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Determinants of knowledge, attitudes, and practices of front-line health workers during the first wave of COVID-19 in Africa: a multi-center online cross-sectional study

Article scientifique 2021 Anglais

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Abstract Background: During its first wave of COVID-19 infection in sub-Saharan Africa, there was insufficient understanding of the pandemic among front-line health care professionals that has led to a misidentification, and mistreatment of affected patients, with a potential risk of contracting and spreading the disease. This study was carried out to determine the Knowledge, attitude, and practices (KAP) of front-line health workers (HWs) towards COVID-19 in Africa and their related factors.Methods: This was a multi-centers online cross-sectional study conducted over a 3-months study-period using a google survey link among front lines HWs involved in the COVID-19 response in 26 African countries. Chi-square test & logistic regression were used in the bivariate and multivariate analysis respectively to assess determinants of KAP. Statistical analysis was done using STATA version 16; all tests were two-sided with 95% confidence interval. Results: Five hundred and seventeen (517, 96.3%) consented to participate in this study from 26 African countries; 289 (55.9%) were male and 228 (44.1%) female. Overall, 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). Additionally, knowledge increased with increasing HWs’ education level (p=0.011).Attitude and practice were both influenced by HWs country of workplace (p=0.05 & p< 0.0001 respectively) and their cadre (p = 0.025 & p < 0.0001 respectively).Conclusions: Majority of the front-line 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 and level of education.

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Kamabu, L., Lekuya, H., Iranya, R., Kasusula, B., Sikakulya, F., Kicaber, S., Valimungighe, M., Nganza, S., Butala, E., Sikiminya, Z., Kathaka, L., Munyambalu, D., Katsioto, A., Longombe, T., Vahwere, B., Nzanzu, A., Kavughe, F., Kambere, T., Robinson, S. (2021). Determinants of knowledge, attitudes, and practices of front-line health workers during the first wave of COVID-19 in Africa: a multi-center online cross-sectional study. https://doi.org/10.21203/rs.3.rs-1164116/v1

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Auteur(s)

Larrey Kasereka Kamabu Hervé Monka Lekuya Richard Newton Iranya Bienvenu Muhindo Kasusula Franck Katembo Sikakulya Saviour Kicaber Moïse Muhindo Valimungighe Sifa Katungu Nganza Eric Sadiki Butala Zacharie Muhindo Sikiminya Louange Maha Kathaka Dalton Kambale Munyambalu Agnès Kavira Katsioto Thérèse Yenyi Ahuka Longombe Bienfait Mumbere Vahwere Adelard Kalima Nzanzu Frederic Kavughe Thaddée Katembo Kambere Ssebuufu Robinson

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