scholarly journals Knowledge, Attitude and Practice of Clients towards COVID-19 at Primary Healthcare Facilities in Rivers State, Nigeria

2020 ◽  
Author(s):  
Clement Kevin Edet ◽  
Anthony Ike Wegbom ◽  
Victor Alangibi Kiri
Keyword(s):  
Logistic Regression ◽  
Primary Healthcare ◽  
High Response Rate ◽  
Control Measures ◽  
Knowledge Level ◽  
Cross Sectional ◽  
Healthcare Facilities ◽  
Attitudes And Practices ◽  
Rivers State ◽  
The Impact

Abstract Introduction: The outbreak of coronavirus (COVID-19) has impacted the lifestyles of people all over the globe as well as the economies of virtually every country. Several control measures have been introduced by both the State and Federal governments to fight the disease since its outbreak in Nigeria. In spite of all the measures, the disease is still ravaging the country. Therefore, this study investigated the knowledge, attitudes, and practices (KAP) of the clients who attended public primary healthcare facilities (PHFs) in Rivers State, Nigeria about COVID-19.Methods: A cross-sectional study was conducted involving the clients seeking care at the 92 PHFs across the 23 Local Government Areas (LGAs) of Rivers State, Nigeria. The respondents were selected using simple random sampling and data were analysed using mean and standard deviation, percentages, chi-square test and binary logistic regression. Results: A total of 434 respondents voluntarily participated in the study out of 460 questionnaires that were distributed, indicating a high response rate of 94.3%. The proportions of respondents with scores moderate and above in KAP were 86.6% (62.9+23.7), 80.6% (57.6+23.0), and 58.0% (30.8+27.2) respectively. Occupation, educational level, and senatorial district of respondents were significantly associated with knowledge and attitude (P<0.05). Preventive practice against COVID-19 was influenced by age and senatorial district among patients attending primary health facilities (P<0.05). Also, the knowledge level was significantly associated with both attitude and COVID-19 related practices (P=0.000). The multiple logistic regression results revealed some demographics with significant association with KAP. Respondents who have sufficient knowledge about COVID-19 were significantly less likely to have a negative attitude and to adopt poor COVID-19 related practices than those that had insufficient knowledge.Conclusion: Based on the findings of this study, we suggest public health education programs on COVID-19 should principally be targeted at individuals with low knowledge level, lower educational attainment, and those residing in the Rivers South-East senatorial zone. Such efforts may mitigate the impact of COVID-19 on the target population in Rivers State.

scholarly journals Knowledge, Attitude and Practice of Clients towards COVID-19 at Primary Healthcare Facilities in Rivers State, Nigeria

2020 ◽  
pp. 66-73
Author(s):  
Clement Kevin Edet ◽  
Anthony Ike Wegbom ◽  
Victor Alangibi Kiri
Keyword(s):  
Primary Healthcare ◽  
Statistical Significance ◽  
Control Measures ◽  
Categorical Variables ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Healthcare Facilities ◽  
Attitudes And Practices ◽  
Preventive Practices ◽  
Rivers State

Introduction: In spite of all the measures introduced to fight the spread of the coronavirus (COVID-19) in Nigeria by relevant authorities, it is still ravaging the country. This calls for the commitment and responsibility of the citizens in their adherence to all the control measures and guidelines, whose effectiveness is dependent on their knowledge, attitudes, and practices (KAP). This study investigated the KAP of clients who attended primary healthcare facilities (PHFs) in Rivers State, Nigeria over the period 16th to 20th June 2020.  Methods: A cross-sectional survey was conducted involving the clients seeking care at the           public primary healthcare facilities in the 23 local government areas (LGAs) of Rivers State,         Nigeria as respondents. Using descriptive analysis, the results for each of the quantitative variables were presented as mean ± standard deviation, whilst those for the categorical variables were reported as frequency and percentage.  The association between the responses on KAP and demographic characteristics were tested using the Chi-square test. Binary logistic regression was performed to identify factors associated with KAP and statistical significance was assessed at P<0.05. Results: Out of 460 questionnaires distributed, 434 respondents participated in the survey, revealing a 94.3% response rate. The proportion of respondents with moderate and above scores in knowledge, attitude, and COVID-19 related practices are 86.6% (62.9+23.7), 80.6% (57.6+23.0), and 58.0% (30.8+27.2) respectively. Occupation, educational level, and senatorial districts are associated with knowledge and attitude, whilst age and senatorial districts are associated with the level of adherence to preventive practices; knowledge level also has associations with both attitude and practices towards COVID-19. Conclusion: On the basis of these findings, we suggest public health education programs on COVID-19 should target individuals with low knowledge levels, lower educational attainment, and those residing in the Rivers South-East senatorial zone in the promotion of their messages on COVID-19.

scholarly journals Knowledge, attitudes, and practices related to COVID-19 Pandemic among healthcare workers in the United Arab Emirates: A cross-sectional study

2021 ◽  
Author(s):  
Amina M. Al Marzouqi ◽  
Michael E. Otim ◽  
Leena S. Kehail ◽  
Ramsha A. Kamal
Keyword(s):  
United Arab Emirates ◽  
Healthcare Workers ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Healthcare Facilities ◽  
Attitudes And Practices ◽  
New Variant ◽  
The Impact ◽  
Knowledge Attitudes And Practices

Abstract Background: Coronavirus disease (COVID-19 Pandemic) is an infectious disease caused by the SARS-CoV-2 virus. It is a global health issue that continues to have an impact on many aspects of everyday life. A new variant, Omicron variant, has just been detected in Southern Africa. Most countries are jittery and unsure what the impact of this new variant will be. This study, undertaken in 2021, investigated the Knowledge, Attitudes, and Practices (KAP) related to the COVID-19 Pandemic among healthcare workers in the United Arab Emirates (UAE).Methods: We used an online questionnaire to collect data using the Google Forms link in this cross-sectional study. The participants included healthcare workers currently working in UAE healthcare facilities using snowball sampling. The questionnaire contained information on demographic variables and COVID-19 Pandemic-related KAP.Results: Among the participants, the majority (90.7%) knew that the absence of fever did not mean there was no chance of transmission from an infected person. Further, 84.1% agreed that wearing general medical face masks helps prevent one from contracting COVID-19 Pandemic. However, only 36.4% strongly believed that wearing a well-fitting face mask was effective. In addition, only 15.9% reported confidently managing patients with symptoms of COVID-19 Pandemic, while 54.2% indicated they were afraid of contracting the virus from patients. Almost half the participants noted that they avoided patients who had symptoms of the COVID-19 Pandemic. Conclusion: Overall, the COVID-19 Pandemic-related KAP for healthcare workers in UAE healthcare facilities was very high. However, we found gaps in awareness regarding the spread of the virus. We recommend providing healthcare workers with education programs and counseling services to help increase their confidence in treating patients with the COVID-19 Pandemic.

scholarly journals Audit of HIV counselling and testing services among primary healthcare facilities in Cameroon: a protocol for a multicentre national cross-sectional study

BMJ Open ◽  
2018 ◽  
Vol 8 (3) ◽  
pp. e020611
Author(s):  
Frank-Leonel Tianyi ◽  
Joel Noutakdie Tochie ◽  
Valirie Ndip Agbor ◽  
Benjamin Momo Kadia
Keyword(s):  
Hiv Testing ◽  
Primary Healthcare ◽  
Cross Sectional Study ◽  
Hiv And Aids ◽  
People Living With Hiv ◽  
Sectional Study ◽  
Cross Sectional ◽  
Healthcare Facilities ◽  
Hiv Counselling And Testing ◽  
The Impact

IntroductionHIV testing is an invaluable entry point to prevention, care and treatment services for people living with HIV and AIDS. Poor adherence to recommended protocols and guidelines reduces the performance of rapid diagnostic tests, leading to misdiagnosis and poor estimation of HIV seroprevalence. This study seeks to evaluate the adherence of primary healthcare facilities in Cameroon to recommended HIV counselling and testing (HCT) procedures and the impact this may have on the reliability of HIV test results.Methods and analysisThis will be an analytical cross-sectional study involving primary healthcare facilities from all the 10 regions of Cameroon, selected by a multistaged random sampling of primary care facilities in each region. The study will last for 9 months. A structured questionnaire will be used to collect general information concerning the health facility, laboratory and other departments involved in the HCT process. The investigators will directly observe at least 10 HIV testing processes in each facility and fill out the checklist accordingly.Ethics and disseminationClearance has been obtained from the National Ethical Committee to carry out the study. Informed consent will be sought from the patients to observe the HIV testing process. The final study will be published in a peer-reviewed journal and the findings presented to health policy-makers and the general public.

scholarly journals Knowledge, attitudes, and practices related to COVID-19 pandemic among adult population in Sidama Regional State, Southern Ethiopia: A community based cross-sectional study

PLoS ONE ◽  
2021 ◽  
Vol 16 (1) ◽  
pp. e0246283
Author(s):  
Amanuel Yoseph ◽  
Alemu Tamiso ◽  
Amanuel Ejeso
Keyword(s):  
Logistic Regression ◽  
Adult Population ◽  
Cross Sectional Study ◽  
Control Measures ◽  
Southern Ethiopia ◽  
Community Based ◽  
Cross Sectional ◽  
Attitudes And Practices ◽  
Regional State ◽  
Study Participants

Introduction COVID-19 incidence is increasing and different measures have been adopted to control the spread of the pandemic in Ethiopia. Among these measures, enhancing the knowledge, positive attitudes, and proper practices of prevention measures about the disease is a basic strategy to control it. However, community compliance to control measures is largely dependent on their knowledge, attitudes, and practices (KAP) towards COVID-19. Objective To assess the current level of KAP towards COVID-19 pandemic and predictors among the rural dwellers in Sidama regional state, Southern Ethiopia; 2020. Methods This community-based prospective cross-sectional study was carried out from May 1–30, 2020 on a sample of 1,278 adult populations in Sidama regional state, Southern Ethiopia. A multi-stage sampling technique was used to choice the study participants. The data were collected using a structured interviewer-administered questionnaire. We have entered data using Epi data version 3.1 and all analyses were done using SPSS version 25. KAPs scores of study participants based on their independent variables were compared using Chi-square test, t-test or one-way analysis of variance (ANOVA) as required. Bi-variable and multivariable logistic regression analyses were used to identify factors associated with KAP. The important assumptions of the logistic regression model were checked to be satisfied. Adjusted odds ratios (AOR) with a 95% confidence interval (CI) were calculated to assess the existence and strength of associations. Results From a total of 1,214 study participants, the overall attained knowledge, attitude and practice score about COVID-19 were 90%, 82.4% and 65%, respectively. Among these, 43.9%, 37.5%, and 24.4% of the study participants had demonstrated good knowledge, high attitude and proper practice, respectively. The mean knowledge scores were significantly different between sex, categories of marital status, educational levels, main occupation, and the monthly income quintiles of the study participants (p<0.05). Similarly, the mean attitude scores significantly varied across educational levels, main occupations and marital status (p<0.05). Based on multivariable logistic regression analysis, main occupation of the government employees, education level of diploma and above, highest and second highest wealth rank were positively associated with COVID-19 prevention and control practice. Conclusions The majority of study participants had showed good knowledge and optimistic attitude toward COVID-19. But, the level of practice lower than that expected to maximize effective control measures. Further public education interventions and community sensitization campaigns are required for rural adult population in the Sidama regional state, Ethiopia.

scholarly journals Knowledge, Attitudes, and Behaviors about Breast Self-Examination and Mammography among Female Primary Healthcare Workers in Diyarbakır, Turkey

2016 ◽  
Vol 2016 ◽  
pp. 1-6 ◽  
Author(s):  
Özgür Erdem ◽  
İzzettin Toktaş
Keyword(s):  
Breast Cancer ◽  
Primary Healthcare ◽  
Healthcare Workers ◽  
Family Health ◽  
Knowledge Level ◽  
Cross Sectional ◽  
Breast Self Examination ◽  
Attitudes And Practices ◽  
And Behaviors ◽  
Self Examination

Aim. This study aims to determine the knowledge level of the female primary healthcare workers about breast cancer and to reveal their attitude and behaviors about breast self-examination and mammography.Methods. This cross-sectional study was conducted on female primary healthcare workers who work in family health centres. 91% (n=369) of female primary healthcare workers agreed to participate in the study. The questionnaire consisted of three parts: sociodemographic characteristics, knowledge about breast self-examination, and actual practice of breast self-examination.Results. The mean (SD) age of the female primary healthcare workers was33.1±6.8(range, 20–54 years). The healthcare workers who practiced breast self-examination had significantly higher knowledge level (P=0.001) than those who had not. The respondents had high knowledge level of breast self-examination; however, the knowledge level of breast cancer and mammography screen was low.Conclusions. While the female primary healthcare workers in this study had adequate knowledge of breast self-examination, this is not reflected in their attitudes and practices. Emphasis should be laid on breast self-examination in undergraduate and postgraduate courses for primary healthcare workers, since they are mostly involved in patient education.

Public knowledge, attitudes and practices towards COVID-19 before resumption of work and production: A cross-sectional study in Zhejiang province (Preprint)

2021 ◽  
Author(s):  
Yangmei Huang ◽  
Meng Wang ◽  
Caixia Jiang ◽  
Xiaoyan He ◽  
Qiong Zhang ◽  
...  
Keyword(s):  
Logistic Regression ◽  
Online Survey ◽  
Multivariate Logistic Regression Analysis ◽  
Education Level ◽  
Zhejiang Province ◽  
Control Measures ◽  
Good Knowledge ◽  
Multivariate Logistic Regression ◽  
Cross Sectional ◽  
Attitudes And Practices

BACKGROUND In an effort to mitigate the outbreak of COVID-19，China has taking a series of strict prevention and control measures. Official statistics show that the increase in the number of COVID-19 cases and deaths has been controlled since mid-February. On March 2, 2020, the emergency response level of major public health emergencies in Zhejiang, China, was adjusted from level one to level two. The Factory gradually resumed work and students go back to school day by day. OBJECTIVE The prime objective of this study is to explores the knowledge, attitude and practice towards COVID-19 before resumption of work and production in Zhejiang province. METHODS A cross-sectional online survey was conducted across 11 regions in Zhejiang province from March 13 to March 23, 2020. The survey instrument consists of demographic characteristics, 10 items on knowledge, 4 items on attitudes, and 10 items on practices. Our statistical analyses are based on descriptive statistics, chi-square tests and multivariate logistic regression. RESULTS A total of 51,640 participants were enrolled, nearly two thirds (67.1%) were female, around half the participants (44.1%) was aged 31 to 40 years. The highest proportion of the respondents had an education level of bachelor degree or higher (36.8%). The largest group of occupations are business service workers (35.4%) and students (26.4%), most participants were live in urban (93.1%). Results show that most of respondents (84.4%) have good knowledge towards COVID-19. The participants demonstrated higher awareness of transmission (89.8%) and incubation period (74.6%), but lower in symptoms (57.1%). More than half of participants (58.7%) show relax than before, nearly 85.4% of participants are optimistic and believe that the epidemic will end in three months. A large majority of participants (87.0%) show well preventive action. Almost 93.1%, 96.5% and 95.0% wore face masks when going out in public, using tissues or handkerchiefs cover their nose and mouth when they coughing or sneezing, practiced proper hand hygiene by frequently washing their hands respectively. Multivariate logistic regression analysis showed that female, with the education level of bachelor or higher, medical staff, urban resident, with good knowledge level and optimistic attitude participants were more likely to have well practice to avoid COVID-19. CONCLUSIONS The findings suggest that residents in Zhejiang province had a relatively good awareness of COVID-19 before the resumption of work and production, as well as optimistic attitudes and appropriate practices. Efforts should be directed towards raising the awareness of the disease to improve their practices in the current COVID-19 pandemic, especially eliminate student’s anxiety.

scholarly journals Knowledge, attitudes, practices, and influencing factors of anxiety among pregnant women in Wuhan during the outbreak of COVID-19: a cross-sectional study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Wenping Ding ◽  
Jianmei Lu ◽  
Yan Zhou ◽  
Weizhong Wei ◽  
Zhihong Zhou ◽  
...  
Keyword(s):  
Logistic Regression ◽  
Pregnant Women ◽  
Influencing Factors ◽  
Information Source ◽  
Influential Factors ◽  
Public Health Issue ◽  
Cross Sectional ◽  
Factors Associated ◽  
Attitudes And Practices ◽  
Prenatal Anxiety

Abstract Background Prenatal anxiety has been a significant public health issue globally, leading to adverse health outcomes for mothers and children. The study aimed to evaluate the sociodemographic characteristics, knowledge, attitudes, and practices (KAP), and anxiety level of pregnant women during the coronavirus disease 2019 (COVID-19) epidemic in Wuhan and investigate the influencing factors for prenatal anxiety in this specific context. Methods Pregnant subjects’ KAP towards COVID-19 and their sociodemographics and pregnancy information were collected using questionnaires. The Zung Self-Rating Anxiety Scale (SAS) was used to assess anxiety status. Factors associated with the level of prenatal anxiety were analyzed by Pearson’s chi-square test and multivariable logistic regression analyses. Results The prenatal anxiety prevalence in this population was 20.8%. The mean score of knowledge was 13.2 ± 1.1 on a 0 ~ 14 scale. The attitudes and practices data showed that 580/ 817 (71.0%) were very concerned about the news of COVID-19, 455/817 (55.7%) considered the official media to be the most reliable information source for COVID-19, and 681/817 (83.4%) were anxious about the possibility of being infected by COVID-19. However, only 83/817 (10.2%) worried about contracting COVID-19 infection through the ultrasound transducer during a routing morphology scan. About two-thirds 528/817 (64.6%) delayed or canceled the antenatal visits. Approximately half of them 410/817 (50.2%) used two kinds of personal protection equipments (PPEs) during hospital visits. Logistic regression analysis revealed that the influential factors for prenatal anxiety included previous children in the family, knowledge score, media trust, worry of contracting the COVID-19 infection and worry about getting infected with COVID-19 from the ultrasound probe antenatal care (ANC) schedule. Conclusion Prenatal anxiety was prevalent among pregnant women in Wuhan during the outbreak of COVID-19. The current findings identified factors associated with the level of prenatal anxiety that could be targeted for psychological care.

scholarly journals Resilience and vulnerability of maternity services in Zimbabwe: a comparative analysis of the effect of Covid-19 and lockdown control measures on maternal and perinatal outcomes, a single-centre cross-sectional study at Mpilo Central Hospital

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Clare Shakespeare ◽  
Handsome Dube ◽  
Sikhangezile Moyo ◽  
Solwayo Ngwenya
Keyword(s):  
Perinatal Outcomes ◽  
Control Measures ◽  
Central Hospital ◽  
Cross Sectional ◽  
Maternity Services ◽  
Before And After ◽  
The Mean ◽  
Significant Change ◽  
The Impact ◽  
Mpilo Central Hospital

Abstract Background On the 27th of March 2020 the Zimbabwean government declared the Covid-19 pandemic a ‘national disaster’. Travel restrictions and emergency regulations have had significant impacts on maternity services, including resource stock-outs, and closure of antenatal clinics during the lockdown period. Estimates of the indirect impact of Covid-19 on maternal and perinatal mortality was expected it to be considerable, but little data was yet available. This study aimed to examine the impact of Covid-19 and lockdown control measures on non-Covid outcomes in a government tertiary level maternity unit in Bulawayo, Zimbabwe, by comparing maternal and perinatal morbidity and mortality before, and after the lockdown was implemented. Methods This was a retrospective, observational study, using a cross-sectional design to compare routine monthly maternal and perinatal statistics three months before and after Covid-19 emergency measures were implemented at Mpilo Central Hospital. Results Between January-March and April-June 2020, the mean monthly deliveries reduced from 747.3 (SD ± 61.3) in the first quarter of 2020 to 681.0 (SD ± 17.6) during lockdown, but this was not statistically significant, p = 0.20. The Caesarean section rates fell from a mean of 29.8% (SD ± 1.7) versus 28.0% (SD ± 1.7), which was also not statistically significant, p = 0.18. During lockdown, the percentage of women delivering at Mpilo Central Hospital who were booked at the hospital fell from a mean of 41.6% (SD ± 1.1) to 35.8% (SD ± 4.3) which was statistically significant, p = 0.03. There was no significant change, however, in maternal mortality or severe maternal morbidity (such as post-partum haemorrhage (PPH), uterine rupture, and severe preeclampsia/eclampsia), stillbirth rate or special care baby unit admission. There was an increase in the mean total number of early neonatal deaths (ENND) (mean 18.7 (SD ± 2.9) versus 24.0 (SD ± 4.6), but this was not statistically significant, p = 0.32. Conclusions Overall, maternity services at Mpilo showed resilience during the lockdown period, with no significant change in maternal and perinatal adverse outcomes, with the same number of man-hours worked before and during the lockdown Maternal and perinatal outcomes should continue to be monitored to assess the impact of Covid-19 and the lockdown measures as the pandemic in Zimbabwe unfolds. Further studies would be beneficial to explore women’s experiences and understand how bookings and deliveries at local clinics changed during this time.

scholarly journals The second pregnancy has no effect in the incidence of macrosomia: a cross-sectional survey in two western Chinese regions

2021 ◽  
Vol 40 (1) ◽  
Author(s):  
Li Luo ◽  
Huan Zeng ◽  
Mao Zeng ◽  
Xueqing Liu ◽  
Xianglong Xu ◽  
...  
Keyword(s):  
Logistic Regression ◽  
Western China ◽  
Fetal Macrosomia ◽  
Multivariate Logistic Regression Model ◽  
Multivariate Logistic Regression ◽  
Cross Sectional ◽  
Second Child ◽  
Child Policy ◽  
Significant Difference ◽  
The Impact

Abstract Background After the implementation of the universal two-child policy in China, the increase in parity has led to an increase in adverse pregnancy outcomes. The impact of one and two fetuses on the incidence of fetal macrosomia has not been fully confirmed in China. This study aimed to explore the differences in the incidence of fetal macrosomia in first and second pregnancies in Western China after the implementation of the universal two-child policy. Methods A total of 1598 pregnant women from three hospitals were investigated by means of a cross-sectional study from August 2017 to January 2018. Participants were recruited by convenience and divided into first and second pregnancy groups. These groups included 1094 primiparas and 504 women giving birth to their second child. Univariate and multivariate logistic regression analyses were performed to discuss the differences in the incidence of fetal macrosomia in first and second pregnancies. Results No significant difference was found in the incidence of macrosomia in the first pregnancy group (7.2%) and the second pregnancy group (7.1%). In the second-time pregnant mothers, no significant association was found between the macrosomia of the second child (5.5%) and that of the first child (4.7%). The multivariate logistic regression model showed that mothers older than 30 years are not likely to give birth to children with macrosomia (odds ratio (OR) 0.6, 95% confidence interval (CI) 0.4,0.9). Conclusions The incidence of macrosomia in Western China is might not be affected by the birth of the second child and is not increased by low parity.

Assessing the Preparedness of Healthcare Facilities for Disasters and Emergencies in Damghan, Iran

2021 ◽  
pp. 1-7
Author(s):  
Behrad Pourmohammadi ◽  
Ahad Heydari ◽  
Farin Fatemi ◽  
Ali Modarresi
Keyword(s):  
Health Care ◽  
Cross Sectional Study ◽  
Health Care Facilities ◽  
Mitigation Measures ◽  
Health Staff ◽  
Cross Sectional ◽  
Healthcare Facilities ◽  
Wide Range ◽  
Care Facilities ◽  
The Impact

Abstract Objectives: Iran is exposed to a wide range of natural and man-made hazards. Health-care facilities can play a significant role in providing life-saving measures in the minutes and hours immediately following the impact or exposure. The aim of this study was to determine the preparedness of health-care facilities in disasters and emergencies. Methods: This cross-sectional study was conducted in Damghan, Semnan Province, in 2019. The samples consisted of all the 11 health-care facilities located in Damghan County. A developed checklist was used to collect the data, including 272 questions in 4 sections: understanding threatening hazards, functional, structural, and nonstructural vulnerability of health-care facilities. The data were analyzed using SPSS 21. Results: The results revealed that the health-care facilities were exposed to 22 different natural and man-made hazards throughout the county. The total level of preparedness of the health-care centers under assessment was 45.8%. The average functional, structural, and nonstructural vulnerability was assessed at 49.3%, 31.6%, and 56.4%, respectively. Conclusions: Conducting mitigation measures is necessary for promoting the functional and structural preparedness. Disaster educational programs and exercises are recommended among the health staff in health-care facilities.

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