COVID 19: Evaluating the Knowledge, Attitude and Preventive Practices of Healthcare Workers in Northern Nigeria

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.

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Knowledge, attitude and practice regarding COVID-19 among healthcare workers in Chitwan, Nepal

Journal of Chitwan Medical College ◽

10.3126/jcmc.v10i3.32064 ◽

2020 ◽

Vol 10 (3) ◽

pp. 98-102 ◽

Cited By ~ 1

Author(s):

Richa Nepal ◽

Kalyan Sapkota ◽

Pramod Paudel ◽

Bhojraj Adhikari ◽

Kalidas Adhikari ◽

...

Keyword(s):

Healthcare Workers ◽

Positive Attitude ◽

Good Practice ◽

Cross Sectional Study ◽

Good Knowledge ◽

P Value ◽

Cross Sectional ◽

Attitude And Practice ◽

Knowledge And Practice ◽

Knowledge Attitude And Practice

Background: The cases of Coronavirus disease-2019 (COVID-19) 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 descriptive, cross-sectional study, conducted among healthcare workers from different health institutions of Chitwan, over the span of two weeks from 1st April, 2020 till 14th April, 2020. Bivariate analyses of knowledge, attitude and practice scores were done with different variables using appropriate tests in SPSS IBM version 25. Results: Out of 353 responses, 166 (47%) were nurses, 102 (28.9%) were doctors, 41 (11.6%) were health assistants, 7 (2%) were community medical assistants, and the remaining 37 (10.5%) were categorized as others. 290 (82.2%) healthcare workers obtained moderate to good knowledge scores, 295 (83.6%) obtained moderate to good practice scores, and 321 (90.9%) had positive attitude scores. Doctors had highest mean knowledge scores (23.70 ± 4.48, p value- 0.000) and health assistants had highest mean practice scores (15.10±3.61, p value- 0.007). Positive correlation was obtained between knowledge and practice scores (r= 0.476, p value- 0.000); and attitude and practice scores (r= 0.238, p value- 0.000). Only 20.4% healthcare workers were confident to handle the pandemic in their healthcare setup. Conclusions: The majority of healthcare workers had moderate to good knowledge and practice scores and had a positive attitude toward COVID-19. There was a significant association between knowledge, attitude and practice scores obtained by healthcare workers from Nepal.

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Knowledge, attitude and practice of health care workers on measuring adult vitamin D level, diagnosis of deficiency, and management of consequent health conditions in three ecologies of Ethiopia: a cross-sectional study

BMC Nutrition ◽

10.1186/s40795-020-00404-0 ◽

2020 ◽

Vol 6 (1) ◽

Author(s):

Wubegzier Mekonnen ◽

Yeweyenhareg Feleke ◽

Yakob Desalegn ◽

Getahun Tarekegne ◽

Biruk Lambisso ◽

...

Keyword(s):

Health Care ◽

Vitamin D ◽

Health Care Workers ◽

Positive Attitude ◽

Good Practice ◽

Good Knowledge ◽

Vitamin D Status ◽

Attitude And Practice ◽

Care Workers ◽

Knowledge Attitude And Practice

Abstract Background Vitamin D is essential for health and its shortage exacerbates overall mortality. Health care workers (HCWs) need to educate on its uses and sources although studies indicate their low level of practice. The main aim of this study is therefore to assess the knowledge, attitude and practice of measuring adult vitamin D status, diagnosis of deficiency and managing health consequences among HCWs in Ethiopia. Methods This study was conducted in three ecologies covering lowland, midland and highland districts. A total of 405 health care workers with different levels were interviewed. Tablets were used for data collection to archiving in a cloud server. Data were exported to Stata version 14 software for cleaning and analysis. Rates were computed and the Chi-square test was used to compare differences between the two groups. Binary logistic regression was used to measure the strength, direction and significance of the association between different covariates and the practice of HCWs. Result The level of knowledge, positive attitude and good practice in measuring adult vitamin D status, diagnosis of deficiency and managing health consequences among HCWs was 210 (51.8%), 261(63.5%) and 195(47.4%) respectively. The odds of good practice in the provision of adult vitamin D service were AOR = 6.87: 95% CI (3.57, 13.21) and AOR = 2.20: 95% CI (1.23, 3.92) times higher among HCWs in Addis Ababa and highlands compared with those working in lowlands. Good practice among clinicians was AOR = 4.26: 95% CI (1.48, 12.25) times higher compared with those working in leadership positions. The likelihood was AOR = 1.96: 95% CI (1.19, 3.23) times higher among those with good knowledge compared with those with poor knowledge. Besides, good practice in adult vitamin D service provision was AOR = 2.30: 95% CI (1.40, 3.78) times higher among those with positive attitude compared with those who had negative attitude. Conclusions A little over half of HCWs have good knowledge and close to two-thirds of them have positive attitude while less than half of them have good practice on adult vitamin D deficiency. Besides, HCWs’ residential ecology, clinical position, knowledge and attitude is associated with good practice on adult vitamin D. It is essential to provide rigorous and continuous training for HCWs focusing on their deployment ecology.

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Corona virus-19 preventive practices among primary health workers in Owo local government, Ondo state Nigeria

International Journal of Community Medicine and Public Health ◽

10.18203/2394-6040.ijcmph20214555 ◽

2021 ◽

Vol 8 (12) ◽

pp. 5696

Author(s):

Abiodun J. Kareem ◽

Adesola O. Kareem ◽

Ayodele Y. Ogunromo ◽

Liasu A. Ahmed ◽

Babatunde D. Babalola

Keyword(s):

Local Government ◽

Healthcare Workers ◽

Positive Attitude ◽

Health Workers ◽

Good Practice ◽

Good Knowledge ◽

Female Ratio ◽

Preventive Practices ◽

Primary Health ◽

Ondo State

Background: Coronavirus disease 2019 (COVID-19) is an infectious disease with high mortality. Healthcare workers are at the frontline of COVID-19 response and are prone to infection. Therefore, healthcare workers’ preventive practices cannot be underestimated. The study aimed to determine the COVID-19 preventive practices among primary health workers in Owo, Local Government, Ondo state Nigeria.Methods: This was a descriptive cross-sectional study. Consenting staff of primary health centres completed a pretested self-administered questionnaire. The data were analysed using descriptive and inferential statistics.Results: A total of 400 respondents were recruited with 91 (22.8%) males and 309 (77.2%) females giving male to female ratio of 1:3.4. The age range of the respondents was 19-61 years with a mean age of 37.1 (8.1) years. More than half (58.0%) had tertiary level of education and most participant were community health extension workers (36.7%). Majority (99.8%) of the workers were aware of COVID-19 though 212 (53.0%) had good knowledge. The major source of information was the television (94.3%). About 351 (87.8%) had positive attitude despite 383 (95.7%) agreeing that COVID-19 is a problem in Nigeria. More than three-quarter (76.5%) had good practice. There was a significant relationship between knowledge (χ2=29.072, p<0.001), attitude (χ2=35.156, p<0.001) with practice. Educational level was the only factor associated with adherence to COVID-19 guideline (χ2=5.256; p=0.022). The predictors of good practice include knowledge (95% CI =2.296-6.269; p<0.001) and attitude (95% CI =3.079-10.767; p<0.001).Conclusions: The health workers had good knowledge, positive attitude and good preventive practices towards COVID-19.

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Knowledge, attitude and practice of health care workers on measuring adult vitamin D level, diagnosis of deficiency, and management of consequent health conditions in three ecologies of Ethiopia: A cross-sectional study

10.21203/rs.3.rs-64757/v2 ◽

2020 ◽

Author(s):

Wubegzier Mekonnen ◽

Yeweyenhareg Feleke ◽

Yakob Desalegn ◽

Getahun Tarekegne ◽

Biruk Lambisso ◽

...

Keyword(s):

Health Care ◽

Vitamin D ◽

Health Care Workers ◽

Positive Attitude ◽

Good Practice ◽

Good Knowledge ◽

Vitamin D Status ◽

Attitude And Practice ◽

Care Workers ◽

Knowledge Attitude And Practice

Abstract Background: Vitamin D is essential for health and its shortage exacerbate overall mortality. Health care workers (HCWs) need to educate on its uses and sources although studies indicate their low level of practice. The main aim of this study is therefore to assess the knowledge, attitude and practice of measuring adult vitamin D status, diagnosis of deficiency and managing health consequences among HCWs in Ethiopia.Methods: This study was conducted in three ecologies covering lowland, midland and highland districts. A total of 405 health care workers with different levels were interviewed. Tablets were used for data collection to archive in a cloud server. Data were exported to Stata version 14 software for cleaning and analysis. Rates were computed and Chi-square test was used to compare differences between the two groups. Binary logistic regression was used to measure the strength, direction and significance of association between different covariates and the practice of HCWs.Result: The level of knowledge, positive attitude and good practice in measuring adult vitamin D status, diagnosis of deficiency and managing health consequences among HCWs was 210(51.8%), 261(63.5%) and 195(47.4%) respectively. The odds of good practice in the provision of adult vitamin D service were AOR=6.87: 95% CI (3.57, 13.21) and AOR= 2.20: 95% CI (1.23, 3.92) times higher among HCWs in Addis Ababa and highlands compared with those working in lowlands. Good practice among clinicians was AOR=4.26: 95% CI (1.48, 12.25) times higher compared with those working in leadership positions. The likelihood was AOR=1.96: 95% CI (1.19, 3.23) times higher among those with good knowledge compared with those with poor knowledge. Besides, good practice in adult vitamin D service provision was AOR=2.30: 95% CI (1.40, 3.78) times higher among those with positive attitude compared with those who had negative attitude.Conclusions: A little over half of HCWs have good knowledge and close to two-third of them has positive attitude while less than half of them have good practice on adult vitamin D deficiency. Besides, HCWs residential ecology, clinical position, knowledge and attitude is associated with good practice on adult vitamin D. It is essential to provide rigorous and continues training for HCWs focusing on their deployment ecology.

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Knowledge, attitude and practice among Ophthalmic Health Care Personnel (HCP) towards COVID-19 pandemic in Nepal: A web-based cross-sectional study

10.1101/2020.08.13.20174052 ◽

2020 ◽

Author(s):

Dr Zahir Ansari ◽

Dr Babu Dhanendra Chaurasiya ◽

Dr Sirjana Adhikari ◽

Dr Uday Chandra Prakash ◽

Bikram Adhikari ◽

...

Keyword(s):

Positive Attitude ◽

Good Practice ◽

Binary Logistic Regression ◽

Cross Sectional Study ◽

Good Knowledge ◽

Sectional Study ◽

Cross Sectional ◽

Web Based ◽

Attitude And Practice ◽

Knowledge Attitude And Practice

Background: Being an added high-risk group, ophthalmic HCP are actively providing emergency eye care services, also enthusiastically participating in prevention and control of the COVID-19 pandemic. Hence, this study aimed to assess the level of knowledge, attitude, and practice (KAP) among ophthalmic HCP towards COVID-19 pandemic. Methods: A web-based cross-sectional study was conducted during the period of lockdown among ophthalmic HCP including consultant ophthalmologist, resident, optometrist, ophthalmic assistant, nursing staff, and other paramedics of eye care centers in Nepal. The KAP questionnaire was designed and distributed online. Data were analyzed using the Chi-square test, Pearson correlation, and binary logistic regression. All tests were performed at 95% Confidence Interval (CI) and p-value <0.05 was considered statistically significant. Results: Of 694 participants, the majority were male (59.1%) from the age group 31-40 years (41.5%) and tertiary eye center (68.9%). Among ophthalmic HCP, there were 29.8% consultants ophthalmologist, 22.6% residents, 23.3% optometrist, 15% ophthalmic assistant, and 9.2% other ophthalmic paramedics, 11.7% working as front-liners in COVID-19 centers. Findings showed, 98.1% had good knowledge, 59.4% had a positive attitude and only 13.3% had good practice regarding COVID-19. Binary logistic regression analysis demonstrated the age of HCP to be a significant determinant of good knowledge (Crude Odds Ratio (COR)=0.72, 95%CI=0.62-0.82), positive attitude (COR=0.92, 95%CI=0.90-0.94) and good practice (COR=1.16, 95%CI=1.10-1.21). Lower odds of poor practice was seen among junior resident (COR=0.26, 95% CI=0.14-0.47) and higher odds of poor practice was seen among HCP with job experience of 5-10 years (COR=2.38, 95% CI=1.23-4.60) towards COVID-19 pandemic. Conclusion: The majority of ophthalmic HCP have good knowledge, insufficient positive attitude, and inadequate evidence-based practice towards the COVID-19 pandemic in Nepal. Hence, this study conclusively recommends to modify existing guidelines and formulate new policies to improve KAP among ophthalmic HCP to effectively control the spread of COVID-19.

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Knowledge, attitude, and practice towards COVID-19 prevention: a survey of Sudanese people

International Journal of Community Medicine and Public Health ◽

10.18203/2394-6040.ijcmph20213769 ◽

2021 ◽

Vol 8 (10) ◽

pp. 4734

Author(s):

Mohamed Ali Alzain ◽

Najm Eldinn Elsser ◽

Collins Otieno Asweto ◽

Mohammed Mohamoud Alsese ◽

Mohammed Ismail Humaida ◽

...

Keyword(s):

Positive Attitude ◽

Online Survey ◽

Good Practice ◽

Negative Attitude ◽

Good Knowledge ◽

Chi Square ◽

Awareness Campaigns ◽

Attitude And Practice ◽

Positive Attitudes ◽

Knowledge Attitude And Practice

Background: The awareness and belief of people on coronavirus disease 2019 (COVID-19) prevention often influence their practices toward the disease. Therefore, it is essential to assess people's knowledge, attitude, and practice towards COVID-19 prevention; to inform policymakers.Methods: An online survey was conducted on 1455 Sudanese adults using a pretested questionnaire. Chi-square test, spearman’s correlation, and logistic regression were used to analyse the data using statistical package for social sciences (SPSS) version-25.Results: The study found relatively good knowledge, attitude, and practice on COVID-19 prevention with overall correct rates of 84.6%, 88.8 %, and 78.6%, respectively. Furthermore, knowledge was positively correlated with attitude (r=0.355, P<0.001). Participants with good knowledge were more likely to have a positive attitude and practice (OR=1.36; 95%CI:1.08-1.71; OR=1.52; 95%CI:1.36-1.71), respectively than those with insufficient knowledge. While participants with a positive attitude were more than two times (OR=2.36; 95%CI:1.86-2.99) more likely to have good practice than a negative attitude. Moreover, females and married were more likely to have good practice (OR=1.37; 95%CI:1.10-1.69; OR=1.26; 95%CI:1.02-1.55), and positive attitudes (OR=1.39; 95%CI: 1.10-1.77; OR=1.45; 95% CI:1.15-1.84), respectively than their corresponding targeted counterparts. Furthermore, certain occupations (housewife, no worker, and employed) were more likely to have positive attitude and practice than the student (p<0.05). Besides, considerable participants had misconceptions regarding; effectiveness of antibiotics in combating COVID-19 (32%); almost two-thirds of participants either never wearing masks or sometimes.Conclusions: The finding concluded that relatively good knowledge, positive attitude, and desired practices against prevention of COVID-19. Therefore, a great emphasis on health awareness campaigns should focus on risk-taking practice and remove misconceptions.

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Knowledge, Attitude and Practice of Health Care Workers on Measuring Adult Vitamin D Level, Diagnosis of Deficiency, and Management of Consequent Health Conditions in Three Ecologies of Ethiopia: A Cross-Sectional Study

10.21203/rs.3.rs-64757/v1 ◽

2020 ◽

Author(s):

Wubegzier Mekonnen ◽

Yeweyenhareg Feleke ◽

Yakob Desalegn ◽

Getahun Tarekegne ◽

Biruk Lambisso ◽

...

Keyword(s):

Vitamin D ◽

Health Care Workers ◽

Positive Attitude ◽

Good Practice ◽

Good Knowledge ◽

Vitamin D Status ◽

Health Consequences ◽

Attitude And Practice ◽

Care Workers ◽

Knowledge Attitude And Practice

Abstract Background: Vitamin D is very essential for health and its insufficiency is strongly associated with increased overall mortality. Health care workers (HCWs) need to educate on its uses and possible sources although studies show that their knowledge, attitude and practice is low; few studies are available in Ethiopia. The main aim of this study is therefore to assess the knowledge, attitude and practice of measuring adult vitamin D status, diagnosis of deficiency and managing health consequences among HCWs in Ethiopia. Methods: This study was conducted in three districts covering lowland, midland and highland ecologies. A total of 405 health extension workers, nurses, health officers, general practitioners and specialists were interviewed. Tablets were used for data collection to archive in a cloud server. Data were exported to Stata version 14 software for cleaning and analysis. Rates were computed and Chi-square test was used to compare differences between the two groups. Binary logistic regression was used to measure the strength, direction and significance of association between different covariates and the practice of HCWs.Result: The level of good knowledge, positive attitude and good practice in measuring adult vitamin D status, diagnosis of deficiency and managing health consequences among HCWs was 210(51.8%), 261(63.5%) and 195(47.4%) respectively. The odds of good practice in the provision of adult vitamin D service were AOR=6.87: 95% CI (3.57, 13.21) and AOR= 2.20: 95% CI (1.23, 3.92) times higher among HCWs in Addis Ababa and highlands compared with those working in lowlands. Good practice among clinicians was AOR=4.26: 95% CI (1.48, 12.25) times higher compared with those working in leadership positions. The likelihood was AOR=1.96: 95% CI (1.19, 3.23) times higher among those with good knowledge compared with those with poor knowledge. Besides, good practice in adult vitamin D service provision was AOR=2.30: 95% CI (1.40, 3.78) times higher among those with positive attitude compared with those who had negative attitude.Conclusions: Only a little over half of HCWs have good knowledge and close to two-third of them has positive attitude while less than half of them have good practice of measuring adult vitamin D status, diagnosis and managing its health consequences practice. Besides, HCWs residential ecology, clinical position, good knowledge and positive associated is associated with good practice on adult vitamin D. It is essential to provide rigorous and continues training for HCWs focusing on their deployment ecology.

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Knowledge, Attitude and Practice towards Religious Obligations among Healthcare Workers in Hospital Langkawi, Malaysia

IIUM Medical Journal Malaysia ◽

10.31436/imjm.v15i2.377 ◽

2020 ◽

Vol 15 (2) ◽

Author(s):

Hafiz J ◽

Dzulkhairi MR ◽

Shamsir MA ◽

Abu N

Keyword(s):

Healthcare Workers ◽

Good Practice ◽

Simple Random Sampling ◽

Cross Sectional Study ◽

Good Knowledge ◽

Bivariate Analysis ◽

Cross Sectional ◽

Attitudes And Practices ◽

Attitude And Practice ◽

Knowledge Attitude And Practice

Introduction: Islamic prayers involve certain physical movements and positions. These positions may be difficult to achieve in Muslim patients who suffer from any illness that limit their physical movements. Therefore, Islam introduced the concept of Rukhsah or exemptions. The objective of this study was to assess the knowledge, attitudes and practices of healthcare workers related to performing prayers during illness. Materials and Methods: A cross sectional study was conducted among 121 healthcare workers in Hospital Langkawi, between 22nd to 24th April 2014. Simple random sampling method was used to select the participants among healthcare workers in Hospital Langkawi to attend a workshop on Rukhsah Ibadah. The participants were given a set of questionnaire to answer and all the data were collected just before the talk began. Results: The majority of the participants 108 (89.3%) were female and more than half of them 74 (61.2%) were staff nurses. The mean age for the participants was 32.4 (SD: 9.42) years. About 73 (60.3%) of the participants have good knowledge, 62 (51.2%) have good attitude and 73 (60.3%) have good practice towards religious obligations and Rukhsah. Bivariate analysis shows no correlation between age and knowledge, attitude and practice score. There was also no correlation seen between knowledge, attitude and practice score. Conclusion: Almost half of the participants have good knowledge, attitude and practice on performing prayers during illness. By conducting proper training and coaching, it is hoped that their level of understanding towards Rukhsah can be improved.

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Knowledge, Attitude, and Practice Toward COVID-19 Among Sherubtse College Students in Bhutan: A Web-Based Cross-Sectional Study

Frontiers in Public Health ◽

10.3389/fpubh.2021.721493 ◽

2021 ◽

Vol 9 ◽

Author(s):

Thinley Dorji ◽

Karma Wangmo ◽

Yezer ◽

Tashi Wangchuk ◽

Tshokey ◽

...

Keyword(s):

Positive Attitude ◽

Good Practice ◽

Cross Sectional Study ◽

Good Knowledge ◽

Attitude Score ◽

Sectional Study ◽

Cross Sectional ◽

Attitude And Practice ◽

The Government ◽

Knowledge Attitude And Practice

Bhutan has reopened schools and colleges after an initial closure to contain coronavirus disease 2019 (COVID-19) transmission. However, the risk of transmissions is higher in the schools and colleges due to crowding. Therefore, this study aimed to assess the level of knowledge, attitude, and practice (KAP) toward COVID-19 among the students of Sherubtse College in Bhutan. A cross-sectional study using a questionnaire was conducted in September 2020 among the students of Sherubtse College, Bhutan. The questionnaire was made in the Google Forms and administered through a social forum WeChat app. The KAP scores were calculated that include mean scores. The association between the KAP was assessed using the Pearson's correlation coefficient. A total of 613 students participated in the survey. The majority of the participants (57%) were female and 56% were from the third year. The mean knowledge score was 10.7 (SD = 1.7; range 0–14), mean attitude score of 3.67 (SD = 1.0; range: 0–5), and mean practice score of 5.19 (SD = range: 0–6). A majority of the students had good knowledge (98%) and practice (93.5%) scores, and a positive attitude (86.6%) toward COVID-19. A positive but weak correlation between good knowledge and practice (r = 0.1, p = 0.0126) was observed. Having a positive attitude led to practicing appropriately most of the time (r = 0.1866, p < 0.001). The students had good KAP scores and followed the COVID-19 prevention protocols advocated by the government. Good knowledge and a positive attitude were translated into good practice. Therefore, the education campaign of the Bhutan government seems to be effective in the students.

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Knowledge, attitude and practice of health care workers on measuring adult vitamin D level, diagnosis of deficiency, and management of consequent health conditions in three ecologies of Ethiopia: A cross-sectional study

10.21203/rs.3.rs-64757/v3 ◽

2020 ◽

Author(s):

Wubegzier Mekonnen ◽

Yeweyenhareg Feleke ◽

Yakob Desalegn ◽

Getahun Tarekegne ◽

Biruk Lambisso ◽

...

Keyword(s):

Health Care ◽

Vitamin D ◽

Health Care Workers ◽

Positive Attitude ◽

Good Practice ◽

Good Knowledge ◽

Vitamin D Status ◽

Attitude And Practice ◽

Care Workers ◽

Knowledge Attitude And Practice

Abstract Background: Vitamin D is essential for health and its shortage exacerbates overall mortality. Health care workers (HCWs) need to educate on its uses and sources although studies indicate their low level of practice. The main aim of this study is therefore to assess the knowledge, attitude and practice of measuring adult vitamin D status, diagnosis of deficiency and managing health consequences among HCWs in Ethiopia. Methods: This study was conducted in three ecologies covering lowland, midland and highland districts. A total of 405 health care workers with different levels were interviewed. Tablets were used for data collection to archiving in a cloud server. Data were exported to Stata version 14 software for cleaning and analysis. Rates were computed and the Chi-square test was used to compare differences between the two groups. Binary logistic regression was used to measure the strength, direction and significance of the association between different covariates and the practice of HCWs.Result: The level of knowledge, positive attitude and good practice in measuring adult vitamin D status, diagnosis of deficiency and managing health consequences among HCWs was 210 (51.8%), 261(63.5%) and 195(47.4%) respectively. The odds of good practice in the provision of adult vitamin D service were AOR=6.87: 95% CI (3.57, 13.21) and AOR= 2.20: 95% CI (1.23, 3.92) times higher among HCWs in Addis Ababa and highlands compared with those working in lowlands. Good practice among clinicians was AOR=4.26: 95% CI (1.48, 12.25) times higher compared with those working in leadership positions. The likelihood was AOR=1.96: 95% CI (1.19, 3.23) times higher among those with good knowledge compared with those with poor knowledge. Besides, good practice in adult vitamin D service provision was AOR=2.30: 95% CI (1.40, 3.78) times higher among those with positive attitude compared with those who had negative attitude.Conclusions: A little over half of HCWs have good knowledge and close to two-thirds of them have positive attitude while less than half of them have good practice on adult vitamin D deficiency. Besides, HCWs’ residential ecology, clinical position, knowledge and attitude is associated with good practice on adult vitamin D. It is essential to provide rigorous and continuous training for HCWs focusing on their deployment ecology.

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