Knowledge, Attitude, and Perception of Covid-19 Vaccinations in Physiotherapy Students of Pakistan - A Cross-Sectional Survey

COVID-19 Knowledge among Physical Therapy Students



Attitude, Knowledge, Physiotherapy, Vaccination


Background: COVID-19 has been identified as a deadly pandemic, and the vaccine is framed to be the most effective solution. Evidence reveals that medical students are a reliable source of health information, such as vaccination. Therefore, this survey aimed to examine the Knowledge, Attitude and Perception (KAP) of COVID-19 vaccinations in physiotherapy students of Pakistan. 

Methodology: This survey included 500 physiotherapy students from different provinces of Pakistan. Participants aged between 18 to 35 years who had internet access were included. The data was collected using an online Google questionnaire consisting of four sections (socio-demographic, knowledge, attitudes, and perceptions). Descriptive statistics for frequency and percentage were run using the SPSS software version 26. 

Results: The findings revealed that physiotherapy students have good knowledge of COVID-19 vaccinations, and 96.4% are sure about their effectiveness. Most respondents, i.e., 57%, have a positive attitude towards vaccine safety, and 69.6% believed that without vaccination, it is impossible to stop its spread. However, 64.2% perceived that COVID-19 vaccinations have side effects.  

Conclusion: The results suggest that the healthcare authorities should work on awareness regarding COVID-19 vaccinations so that the KAP can be improved and the disease can be eradicated. 


Author Biographies

Okasha Anjum , Indus University

Department of Physical Therapy and Rehabilitation Sciences

Hajra Ameer Shaikh , Bahria University

Department of Physical Therapy

Syeda Wajeeha Raza Zaidi, Indus University

Department of Physical Therapy and Rehabilitation Sciences

Rabeiya Tazeem , Ziauddin University

College of Physical Therapy, Faculty of Allied Health Sciences


Chan JFW, Yuan S, Kok KH, To KKW, Chu H, Yang J, et al. A familial cluster of pneumonia associated with the 2019 novel coronavirus indicating person-to-person transmission: a study of a family cluster. The lancet. 2020;395(10223):514–23.

Zhang C, Wu Z, Li JW, Zhao H, Wang GQ. Cytokine release syndrome in severe COVID-19: interleukin-6 receptor antagonist tocilizumab may be the key to reduce mortality. International journal of antimicrobial agents. 2020;55(5):105954.

Wibawa T. COVID‐19 vaccine research and development: ethical issues. Tropical Med Int Health. 2021 Jan;26(1):14–9.

Tang D, Tou J, Wang J, Chen Q, Wang W, Huang J, et al. Prevention and control strategies for emergency, limited-term, and elective operations in pediatric surgery during the epidemic period of COVID-19. World Journal of Pediatric Surgery [Internet]. 2020 [cited 2023 Nov 23];3(1). Available from:

Chirwa GC. “Who knows more, and why?” Explaining socioeconomic-related inequality in knowledge about HIV in Malawi. Scientific African. 2020;7:e00213.

Chen Q, Song Y, Wang L, Zhang Y, Han L, Liu J, et al. Corticosteroids treatment in severe patients with COVID-19: a propensity score matching study. Expert Review of Respiratory Medicine. 2021 Apr 3;15(4):543–52.

Hernández AF, Calina D, Poulas K, Docea AO, Tsatsakis AM. Safety of COVID-19 vaccines administered in the EU: Should we be concerned? Toxicology reports. 2021;8:871–9.

Bianco A, Mascaro V, Zucco R, Pavia M. Parent perspectives on childhood vaccination: How to deal with vaccine hesitancy and refusal? Vaccine. 2019;37(7):984–90.

Fadda M, Albanese E, Suggs LS. When a COVID-19 vaccine is ready, will we all be ready for it? Int J Public Health. 2020 Jul;65(6):711–2.

Raza A, Matloob S, Abdul Rahim NF, Abdul Halim H, Khattak A, Ahmed NH, et al. Factors impeding health-care professionals to effectively treat coronavirus disease 2019 patients in Pakistan: a qualitative investigation. Frontiers in psychology. 2020;11:572450.

Ali I, Sadique S, Ali S. COVID-19 and vaccination campaigns as “western plots” in Pakistan: government policies,(geo-) politics, local perceptions, and beliefs. Frontiers in Sociology. 2021;6:608979.

Kanyike AM, Olum R, Kajjimu J, Ojilong D, Akech GM, Nassozi DR, et al. Acceptance of the Coronavirus Disease-2019 Vaccine Among Medical Students in Uganda. Tropical Medicine and Health. 2021;

Lazarus JV, Ratzan SC, Palayew A, Gostin LO, Larson HJ, Rabin K, et al. A global survey of potential acceptance of a COVID-19 vaccine. 2021;

Khubchandani J, Sharma S, Price JH, Wiblishauser MJ, Sharma M, Webb FJ. COVID-19 Vaccination Hesitancy in the United States: A Rapid National Assessment. J Community Health. 2021 Apr;46(2):270–7.

Lin C, Mullen J, Smith D, Kotarba M, Kaplan SJ, Tu P. Healthcare Providers’ Vaccine Perceptions, Hesitancy, and Recommendation to Patients: A Systematic Review. Vaccines. 2021 Jul;9(7):713.

Zingg A, Siegrist M. Measuring people’s knowledge about vaccination: developing a one-dimensional scale. Vaccine. 2012;30(25):3771–7.

Betsch C, Wicker S. Personal attitudes and misconceptions, not official recommendations guide occupational physicians’ vaccination decisions. Vaccine. 2014;32(35):4478–84.

Maurer J, Uscher-Pines L, Harris KM. Perceived seriousness of seasonal and A (H1N1) influenzas, attitudes toward vaccination, and vaccine uptake among US adults: does the source of information matter? Preventive medicine. 2010;51(2):185–7.

Riccò M, Cattani S, Casagranda F, Gualerzi G, Signorelli C. Knowledge, attitudes, beliefs and practices of Occupational Physicians towards seasonal influenza vaccination: a cross-sectional study from North-Eastern Italy. Journal of preventive medicine and hygiene. 2017;58(2):E141.

Knowledge, attitudes and perceptions towards COVID-19 vaccinations: a cross-sectional community survey in Bangladesh | BMC Public Health | Full Text [Internet]. [cited 2023 Nov 23]. Available from:

Cucinotta D, Vanelli M. WHO declares COVID-19 a pandemic. Acta bio medica: Atenei parmensis. 2020;91(1):157.

Katz M, Azrad M, Glikman D, Peretz A. COVID-19 vaccination compliance and associated factors among medical students during an early phase of vaccination rollout—A survey from Israel. Vaccines. 2021;10(1):27.

Kelekar AK, Lucia VC, Afonso NM, Mascarenhas AK. COVID-19 vaccine acceptance and hesitancy among dental and medical students. The Journal of the American Dental Association. 2021;152(8):596–603.

Lataifeh L, Al-Ani A, Lataifeh I, Ammar K, AlOmary A, Al-Hammouri F, et al. Knowledge, attitudes, and practices of healthcare workers in Jordan towards the COVID-19 vaccination. Vaccines. 2022;10(2):263.

Lucia VC, Kelekar A, Afonso NM. COVID-19 vaccine hesitancy among medical students. Journal of public health. 2021;43(3):445–9.

Abebe H, Shitu S, Mose A. Understanding of COVID-19 Vaccine Knowledge, Attitude, Acceptance, and Determinates of COVID-19 Vaccine Acceptance Among Adult Population in Ethiopia. IDR. 2021 Jun;Volume 14:2015–25.

Almheiri S, Hazari A, Kumar P, Kumar S, Girish S. A Comprehensive Survey on the Beliefs, Perceptions, and Clinical Manifestations of Pre and Post Covid-19 Vaccinations Among Physiotherapy Students in the United Arab Emirates. Plos One. 2023;

Jain J, Saurabh S, Kumar P, Verma MK, Goel AD, Gupta MK, et al. COVID-19 Vaccine Hesitancy Among Medical Students in India. Epidemiology and Infection. 2021;

Hamad AA, Selim R, Amer BE, Diab RA, Elazb M, Elbanna EH, et al. COVID-19 Risk Perception and Adherence to Preventive Measures Among Medical Students After Receiving COVID-19 Vaccination: A Multicenter Cross-Sectional Study in Egypt. Vaccines. 2022;

Roy DC, Hossen MdM, Biswas M, Islam E, Azam S. Prevalence of COVID-19 Vaccine Hesitancy in Students: A Global Systematic Review. F1000research. 2022;

Gautier S, Luyt D, Herr M, Cardot T, Rousseau A, Annane D, et al. Cross-Sectional Study on COVID-19 Vaccine Hesitancy and Determinants in Healthcare Students: Interdisciplinary Trainings on Vaccination Are Needed. BMC Medical Education. 2022;

Chen Y, Zhang MX, Lin XQ, Wu H, Tung TH, Zhu JS. COVID-19 vaccine hesitancy between teachers and students in a college, a cross-sectional study in China. Human Vaccines & Immunotherapeutics. 2022 Nov 30;18(5):2082171.