COVID-19 Knowledge, Perception, Preventive Measures, Stigma, and Mental Health Among Healthcare Workers in Three Sub-Saharan African Countries: A Phone Survey.

Journal: The American journal of tropical medicine and hygiene

Volume: 105

Issue: 2

Year of Publication: 2022

Affiliated Institutions:  College of Health and Medical Sciences, Haramaya University, Harar, Ethiopia. Institut Supérieur des Sciences de la Population, University of Ouagadougou, Ouagadougou, Burkina Faso. Department of Global Health and Population, Harvard T.H. Chan School of Public Health, Harvard University, Boston, Massachusetts. Jegula Hospital, Harar, Ethiopia. Nouna Health Research Center, Nouna, Burkina Faso. Department of Statistics, University of Ibadan, Ibadan, Nigeria. Department of Epidemiology and Biostatics, Addis Continental Institute of Public Health, Addis Ababa, Ethiopia. University of Ibadan Research Foundation, University of Ibadan, Ibadan, Nigeria.

Abstract summary 

The coronavirus disease 2019 (COVID-19) pandemic is an unprecedented public health crisis globally. Understanding healthcare providers' (HCPs') knowledge and perceptions of COVID-19 is crucial to identifying effective strategies to improve their ability to respond to the pandemic in sub-Saharan Africa. A phone-based survey of 900 HCPs in Burkina Faso, Ethiopia, and Nigeria (300 per country) was conducted to assess knowledge, perceptions, COVID-19 prevention measures, stigma, and mental health of HCPs. Modified Poisson regression models were used to evaluate predictors of knowledge, perceptions, and prevention measures; adjusted risk ratios (ARRs) and 95% confidence intervals (CIs) were calculated. Three-fourths of the HCPs had adequate knowledge, and over half had correct perceptions of risk and high levels of self-reported prevention measures. The majority of the HCPs (73.7%) reported self-perceived social stigma. There was relatively low prevalence of depression (6.6%), anxiety (6.6%), or psychological distress (18%). Compared with doctors, being a nurse was associated with lower levels of knowledge (ARR: 0.83; 95% CI: 0.77-0.90) and was also negatively associated with having correct perceptions toward COVID-19 (AOR: 0.82; 95% CI: 0.73-0.92). HCPs treating COVID-19 patients had higher likelihood of having high levels of prevention measures (AOR: 1.37; 95% CI: 1.23-1.53). Despite high levels of knowledge among HCPs in sub-Saharan Africa, there is a need to improve COVID-19 perceptions and compliance with prevention measures as well as address social stigma toward HCPs to better ensure their safety and prepare them to deliver health services.

Authors & Co-authors:  Assefa Nega N Soura Abdramane A Hemler Elena C EC Korte Michelle L ML Wang Dongqing D Abdullahi Yasir Y YY Lankoande Bruno B Millogo Ourohiré O Chukwu Angela A Workneh Firehiwot F Sie Ali A Berhane Yemane Y Baernighausen Till T Oduola Ayoade A Fawzi Wafaie W WW

Study Outcome 

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Statistics
Citations :  FMOH , 2020. National Comprehensive COVID19 Management Handbook. Addis Ababa: Ethiopia.
Authors :  15
Identifiers
Doi : 10.4269/ajtmh.20-1621
SSN : 1476-1645
Study Population
Male,Female
Mesh Terms
Adult
Other Terms
Study Design
Cross Sectional Study
Study Approach
Country of Study
Niger
Publication Country
United States