring trust in government and one among ten studies
serious complications from life threatening diseases are preventable through vaccination. In
comprising 20,000 children and about 36,000 people die from this preventable disease
through immunization each year. Hence, vaccine-preventable diseases are not just part of
growing up. Stimulation of immunity through vaccination helps the body to develop
immunity like natural immunity without causing a disease. Hence, it is not much better to
29
Manila Central University
College of Medical Technology
According to Lazarus, J.V. et al. (2021), 71.5% of the population answered that they
are willing to take a vaccine if it were proven effective and safe, and 48.1% of the
population were willing to be vaccinated, if it was required by their employers. But then
again, it is important to note that there is still a high heterogeneity in responses among the
other countries. It was reported in the study that Asian countries that belong to the study
such as China, South Korea, and Singapore showed a high vaccine acceptability
exceeding 80%. It was noted in the study that these Asian countries are known to trust their
government deeply. To address the low vaccine acceptance level according to the study,
vaccine communication strategies must consider the scientific literacy of the target
population. It should target specific issues in the community that cause misconception or
confusion with regards to vaccination. Most importantly, it is critical that the roots of the
variations between the vaccine acceptability levels must be identified and directly
addressed in order to ensure the rapid recovery of the countries hit by the pandemic,
Vaccine Hesitancy
the Pharmaceutical Journal mentioned vaccine hesitancy pertains to the refusal or being
70,000 of population mentioned that 22% of the population were hesitant and uncertain to
30
Manila Central University
College of Medical Technology
get vaccinated against COVID-19, with around 15% of them postulating that vaccines do
not work and 30% of them assuming other perceptions that vaccines may cause adverse
effects.
According to the Cable News Network Philippines (CNN), Reynold (2020) stated that
opinions are shifting across the globe. A 2018 review by the Welcome Global Monitor found
that 95% of individuals in South Asia accepted that vaccines are safe, higher than some
other districts. In any case, there have been ongoing debates. In the Philippines, measles
outbreaks a year ago connected to the 2017 suspension of a dengue vaccine program
before. In 2017, “Dengvaxia”, another dengue vaccination was found to pose risks for those
never presented to dengue. This news was met with cultural shock with intense expansions
in detailed concerns with respect to viability, security, and even similarity with strict
convictions. It was discussed that the study using the “WHO SAGE Vaccine Hesitancy
Scale” from the World Health Organization, comprising 2265 respondents from
Bangladesh, India, China, Guatemala and Ethiopia. 95% of the population agreed that
31
Manila Central University
College of Medical Technology
vaccines are important for everyone’s health. More than 50% of the population also agreed
or were neutral about whether new developed vaccines carry more risks than older
vaccines. In addition, high income countries suggest that individuals naturally would take
Migrino et. al. (2020) had their survey conducted about vaccine hesitancy among
families in Metro Manila. Their study was completed by their 110 respondents of 20 to 39
years old mothers. 95.5% of their respondents believed that vaccines can protect their
families, especially their children. However, despite this trust in the vaccine, still the
vaccine hesitancy rates among the respondents arises up to 36.4%. The main reason for
the vaccine hesitancy of their respondents was the safety from adverse effects of the
vaccine, because of their experience in past vaccination. The vaccine that was related to
Dube et.al (2016) also stated that vaccine hesitancy is complex in nature; thus,
many different factors affect it such as its safety of the vaccine itself, the different
perceptions of people, lack of trust to vaccination programs, or having the fear of needles.
In addition, misinformation around social media is one of the important causes in having
hesitancy to get a vaccine. Health and vaccine behaviors to name is one of the
determinants in deciding whether to have a vaccine or not. There are three interrelated
causes of vaccine hesitancy: the vaccine confidence, vaccine complacency, and vaccine
32
Manila Central University
College of Medical Technology
convenience. The confidence is how effective and safe the vaccine is, and the system that
delivers it, and also the policymakers that decide what vaccine should have or needed, and
when and where. On the complacency, it is influenced by life or health responsibilities. And
the convenience is the extent to which the vaccine is physically available, affordable, and
accessible. Also, the service quality where it is convenient and comfortable to have the
CONCEPTUAL FRAMEWORK
In the process, the researchers conducted an online survey through the use of
questionnaire uploaded on Google forms and statistically analyzed the gathered data. This
research aimed to produce answers to the COVID-19 vaccine acceptability of medical and
non-medical third year students in a selected university in Caloocan City. Wang et. al.
(2020) stated that by determining the acceptability of the vaccine, the success of
immunization can be determined. Hence, the COVID-19 vaccine of the medical and non-
CHAPTER III
METHODOLOGY
This chapter presents the research design, participants of the study, research locale,
34
Manila Central University
College of Medical Technology
RESEARCH DESIGN
This study aimed to look into the acceptability of the medical and non-medical
students towards COVID-19 vaccine. The research design chosen by the researchers for
this study which fit the exact criteria of the topic was quantitative-descriptive research.
McCombes (2020) indicated that descriptive research corresponds to the what, where,
when, and how questions, but not the why question. It accurately and systematically aims
to investigate one or several variables. This type of research design does not control any of
The difference between the COVID-19 vaccine acceptability during this pandemic of
medical and non-medical students was discussed by the researchers and further analyses
were done to assure that the obtained data was accurate and was able to guide and assist
in providing information for the schools and universities in order to enhance their
implemented programs, expanding the knowledge of students, mentors, workers, and the
The targeted participants of this study were the third year regular and irregular
students of medical technology and business and technology in the academic year 2020-
35
Manila Central University
College of Medical Technology
2021. The researchers selected the participants since they were the ones that might be on
duty in the hospital in the following semester during their internship where the vaccine was
needed, while non-medical were chosen for comparison of their vaccine acceptability
levels. The target population of this research was collected from the Dean’s offices of both
colleges. This research was conducted based on the COVID-19 vaccine acceptability of the
third year medical and non-medical students who were officially enrolled in the second
For the purpose of the study, the researchers collected the population in both
representing medical students and eighteen (18) from College of Business and Technology
representing non-medical students who were all in the third-year level. They served as
respondents of the study who provided useful data by answering the questionnaire that the
researchers provided.
RESEARCH LOCALE
representing medical students and to the College of Business and Technology representing
36
Manila Central University
College of Medical Technology
RESEARCH INSTRUMENT
In this time of pandemic, this research was conducted through an online platform
with the participation of third year medical and non-medical students of the selected
medical and non-medical students towards COVID-19 vaccine which was self-modified by
The researchers provided a four (4) point Likert scale was given to the participants.
with a five (5) item survey questionnaire that was composed of COVID-19 vaccine
acceptability among students. This instrument was validated by an English Professor and a
member of the Faculty of Medical Technology. All the information was coded anonymously
The researchers gathered the data by Survey Questionnaire through Google Forms.
The Survey Questionnaires and Consent were sent to seventy-nine (79) medical students
and eighteen (18) non-medical students. The questionnaires sent were validated and
thoroughly examined based on the matrix of the World Health Organization which provided
questions about the acceptability of COVID-19 vaccine. Furthermore, the researchers had
prepared a letter of communication alongside with a copy of the entire research protocol
37
Manila Central University
College of Medical Technology
that had been forwarded to the honorable offices of the respective deans of the selected
respondents. Permission was obtained in advance from medical and non-medical students
who were currently enrolled in the academic year 2020-2021. In the said consent, the
researchers and the respondents had formally agreed and thus, confidentiality was greatly
acknowledged.
STATISTICAL TREATMENT
1. Mean. This was used by the researchers to determine the average score of
Formula:
F is the frequency
n total frequency
2. Mann-Whitney U Test. This was used by the researchers using the SPSS
Statistics. This was a nonparametric test that compares the two independent groups,
the medical and non-medical students. This test determined if there is a significant
38
Manila Central University
College of Medical Technology
3. Shapiro-Wilk Normality Test. This was used by the researchers using the SPSS
ETHICAL CONSIDERATION
In order for this study to be embodied, the researchers greatly considered the moral
concerns before this study’s full implementation by giving highest regards to the following:
1. The researchers asked permission from the deans of the respective colleges
symbolize transparency that the researchers only gathered data within the permitted
implementing the data gathering. The consent form includes all the information that
the respondents must know and which data the researchers aimed to gather.
39
Manila Central University
College of Medical Technology
CHAPTER IV
This chapter presents the analysis and interpretation of the data gathered by the
researchers through the survey conducted. This also presents the discussion on the
findings of the research. The findings were based on the statement of the problem of the
research that guided the researchers throughout the study. The data in this chapter were
significant difference regarding COVID-19 vaccine acceptability among medical and non-
40
Manila Central University
College of Medical Technology
Table 1.1 shows the acceptability of COVID-19 vaccine among students. Based from
the results out of 79 medical students, 54 strongly agree, 24 agree, and 1 strongly disagree
in the statement “accept vaccination if the COVID-19 vaccine is successfully developed and
approved for listing in the future” that has the highest mean score of 3.66 or interpreted as
strongly agree while in the second statement “Any type of COVID-19 vaccine is acceptable
41
Manila Central University
College of Medical Technology
disagree, with a mean score of 3.38 interpreted as agree. On the other hand, 34 answer
strongly agree, 40 agree, 4 disagree, and 1 strongly disagree in the statement “Willing to
have the vaccine if the government offers COVID-19 vaccine for FREE,” with a mean score
vaccination as soon as possible when the vaccine is available” has the lowest mean score
strongly disagree. From the last statement “COVID-19 vaccination is an effective way to
prevent and control COVID-19,” 48 strongly agree, 28 agree, and 3 disagree, with a mean
The researchers have found out that the results of the study correspond to the study
of Kanyike, et.al. (2021) about COVID-19 vaccine acceptability and hesitancy. The medical
students accepted the COVID-19 vaccine, and were willing to have a shot of COVID-19
vaccine. In addition, this contradicted that study of Kelekar, et.al. (2021), as medical
students were hesitant to have the COVID-19 vaccine. Their major concern was the
effectiveness of the vaccine and the information given about it from the health experts.
42
Manila Central University
College of Medical Technology
Table 1.2 shows the acceptability of COVID-19 vaccine among students. Based from
the results out of 18 respondents, eleven (11) non-medical students answers strongly
agree and seven (7) answers agree in the statement “accept vaccination if the COVID-19
vaccine is successfully developed and approved for listing in the future” which has the
highest mean score of 3.61 or interpreted as strongly agree. In the second statement “Any
type of COVID-19 vaccine is acceptable as long as it is approved by the FDA,” ten (10)
non-medical students strongly agree, seven (7) agree, and one (1) disagree, with a mean
of 3.50 interpreted as agree. On the other hand, eight (8) non-medical students strongly
agree, nine (9) agree, and only one (1) disagree in the statement “willing to have the
43
Manila Central University
College of Medical Technology
vaccine if the government offers COVID-19 vaccine for FREE,” with a mean score of 3.39
soon as possible when the vaccine is available,” eight (8) strongly agree, nine (9) agree,
and only one (1) disagree, and has the lowest mean score of 3.39 interpreted as agree.
And in the last statement “COVID-19 vaccination is an effective way to prevent and control
COVID-19,” eight (8) strongly agree and ten (10) agree with a mean score of 3.44
The researchers have found out that the results were similar to the study conducted
by Machida et. al. (2021) about accepting COVID-19 vaccine, if it became available, the
same goes with the non-medical students in a selected university in Caloocan City. They
were willing to accept COVID-19 vaccination as soon as possible when the vaccine is
available. Furthermore, it was related to the results of the study of Harapan et. al. (2020),
the non-medical students will accept the COVID-19 if it is successfully developed and
44
Manila Central University
College of Medical Technology
Table 2 shows the difference between the acceptability of COVID-19 vaccine among
medical and non-medical students. Based on the results, the acceptability of COVID-19
vaccine among medical students has an overall mean of 3.44 interpreted as agree, while
the acceptability of COVID-19 Vaccine among students has an overall mean of 3.47
The researchers found that it is similar to the study indicated by Chi Tam et.al.
(2020), comprising of college students that would want to accept COVID-19 vaccine when it
is available. This supported the presented data of this study, as it was evident that the
medical and non-medical students will accept vaccination if the COVID-19 vaccine was
Acceptability
Mann-Whitney U 690.000
Asymp. Sig. (2-tailed) 0.843
Table 3 shows the Mann-Whitney test. Based on the results, Mann-Whitney has a
value of 690 with p-value of 0.843. Since p-value is greater than the significance level of
0.05, the researchers accepted Ho and concluded that there is no significant difference
45
Manila Central University
College of Medical Technology
complacency is associated with hesitancy and negative attitudes towards the vaccines. In
addition, for the ease access to vaccines such as accessibility and affordability, it refers to
vaccine convenience. Confidence about the vaccine, and trust in the policymakers, and
health care system. The COVID-19 vaccine acceptability was clearly based on perspective.
The result showed that there is no significant difference on the acceptability between
medical and non-medical students thus, it is concluded that medical and non-medical
students have the same perspective towards the acceptability of the vaccine.
46
Manila Central University
College of Medical Technology
CHAPTER V
the whole study. Generalizations were included in the summary and conclusion, and the
conducted study can also be seen in this chapter. This chapter covers the end result of the
study.
SUMMARY
This study investigated the COVID-19 vaccine acceptability of medical and non-
medical students. The COVID-19 vaccine acceptability among medical students has an
overall mean of 3.44 interpreted as agree, which means they accepts the COVID-19
47
Manila Central University
College of Medical Technology
vaccine, while for non-medical students, the acceptability of COVID-19 vaccine among
them has an overall mean of 3.47 interpreted as agreed. In addition, the difference between
medical and non-medical students in their COVID-19 vaccine acceptability were almost the
same.
Almost all of the population accepted the COVID-19 vaccine. The researchers
expected higher COVID-19 vaccine acceptability among medical students because of their
future profession, as they were well-informed about vaccinations. The COVID-19 vaccine
acceptability of non-medical students was much higher than medical students when it
comes to willingness to accept it. Both medical and non-medical students were in favor of
CONCLUSION
between the medical and non-medical students. This study showed that despite the
difference between the two programs, they both accepted the COVID-19 vaccine. Hence,
most of the students should not rely on non-informative sources that influence their vaccine
acceptability.
48
Manila Central University
College of Medical Technology
RECOMMENDATIONS
hereby made:
time.
2. For the future researchers, it is recommended to continue this study and m ake it
possible to collect data from a big number of respondents of medical and non-medical
acceptability of the people, make a more detailed questionnaire from the World Health
Organization, especially the beliefs and attitudes about health and prevention, knowledge
49