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Kamabu LK, Lekuya HM, Iranya RN, Kasusula BM, Sikakulya FK, Kicaber S, Valimungighe MM, Nganza SK, Butala ES, Sikiminywa ZM, Kathaka LM, Munyambalu DK, Ahuka Longombe TY, Katsioto AK, Mumbere B, Kalima Nzanzu A, Kavughe F, Kambere TK, Ssebuufu R. Determinants of Knowledge, Attitudes, and Practices of Frontline Health Workers During the First Wave of COVID-19 in Africa: A Multicenter Online Cross-Sectional Study. Infect Drug Resist 2022; 15:4595-4610. [PMID: 36003988 PMCID: PMC9394649 DOI: 10.2147/idr.s372952] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/09/2022] [Accepted: 08/04/2022] [Indexed: 11/23/2022] Open
Abstract
Background During its first wave of COVID-19 infection in sub-Saharan Africa, there was insufficient understanding of the pandemic among frontline health workers. This study was carried out to determine the knowledge, attitude, and practices (KAP) of frontline health workers (HWs) towards COVID-19 in Africa and their related factors. Methods This was a multicenter online cross-sectional study conducted between April 2020 and July 2020 using a Google survey link among frontline HWs involved in the COVID-19 response in 26 African countries. Bivariate and multivariate logistic regression were used to analyse the determinants of KAP. Data were analyzed using STATA ver 16; all tests were two-sided with 95% confidence interval. Results Five hundred and seventeen participated in this study from 26 African countries; 289 (55.9%) were male and 228 (44.1%) female. Most of HWs, 379 (73.3%) showed poor knowledge about COVID-19 infection and preventive measures. In contrast, majority of them showed good attitude (89%) and practice (90.3%) towards prevention of COVID-19 infections. Knowledge varied among countries; Uganda had the greatest number of HWs with good knowledge (OR: 28.09, p<0.0001) followed by Ghana (OR=10.92, p=0.001) and DRC (OR: 4.59, p=0.015). The cadre of HWs also influenced knowledge; doctors were the most knowledgeable as compared to other cadres (OR: 3.4, p= 0.005). Attitude and practice were both influenced by HWs country of workplace and their cadre (p<0.05). Conclusion Majority of the frontline HWs in the African region had an overall good attitude and practice towards COVID-19 infection and practice measures despite relatively poor knowledge. The KAP is influenced by HWs country of workplace, their cadre. The knowledge of HWs in Africa should be increased to concourt with their attitude and practice to reduce the burden of intra-hospital transmission of the COVID-19.
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Affiliation(s)
- Larrey Kasereka Kamabu
- Department of Surgery, School of Medicine, Université Catholique du Graben, Butembo, Democratic Republic of the Congo.,Department of Surgery, School of Medicine, Makerere University, Kampala, Uganda
| | - Hervé Monka Lekuya
- Department of Surgery, School of Medicine, Makerere University, Kampala, Uganda
| | | | - Bienvenu Muhindo Kasusula
- Department of Internal Medicine, Matanda Teaching Hospital, Butembo, Democratic Republic of the Congo
| | - Franck Katembo Sikakulya
- Department of Surgery, School of Medicine, Université Catholique du Graben, Butembo, Democratic Republic of the Congo.,Department of surgery, Kampala International University, Western Campus, Kampala, Uganda
| | - Saviour Kicaber
- Department of Surgery, School of Medicine, Makerere University, Kampala, Uganda
| | - Moise Muhindo Valimungighe
- Department of Surgery, School of Medicine, Université Catholique du Graben, Butembo, Democratic Republic of the Congo.,Department of General Surgery, Université d'Abomey Calavi, Cotonou, Republic of Benin
| | - Sifa Katungu Nganza
- Department of Surgery, School of Medicine, Université Catholique du Graben, Butembo, Democratic Republic of the Congo.,Department of Surgery, School of Medicine, Makerere University, Kampala, Uganda
| | - Eric Sadiki Butala
- Department of Obstetrics and Gynecology, Consolata Hospital Mathari, Nyeri Town, Kenya
| | - Zacharie Muhindo Sikiminywa
- Department of Ophthalmology, Kinshasa Teaching Hospital, Université de Kinshasa, Kinshasa, Democratic Republic of the Congo
| | - Louange Maha Kathaka
- Department of Surgery, School of Medicine, Université Catholique du Graben, Butembo, Democratic Republic of the Congo
| | | | - Thérèse Yenyi Ahuka Longombe
- Department of Anesthesia and Critical Care, School of Medicine, University of Cheikh Anta Diop de Dakar, Dakar, Senegal
| | - Agnès Kavira Katsioto
- Department of Surgery, School of Medicine, Université Catholique du Graben, Butembo, Democratic Republic of the Congo.,Department of Emergency Medicine, Alexandria University, Alexandria, Egypt
| | - Bienfait Mumbere
- Department of surgery, Kampala International University, Western Campus, Kampala, Uganda
| | - Adelard Kalima Nzanzu
- Department of Surgery, School of Medicine, Université Catholique du Graben, Butembo, Democratic Republic of the Congo.,Department of Internal Medicine, Matanda Teaching Hospital, Butembo, Democratic Republic of the Congo
| | - Frederic Kavughe
- Department of Education and Psychology, Faculty of Education and Psychology, Adventist University of Lukanga, Lukanga, Democratic Republic of the Congo
| | - Thaddée Katembo Kambere
- Department of Public Health Sciences, Faculty of Medicine, Adventist University of Lukanga, Lukanga, Democratic Republic of the Congo
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