Healthcare workers’ knowledge, attitude and practices during the COVID-19 pandemic response in a tertiary care hospital of Nepal

Limbu, D; Piryani, Rano Mal; Sunny, Avinash K

doi:10.1371/journal.pone.0242126

Cited by 91 publications

(85 citation statements)

References 8 publications

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“…This finding aligns with a previous study among Chinese healthcare workers which reports 89.7% good practices towards COVID-19 (Zhang et al 2020). Importantly, the adherence to good practices is affected by the attitude of healthcare workers which is observed in the present study and is comparable to a study conducted in Nepal (Limbu et al 2020).…”

Section: Discussionsupporting

confidence: 89%

Assessment of knowledge, attitude and practices among Accredited Social Health Activists (ASHAs) towards COVID-19: a descriptive cross-sectional study in Tripura, India

Chowdhury¹,

Baidya

Paul³

et al. 2021

Preprint

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With the surge in COVID-19 cases, community healthcare workers (CHW) remain pivotal for proper dissemination of awareness of disease transmission and infection control measures among the communities in low- and middle-income countries. In this context, lack of adequate knowledge and appropriate attitude among the CHW can directly influence the COVID-19 management programme. Therefore, the present study was designed to assess the knowledge, attitude and practices towards COVID-19 among the CHW of India known as Accredited Social Health Activists (ASHAs). A descriptive cross-sectional was conducted in the state of Tripura, Northeast India, among ASHAs with 14-, 4- and 3- item self-administered questionnaire for knowledge, attitude and practice. Around 61.2% of participants had the mean correct answer rate and the mean score of knowledge was 8.57 ± 2.25 (±SD). As per Bloom′s cut-off, it was observed that only 10% of the ASHAs had adequate knowledge, 30.9% showed positive attitude and 88% adhered to the good practices. It was observed that the indigenous ASHAs were 1.79 times more likely to adhere to the good practice of wearing masks during filed visits in the community (OR: 1.791, 95% CI: 1.059-3.028, p=0.030). Multinomial regression analysis showed that practice was significantly associated with fear of getting infected during service and the community′s fearfulness of ASHAs spreading the disease. Urgent addressing of the provisions of support, guidance and training of grassroot level healthcare workers in rural tough terrains can ensure robust output from the existing community healthcare workers in future pandemic-like emergencies.

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Section: Discussionsupporting

confidence: 89%

Assessment of knowledge, attitude and practices among Accredited Social Health Activists (ASHAs) towards COVID-19: a descriptive cross-sectional study in Tripura, India

Chowdhury¹,

Baidya

Paul³

et al. 2021

Preprint

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“…This moderate level of acceptance may be attributable to several reasons, e.g. inadequate knowledge among HCWs regarding COVID-19 [37,38], negative attitude towards the disease [37,39], and feelings of fear and anxiety during the COVID-19 pandemic [40–43]. Also, concerns raised for COVID-19 vaccination are related with inadequate knowledge about such new vaccines regarding the long term side effects, effectiveness, efficacy etc.…”

Section: Discussionmentioning

confidence: 99%

Intention of health care workers to accept COVID-19 vaccination and related factors: a systematic review and meta-analysis

Galanis

Vraka

Fragkou

et al. 2020

Preprint

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BackgroundConsidering medical and economic burden of the coronavirus disease 2019 (COVID-19), a high COVID-19 vaccination coverage among health care workers (HCWs) is an urgent need.ObjectiveTo estimate the intention of HCWs to accept COVID-19 vaccination and to find out related factors.DesignWe followed the Preferred Reporting Items for Systematic Reviews and Meta-Analysis guidelines for this study.Data sourcesWe searched PubMed, Medline, Scopus, Web of Science, ProQuest, CINAHL and medRxiv from January 1, 2020 to December 02, 2020.MethodsThe heterogeneity between results was very high and thus we applied a random effect model to estimate pooled effects. We performed subgroup and meta-regression analysis to identify possible resources of heterogeneity.ResultsEleven studies, including 8847 HCWs met the inclusion criteria. The overall proportion of HCWs that intent to accept COVID-19 vaccination was 55.9% (95% CI: 43.6-67.9%) with a wide range among studies from 27.7% to 81.5%. Intention of HCWs to accept COVID-19 vaccination was higher in studies with moderate quality and in studies that were conducted in Europe. The following factors were associated with increased HCWs’ willingness to get vaccinated against COVID-19: male gender, older age, physician profession, fewer work experience, comorbidity among HCWs, seasonal influenza vaccination, stronger vaccine confidence, positive attitude towards a COVID-19 vaccine, fear about COVID-19, individual perceived risk about COVID-19, and contact with suspected or confirmed COVID-19 patients.ConclusionsHCWs represent a high-risk group for SARS-CoV-2 infection. The reluctance or refusal of HCWs to vaccinate against COVID-19 could diminish the trust of individuals and trigger a ripple effect in the general public. Since vaccination is a complex behavior, understanding the way that HCWs take the decision to accept or not COVID-19 vaccination will give us the opportunity to develop the appropriate interventions to increase COVID-19 vaccination uptake. Knowledge of the factors that affect intention of HWCs to accept COVID-19 vaccination is limited and there is an urgent need for further and more valid studies.

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“…Responses to reversed questions were reversed when assigning the points (Yes=0, No=1). The total knowledge score ranged from 0 to 19, with a higher score (16)(17)(18)(19) indicating a good knowledge of COVID-19. Similarly, the total attitude score ranged from 0 to 7.…”

Section: Data Collection Instrumentsmentioning

confidence: 99%

“…On the other hand, an Ethiopian study reported poor prevention practices toward COVID-19 among HCWs 15 while close to half of HCWs in Nepal were reported to have negative attitudes toward COVID-19. 16 Currently, it is not known how prepared frontline HCWs are regarding the COVID-19 outbreak response in Sierra Leone. Anecdotal evidence suggests that there might be a gap in the preparedness towards COVID-19 with regards to their knowledge, attitude and practice.…”

Section: Introductionmentioning

confidence: 99%

Healthcare Workers’ Knowledge, Attitude, Practice and Perceived Health Facility Preparedness Regarding COVID-19 in Sierra Leone

Kanu¹,

James²,

Bah³

et al. 2021

JMDH

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Background: Healthcare workers (HCWs) are known to spearhead the fight against the COVID-19 pandemic. As such, their knowledge, attitude, and practice (KAP) toward coronavirus disease 2019 (COVID-19) are considered critical to the success of the current COVID-19 response efforts. This study aims to determine HCWs' KAP toward COVID-19 and assesses their perception of their healthcare facilities preparedness to respond appropriately to the ongoing COVID-19 pandemic in Sierra Leone. Methods: We conducted an online cross-sectional study among HCWs (n=516) between 1st May 2020 and 30th June 2020. We collected our data using a self-administered structured questionnaire via email and online social media platforms. We analyzed our data using descriptive statistics and regression analysis (p<0.05). Results: Close to three-fourth of HCWs (n=375, 72.7%) were knowledgeable regarding COVID-19. Doctors were more knowledgeable than community health workers and laboratory technicians (AOR= 2.48, 95% CI: 1.16-5.31, p=0.019) regarding COVID-19. Close to twothirds of HCWs (n=301, 58.3%) HCWs show positive attitudes toward COVID-19. Being male (AOR=2.08, 95% CI: 1.36-3.20, p=0.001) and directly involved in COVID-19 patient care (AOR=3.21, 95% CI: 1.88-5.48, p<0.001) were identified as predictors of positive attitude towards COVID-19. HCWs are generally adhering to COVID-19 safe practices with majority indicating that they regularly wash or sanitize their hands (n=510, 98.8%) and used facemask at point of care (n=499, 96.7%). Majority of HCWs are of the view that their healthcare facilities are ill-prepared to adequately respond to COVID-19 with majority (n= 400, 77.5%) of them stating that their facilities lack enough personal protective equipment. Conclusion: HCWs in Sierra Leone showed good knowledge, positive attitude and practice regarding COVID-19. However, HCWs are of the view that their healthcare facilities are illprepared to respond adequately to the COVID-19 outbreak. Health authorities and policymakers need to provide the necessary resources to allow HCWs to work in a safe environment.

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Healthcare workers’ knowledge, attitude and practices during the COVID-19 pandemic response in a tertiary care hospital of Nepal

Cited by 91 publications

References 8 publications

Assessment of knowledge, attitude and practices among Accredited Social Health Activists (ASHAs) towards COVID-19: a descriptive cross-sectional study in Tripura, India

Assessment of knowledge, attitude and practices among Accredited Social Health Activists (ASHAs) towards COVID-19: a descriptive cross-sectional study in Tripura, India

Intention of health care workers to accept COVID-19 vaccination and related factors: a systematic review and meta-analysis

Healthcare Workers’ Knowledge, Attitude, Practice and Perceived Health Facility Preparedness Regarding COVID-19 in Sierra Leone

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