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Level and Determinants of Adherence to COVID-19 Preventive Measures in the First Stage of the Outbreak in Uganda

Author

Listed:
  • Bob O. Amodan

    (Uganda Public Health Fellowship Program, Kampala 7272, Uganda)

  • Lilian Bulage

    (Uganda Public Health Fellowship Program, Kampala 7272, Uganda)

  • Elizabeth Katana

    (Uganda Public Health Fellowship Program, Kampala 7272, Uganda)

  • Alex R. Ario

    (Uganda Public Health Fellowship Program, Kampala 7272, Uganda)

  • Joseph N. Siewe Fodjo

    (Global Health Institute, University of Antwerp, Doornstraat 331, 2610 Antwerp, Belgium)

  • Robert Colebunders

    (Global Health Institute, University of Antwerp, Doornstraat 331, 2610 Antwerp, Belgium)

  • Rhoda K. Wanyenze

    (School of Public Health, College of Health Sciences, Makerere University, Mulago Kampala 7072, Uganda)

Abstract

We conducted an online survey in the first two months of the Coronavirus Disease 2019 (COVID-19) epidemic in Uganda to assess the level and determinants of adherence to and satisfaction with the COVID-19 preventive measures recommended by the government. We generated Likert scales for adherence and satisfaction outcome variables and measured them with four preventive measures, including handwashing, wearing face masks, physical distancing, and coughing/sneezing hygiene. Of 1726 respondents (mean age: 36 years; range: 12–72), 59% were males, 495 (29%) were adherent to, and 545 (32%) were extremely satisfied with all four preventive measures. Adherence to all four measures was associated with living in Kampala City Centre (AOR: 1.7, 95% CI: 1.1–2.6) and receiving COVID-19 information from health workers (AOR: 1.2, 95% CI: 1.01–1.5) or village leaders (AOR: 1.4, 95% CI: 1.02–1.9). Persons who lived with younger siblings had reduced odds of adherence to all four measures (AOR: 0.75, 95% CI: 0.61–0.93). Extreme satisfaction with all four measures was associated with being female (AOR: 1.3, 95% CI: 1.1–1.6) and health worker (AOR: 1.2, 95% CI: 1.0–1.5). Experiencing violence at home (AOR: 0.25, 95% CI: 0.09–0.67) was associated with lower satisfaction. Following reported poor adherence and satisfaction with preventive measures, behavior change programs using health workers should be expanded throughout, with emphasis on men.

Suggested Citation

  • Bob O. Amodan & Lilian Bulage & Elizabeth Katana & Alex R. Ario & Joseph N. Siewe Fodjo & Robert Colebunders & Rhoda K. Wanyenze, 2020. "Level and Determinants of Adherence to COVID-19 Preventive Measures in the First Stage of the Outbreak in Uganda," IJERPH, MDPI, vol. 17(23), pages 1-14, November.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:23:p:8810-:d:452103
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    References listed on IDEAS

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    1. Mariusz Duplaga, 2019. "Perception of the Effectiveness of Health-Related Campaigns among the Adult Population: An Analysis of Determinants," IJERPH, MDPI, vol. 16(5), pages 1-14, March.
    2. Marcella Alsan & Owen Garrick & Grant Graziani, 2019. "Does Diversity Matter for Health? Experimental Evidence from Oakland," American Economic Review, American Economic Association, vol. 109(12), pages 4071-4111, December.
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    Cited by:

    1. Mohammed J. Almalki, 2022. "A Cross-Sectional Study of the Satisfaction with, Adherence to, and Perspectives toward COVID-19 Preventive Measures among Public Health Students in Jazan, Saudi Arabia," IJERPH, MDPI, vol. 19(2), pages 1-12, January.
    2. Tashi Wangchuk & Kinga & Ugyen Wangdi & Ugyen Tshering & Kinley Wangdi, 2023. "Hand Hygiene, Face Mask Use, and Associated Factors during the COVID-19 Pandemic among the Students of Mongar Higher Secondary School, Bhutan: A Cross-Sectional Study," IJERPH, MDPI, vol. 20(2), pages 1-11, January.

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