Published: 2022-02-28

Assessment of adherence to COVID appropriate behavior among post-vaccinated individuals in rural practice area of Raja Rajeswari medical college and hospital, Bengaluru

Jinsa Nizam, B. G. Parasuramalu, Shashikala Manjunatha


Background: As per observations related to the highly mutant corona virus, being vaccinated does not mean that people can avoid COVID preventive rules and guidance and put themselves and others at risk. The study aimed to assess adherence to COVID appropriate behaviour (CAB) among COVID vaccinated individuals in the rural field practice area of Raja Rajeswari medical college and hospital, Bengaluru.

Methods: Community-based, cross-sectional descriptive study was conducted from 1 September to 31 November. A semi-structured, pre-tested, interviewer administered tool was used.

Results: Out of 2285 study participants, the mean age of participants was 42±16 years. About 56% of participants were female and majority belonged to middle class. The most common measure adhered by the study participants was proper use of mask 94% and 70% before and after COVID vaccination respectively.

Conclusions: Of 17 CAB practices, the adherence found to be reduced after vaccination among study participants.


COVID-19 vaccine, COVID appropriate behavior, Adherence, Before and after COVID-19 vaccination

Full Text:



WHO. Fact sheet: Coronavirus disease (COVID-19). Available at: Accessed on 1 January 2022.

Rajswasthya 2021. Fact sheet: COVID-19: a guide for medical officers in primary health centres. Available at: Accessed on 1 January 2022.

MOHFW. Fact sheet: COVID-19 vaccine communication strategy. Available at: Accessed on 1 January 2022 Fact sheet: Masks for curbing the spread of SARS-CoV-2 coronavirus. Available at: Accessed on 1 January 2022.

Couto KC, Lorenzo FM, Tagliabue M, Henriques MB, Lemos RF. Underlying principles of a COVID-19 behavioral vaccine for a sustainable cultural change. Int J Environ Res Public Health. 2020;17(23):9066.

Bhuyan A. COVID-19: India sees new spike in cases despite vaccine rollout BMJ. 2021;372:854.

Kumar A, Praveena, Tiwari PK, Barik RR. Adherence to COVID-19 appropriate behaviour among small scale workers in unorganized sector in Rajasthan by applying health belief model and generalized social beliefs. Int J Community Med Public Health. 2021;8(6):2805-11. Possible impact of the COVID-19 vaccination programme on adherence to rules and guidance about personal protective behaviours aimed at preventing spread of the virus. Available at: Accessed on 1 January 2022.

Reiber C, Shattuck EC, Fiore S, Alperin P, Davis V, Moore J. Change in human social behavior in response to a common vaccine. Ann Epidemiol. 2010;20(10):729-33.

Yau EKB, Ping NPT, Shoesmith WD, James S, Hadi NM, Loo JL. The behaviour changes in response to COVID-19 pandemic within Malaysia. Malays J Med Sci. 2020;27(2):45-50.

Jain VK, Iyengar KP, Garg R, Vaishya R. Elucidating reasons of COVID-19 re-infection and its management strategies. Diabet Metabol Syndrome Clin Res Rev. 2021;15(3):1001-6.

AlKhathlan N, Padhi BK. (2021) Adherence to COVID-19 appropriate behavior among respiratory therapists: a cross-sectional study in the Kingdom of Saudi Arabia. Front Public Health. 2021;9:715982.

Girma S, Alenko A, Agenagnew L. Knowledge and precautionary behavioral practice toward COVID-19 among health professionals working in public university hospitals in Ethiopia: a web-based survey. Risk Manag Healthc Policy. 2020;13:1327-34.

Zhang M, Zhou M, Tang F, Wang Y, Nie H, Zhang L, et al. Knowledge, attitude, and practice regarding COVID-19 among healthcare workers in Henan, China. J Hosp Infect. 2020;105(2):183-7.

Gupta MK, Bhardwaj P, Goel A, Saurabh S, Misra S. COVID-19 appropriate behavior in India: Time to invest for the benefits in future. J Family Med Prim Care. 2021;10(5):1818-22.