scholarly journals COVID-19: a National Survey on perceived level of knowledge, attitude and practice among frontline healthcare Workers in Nepal

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Nira Tamang ◽  
Punam Rai ◽  
Siddhartha Dhungana ◽  
Binod Sherchan ◽  
Bikash Shah ◽  
...  

Abstract Background The aim of this study was to determine the knowledge, attitude and practice (KAP) regarding the COVID-19 among frontline healthcare workers (F-HCWs) working at different hospitals in Nepal and to identify the factors significantly associated with KAP. Methods We used a web-based survey, and a convenience sampling method was adopted to collect data from 603 F-HCWs working at different hospitals in Nepal during the first week of June 2020. A self-administered questionnaire was utilized to assess the KAP perceived by the F-HCWs. It was divided into 4-parts consisting of 30-items, demographic characteristics (10-items), knowledge (10-items), attitude (5-items), and practice (5-items). It consisted of both multiple-choice questions and Likert scale items questionnaire. Results Among the participants, 76% reported adequate knowledge, 54.7% reported positive attitude, and 78.9% reported appropriate practice. Statistically significant differences regarding the perceived level of knowledge among F-HCWs were observed among independent variables, including age, gender, level of education, marital status, profession, work experience, source of information, infection prevention and control (IPC) training, and online course(p < 0.05). Similarly, statistically significant differences regarding the attitude among F-HCWs were observed among independent variables, including age, gender, level of education, profession, and online course(p < 0.05). Moreover, only 2-independent variables, including the profession and online course, showed statistically significant differences with practice(p < 0.05). Pearson correlation analysis showed a significant association between knowledge, attitude and practice at the level of p = 0.01. The factors significantly associated with adequate knowledge were male gender, nurse and doctor, websites and IPC training. Similarly, factors significantly associated with positive attitude were online course related to COVID-19 only. Moreover, factors significantly associated with appropriate practice were master’s degree or above and online course related to COVID-19. Conclusions F-HCWs reported adequate overall knowledge with a positive attitude and adopted the appropriate practice. The experienced F-HCWs with higher education and who received IPC training and online course regarding COVID-19 had better KAP. So, the stakeholders must arrange the educational programs and training for F-HCWs for better preparedness tackling with COVID-19.

2020 ◽  
Author(s):  
Nira Tamang ◽  
Punam Rai ◽  
Siddhartha Dhungana ◽  
Binod Sherchan ◽  
Bikash Shah ◽  
...  

Abstract Background The aim of this study was to determine the knowledge, attitude and practice(KAP) regarding the COVID-19 among frontline healthcare workers (F-HCWs) working at different hospitals in Nepal and to identify the factors significantly associated with KAP.Methods We used a web-based survey, and a convenience sampling method was adopted to collect data from 603 F-HCWs working at different hospitals in Nepal during the first week of June 2020. A self-administered questionnaire was utilized to assess the KAP perceived by the F-HCWs. It was divided into 4-parts consisting of 30-items, demographic characteristics (10-items), knowledge (10-items), attitude (5-items), and practice (5-items). It consisted of both multiple-choice questions and Likert scale items questionnaire. Results Among the participants, 76% reported adequate knowledge, 54.7% reported positive attitude, and 78.9% reported appropriate practice. Statistically significant differences regarding the perceived level of knowledge among F-HCWs were observed among independent variables, including age, gender, level of education, marital status, profession, work experience, source of information, infection prevention and control (IPC) training, and online course(p<0.05). Similarly, statistically significant differences regarding the attitude among F-HCWs were observed among independent variables, including age, gender, level of education, profession, and online course(p<0.05). Moreover, only 2-independent variables, including the profession and online course, showed statistically significant differences with practice(p<0.05). Pearson correlation analysis showed a significant association between knowledge, attitude and practice at the level of p=0.01. The factors significantly associated with adequate knowledge were male gender, nurse and doctor, websites and IPC training. Similarly, factors significantly associated with positive attitude were online course related to COVID-19 only. Moreover, factors significantly associated with appropriate practice were master’s degree or above and online course related to COVID-19.Conclusions F-HCWs reported adequate overall knowledge with a positive attitude and adopted the appropriate practice. The experienced F-HCWs with higher education and who received IPC training and online course regarding COVID-19 had better KAP. So, the stakeholders must arrange the educational programs and training for F-HCWs for better preparedness tackling with COVID-19.


2020 ◽  
Author(s):  
Nira Tamang ◽  
Punam Rai ◽  
Siddhartha Dhungana ◽  
Binod Sherchan ◽  
Bikash Shah ◽  
...  

Abstract Background: The primary aim of this national survey was to determine the knowledge, attitude and practice(KAP) regarding the COVID-19 among frontline healthcare workers(F-HCWs) working at different hospitals in Nepal, and the secondary aim was to find the factors associated with KAP. Methods: We used a web-based survey to collect data from 603 F-HCWs working at different hospitals in Nepal during the first week of June 2020. A self-administered questionnaire was utilized to assess the KAP perceived by the F-HCWs. It was divided into 4-parts consisting of 30-items, demographic characteristics (10-items), knowledge (10-items), attitude (5-items), and practice (5-items). It consisted of both multiple-choice questions and Likert scale items questionnaire. Results: Among the participants, 76% reported adequate knowledge, 54.7% reported positive attitude, and 78.9% reported appropriate practice. Statistically significant differences regarding the perceived level of knowledge among F-HCWs were observed among independent variables, including age, gender, level of education, marital status, profession, work experience, source of information, infection prevention and control (IPC) training, and online course(p<0.05). Similarly, statistically significant differences regarding the attitude among F-HCWs were observed among independent variables, including age, gender, level of education, profession, and online course(p<0.05). Moreover, only 2-independent variables, including the profession and online course, showed statistically significant differences with practice(p<0.05). Pearson correlation analysis showed a significant association between knowledge, attitude and practice at the level of p=0.01. The factors significantly associated with adequate knowledge were male gender (aOR: 3.66; 95%CI: 1.97-6.82), nurse and doctor (aOR: 2.10; 95%CI: 1.18-3.72), websites (aOR: 1.83; 95%CI: 1.83 (1.13-2.97) and IPC training (aOR: 1.53; 95%CI: 1.02-2.31). Similarly, factors significantly associated with positive attitude were online course related to COVID-19 (aOR: 1.49; 95%CI: 1.02-2.17) only. Moreover, factors significantly associated with appropriate practice were master’s degree or above (aOR: 0.56; 95%CI: 0.31-1.00) and online course related to COVID-19 (aOR: 2.43; 95%CI: 1.44-4.09) Conclusions: F-HCWs reported adequate overall knowledge with a positive attitude and adopted the appropriate practice.The experienced F-HCWs with higher education and who received IPC training and online course regarding COVID-19 had better KAP. So, the stakeholders must arrange the educational programs and training for F-HCWs for better preparedness tackling with COVID-19.


2021 ◽  
Author(s):  
Niraj Tharu ◽  
Monzurul Alam ◽  
Shristi Bajracharya ◽  
Mohammad Kabir

Abstract Study design: A quantitative cross-sectional survey study. Objective To determine the knowledge, attitude and practice (KAP) among caregivers regarding prevention and care of pressure ulcer in patients with spinal cord injury and relationship between KAP. Setting: Centre for Rehabilitation of Paralysed, Dhaka, Bangladesh. Methods A descriptive correlational design with modified semi-structured questionnaire implemented through convenient sampling procedure. McDonald’s standard of learning outcome measured criteria was used to categorize caregivers’ level of knowledge and practice while, the total scores of attitude were categorized into three levels based on mean percentage and standard deviation: negative attitude below (mean ± 1 SD), neutral level (mean ± 1 SD), and positive attitude above (mean ± 1 SD). The pearson product-moment correlation coefficient (r) was used to examine the relationships between caregivers’ KAP and p- value of 0.05 or less was considered as statistically significant. Results Our results suggest that caregivers had a moderate level of knowledge (M = 73.68%, SD = 6.43), neutral level of attitude (M = 70.32%, SD = 6.89), and moderate level of practice (M = 74.77%, SD = 9.08). There was a positive correlation between caregivers’ knowledge and attitude (r = 0.30, p < 0.01), and between knowledge and practice (r = 0.37, p < 0.01). However, no correlation existed between attitude and practice (r = 0.12, p > 0.05). Conclusion The study findings suggests that caregivers need to develop a positive attitude and increase their knowledge in order to improve their practice.


PLoS ONE ◽  
2021 ◽  
Vol 16 (2) ◽  
pp. e0247204
Author(s):  
Eyasu Alem Lake ◽  
Birhanu Wondimeneh Demissie ◽  
Natneal Atnafu Gebeyehu ◽  
Addisu Yeshambel Wassie ◽  
Kelemu Abebe Gelaw ◽  
...  

Background The World Health Organization (WHO) declared coronavirus disease 2019 (COVID-19) a global pandemic on 11th March, 2020. In Ethiopia, more than 90,490 and 1,300 confirmed cases and deaths were reported by the Federal Ministry of Health at the time of writing up this project. As health care providers are frontline workers managing the COVID-19 pandemic, this systematic review and meta-analysis aimed to assess the pooled level of knowledge, attitude, and practice towards COVID-19 among health professionals in Ethiopia. Methods PubMed, Google Scholar, Excerpta Medica database (EMBASE), Cochrane Library, Web of Science, and African Journal of Online (AJOL) were searched. The data were extracted using Microsoft Excel and analyzed using STATA version 14. Publication bias was checked by funnel plot and more objectively through Egger’s regression test, with P < 0.05 considered to indicate potential publication bias. The heterogeneity of studies was checked using I2 statistics. Pooled analysis was conducted using a weighted inverse variance random-effects model. Subgroup analysis was done related to geographic region and time. A leave-one-out sensitivity analysis was also employed. Result A total of 11 studies with 3,843 study participants for knowledge, eight studies with 2,842 study participants for attitude and 10 studies with 3, 435 study participants for practice were used to estimate the pooled level of good knowledge, positive attitude and poor practice among health professionals. The overall estimated good level of knowledge, positive attitude and poor practice towards COVID-19 was found to be 79.4% (95% CI: 73.5%-85.2%; I2 = 96%), 73.7% (95%CI: 63.09%-84.4%; I2 = 98.3%) and 40.3% (95%CI: 31.1%-49.6%; I2 = 97.1%) respectively. Conclusion Study findings showed that there were significant gaps in COVID-19 related knowledge, attitude and practice with respect to World Health Organization recommendations on COVID-19 management and personal protection practices. This study therefore recommends that institutions provide with immediate effect accurate and up-to-date information on COVID-19 and training that encourages improved knowledge, attitude and practice to mitigate this pandemic.


2018 ◽  
Vol 17 (1) ◽  
Author(s):  
Intan Azura SHAHDAN ◽  
Sarah RAHMAT ◽  
Ilyanoon ZAHARI ◽  
Sharifah Nurul Natasha Syed Abdul Rahman ◽  
Mohd. Affendi Mohd. Shafri

This preliminary study investigated the: (i) level of knowledge, attitude and practice (KAP) among members of Kulliyyah of Allied Health Sciences (KAHS), International Islamic University Malaysia (IIUM) regarding Islamisation of knowledge (IOK);  (ii) correlation of KAP and IOK with the duration of service and level of exposure to IOK-related activities; (iii) comparison of KAP between departments in KAHS towards the understanding of IOK, and (iv) level of KAP in IOK between KAHS academics and non-academic staff.  Since studies on the integration of religious worldview in health sciences faculties are scarce, this study will be investigating the effectiveness of IOK programmes at the faculty level. A total of 74 staff participated in the study. The response rate was 65.5% out of 113 distributed questionnaires. All respondents have average knowledge (50±28%) in IOK and showed positive attitude (78±32.5%) towards IOK.  The knowledge of Islamisation in KAHS correlates positively with the duration of service (p<0.05) and the level of exposure to IOK-related activities (p<0.05). However, answers given to some questions indicated that the staff perceptions and knowledge of IOK are ambiguous and may suggest a misunderstanding of the Islamisation term. Furthermore, an average score was found among the academic respondents with regards to their integration of IOK into practice.  These shortcomings may affect the integration and implementation of IOK either in classrooms, clinics or offices and lead to a poor integration of the Islamisation agenda to the students as well as the patients. Hence, there is a need to design workshops and programmes more towards practical approaches of IOK into health-based sciences as well as the implementation of IOK agenda at the workplace, rather than the theoretical aspects per se. In conclusion, most of the respondents have positive attitude towards the IOK movement in KAHS despite the high level of knowledge among some members, in particular the academic staff, is not yet translated into practice.


Background: The day of giving birth is a time of unique and intense absorption and learning for every parturient woman because of the interplay of a variety of stressors associated with childbirth such as pain, medical intervention, and hospitalization. Thus, women in labor have a profound need for companionship, empathy, help, and emotional support especially from family members and friends to meet to their needs that the health professional may not be able to address. There is strong evidence showing that continuous support during labor effectively improves delivery outcomes. It is factual that most of the facilities in Ethiopia do not have a policy that allows a companion in the delivery room to accompany the mother despite the dire need. The knowledge and attitude of health professionals towards this support system has an immense effect on the implementation of this policy by the institutions. Objective: To assess the knowledge, attitude, and practice of health professionals towards labor companion in the health institutions of Addis Ababa. Methods: Facility-based cross-sectional study in 30 health institutions of Addis Ababa was conducted using self-administered structured questionnaire from March 1 to June 30, 2016. The results were summarized using descriptive statistics. Bivariate logistic regression analysis and odds ratio along with 95% confidence interval was used to assess the degree of association between dependent and independent variables. The variables with significant association were entered into multivariate logistic regression model. Results: Among the total of 378 respondents, 275(72.8%) were females and 252(66.7%) were midwives. Most of the respondents, 239(93.4%) stated to have knowledge on the importance of labor companion but only 167(44.2%) had adequate knowledge. From the study participants, 239(63.2%) had positive attitude towards labor companion but only 139(36.8%) stated it is practiced in their institution. Having adequate knowledge is significantly associated with positive attitude. Health professionals working in private institutions and health centers have the practice of allowing labor companion better than those in government hospitals. Conclusion and recommendation: This study concluded that less than half of the study participants have adequate knowledge regarding the benefits of labor companion though majority have positive attitude. Health professionals should be updated on evidence-based support of labor companionship; and all the stakeholders involved should make the effort in bringing change towards labor companion.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Leila Shahbaznejad ◽  
Mohammad Reza Navaeifar ◽  
Faeze Sadat Movahedi ◽  
Fatemeh Hosseinzadeh ◽  
Seyed Alireza Fahimzad ◽  
...  

Abstract Background It has been determined that the coronavirus disease 2019 (COVID-19) pandemic needs social distancing and proper measures to prevent its spreading. This study aimed to determine COVID-19 knowledge, attitude, and practice among Sari Birth Cohort (SBC) members. Methods In this cross-sectional study linked to the SBC in north of Iran, mothers living in Sari and its suburbs from March 28 to April 8, 2020 were evaluated. The measurement tool was an online researcher-made, self-reported knowledge, attitude, and practice questionnaire related to COVID-19. Results In total, 1449 mothers with a mean age of 31.51 ± 5.73 years participated. Of them, 82.4% had good knowledge (98.6% in healthcare workers and 79.2% in housewives, p = 0.000). Most of them were worried about spread of the disease in the country (97.4%) and agreed that COVID-19 will finally be successfully controlled around the world (72.2%). Sleep disturbance was reported in 42.7% of mothers. Eighty-eight percent of cases wore masks and gloves when leaving home, 99.4% washed their hands frequently while 12.9% went to any crowded places. People with better knowledge followed safer practices (p = 0.000) and were more worried about the spread of the disease in the country and infection (among themselves and their first-degree relatives) (p = 0.000). Conclusions Most of the SBC members had a good level of knowledge about COVID-19 but were worried about a long-term pandemic period. They also had good practices regarding the prevention of the disease.


2021 ◽  
Vol 10 (1) ◽  
pp. 88-97
Author(s):  
Fatimah ◽  
Taiwo ◽  
Baba ◽  
Aishatu ◽  
Omeiza ◽  
...  

Background: Although much is known about the rapidly spreading COVID-19 disease, a lot of knowledge is still evolving. The knowledge, attitude and practice (KAP) of healthcare workers (HCWs) towards COVID-19 remain key in protecting themselves and in fighting the “war” against the disease. This study assessed the KAP of HCWs in Kano, northern Nigeria. Methodology: A cross-section of different cadre of healthcare workers was recruited online via google forms. Using a link, the participants completed an adapted from a similar study, pre-tested questionnaire on KAP regarding COVID-19. Predictors of KAP were assessed using logistic regression modelling. Results: Among the 651 HCWs invited to participate, 233 respondents responded giving a response rate of 35.8%. Of these, 195 (83.7%) had good knowledge, 183 (78.9%) had a positive attitude and 180 (77.6%) had good practice towards prevention of COVID-19. The odds of having good knowledge were significantly lower among Community Health Officers/Community Health Extension workers (aOR=0.2, 95% CI: 0.1-0.6;p<0.001) and other health workers compared to doctors. Positive attitude was predicted by good knowledge (aOR=4.8, 95% CI:1.7-010.2;p=0.003), being in the fifth decade of life (aOR=5.5, 95% CI: 1.1–29.3, p=0.04), female gender (aOR=3.0, 95% CI: 1.1-8.3;p=0.04), Christian faith (aOR=7.0, 95% CI: 1.3-40.4; p=0.03), and having a bachelors’ or medical degree (aOR=4.6, 95% CI: 1.3-16.5).The only predictor of good practice was good knowledge on COVID-19 (aOR=7.8, 95% CI 2.8-12.4;p<0.001). Conclusion and Global Health Implications: Majority of the HCWs at the study site have good knowledge, attitude and practice regarding COVID-19. Continuous dissemination of information on prevention of spread of COVID-19 to all HCWs will strengthen the health workforce in the fight against it.   Copyright © 2021 Tsiga-Ahmed et al. Published by Global Health and Education Projects, Inc. This is an open-access article distributed under the terms of the Creative Commons Attribution License CC BY 4.0.


Author(s):  
Richa Nepal ◽  
Kalyan Sapkota ◽  
Kalidas Adhikari ◽  
Pramod Paudel ◽  
Bhojraj Adhikari ◽  
...  

Abstract Background COVID-19 is a viral respiratory disease that was recently recognized in humans. The number of COVID-19 cases has been gradually increasing in Nepal. The objective of this study was to evaluate knowledge, attitude and practice regarding COVID-19 among healthcare workers in Chitwan, one of the districts located in central Nepal. Methods It was a cross-sectional study conducted among healthcare workers from various health institutions located in Chitwan district of Nepal. A self-reported questionnaire was circulated online. Bivariate analyses were done using Spearman’s correlation coefficient, Pearson’s chi square test, and student’s t test as appropriate, whereas multivariate analyses were done using linear regression models. Results A total of 353 responses were analyzed, out of which 47% were nurses, 28.9% were doctors, 11.6% were health assistants, 2% were certified medical assistants, and the remaining 10.5% were categorized as others. The majorities were females (58.9%), were in the age group of 16–29 years (67.1%) and had work experience of less than 5 years (62%). The majority of healthcare workers obtained good to moderate knowledge and practice scores (n = 82.15%, 83.57%, respectively) and had positive attitude scores (n = 90.93%). Mean score values were 21.65 ± 4.71 out of 33 in knowledge section, 8.07 ± 1.49 out of 13 in attitude section and 13.89 ± 5.33 out of 20 in practice section. Mean knowledge and practice scores were significantly associated with job descriptions of healthcare workers (p value – 0.000, 0.007, respectively) with highest mean knowledge scores among doctors (23.70 ± 4.48) and highest mean practice scores among health assistants (15.10 ± 3.61). Higher practice scores (ß = 0.626) and infection prevention training (ß = 1.467) were significantly associated with higher knowledge scores; higher knowledge (ß = 1.366) and higher practice scores (ß = 0.110) were significantly associated with higher attitude scores; and higher knowledge scores (ß = 0.308) and higher attitude scores (ß = 0.265) were significantly associated with higher practice scores. Conclusion The majority of healthcare workers from Chitwan, Nepal, had good to moderate knowledge and practice scores and had a positive attitude toward COVID-19. There was a significant association between knowledge, attitude and practice scores regarding COVID-19 among healthcare workers.


2021 ◽  
Author(s):  
Imam Adli ◽  
Indah Suci Widyahening ◽  
Gilbert Lazarus ◽  
Jason Phowira ◽  
Lyanna Azzahra ◽  
...  

Introduction. The potential role of medical students in raising awareness during public health emergencies has been acknowledged. To further explore their potentials as public educators and role models for the communities during the coronavirus disease 2019 (COVID-19) pandemic, a study is conducted to assess the knowledge, attitude, and practice of these students toward COVID-19. Methods. An online cross-sectional survey was conducted among undergraduate medical students in Indonesia. Socio-demographical characteristics, social interaction history, information-seeking behavior, as well as knowledge, attitude, and practice toward COVID-19 were collected through a self-reported questionnaire. A p-value of <0.05 indicated statistical significance. Results. Out of 4870 respondents, 64.9% and 51.5% had positive attitude and practice toward COVID-19 while only 29.8% had adequate knowledge. Knowledge was slightly positively correlated with attitude and practice (rho=0.074 and rho=0.054, respectively; both p<0.001), while attitude was weakly correlated with practice (rho=0.234, p<0.001). Several factors including age, sex, place of residence, institution type, academic level, family income, history of chronic illness, prior volunteering experience, and perceptual awareness on COVID-19 were significantly associated with either knowledge, attitude, and/or practice toward COVID-19. Furthermore, health institution's and the government's press releases, as well as health expert opinions were deemed as the most reliable sources of COVID-19-related information - yet trivially none of these sources were associated with knowledge, attitude, and practice in the study population. Conclusion. Many undergraduate medical students in Indonesia had positive attitude and practice against COVID-19, yet only a few had adequate knowledge. This warrants further interventions to keep them updated with COVID-19 evidence to maximize their potentials in raising public awareness on COVID-19.


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