scholarly journals COVID-19-related knowledge, attitudes and practices: a mixed-mode cross-sectional survey in Liberia

BMJ Open ◽  
2021 ◽  
Vol 11 (7) ◽  
pp. e049494
Author(s):  
Josiah Brown Wilson ◽  
Andreas Deckert ◽  
Rupal Shah ◽  
Nicholas Kyei ◽  
Lauretta Copeland Dahn ◽  
...  

ObjectivesTo examine the knowledge, attitudes and practices (KAP) of COVID-19 of rural and urban residents in Liberia to inform the development of local social and behaviour change communication strategies.DesignCross-sectional, mixed-mode (online and telephone) survey using non-probability sampling.SettingAll 15 counties in Liberia with a focus on Maryland County.ParticipantsFrom 28 May to 28 June 2020, data were collected from a total of 431 adults aged 18 years and older (telephone 288 (66.8%); online 143 (33.2%)) out of a total of 741 contacts.Main outcome measuresKAP scores. Frequencies and proportions were calculated, followed by univariate and multivariable analyses to examine the association between KAP scores and the sociodemographic variables.ResultsAround 69% of the online survey respondents were younger than 35 years of age, compared with 56% in the telephone interviews. The majority (87%) of online respondents had completed tertiary education, compared with 77% of the telephone respondents. Male participants, on average, achieved higher knowledge (52%) and attitude scores (72%), in contrast to females (49% and 67%, respectively). Radio (71%) was the most cited source for COVID-19 information, followed by social media (63%). After controlling for sociodemographic variables, adaptive regression modelling revealed that survey mode achieved 100% importance for predicting knowledge and practice levels with regard to COVID-19.ConclusionsThe survey population demonstrated moderate COVID-19 knowledge, with significant differences between survey mode and educational level. Correct knowledge of COVID-19 was associated with appropriate practices in Maryland County. Generalisation of survey findings must be drawn carefully owing to the limitations of the sampling methods. Yet, given the differences in knowledge gaps between survey modes, sex, education, occupation and place of residence, it is recommended that information is tailored to different audiences.

2020 ◽  
Vol 37 (10) ◽  
pp. e12.2-e12
Author(s):  
Samantha Laws ◽  
Mary Halter ◽  
Chao Wang

BackgroundChanges in the paramedic profession have seen an increased range of medicines available within UK ambulances services. However, poor practice in medicines management has been identified by the Care Quality Commission. Literature in this area is sparse. This study aimed to determine the perceived knowledge, attitudes and practices of paramedics regarding pharmacology and the legal and regulatory issues of medicines management and administration.MethodsThe study utilised a cross-sectional survey design, administering an anonymous online survey to all (approximately 1000) paramedics within one UK NHS ambulance trust. The survey focused on paramedic knowledge on pharmacology, legal supply and administration; self-assessment of knowledge and confidence related to medicine management and administration; and personal characteristics. The primary outcome was percentage of (pre-determined) correct answers.Results251 responses were received. The mean percentage of correct answers was 79.0% (SD 10.0), with variation by question observed, from 34.7 to 97.2% correct responses. A higher correct knowledge was associated with: higher self-rated confidence, lower self-reported knowledge, being less likely to report errors and higher education-based initial route into the paramedic profession.ConclusionThis single-site UK-based survey highlighted variation in medicines knowledge amongst self-selecting paramedic respondents. The results indicate a need for medicines-specific further education for all paramedics, particularly those who have not experienced longer formal education entry routes, integrating a focus on confidence and self-perceived knowledge, and enhancing and embedding integrated improvement strategies. Further research is required with larger, multi-site samples, and to evaluate the impact of education packages developed.


2020 ◽  
Author(s):  
Arpita Rai ◽  
Nishant Nishant ◽  
D Singh ◽  
Nitin Kulkarni ◽  
Shailesh Chaurasia ◽  
...  

Abstract Background: People's adherence to control measures is imperative in the fight against COVID-19. The present study was done to evaluate knowledge, attitudes, and practices towards COVID-19 among residents of Jharkhand and to assist government in deciding further course of action during the COVID-19 outbreak. Methods: This study was an online cross sectional survey. The link to the questionnaire was displayed on the official website of Rajendra Institute of Medical Sciences, Ranchi, Government of Jharkhand, National Health Mission, Jharkhand, official website of all districts under Jharkhand state administration, Integrated Disease Surveillance Programme and Information & Public Relations department. Participation of residents in the survey was also extensively propagated using mass media mainly local television networks, radio channel and newspapers. Results: A total of 4683 responses were received from all districts of Jharkhand. Majority of the participants were young adults (47.5%) and number of male participants was more than the females (81.4%). Mean correct knowledge score for participants of this study was 10.73+2.2 (maximum attainable score was 14) while mean practice score for the participants was 4.5+0.69 (maximum attainable score was 5). Knowledge score of the participants was significantly associated with their age, education status and economic class (p<0.05). The participants largely held an optimistic attitude and healthy practices towards COVID-19. Conclusions: Participants had positive attitude but were also logically worried and uncertain about near future. Adequate knowledge of participants was visible in the practices of residents. There was however a gap across age groups, gender, literacy and income levels which should be addressed in future campaigns.


2021 ◽  
Author(s):  
Arpita Rai ◽  
Nishant Nishant ◽  
DK Singh ◽  
Nitin Madan Kulkarni ◽  
Shailesh Kumar Chaurasia ◽  
...  

Abstract Background People's adherence to control measures is imperative in the fight against COVID-19. The present study was done to evaluate knowledge, attitudes, and practices towards COVID-19 among residents of Jharkhand and to assist government in deciding further course of action during the COVID-19 outbreak. Methods This study was an online cross sectional survey. The link to the questionnaire was displayed on the official website of Rajendra Institute of Medical Sciences, Ranchi, Government of Jharkhand, National Health Mission, Jharkhand, official website of all districts under Jharkhand state administration, Integrated Disease Surveillance Programme and Information & Public Relations department. Participation of residents in the survey was also extensively propagated using mass media mainly local television networks, radio channel and newspapers. Results A total of 4683 responses were received from all districts of Jharkhand. Majority of the participants were young adults (47.5%) and number of male participants was more than the females (81.4%). Mean correct knowledge score for participants of this study was 10.73 + 2.2 (maximum attainable score was 14) while mean practice score for the participants was 4.5 + 0.69 (maximum attainable score was 5). Knowledge score of the participants was significantly associated with their age, education status and economic class (p < 0.05). The participants largely held an optimistic attitude and healthy practices towards COVID-19. Conclusions Participants had positive attitude but were also logically worried and uncertain about near future. Adequate knowledge of participants was visible in the practices of residents. There was however a gap across age groups, gender, literacy and income levels which should be addressed in future campaigns.


Author(s):  
Edris Kakemam ◽  
Djavad Ghoddoosi-Nejad ◽  
Zahra Chegini ◽  
Khalil Momeni ◽  
Hamid Salehinia ◽  
...  

AbstractBackgroundCOVID-19, which emerged in December 2019, is the largest pandemic ever to occur. During the early phase, little was known about public awareness relating to Coronavirus disease. This study was designed to determine knowledge, attitudes and practices (KAP) among the Iranian public towards COVID-19.MethodsA cross-sectional online survey was carried out in Iran from 2 March to 8 April 2020 using a self-administered questionnaire on 1,480 people. COVID-19-related KAP questions were adapted from other internationally validated questionnaires specific to infectious diseases.ResultsAll participants were aware of COVID-19. When asked unprompted, 80% of respondents could correctly cite fever, difficulty breathing and cough as signs/symptoms of COVID-19. Most of our sample population knew that by staying at home and staying isolated (95.3%, 95 % CI: 94.2-96.3) as well as constant hand washing and using disinfectants (92.5%, 95 % CI: 91.1-93.8) could prevent COVID-19. However, there was also widespread misconceptions such as the belief that COVID-19 can be transmitted by wild animals (58%, 95 % CI: 55.5-60.5) and by air (48.3%, 95 % CI: 45.7-50.8). Unprompted, self-reported actions taken to avoid COVID-19 infection included hand washing with soap and water (95.4%, 95 % CI: 94.3-96.4), avoiding crowded places (93%, 95 % CI: 91.7-94.3), cleaning hands with other disinfectants (80.9 %, 95 % CI: 78.9-82.9), and covering mouths and noses when coughing and sneezing (76.1 %, 95 % CI: 73.9-78.2). The internet and social media (94.5%, 95 % CI: 93.3-95.6) were the main Coronavirus information sources. However, the most trusted information sources on Coronavirus were health and medical professionals (79.3%, 95 % CI: 77.2-81.3). The majority of participants (77.0%, 95 % CI: 74.8-79.1) wanted more information about Coronavirus to be available.ConclusionOur findings suggest that people’s knowledge and attitude towards COVID-19 at the time of its outbreak was of a high level. Therefore, health systems should use multiple ways, such as mass media, phone applications, electronic, print, and tele-education to increase KAP related to COVID-19.


2020 ◽  
Vol 5 (2) ◽  
pp. 1-9
Author(s):  
Samantha Laws ◽  
Chao Wang ◽  
Mary Halter

Introduction: Changes in the paramedic profession have seen an increased range of medicines available within UK ambulances services. However, poor practice in medicines management has been identified by the Care Quality Commission. Literature in this area is sparse. This study aimed to determine the perceived knowledge, attitudes and practices of paramedics regarding pharmacology and the legal and regulatory issues of medicines management and administration.Methods: The study utilised a cross-sectional survey design, administering an anonymous online survey to all (approximately 1000) paramedics within one UK NHS ambulance trust. The survey focused on paramedic knowledge on pharmacology, legal supply and administration; self-assessment of knowledge and confidence related to medicine management and administration; and personal characteristics. The primary outcome was percentage of (pre-determined) correct answers.Results: 251 responses were received. The mean percentage of correct answers was 79.0% (SD 10.0), with variation by question observed, from 34.7 to 97.2% correct responses. A higher correct knowledge was associated with: higher self-rated confidence, lower self-reported knowledge, being less likely to report errors and higher education-based initial route into the paramedic profession.Conclusion: This single-site UK-based survey highlighted variation in medicines knowledge among self-selecting paramedic respondents. The results indicate a need for medicines-specific further education for all paramedics, particularly those who have not experienced longer formal education entry routes, integrating a focus on confidence and self-perceived knowledge, and enhancing and embedding integrated improvement strategies. Further research is required with larger, multi-site samples, and to evaluate the impact of education packages developed.


2020 ◽  
Author(s):  
Satyajit Kundu ◽  
Abu Sayeed ◽  
Hasan Al Banna ◽  
Musammet Rasheda Begum ◽  
Tapos Kormoker ◽  
...  

The novel coronavirus (SARS-CoV-2/ COVID-19) rapidly infects people across the world, leading to a massive public reaction. Peoples’ knowledge, attitudes, and practices (KAP) towards measures for prevention of the spread of COVID-19 are the most important for the control and prevention of the pandemic infectious disease. This study aimed to assess the knowledge, attitude &amp; practices (KAP) towards measures for prevention of the spread of COVID-19 among Bangladeshi residents during the COVID-19 pandemic. An online survey of 1765 respondents was conducted through the social media networks of authors. The respondents were older than 18 years, with an average age of 24.88 years (SD: 6.30). Approximately 15% of our participants received online training. The mean knowledge score was 14.49 (SD: 1.8, ranging: 0-17), and the overall correct response rate on this knowledge test was 85%. About 67.2 % scored well (above the mean: 4.5, range: 1-5) regarding the practices. To avoid the infection, 96.6% wear mask outside the home, and 98.7% washed hand with soap when came back. COVID-19 knowledge score was significantly associated with a lower risk of (OR: 0.87, 95% CI: 0.79-0.92) of negative attitudes. Again, the awareness score was associated with a lower likelihood of (OR: 0.94, 95% CI: 0.87-0.98) of poor practices. Online health education programs focusing on young people, housewife and people with less education may potentially improve the attitudes and practices to control the COVID-19 pandemic in long term in such a low resource setting.


Author(s):  
Arpita Rai ◽  
. Nishant ◽  
Anshul Kumar ◽  
D. K. Singh ◽  
Nitin Madan Kulkarni ◽  
...  

Background: People's adherence to control measures is imperative in the fight against COVID-19. The present study was done to evaluate knowledge, attitudes, and practices towards COVID-19 among residents of Jharkhand and to assist the government in deciding further course of action during the COVID-19 outbreak. Methods: This study was an online cross-sectional survey. The link to the questionnaire was displayed on the official website of Rajendra Institute of Medical Sciences, Ranchi, National Health Mission, Jharkhand, official website of all districts under Jharkhand state administration, Integrated Disease Surveillance Programme and Information & Public Relations department. Participation of residents in the survey was extensively propagated using mass media mainly local television networks, radio channels and newspapers. Results: A total of 4683 responses were received from all districts of Jharkhand. The majority of the participants were young adults (47.5%) and the number of male participants was more than the females (81.4%). The mean correct knowledge score for participants of this study was 10.73+2.2 (maximum attainable score was 14) while the mean practice score for the participants was 4.5+0.69 (maximum attainable score was 5). The knowledge score of the participants was significantly associated with their age, education status and economic class (p<0.0001). The participants largely held an optimistic attitude and healthy practices towards COVID-19. Conclusion: Participants had a positive attitude but were also logically worried and uncertain about the near future. Adequate knowledge of participants was visible in their practices. There was however a gap across age groups, gender, literacy and income levels which should be addressed in future campaigns.


Author(s):  
Gyandas G. Wadhwani ◽  
Leanne Scott ◽  
Chantelle Nienhuis ◽  
Laura Chella ◽  
Aditi Chadha ◽  
...  

Background: The novel coronavirus (COVID-19) pandemic has spread rapidly inviting unprecedented measures globally. Citizen’s adherence to jurisdiction is affected by their knowledge, attitudes, and practices (KAP) towards the disease.Methods: A cross-sectional survey study among a convenient sample of the general public aged 18 years or more and resident in South Africa was conducted through a self-designed online KAP survey questionnaire during the first few weeks of the South African lockdown to assess the knowledge, attitudes and practices about COVID-19. A p value of <0.05 (two tailed) was taken to be statistically significant.Results: A total of 885 respondents completed the survey, majority of which were females who identified COVID-19 as a challenge to health and society and agreed with the strategy of lockdown for initial control of the spreading epidemic. In spite of the high knowledge scores of the population 31% of the respondents did not choose to wear a mask while leaving home.  Also, a large number of respondents believed that early symptomatic treatment can prove useful to manage the infection. A statistically significant p value (<0.05) was obtained for the study variables in the statistical analysis, which showed that high knowledge scores were found to be associated with gender, categories of annual income and ethnicity.Conclusions: This survey shows that South African residents of a relatively high level of socioeconomic status, in particular women, have substantial knowledge, positive attitudes, but need to improve practices towards COVID-19 during the rapid rise phase of the COVID-19 outbreak. 


Author(s):  
Gyandas G. Wadhwani ◽  
Anupriya Chaudhary ◽  
Aditi Chadha ◽  
Lovepreet Kaur ◽  
Khushbu Chaudhary ◽  
...  

Background: Delhi and NCR of India is densely populated with access to an integrated health care delivery system, with a promoted preventive homoeopathic medicine for flu like illnesses. To assess knowledge, attitudes and practices to this unanticipated situation and infectious disease pandemic of COVID-19 continues to be a global and public health challenge.Methods: A survey was conducted. An online cross-sectional survey was conducted in a sample of the residents of Delhi and NCR using a self-prepared pilot-tested structured format. The obtained data was analysed using descriptive and inferential statistics.Results: 925 people completed the survey with 55.5% of the study group being females. Mean knowledge score obtained was 7.57±1.41 while mean attitude score was 3.27±1.31. Majority of the respondents (86%) had an adequate knowledge about the disease in general and were optimistic about recovery from the disease. Gender had negligible impact on the average knowledge score, while the score differed significantly with education and occupation. In the absence of an available vaccine, 29.47% respondents considered prophylactic potential of homoeopathy.Conclusions: Results reveal adequate knowledge and practices in the educated residents but below average mean attitude score. Public has welcomed the governmental initiative of homoeopathic prophylactic, and their belief in its therapeutic potential furthers the studies to determine its role as an adjuvant. Further extensive cross-sectional surveys to cover various strata of population are required to assess the widespread pattern of KAP in the general population.


Author(s):  
Hima Bindu Ponnam ◽  
Butchi Raju Akondi ◽  
Santosh Kumar Jagadabhi ◽  
Kiranmayee G.R. Rompicherla ◽  
Bharathi Chakali ◽  
...  

Abstract Introduction Prodigious restrictions and safety measures have been adopted by the government to control the spread of wildfire coronavirus disease 2019 (COVID-19) pandemic in India. However, the effective implementation of these measures depends upon the knowledge, attitudes, and practices (KAP) of the people. In this context, a cross-sectional online survey of a sample of Indian residents for assessing their KAP toward COVID-19 has been taken up during the verge of lockdown restrictions. Methods A self-developed online KAP questionnaire consisted of 21 questions related to clinical treatment and prevention aspects of COVID-19 including the safety measures completed by the participants. Assessments on their attitudes and practices toward COVID-19 included the confidence of people to overcome this pandemic and adapting safety measures such as wearing mask while going out in recent days. Results and Discussion A sample of 1,043 participants participated in this online survey. The overall correct rate of the knowledge questionnaire was 90%. More than half of the respondents (53.3%) had confidence that India can win the battle against COVID-19. All the participants believed that Ayurveda, Yoga, Unani, Siddha, and Homoeopathy (AYUSH) systems of medicine that are the rich heritage of India would be helpful in combating the viral illness (95.4%). Nearly all the participants (99%) wore masks when going out in recent days. In multiple logistic regression analyses, the COVID-19 knowledge score was significantly associated with a lower likelihood of negative attitudes and preventive practices toward COVID-19. Conclusion The Indian residents showed good knowledge toward COVID-19 and this in turn helped them to hold optimistic attitudes and have appropriate practices toward COVID-19. More community-based health education program strategies if aimed would help further. The limitation of sample representativeness restricts to generalize the findings to population of rural areas with low socioeconomic status.


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