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Knowledge, Attitudes, and Practices Regarding COVID-19 among Healthcare Workers in Uganda: A Cross-Sectional Survey

Author

Listed:
  • Onesmus Kamacooko

    (Medical Research Council/Uganda Virus Research Institute and London School of Hygiene and Tropical Medicine Uganda Research Unit, Entebbe P.O. Box 49, Uganda)

  • Jonathan Kitonsa

    (Medical Research Council/Uganda Virus Research Institute and London School of Hygiene and Tropical Medicine Uganda Research Unit, Entebbe P.O. Box 49, Uganda)

  • Ubaldo M. Bahemuka

    (Medical Research Council/Uganda Virus Research Institute and London School of Hygiene and Tropical Medicine Uganda Research Unit, Entebbe P.O. Box 49, Uganda)

  • Freddie M. Kibengo

    (Medical Research Council/Uganda Virus Research Institute and London School of Hygiene and Tropical Medicine Uganda Research Unit, Entebbe P.O. Box 49, Uganda)

  • Anne Wajja

    (Medical Research Council/Uganda Virus Research Institute and London School of Hygiene and Tropical Medicine Uganda Research Unit, Entebbe P.O. Box 49, Uganda)

  • Vincent Basajja

    (Medical Research Council/Uganda Virus Research Institute and London School of Hygiene and Tropical Medicine Uganda Research Unit, Entebbe P.O. Box 49, Uganda)

  • Alfred Lumala

    (Kitovu Hospital, Masaka P.O. Box 524, Uganda)

  • Ayoub Kakande

    (Medical Research Council/Uganda Virus Research Institute and London School of Hygiene and Tropical Medicine Uganda Research Unit, Entebbe P.O. Box 49, Uganda)

  • Paddy Kafeero

    (Medical Research Council/Uganda Virus Research Institute and London School of Hygiene and Tropical Medicine Uganda Research Unit, Entebbe P.O. Box 49, Uganda)

  • Edward Ssemwanga

    (Villa Maria Hospital, Masaka P.O. Box 32, Uganda)

  • Robert Asaba

    (Our Lady of Consolata Kisubi Hospital, Entebbe P.O. Box 40, Uganda)

  • Joseph Mugisha

    (Medical Research Council/Uganda Virus Research Institute and London School of Hygiene and Tropical Medicine Uganda Research Unit, Entebbe P.O. Box 49, Uganda)

  • Benjamin F. Pierce

    (Department of Infectious Disease, Imperial College London, Norfolk Place, London W2 1PG, UK)

  • Robin J. Shattock

    (Department of Infectious Disease, Imperial College London, Norfolk Place, London W2 1PG, UK)

  • Pontiano Kaleebu

    (Medical Research Council/Uganda Virus Research Institute and London School of Hygiene and Tropical Medicine Uganda Research Unit, Entebbe P.O. Box 49, Uganda)

  • Eugene Ruzagira

    (Medical Research Council/Uganda Virus Research Institute and London School of Hygiene and Tropical Medicine Uganda Research Unit, Entebbe P.O. Box 49, Uganda)

Abstract

Healthcare workers (HCWs) are at high risk of COVID-19. However, data on HCWs’ knowledge, attitudes, and practices (KAP) toward COVID-19 are limited. Between September and November 2020, we conducted a questionnaire-based COVID-19 KAP survey among HCWs at three hospitals in Uganda. We used Bloom’s cut-off of ≥80% to determine sufficient knowledge, good attitude, and good practice, and multivariate Poisson regression with robust variance for statistical analysis. Of 717 HCWs invited to participate, 657 (91.6%) agreed and were enrolled. The mean age (standard deviation) of enrollees was 33.2 (10.2) years; most were clinical HCWs (64.7%) and had advanced secondary school/other higher-level education (57.8%). Overall, 83.9% had sufficient knowledge, 78.4% had a positive attitude, and 37.0% had good practices toward COVID-19. Factors associated with KAP were: Knowledge: being a clinical HCW (aRR: 1.12; 95% CI: 1.02–1.23) and previous participation in health research (aRR: 1.10; 95% CI: 1.04–1.17); Attitude: age > 35 years (aRR: 0.88; 95% CI: 0.79–0.98); Practice: being a clinical HCW (aRR: 1.91; 95% CI: 1.41–2.59). HCWs in Uganda have good knowledge and positive attitude but poor practices towards COVID-19. Differences in COVID-19 KAP between clinical and non-clinical HCWs could affect uptake of COVID-19 interventions including vaccination.

Suggested Citation

  • Onesmus Kamacooko & Jonathan Kitonsa & Ubaldo M. Bahemuka & Freddie M. Kibengo & Anne Wajja & Vincent Basajja & Alfred Lumala & Ayoub Kakande & Paddy Kafeero & Edward Ssemwanga & Robert Asaba & Joseph, 2021. "Knowledge, Attitudes, and Practices Regarding COVID-19 among Healthcare Workers in Uganda: A Cross-Sectional Survey," IJERPH, MDPI, vol. 18(13), pages 1-12, June.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:13:p:7004-:d:585539
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    References listed on IDEAS

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    2. John N. Nkengasong & Nicaise Ndembi & Akhona Tshangela & Tajudeen Raji, 2020. "COVID-19 vaccines: how to ensure Africa has access," Nature, Nature, vol. 586(7828), pages 197-199, October.
    3. Eyasu Alem Lake & Birhanu Wondimeneh Demissie & Natneal Atnafu Gebeyehu & Addisu Yeshambel Wassie & Kelemu Abebe Gelaw & Gedion Asnake Azeze, 2021. "Knowledge, attitude and practice towards COVID-19 among health professionals in Ethiopia: A systematic review and meta-analysis," PLOS ONE, Public Library of Science, vol. 16(2), pages 1-16, February.
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