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

Author(s):  
Clement Kevin Edet ◽  
Anthony Ike Wegbom ◽  
Victor Alangibi Kiri

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.

Author(s):  
Clement Kevin Edet ◽  
Anthony Ike Wegbom ◽  
Victor Alangibi Kiri

Introduction: The primary healthcare workers (PHCWs) may be faced with a higher risk of infection of COVID-19, due to inadequate personal protective equipment (PPE) and lack of training on the disease control and prevention. This study was designated to evaluate the knowledge, attitude and practices (KAP) of PHCWs about COVID-19 in Rivers State, Nigeria. Methods: A facility cross-sectional survey was conducted involving the primary healthcare workers in Rivers State, Nigeria. The association between the KAP and demographic characteristics were tested with the Chi-square test, while the association existing among KAP were evaluated with Pearson correlation coefficient. Statistical significance was evaluated at P<0.05. Results: The proportion of respondents with good scores in knowledge, attitude, and COVID-19 related practices are 86.4% (10.66 ± 2.40), 85.0% (8.28 ± 1.94), and 97.3% (8.34 ± 1.39) respectively. Gender, occupation, and years of experience are associated with knowledge, whilst years of experience and marital status are associated with the attitude and level preventive practices; knowledge score also has significant positive linear associations with both attitude  and practices (  scores towards COVID-19. Conclusion: Based on these findings, we suggest that public health education programs should be sustained, and staff should be expose to more training and workshop regarding COVID-19 preventive practices. Furthermore, adequate personnel preventive equipment should be deployed at the primary healthcare facilities, as this will instill the right attitude and confidence in carrying out their duties without the fear of contracting the disease.


Author(s):  
Clement Kevin Edet ◽  
Anthony Ike Wegbom ◽  
Victor Alangibi Kiri

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.


Author(s):  
Clement Kevin Edet ◽  
Agiriye M. Harry ◽  
Anthony Ike Wegbom ◽  
Benjamin O. Osaro

Introduction: Since the onset of COVID-19 pandemic there has been concerns about the imminent collapse of the health system if healthcare workers are physically, mentally, and socially affected to the point where service delivery is compromised. Therefore, this study investigated the fear, psychosomatic symptoms, and satisfaction of the Primary Healthcare Workers (PHCWs) during the first wave of the COVID-19 pandemic in Rivers State Nigeria. Methods: A facility cross-sectional survey was conducted involving the primary healthcare workers. Descriptive analysis of mean with standard deviation were reported for continuous variables, frequency and percentage were used to report categorical variables. Results: A total of 412 PHCWs participated in the study (mean age: 39.5±7.5). 223 (54.4%) were sure of going to work, while 260 (63.4%) were afraid of contracting the COVID-19 virus. However, 294 (71.7%) were not stigmatized and 256 (62.4%) were satisfied with their capacity for work. Also, 333 (81.2%), 357(87.3%), and 271(66.6%) were not satisfied with, transportation, money to meet their daily needs, and work environment, respectively. Perceived psychosomatic symptoms by respondents were chest pain (50.0%), stomach upset (38.0%), lump in the throat (40.0%), no feeling of hunger (52.0%), and shortness of breath (32.0%). Anxiety and stress symptoms experienced were inability to concentrate (38.2%), got angry easily (24.9%), worried (48.5%), low mood, anxiety, or depression (24.1%) and afraid of encountering security personnel on their way to work (67.6%). Conclusions: We observed perceived fears, psychosomatic, anxiety, and stress symptoms, as well as low satisfaction among the primary healthcare workers. We suggest that the government and health care agencies should put in place measures that will improve the psychological well-being and mental health of the PHCWs during the pandemic.


2020 ◽  
Author(s):  
Clement Kevin Edet ◽  
Anthony Ike Wegbom ◽  
Prof. Victor Alangibi Kiri

Abstract Introduction: The primary healthcare workers (PHCWs) face a higher risk of infection associated with their occupation, due to inadequate supplies of personal protective equipment (PPE), inappropriate use of PPEs, and insufficient knowledge on infection prevention and control. Therefore, this study aimed to assess the preparedness for COVID-19 by PHCWs in Rivers State, Nigeria. Method: A cross-sectional survey was conducted involving the healthcare workers at the public primary healthcare facilities across the 23 local government areas (LGAs) of Rivers State, Nigeria. The descriptive statistics of mean ± standard deviation and percentage were used to present quantitative and categorical variables respectively. The preparedness for COVID-19 was measured by knowledge, attitude and preventive practices (KAP) towards the disease. The association between the KAP and demographic characteristics was tested with the Chi-square test, while the associations existing among the KAP constituents were evaluated with the Pearson correlation coefficient. Statistical significance was evaluated at P<0.05. Results: Out of 460 questionnaires distributed, 412 respondents participated in the survey, indicating a response rate of 89.6%. The proportion of respondents with good scores in knowledge, attitude, and COVID-19 related practices was 86.4% (10.66 ± 2.40), 85.0% (8.28 ± 1.94), and 97.3% (8.34 ± 1.39) respectively. Gender, occupation, and years of experience were associated with knowledge, while years of experience and marital status were associated with attitude and preventive practices. Knowledge score also had significant positive linear associations with both attitudes and practices ( scores toward COVID-19. Conclusion: Our findings revealed the level of PHCWs preparedness to fight COVID-19 in Rivers State. We suggest that public health education programs on infection prevention and control should be sustained. Furthermore, training should be tailored to meet the peculiarities of the different categories of healthcare workers and years of practice.


2021 ◽  
Vol 2 (1) ◽  
pp. 72-80
Author(s):  
Md. Sahidur Rahman ◽  
Nazifa Rafa

Abstract The perceived risk of antimicrobial-resistant pathogens creates the necessity for understanding the role of the prescriber groups. Hence, we conducted a cross-sectional survey among veterinary practitioners to assess their understanding regarding antimicrobial prescribing and the issue of antimicrobial resistance (AMR) in livestock. We collected responses from 100 veterinarians engaged in the large animal, poultry, and pet animal care practices. Proportions were calculated for categorical variables and the results were visualized. We revealed two key barriers: a lack of enough information and of training on the proper prescription of antimicrobials. Prescribing a wide variety of antimicrobials and doing incomplete courses of antimicrobial treatments were two very important causes pointed out by the respondents for the development of antimicrobial resistance. A number of highest-priority critically important antimicrobials (HP-CIAs) of human health were found to be used by veterinary practitioners. In addition to clinical features like types of organisms and severity of the disease, the availability of drugs in the local market and the economic conditions of farmers have the potential to influence the decisions of veterinarians in prescribing antimicrobials. The professional development of veterinarians and the maintenance of strong coordination are crucial to ensure the proper engagement of veterinarians as the front-line fighters for tackling the AMR issue.


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

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


2022 ◽  
Vol 22 (1) ◽  
Author(s):  
Rrezart Halili ◽  
Jeta Bunjaku ◽  
Bujar Gashi ◽  
Teuta Hoxha ◽  
Agron Kamberi ◽  
...  

Abstract Background Many studies examined the spread of SARS-CoV-2 within populations using seroprevalence. Healthcare workers are a high-risk population due to patient contact, and studies are needed to examine seroprevalence of SARS-CoV-2 antibodies among healthcare workers. Our study investigates the seroprevalence of anti-SARS-CoV-2 antibodies among staff at primary healthcare institutions in Prishtina, and factors associated with seroprevalence. Methods We carried out a cross-sectional survey including SARS-CoV-2 serological testing and questionnaires with primary healthcare workers from primary healthcare facilities in the Prishtina, the capital city of Kosovo. We calculated prevalence of anti-SARS-CoV-2 antibodies, and of self-reported positive PCR test among primary healthcare workers, as well as crude and adjusted ORs for explanatory factors. Results Eighty-three of the healthcare workers (17.47%) tested positive for SARS-CoV-2 antibodies IgG or IgM, while 231 (48.63%) either had antibodies or a previous positive PCR test. Odds of seropositivity were affected by male gender (OR 2.08, 95% CI 1.20, 3.61), and infected family members (OR 3.61, 95% CI 2.25, 5.79) of healthcare workers. Higher education, being part of larger families and having infected family members gave higher odds of positive PCR test and seropositivity. Other healthcare workers had lower odds of positive PCR test and seropositivity than physicians. Conclusion Over 17% of healthcare workers were seropositive for SARS-CoV-2 antibodies and close to half of them were either seropositive or PCR self-reported positive test. Several factors are associated with decreased and increased odds for such outcomes. These findings should be explored further and addressed to Kosovo policy makers, and assist them to intensify vaccination efforts, and maintain control measures until we achieve herd immunity.


Author(s):  
Sima Rugarabamu ◽  
Mariam Ibrahim ◽  
Aisha Byanaku

AbstractBackgroundThe COVID-19 pandemic is a global health and societal emergency that requires the adoption of Unprecedented measures to control the rapid spread of the ongoing COVID-19 epidemic. Residents’ adherence to control measures is affected by their knowledge, attitudes, and practices (KAP) towards the disease, therefore. This study was carried out to investigate KAP towards COVID-19 KAP among residents in Tanzania during the April –May 2020 period of the epidemic.MethodsThis was a cross-sectional study that involved a sample of online Tanzanian residents who was recruited randomly by sending an invitation asking to answer my survey”. Survey Monkey tool was used to develop a link and KAP questionnaire for data collection. Participants self-selected themselves when they choose to answer the questionnaire. The questionnaire assessed demographic characteristics of participants, Knowledge, attitude, and practice toward COVID. simple descriptive to complex analyses of multivariate was carried out using SPSS 17.ResultsFour hundred residents completed a survey. The mean age of study participants was 32 years, and majorities were females 216 (54.0%). There were no significant differences in demographic variables (p>0.3). Those who held a bachelor’s degree or above (60.3%) had a more correct score. Overall, (84.4%) of participants had good knowledge which was significantly associated with education level (p=0.001). Nearly all of the participants (96.0%) had confidence that COVID-19 will be eliminated. The majority of the respondents (77%) did not go to a crowded place in recent days. Multiple linear regression analysis showed that male gender, age-group of 16-29 years, and education of secondary or lower were significantly associated with lower knowledge score.ConclusionOur findings revealed good knowledge, optimistic attitudes, and appropriate practices towards COVID-19. Suggesting that a community-based health education program about COVID-19 is helpful and necessary to control the disease.


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

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


Author(s):  
FARHAN ALSHAMMARI ◽  
TURKI ALHAGBANI ◽  
AHMED ALAFNAN ◽  
KHALID ALMANSOUR ◽  
KASHIFULLAH KHAN

Objective: Immense measures were taken to monitor the rapid spread of the novel coronavirus disease (COVID-19) outbreak in Saudi Arabia. Knowledge, attitudes, and practices (KAPs) against COVID-19 influence a resident’s commitment to these control measures. The objective of the study was to investigate the KAP of Saudi residents toward COVID-19 during the increasingly growing outbreak period. Methods: Through the authors’ network with residents in Hail city and the northern region of Saudi Arabia, an online sample was successfully carried out among Saudi residents. The participants completed an established and validated online KAP questionnaire. The knowledge questionnaire consisted of 16 questions regarding the clinical characteristics and prevention of COVID-19. Assessments of attitudes and practices of the residents toward COVID-19, included questions on confidence in controlling the COVID-19 outbreak, going to crowded places and wearing facemasks when going out in recent days. Results: A total of 285 participants took part in the survey questionnaire, of these 54.7% were women, 68.4% held a bachelor’s degree, and 47.7% were engaged in an occupation other than health-care providers. The overall correct rate of the knowledge questionnaire was 65%. The majority of the respondents (66%) reported that they had confirmed the information obtained from different media sources, where nearly 78.3% of respondents agreed that COVID-19 can be successfully controlled. Furthermore, about 92.3% of the participants avoided going out to crowded places, whereas only 41.1% wore facemasks when going out in recent days. A statistically significant association (p=0.0001) was found on analysis of the COVID-19 knowledge score, with a lower likelihood of negative attitudes and preventive practices toward COVID-2019. Conclusion: The majority of Hail city residents are familiar with COVID-19 in both genders, hold optimistic attitudes, and have appropriate practices toward COVID-19. Health education programs designed to enhance COVID-19 awareness are beneficial for Saudi residents to maintain positive attitudes and appropriate practices.


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