COVID-19 Knowledge/Practices, Mental Status, and Return-To-Work Concerns Among Healthcare Workers in Huangzhou District, Huanggang City, China

Objective:This study investigated the COVID-19-prevention knowledge and practices of healthcare workers (HCWs), their psychological states concerning the return to work, and their trust and requirements in using traditional Chinese medicine (TCM) to prevent and treat COVID-19. It is hoped that the study can serve as a reference for policy making during the resumption of work in other countries or regions experiencing similar situations.Methods:This study comprised a quantitative cross-sectional online survey design. Purposive sampling and Cluster sampling were used to recruit all HCWs working in public hospitals in Huangzhou District, Huanggang City, Hubei Province, China. From April 23 to May 14, 2020, surveys were sent electronically to all 13 public hospitals in this area.Results:In total, 2,079 responses were received and 2,050 completed forms were included. After analysis, 47.9 and 46.6% of HCWs indicated that they possessed very good knowledge or good knowledge of preventative measures, respectively. Multivariable log-binomial regression indicated that male, tertiary hospital, medical staff, and undergraduate/postgraduate qualification were associated with good knowledge. Good knowledge was also well-correlated with good practice (OR: 3.277; 95% CI: 2.734–3.928; P < 0.01). 59.8% of HCWs reported worries about resuming work; especially asymptomatic infections. The Self-Rating Anxiety Scale (SAS) indicated that 10.8% of participants had mild anxiety, 1.5% moderate anxiety, and 0.1% severe anxiety. Female, divorced/widowed, and working in a high risk hospital (the Huangzhou District People's Hospital was used for throat swab examinations of returning workers) were risk factors for concerns about resuming work and anxiety symptoms. However, good preventive knowledge was a protective factor for anxiety. HCWs' trust in using TCM to treat COVID-19 was significantly higher than their trust in using TCM for prevention (P < 0.001). Regarding preferences for preventative TCM products, oral TCM granules were the most preferred (62.4%). HCWs also indicated they wanted to know more about the clinical efficacy, applicable population, and adverse reactions of preventative TCM products (89.3, 81.1, and 81.4%, respectively).Conclusion:While HCWs had good knowledge of COVID-19 preventative measures, this did not eliminate the psychological impact of resumption of work. Promotion of COVID-19 prevention knowledge reduces the risk of infection, and alleviates the worries and anxiety symptoms of HCWs about resuming work (especially in administrative staff, those with low education, and those working in primary hospitals). Additional psychological support is required for female HCWs, divorced/widowed HCWs, and those working in high-risk hospitals. Finally, systematic trials of preventative TCM products are recommended.

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Knowledge, attitude, and practices (KAPs) of Community pharmacists regarding COVID-19: A cross-sectional survey in two provinces of Pakistan

Disaster Medicine and Public Health Preparedness ◽

10.1017/dmp.2021.54 ◽

2021 ◽

pp. 1-23

Author(s):

Khayal Muhammad ◽

Muhammad Saqlain ◽

Gul Muhammad ◽

Ataullah Hamdard ◽

Muhammad Naveed ◽

...

Keyword(s):

Online Survey ◽

Good Practice ◽

Community Pharmacists ◽

Vital Role ◽

Good Knowledge ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Validated Questionnaire ◽

Knowledge Age ◽

Good Attitude

Abstract The coronavirus disease 2019 (COVID-19) is a global pandemic having no therapy and pharmacists being a part of the healthcare system had a vital role in the management of COVID-19. The purpose of this study is to assess the knowledge, attitude, and practices (KAPs) of community pharmacists (CPs) regarding COVID-19. An online survey was conducted among 393 CPs in two provinces of Pakistan during the lockdown period. A validated questionnaire (Cronbach alpha, 0.745) was used for data collection. All statistical analysis was analyzed by using SPSS version 21. Among 393 participants, 71.5% (n=281) had good knowledge, 44% (n=175) positive attitude and 57.3% (n=225) had good practice regarding COVID-19. Social media (45.29%, n=178) was reported as the main source to seek information of COVID-19. Good knowledge, age ≥ 26 years and Ph.D. degree level were the substantial determinants (p= <0.05) of a good attitude. Similarly, community pharmacist who had an experience of >5 years, hold a Ph.D. degree, good knowledge and good attitude had higher odds of good practice as compared to reference categories (p= <0.05). In short, majority of CPs had good knowledge, but had a poor attitude and practice towards the COVID-19. Standard-structured educational and counselling programs for CPs regarding COVID-19 are needed for effective management.

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Psychological Impact of a Pandemic Widespread in Healthcare Workers: The Italian and Swiss Perspective Early After of CoVid-19 Outbreak

10.21203/rs.3.rs-41724/v1 ◽

2020 ◽

Author(s):

Laura Uccella ◽

Pietro Majno-Hurst ◽

Sara Uccella ◽

Luca Jacopo Pavan ◽

Stefano Uccella ◽

...

Keyword(s):

Healthcare Workers ◽

Online Survey ◽

Psychological Impact ◽

Working Hours ◽

Psychological Support ◽

Public Hospitals ◽

Professional Groups ◽

Stress Symptoms ◽

Care Workers ◽

Short Time

Abstract Background. We investigated the COVID19-related psychological impact in healthcare workers three weeks after its onset in Italy and in Italian-speaking regions of Switzerland. All professional groups of public hospitals in Italy and Switzerland were asked to complete a 38 questions online survey investigating demographic, marital and working status, presence of stress symptoms and need for psychological support. Results. Within 38 hours a total of 3,038 responses were collected. The subgroup analysis identified specific categories at risk according to age, type of work and region of origin. Critical care workers, in particular females, reported an increased number of working hours, decline in confidence in the future, presence of stress symptoms and need for psychological support. People reporting stress symptoms and those with children declared a higher need for psychological support. Conclusions. The large number of participants in such a short time advocates for a high interest on topic among hospital workers. The COVID19 outbreak could have been and still be a repeated trauma for many health professionals, with risk of future psychiatric sequelae. It is of outstanding importance to implement short and long-term measures to mitigate impact of the emotional burden of this pandemic while at the same time dealing with its clinical challenges.

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Knowledge and practice of physicians during COVID-19 pandemic: a cross-sectional study in Lebanon

BMC Public Health ◽

10.1186/s12889-020-09585-6 ◽

2020 ◽

Vol 20 (1) ◽

Author(s):

Linda Abou-Abbas ◽

Zeina Nasser ◽

Youssef Fares ◽

Mohammad Chahrour ◽

Rana El Haidari ◽

...

Keyword(s):

Online Survey ◽

Occupational Safety ◽

Good Practice ◽

Cross Sectional Study ◽

Health Care Facilities ◽

Good Knowledge ◽

Prevention Measures ◽

Sectional Study ◽

Cross Sectional ◽

Preventive Practices

Abstract Background As the Coronavirus disease 2019 (COVID-19) pandemic continues to evolve, physicians must be equipped with adequate knowledge, skills on the prevention measures, and confidence in diagnosing and treating COVID-19 patients. Therefore, it is of great interest to assess the knowledge and practices of Physicians to identify existing gaps and improve occupational safety and viral surveillance. Methods A cross-sectional study was conducted in Lebanon between 28th March and 11th April 2020. Data was collected through an online survey that included information on socio-demographic characteristics, knowledge, practice, physicians fear towards COVID-19 as well as their perceptions regarding actions/policies implemented by the Ministry of Public Health (MOPH) and their health care facilities. Multivariable logistic regression analyses were carried out to identify the factors associated with good knowledge of COVID-19 and good practice toward its prevention. Adjusted odds ratio and their 95% confidence intervals were reported. Results Our survey revealed that the majority of Lebanese physicians had good knowledge about the disease (89.5%) while approximately half of the respondents adopted good preventive practices (49.7%). The odds of having good knowledge was 2.16 times higher among physicians aged 40 and above (adjusted OR = 2.16 with a 95% confidence interval (CI) of 1.08 to 4.34) compared to their counterparts aged less than 40 years old. Our results also showed that the odds of good practice was 2 times higher among frontline compared to the second line workers (adjusted OR = 2.01 with 95% CI of 1.21 to 3.34). Physicians with an experience of 10 years and above were 3.35 times more likely to have good practice compared to their counterparts (adjusted OR = 3.35 with 95% CI of 1.60 to 7.02). Finally, participants with good knowledge of COVID-19 were 2.04 times more likely to have a good practice (OR = 2.04 with 95% CI of 1.01 to 4.12). Conclusion Lebanese physicians revealed a good level of knowledge; however, they had limited comprehension of the precautionary measures that protect them from this virus. Our findings have important implications for the development of strategies suitable for improving the level of practice among physicians and enhance prevention programs.

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

International Journal of MCH and AIDS (IJMA) ◽

10.21106/ijma.418 ◽

2021 ◽

Vol 10 (1) ◽

pp. 88-97

Author(s):

Fatimah ◽

Taiwo ◽

Baba ◽

Aishatu ◽

Omeiza ◽

...

Keyword(s):

Global Health ◽

Community Health ◽

Healthcare Workers ◽

Positive Attitude ◽

Good Practice ◽

Good Knowledge ◽

Northern Nigeria ◽

Preventive Practices ◽

Attitude And Practice ◽

Knowledge Attitude And Practice

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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Depressive and Anxiety Symptoms Among People Under Quarantine During the COVID-19 Epidemic in China: A Cross-Sectional Study

Frontiers in Psychiatry ◽

10.3389/fpsyt.2021.566241 ◽

2021 ◽

Vol 12 ◽

Author(s):

Tong Yan ◽

Wang Zhizhong ◽

Zheng Jianzhong ◽

Ying Yubo ◽

Liu Jie ◽

...

Keyword(s):

High Risk ◽

Online Survey ◽

Cross Sectional Study ◽

Anxiety Symptoms ◽

Middle School Education ◽

Depression And Anxiety ◽

Cross Sectional ◽

Symptoms Of Depression ◽

Patient Health ◽

Effective Public Health

Background: During the coronavirus disease 2019 (COVID-19) pandemic, quarantine as an effective public health measure has been widely used in China and elsewhere to slow down the spread, while high-risk psychological response populations remain under-reported.Objective: The aim of the study is to investigate the depressive and anxiety symptoms among the high-risk individuals quarantined during the COVID-19 pandemic in China.Methods: An online survey was conducted from February 29 to April 10, 2020, among individuals quarantined for at least 2 weeks due to the high-risk exposure. Chinese versions of the nine-item Patient Health Questionnaire (PHQ-9) with a seven-item Generalized Anxiety Disorder (GAD-7) were applied to assess depressive and anxiety symptoms, respectively. Compliance with quarantine and knowledge of COVID-19 was also assessed. An unconditional logistic regression model was performed to identify the correlators.Results: Of the 1,260 participants completing the full survey, 14.0% (95% CI: 12.2–16.1%), 7.1% (95% CI: 5.9–8.7%), and 6.3% (95% CI: 5.1–7.8%) had at least moderate symptoms of depression, anxiety, and a combination of depression and anxiety (CDA), respectively; 14.8% (95% CI: 13.0–16.9%) had at least one condition. Multivariate analysis showed that participants with an undergraduate or above degree were more likely to report depressive (OR = 2.98, 95% CI: 1.56–5.72) and anxiety symptoms (OR = 2.95, 95% CI: 1.14–7.63) than those with middle school education. Those who were unemployed (OR = 0.37, 95% CI: 0.21–0.65 for depression; OR = 0.31, 95% CI: 0.14–0.73 for anxiety), students (OR = 0.14, 95% CI: 0.04–0.48 for depression; OR = 0.11, 95% CI: 0.01–0.85 for anxiety), and more knowledgeable of COVID-19 (OR = 0.84, 95% CI: 0.73–0.96 for depression, OR = 0.82, 95% CI: 0.68–0.98 for anxiety) were less likely to report depressive and anxiety symptoms. Higher quarantine compliance correlated with lower risks of depressive (OR = 0.94, 95% CI: 0.91–0.96) and anxiety symptoms (OR = 0.95, 95% CI: 0.91–0.98).Conclusion: Individuals under quarantine during the COVID-19 pandemic suffered prevalent depressive and anxiety symptoms. Consequently, comprehensive interventional measures, including knowledge dissemination, timely virus tests, and strengthened communication, may minimize quarantine's adverse effects.

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Knowledge, Attitudes, and Practices of Medical Interns Toward COVID-19 in Saudi Arabia: A Cross-Sectional Survey, April-May 2020

10.21203/rs.3.rs-48682/v1 ◽

2020 ◽

Author(s):

Sultan Fahad ALNohair ◽

Ilias Mahmud ◽

Fahad ALShehri ◽

Rakan ALShuqayran ◽

Manal ALBatanouni

Keyword(s):

Social Media ◽

Saudi Arabia ◽

Healthcare Workers ◽

Good Practice ◽

Good Knowledge ◽

Multivariable Logistic Regression Analysis ◽

Prevention Measures ◽

Cross Sectional ◽

Attitudes And Practices ◽

Medical Interns

Abstract Background: COVID-19 is a highly infectious, rapidly spreading disease without any proven vaccine or treatment. Poor knowledge, attitude and practices (KAP) toward COIVD-19 prevention measures among healthcare workers may lead to further transmission of the disease. Lack of attention towards non-frontline healthcare workers may put them at higher risk of infection from undetected cases. Here, we evaluate medical interns’ KAP toward COVID-19 prevention measures in the Kingdom of Saudi Arabia (KSA). Methods: We conducted a cross-sectional online survey. We distributed a structured questionnaire to the medical interns through different social media. Data was collected between April and May 2020. We estimated the prevalence of good KAP toward COVID-19 prevention measures. We did T-test or ANOVA to investigate the mean differences in KAP between socio-demographic groups. In addition, we did multivariable logistic regression analysis to investigate the socio-demographic determinants of good KAP.Results: Of the total 250 participants, 60% were males, 64% were aged between 20 and 25 years, and 90% was Saudi. 24% interns are relying on social media, newspaper, television or friends as primary source of COVID-19 information, while others are relying on formal sources like official websites of national and international bodies. Overall, the prevalence of good knowledge, attitude and practices are 38% (95% CI: 32.2-44.2), 55.2% (48.9-61.3) and 24% (19.1-29.7), respectively. Graduating from government universities are associated with higher odds of good knowledge (aOR: 3.87; 95% CI: 1.05-14.22) and positive attitude (aOR: 4.84; 95% CI: 1.28-18.23) than private or foreign universities. While, practicing in the west region-Mecca and Medina (aOR: 2.35; 95% CI: 1.05-5.23); and the North region-Hail, Jouf, Tabuk & Northern borders (aOR: 3.2; 95% CI: 1.32-7.75) are associated to higher odds of moderate/good practice compared to practicing in the central region- Riyadh and Qassim. Conclusions: Our findings reveal gaps in KAP among medical interns. Medical interns in Saudi Arabia are not deployed as front-line health worker to combat COVID-19. However, community transmission of COVID-19 make it critical to improve KAP of medical interns toward COVID-19 prevention measures. Repeated training to improve KAP and competency of the medical interns in this regard are warranted.

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Assessment of knowledge and practice of dentists towards Coronavirus Disease (COVID-19): a cross-sectional survey from Lebanon

BMC Oral Health ◽

10.1186/s12903-020-01273-6 ◽

2020 ◽

Vol 20 (1) ◽

Author(s):

Zeina Nasser ◽

Youssef Fares ◽

Rama Daoud ◽

Linda Abou-Abbas

Keyword(s):

Online Survey ◽

Information Source ◽

Demographic Data ◽

Good Practice ◽

World Health ◽

Good Knowledge ◽

Cross Sectional Survey ◽

Common Information ◽

Dental Staff ◽

Knowledge And Practice

Abstract Background Coronavirus Disease (COVID-19) epidemic is a public health emergency of international concern. Dentists are exposed to the enormous risk of COVID-19 infection during this epidemic. This study aims to assess the knowledge and practice of dentists toward the COVID-19 epidemic in Lebanon. Methods We conducted an online survey using the snowball-sampling technique. Information on socio-demographic data, knowledge, practice, and additional information required concerning COVID-19 were collected. Results Our results showed that the majority of the Lebanese dentists had good knowledge (91.3%), and nearly half of the respondents had a good practice (58.7%) regarding COVID-19. The most common information source was the World Health Organization (73.7%). Multiple linear regression showed that specialist dentists who completed training on COVID-19 with a high level of knowledge had better practice. Conclusions Lebanese dentists revealed good knowledge regarding COVID-19. However, dentists had limited comprehension of the extra precautionary measures that protect the dental staff and patients from this virus. Our findings have important implications for the development of strategies suitable for improving the level of practice among dentists and enhance prevention programs.

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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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Nurses' Knowledge and Practice Towards Prevention of Surgical Site Infection

International Journal of Service Management and Sustainability ◽

10.24191/ijsms.v6i1.12875 ◽

2021 ◽

Vol 6 (1) ◽

pp. 1

Author(s):

Fatimah Sham ◽

Nur Azira Abdul Raji ◽

Mohd Fitri Omar ◽

Zulkarnain Hasan ◽

Muhammad Khairi Patahorahman ◽

...

Keyword(s):

Surgical Site Infection ◽

Good Practice ◽

Public Hospitals ◽

Control Measures ◽

Good Knowledge ◽

P Value ◽

Site Infection ◽

Significant Difference ◽

Knowledge And Practice ◽

Nurses Knowledge

Surgical Site Infection (SIS) is a common healthcare-associated infection that significantly impacts patient safety and financial losses for health systems. Enhancing nurses' knowledge and practice is an essential component in the prevention of the spread of infection. The study aims to assess the knowledge and practice of preventing surgical site infection among nurses. A cross-sectional study was conducted among 306 nurses in two public hospitals in Malaysia. Data were obtained from selfadministered questionnaires and analyzed using the IBM Statistical Packages for Social Science (SPSS) Window Version 23. This study revealed that 85.3 % of nurses had good knowledge, and 97.7 % had good practice regarding SSI prevention. However, there was no significant difference between the nurses' knowledge and practice towards Prevention SSI (x2: 1.10; p-value: 0.28). There was a statistically significant association between working unit/ward and the total knowledge score (x2:24.51; p-value: 0.01). Nurses who worked in the Operation Theatre were found to have higher percentage of good knowledge (n: 108; 35.3%). It can be concluded that the nurses had good knowledge and practice regarding surgical site infection. Successful strategies of infection control measures were the well-structured guidelines, continuing education programs, adequate supervision, good support, and regular basis of the necessary consumables and supplies.

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Knowledge, attitude, and practices of Community pharmacists about COVID-19: A cross-sectional survey in two provinces of Pakistan

10.1101/2020.05.22.20108290 ◽

2020 ◽

Author(s):

Khayal Muhammad ◽

Muhammad Saqlain ◽

Ataullah Hamdard ◽

Muhammad Naveed ◽

Muhammad Farooq Umer ◽

...

Keyword(s):

Online Survey ◽

Good Practice ◽

Community Pharmacists ◽

Good Knowledge ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Attitude And Practice ◽

Potential Factors ◽

Knowledge Attitude And Practice ◽

Good Attitude

AbstractAmidst to current Coronavirus infectious disease 2019 (COVID-19) pandemic, the international pharmaceutical federation stated that pharmacists being a part of the healthcare system had a crucial role in the management cycle of COVID-19 outbreak. The purpose of this study was to assess the knowledge, attitude and practice of community pharmacists, to snapshot their current preparedness and awareness regarding COVID-19. An online survey was conducted among a sample of 393 community pharmacists from two provinces; Punjab and Khyber-Pakhtunkhwa, Pakistan during a period of strict lockdown (10th to 30th April 2020). A validated (Cronbach alpha= 0.077) self-administered questionnaire comprised of five sections (Demographics, source of information, knowledge, attitude, and practice) was used for data collection. Logistic regression was applied to find potential factors associated with good knowledge, attitude, and practice by using SPSS version 21. Of total 393 participants, 71.5% (n=281) had good knowledge, 44% (n=175) had positive attitude and 57.3% (n=225) had good practice regarding COVID-19. Social media (45.29%, n=178) was reported as the main source to seek information regarding COVID-19. Results revealed that the age of ≥26 years, Ph.D. degree level, and good knowledge were the substantial determinants (P<0.05) of a good attitude. Similarly, community pharmacist who had an experience of >5 years, hold a Ph.D. degree, good knowledge and good attitude had higher odds of good practice compared to reference categories (P<0.05). The findings demonstrated that the majority of community pharmacists had good knowledge, but had a poor attitude and practice towards the COVID-19. This study also highlighted the disparity in some aspects of knowledge, attitude, and practice that must be addressed in future educational, awareness, and counselling programs.

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