IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v17y2020i23p8810-d452103.html
   My bibliography  Save this article

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
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/17/23/8810/pdf
    Download Restriction: no
    File URL: https://www.mdpi.com/1660-4601/17/23/8810/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    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.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    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.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Elaine Kelly & Isabel Stockton, 2024. "A senior doctor like me: Gender match and occupational choice," IFS Working Papers W24/11, Institute for Fiscal Studies.
    2. Carla Brailey & Brittany C. Slatton, 2024. "Centering Black Women’s Voices: Illuminating Systemic Racism in Maternal Healthcare Experiences," Societies, MDPI, vol. 14(5), pages 1-12, May.
    3. SangA Lee & Deogwoon Kim & Haeok Lee, 2022. "Examine Race/Ethnicity Disparities in Perception, Intention, and Screening of Dementia in a Community Setting: Scoping Review," IJERPH, MDPI, vol. 19(14), pages 1-19, July.
    4. Bohdana Kurylo, 2021. "The Impact of Same-Race Teachers on Student Behavioral Outcomes," CERGE-EI Working Papers wp695, The Center for Economic Research and Graduate Education - Economics Institute, Prague.
    5. Sievertsen, Hans Henrik & Smith, Sarah, 2024. "Do Female Experts Face an Authority Gap? Evidence from Economics," IZA Discussion Papers 17029, Institute of Labor Economics (IZA).
    6. Amitabh Chandra & Courtney Coile & Corina Mommaerts, 2023. "What Can Economics Say about Alzheimer's Disease?," Journal of Economic Literature, American Economic Association, vol. 61(2), pages 428-470, June.
    7. Marcella Alsan & Sarah Eichmeyer, 2024. "Experimental Evidence on the Effectiveness of Nonexperts for Improving Vaccine Demand," American Economic Journal: Economic Policy, American Economic Association, vol. 16(1), pages 394-414, February.
    8. Yana Gallen & Melanie Wasserman, 2021. "Informed Choices: Gender Gaps in Career Advice," Working Papers 2021-025, Human Capital and Economic Opportunity Working Group.
    9. Jeannette E. South-Paul & Kendall M. Campbell & Norma Poll-Hunter & Audrey J. Murrell, 2021. "Mentoring as a Buffer for the Syndemic Impact of Racism and COVID-19 among Diverse Faculty within Academic Medicine," IJERPH, MDPI, vol. 18(9), pages 1-10, May.
    10. Sylvain Chareyron & Yannick L’Horty & Pascale Petit, 2023. "Cream skimming and discrimination in access to medical care: A field experiment," Health Economics, John Wiley & Sons, Ltd., vol. 32(8), pages 1868-1883, August.
    11. Andreas Ferrara & Price Fishback, 2024. "Discrimination, Migration, and Economic Outcomes: Evidence from World War I," The Review of Economics and Statistics, MIT Press, vol. 106(5), pages 1201-1219, September.
    12. Gallen, Yana & Wasserman, Melanie, 2023. "Does information affect homophily?," Journal of Public Economics, Elsevier, vol. 222(C).
    13. Currie, Janet & Kurdyak, Paul & Zhang, Jonathan, 2024. "Socioeconomic status and access to mental health care: The case of psychiatric medications for children in Ontario Canada," Journal of Health Economics, Elsevier, vol. 93(C).
    14. Pol Campos-Mercade & Armando N. Meier & Stephan Meier & Devin Pope & Florian H. Schneider & Erik Wengstroem, 2025. "Incentives to Vaccinate," CEBI working paper series 24-15, University of Copenhagen. Department of Economics. The Center for Economic Behavior and Inequality (CEBI).
    15. Francesco D’Acunto & Andreas Fuster & Michael Weber, 2021. "Diverse Policy Committees Can Reach Underrepresented Groups," NBER Working Papers 29275, National Bureau of Economic Research, Inc.
    16. Black, Nicole & Kunz, Johannes S., 2024. "The intergenerational effects of language proficiency on child health outcomes: Evidence from survey- and Census-matched health care records," Journal of Economic Behavior & Organization, Elsevier, vol. 225(C), pages 136-152.
    17. Halla, Martin & Kah, Christopher & Sausgruber, Rupert, 2021. "Testing for Ethnic Discrimination in Outpatient Health Care: Evidence from a Field Experiment in Germany," Department of Economics Working Paper Series 319, WU Vienna University of Economics and Business.
    18. Bernhard Ganglmair & Christian Helmers & Brian J Love, 2022. "The Effect of Patent Litigation Insurance: Theory and Evidence from NPEs [“Valuable Patents]," The Journal of Law, Economics, and Organization, Oxford University Press, vol. 38(3), pages 741-773.
    19. Chen, Stacey H. & Chen, Jennjou & Chuang, Hongwei & Lin, Tzu-Hsin, 2023. "Physicians Treating Physicians: Relational and Informational Advantages in Treatment and Survival," IZA Discussion Papers 16048, Institute of Labor Economics (IZA).
    20. Briana Ballis, 2024. "Early Life Health Conditions and Racial Gaps in Education," Working Papers 2024-016, Human Capital and Economic Opportunity Working Group.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jijerp:v:17:y:2020:i:23:p:8810-:d:452103. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.