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.

BackgroundSustained motivation is essential for effective use of contraceptive methods by women in low- and middle-income countries as many women are likely to abandon use of contraceptives especially when they continually experience episodes of failure. We aimed to determine contraceptive failure rates and associated factors among Ugandan women using data from the 2016 Uganda Demographic Health Survey (UDHS).MethodsWe analyzed data collected by the UDHS conducted in Uganda 2016. All eligible women aged 15 to 49 years at the time of the survey were enrolled. Discontinuation of contraceptive use due to failure within a 5-year period preceding the survey was the dependent variable.ResultsA total of 18,505 women were included in this study, 70.8% (n=5153) lived in rural areas while 56.9% (n=5153) owned a mobile phone. The mean age of the women was 29.6years (SD 7.6). The overall prevalence of contraceptive failure was 5.6%, and was higher (7.8%) among women aged 25-29 years or had completed secondary education (7.1%). The odds of contraceptive failure was 38% lower in women who had an informed choice on contraceptives compared to those who didn’t [Adjusted Odd ratio, 0.62; 95% confidence interval, 0.50 – 0.77; p< 0.001].ConclusionThe burden of contraceptive failure among women of reproductive age in Uganda is substantial and significantly varied by socio-demographic characteristics.

Background Sustained motivation is essential for effective use of contraceptive methods by women in low- and middle-income countries as many women are likely to abandon contraceptives, especially when they continually experience episodes of failure. We aimed to determine the prevalence of discontinuation of contraceptives due to failure and its associated factors among Ugandan women aged 14–49 years. Methods A cross sectional study was conducted using the UDHS 2016 data. Multi stage stratified sampling was used to select participants. All eligible women aged 15 to 49 years at the time of the survey were enrolled. Bivariable and Multivariable logistic regression analysis were used to determine the factors associated with contraceptive failure. All analysis were done using Stata version 13. Contraceptive failure (getting pregnant while on contraceptives) within five years preceding the survey was the dependent variable. Results A total of 9061 women were included in the study. The overall prevalence of contraceptive failure was 5.6% [n = 506, 95% CI: 5.1–6.1] and was higher (6.2%) among women aged 20–29 years or had completed secondary education (6.1%). Having informed choice on contraceptives [aOR = 0.59, 95% CI: 0.49 – 0.72] and older age [aOR = 0.46, 95% CI: 0.24–0.89] were associated with lower odds of contraceptive failure. Conclusion The burden of contraceptive failure among women of reproductive age in Uganda is substantial and significantly varied by women's age, level of education, exposure to the internet, mass media, and informed choice. These findings highlight the need for improved counseling services and contraceptive quality to help women and couples use methods correctly and consistently.

Introduction Sustained motivation is essential for effective use of contraceptive methods by women in low- and middle-income countries as many women are likely to abandon use of contraceptives especially when they continually experience episodes of failure. We aimed to determine contraceptive failure rates and associated factors among Ugandan women using data from the 2016 Uganda Demographic Health Survey (UDHS). Methods We analyzed data collected by the UDHS conducted in Uganda 2016. All eligible women aged 15 to 49 years at the time of the survey were enrolled. Discontinuation of contraceptive use due to failure within a 5-year period preceding the survey was the dependent variable. Results A total of 18,505 women were included in this study, 70.8% (n=5153) lived in rural areas while 56.9% (n=5153) owned a mobile phone. The mean age of the women was 29.6years (SD 7.6). The overall prevalence of contraceptive failure was 5.6%, and was higher (7.8%) among women aged 25-29 years or had completed secondary education (7.1%). The odds of contraceptive failure was 38% lower in women who had an informed choice on contraceptives compared to those who didn’t [Adjusted Odd ratio, 0.62; 95% confidence interval, 0.50 – 0.77; p< 0.001]. Conclusion The burden of contraceptive failure among women of reproductive age in Uganda is substantial and significantly varied by socio-demographic characteristics.

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.