Knowledge, attitude and practice towards Coronavirus disease 2019 prevention in Ethiopia: Systematic review and meta-analysis
Knowledge, attitude and practice of Coronavirus disease 2019 in Ethiopia
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Abstract
Background: Level of knowledge, attitude and practice (KAP) of the community towards corona virus disease 2019 (COVID-19) is important to prevent and control the disease . In Ethiopia there are some studies that assess the KAP’s of different segments of the community and reported different results. However, there is limited review evidence that pooled the proportion of KAP of the community to wards COVID-19 prevention and control of the disease in Ethiopia. The aim of this systematic review and meta-analysis was to summarize and pool the proportion of KAP towards COVID-19 prevention and control in general community.
Methods: A systematic review and meta-analysis study was conducted to estimate the pooled proportion of Knowledge, Attitude and Practice towards COVID-19 prevention and control in general community. Electronic databases such as PubMed, Google Scholar and Science Direct were searched for studies reported in English language without restricting publication year. The search strategy was used by combining the keywords: “Knowledge”, “Attitude”, “Practice”, “COVID-19”, and “Ethiopia” both in Medical Subject Heading (MeSH) and free text terms. Data was analyzed using STATA version 14. Random effect model meta-analysis was employed to estimate pooled proportion of KAP’s towards COVID-19 in general community
Result: Data on 12391 participants which retrived from 26 studies included into this review .The study was pooled to estimate the pooled proportion of knowledge, attitude and practice towards COVID-19 prevention and control in the community. Our meta-analysis reveal that the pooled proportion of good knowledge was 62% (95% CI: 54%-71%), while favorable attitude 64 %( 95% CI: 58%-71%) and prevention practice 44% (95% CI: 32%-56%).
1. ACHA Guidelines Preparing for COVID-19. 2020.
2. Available from: https://www.afro.who.int/news/first-case-covid-19-confirmed-ethiopia
3. Coronavirus disease 2019 (COVID-19) Situation Report – 51. Vol. 2019. 2020.
4. Hafeez A, Ahmad S, Siddqui SA, Ahmad M. A Review of COVID-19 (Coronavirus Disease-2019) Diagnosis,Treatments and Prevention. 2020;4(2):116–25.
5. RAPID RISK ASSESSMENT European Centre for Disease Prevention and Control. Outbreak of novel coronavirus disease 2019 (COVID-19): increased transmission globally – fifth update, 2 March 2020. ECDC: Stockholm; 2020. Stockholm; 2020.
6. Asraf.H, Garima.T BSM et al. Knowledge , attitudes , and practices towards COVID-19 among Nepalese Residents : A quick online cross-sectional survey. Vol. 11, Frontiers in Public Healths. 2020.
7. Ferdous MZ, Id SI, Sikder T, Syed A. Knowledge, attitude, and practice regarding COVID-19 outbreak in Bangladesh: An onlinebased cross-sectional study. PLoS One [Internet]. 2020;15(10):1–17. Available from: http://dx.doi.org/10.1371/journal.pone.0239254
8. Zhong B, Luo W, Li H, Zhang Q, Liu X, Li W, et al. Knowledge , attitudes , and practices towards COVID-19 among Chinese residents during the rapid rise period of the COVID-19 outbreak : a quick online cross-sectional survey. Int J Biol Sci. 2020;16.
9. Maheshwari S, Gupta PK, Sinha R, Rawat P. Knowledge , attitude , and practice towards coronavirus disease 2019 ( COVID-19 ) among medical students : A cross-sectional study. J Acute Dis. 2020;9(May):100–4.
10. Lau LL, Hung N, Joy D, Ferma J, Dodd W, Ave JV. Knowledge , attitudes and practices of COVID-19 among income-poor households in the Philippines : A cross-sectional study. J Glob Health. 2020;10(1).
11. Zhang M, Zhou M, Tang F, Wang Y, Nie H, Zhang L, et al. Knowledge , attitude , and practice regarding COVID-19 among healthcare workers in Henan , China. J Hosp Infect [Internet]. 2020;105(2):183–7. Available from: https://doi.org/10.1016/j.jhin.2020.04.012
12. Christopher R, Margaret R, Dauda MAD, Saleh A, Ene P. Knowledge , Attitudes and Practices Towards COVID ‑ 19 : An Epidemiological Survey in North ‑ Central Nigeria. J Community Health. 2020;(0123456789).
13. Azlan AA, Hamzah MR, Sern TJ, Ayub SH, Mohamad E. Public knowledge, attitudes and practices towards COVID-19: A cross-sectional study in Malaysia. PLoS One [Internet]. 2020;15(5):1–15. Available from: http://dx.doi.org/10.1371/journal.pone.0233668
14. Olum R, Chekwech G, Wekha G, Nassozi DR, Bongomin F. Coronavirus Disease-2019: Knowledge, Attitude, and Practices of Health Care Workers at Makerere University Teaching Hospitals, Uganda. Front Public Heal. 2020;8(April):1–9.
15. Tamang N, Rai P, Dhungana S, Sherchan B, Shah B, Pyakurel P, et al. COVID-19: a National Survey on perceived level of knowledge, attitude and practice among frontline healthcare Workers in Nepal. BMC Public Health. 2020;20(1):1905.
16. Asemahagn MA. Factors determining the knowledge and prevention practice of healthcare workers towards COVID-19 in Amhara region, Ethiopia: A cross-sectional survey. Trop Med Health. 2020;48(72).
17. Akalu Y, Ayelign B, Molla MD. Knowledge, attitude and practice towards covid-19 among chronic disease patients at addis zemen hospital, Northwest Ethiopia. Infect Drug Resist. 2020;13:1949–60.
18. Tesfaye ZT, Yismaw MB, Negash Z, Ayele AG.
19. Tadesse T, Tesfaye T, Alemu T, Haileselassie W. Healthcare worker’s knowledge, attitude, and practice of proper face mask utilization, and associated factors in police health facilities of Addis Ababa, Ethiopia. J Multidiscip Healthc. 2020;13:1203–13.
20. Tadesse T, Alemu T, Amogne G, Endazenaw G, Mamo E. Predictors of coronavirus disease 2019 (Covid-19) prevention practices using health belief model among employees in Addis Ababa, Ethiopia, 2020. Infect Drug Resist. 2020;13:3751–61.
21. Tamire AH, Tamire AH, Legesse TK. Original Article Knowledge , Attitudes , and Practices Towards Coronavirus Disease -19 Among Health Professionals in Addis Ababa. Ethiop Med J. 2020;58(4):343–9.
22. Andarge E, Fikadu T, Temesgen R, Shegaze M, Feleke T, Haile F, et al. Intention and practice on personal preventive measures against the covid-19 pandemic among adults with chronic conditions in southern ethiopia: A survey using the theory of planned behavior. J Multidiscip Healthc. 2020;13:1863–77.
23. Mechessa DF, Ejeta F, Abebe L, Henok A, Nigussie T, Kebede O, et al. Community ’ s Knowledge of COVID-19 and Its Associated Factors in Mizan-Aman Town,. Int J Gen Med. 2020;13(9):507–513.
24. Aweke Z, Jemal B, Mola S, Hussen R. Knowledge of COVID-19 and its prevention among residents of the Gedeo zone, South Ethiopia. Sources of information as a factor. Curr Med Res Opin. 2020;36(12):1955–60.
25. Nigussie TF. Knowledge , Attitude and Practice towards COVID-19 among Arba Minch Town GSJ : Volume 8 , Issue 6 , June 2020 , Online : ISSN 2320-9186 KNOWLEDGE , ATTITUDE AND PRACTICE TOWARDS COVID-19 AMONG ARBA. Glob Sci Jourunals. 2020;8(July):1283–307.
26. Adhena G, Hidru HD. Knowledge, attitude, and practice of high-risk age groups to coronavirus disease-19 prevention and control in korem district, tigray, Ethiopia: Cross-sectional study. Infect Drug Resist. 2020;13:3801–9.
27. Haftom M, Petrucka P, Gemechu K, Mamo H, Tsegay T, Amare E, et al. Knowledge, attitudes, and practices towards covid-19 pandemic among quarantined adults in Tigrai region, Ethiopia. Infect Drug Resist. 2020;13:3727–37.
28. Kassa AM, Mekonen AM, Yesuf KA, Woday Tadesse A, Bogale GG. Knowledge level and factors influencing prevention of COVID-19 pandemic among residents of Dessie and Kombolcha City administrations, North-East Ethiopia: A population-based cross-sectional study. BMJ Open. 2020;10(11):1–9.
29. Tadesse DB, Gebrewahd GT, Demoz GT. Knowledge, attitude, practice and psychological response toward COVID-19 among nurses during the COVID-19 outbreak in northern Ethiopia, 2020. New Microbes New Infect [Internet]. 2020;38:100787. Available from: https://doi.org/10.1016/j.nmni.2020.100787
30. Kebede Y, Yitayih Y, Birhanu Z, Mekonen S, Ambelu A. Knowledge, perceptions and preventive practices towards COVID-19 early in the outbreak among Jimma university medical center visitors, Southwest Ethiopia. PLoS One [Internet]. 2020;15(5):1–15. Available from: http://dx.doi.org/10.1371/journal.pone.0233744
31. Taye GM, Bose L, Beressa TB, Tefera GM, Mosisa B, Dinsa H, et al. COVID-19 knowledge, attitudes, and prevention practices among people with hypertension and diabetes mellitus attending public health facilities in Ambo, Ethiopia. Infect Drug Resist. 2020;13:4203–14.
32. Girma S, Alenko A, Agenagnew L. Knowledge and precautionary behavioral practice toward covid-19 among health professionals working in public university hospitals in ethiopia: A web-based survey. Risk Manag Healthc Policy. 2020;13:1327–34.
33. Geda NR, Legesse B, Kebede SW, Fekadu B, Ababa A. Knowledge and Attitude Towards Covid-19 in. Report. 2020;
34. Lee H, Moon SJ, Ndombi GO, Kim KN, Berhe H, Nam EW. Covid-19 perception, knowledge, and preventive practice: comparison between south korea, ethiopia, and democratic republic of congo. Afr J Reprod Health. 2020;24(2 Special Edition COVID-19):66–77.
35. Kassie BA, Adane A, Abebe Kassahun E, Ayele AS, Kassahun Belew A. Poor COVID-19 Preventive Practice among Healthcare Workers in Northwest Ethiopia, 2020. Adv Public Heal. 2020;2020(March):1–7.
36. Kassie BA, Adane A, Tilahun YT, Kassahun EA, Ayele AS, Belew AK. Knowledge and attitude towards COVID-19 and associated factors among health care providers in Northwest Ethiopia. PLoS One. 2020;15(8 august):1–12.
37. Asmelash D, Fasil A, Tegegne Y, Akalu TY, Ferede HA, Aynalem GL. Knowledge, attitudes and practices toward prevention and early detection of COVID-19 and associated factors among religious clerics and traditional healers in Gondar town, northwest Ethiopia: A community-based study. Risk Manag Healthc Policy. 2020;13:2239–50.
38. Birihane BM, Bayih WA, Alemu AY, Belay DM. Perceived barriers and preventive measures of COVID-19 among healthcare providers in debretabor, north central Ethiopia, 2020. Risk Manag Healthc Policy. 2020;13:2699–706.
39. Yimenu DK, Demeke CA, Kasahun AE, Asrade S, Mekuria AB. COVID-19: What should health professionals know? Assessment of Knowledge, attitude, and practice of community pharmacists in a developing country. SAGE Open Med. 2020;8:205031212097349.
40. Abate H, Mekonnen CK. Knowledge, attitude, and precautionary measures towards covid-19 among medical visitors at the university of gondar comprehensive specialized hospital northwest Ethiopia. Infect Drug Resist. 2020;13:4355–66.
41. Kabito GG, Alemayehu M, Mekonnen TH, Wami SD, Azanaw J, Adane T, et al. Community’s perceived high risk of coronavirus infections during early phase of epidemics are significantly influenced by socio-demographic background, in Gondar City, Northwest Ethiopia: A cross-sectional -study. PLoS One [Internet]. 2020;15(11 November):1–12. Available from: http://dx.doi.org/10.1371/journal.pone.0242654
42. Modesti PA. PA Modesti et al. Panethnic differences in blood pressure in europe: a systematic review and meta-analysis. S1 Text:NEWCASTLE - OTTAWA QUALITY ASSESSMENT SCALE (adapted for cross sectional studies). 1–2 p.
43. Higgins JPT, Thompson SG, Deeks JJ, Altman DG. Measuring inconsistency in meta-analyses. 2003;557–60.
2. Available from: https://www.afro.who.int/news/first-case-covid-19-confirmed-ethiopia
3. Coronavirus disease 2019 (COVID-19) Situation Report – 51. Vol. 2019. 2020.
4. Hafeez A, Ahmad S, Siddqui SA, Ahmad M. A Review of COVID-19 (Coronavirus Disease-2019) Diagnosis,Treatments and Prevention. 2020;4(2):116–25.
5. RAPID RISK ASSESSMENT European Centre for Disease Prevention and Control. Outbreak of novel coronavirus disease 2019 (COVID-19): increased transmission globally – fifth update, 2 March 2020. ECDC: Stockholm; 2020. Stockholm; 2020.
6. Asraf.H, Garima.T BSM et al. Knowledge , attitudes , and practices towards COVID-19 among Nepalese Residents : A quick online cross-sectional survey. Vol. 11, Frontiers in Public Healths. 2020.
7. Ferdous MZ, Id SI, Sikder T, Syed A. Knowledge, attitude, and practice regarding COVID-19 outbreak in Bangladesh: An onlinebased cross-sectional study. PLoS One [Internet]. 2020;15(10):1–17. Available from: http://dx.doi.org/10.1371/journal.pone.0239254
8. Zhong B, Luo W, Li H, Zhang Q, Liu X, Li W, et al. Knowledge , attitudes , and practices towards COVID-19 among Chinese residents during the rapid rise period of the COVID-19 outbreak : a quick online cross-sectional survey. Int J Biol Sci. 2020;16.
9. Maheshwari S, Gupta PK, Sinha R, Rawat P. Knowledge , attitude , and practice towards coronavirus disease 2019 ( COVID-19 ) among medical students : A cross-sectional study. J Acute Dis. 2020;9(May):100–4.
10. Lau LL, Hung N, Joy D, Ferma J, Dodd W, Ave JV. Knowledge , attitudes and practices of COVID-19 among income-poor households in the Philippines : A cross-sectional study. J Glob Health. 2020;10(1).
11. Zhang M, Zhou M, Tang F, Wang Y, Nie H, Zhang L, et al. Knowledge , attitude , and practice regarding COVID-19 among healthcare workers in Henan , China. J Hosp Infect [Internet]. 2020;105(2):183–7. Available from: https://doi.org/10.1016/j.jhin.2020.04.012
12. Christopher R, Margaret R, Dauda MAD, Saleh A, Ene P. Knowledge , Attitudes and Practices Towards COVID ‑ 19 : An Epidemiological Survey in North ‑ Central Nigeria. J Community Health. 2020;(0123456789).
13. Azlan AA, Hamzah MR, Sern TJ, Ayub SH, Mohamad E. Public knowledge, attitudes and practices towards COVID-19: A cross-sectional study in Malaysia. PLoS One [Internet]. 2020;15(5):1–15. Available from: http://dx.doi.org/10.1371/journal.pone.0233668
14. Olum R, Chekwech G, Wekha G, Nassozi DR, Bongomin F. Coronavirus Disease-2019: Knowledge, Attitude, and Practices of Health Care Workers at Makerere University Teaching Hospitals, Uganda. Front Public Heal. 2020;8(April):1–9.
15. Tamang N, Rai P, Dhungana S, Sherchan B, Shah B, Pyakurel P, et al. COVID-19: a National Survey on perceived level of knowledge, attitude and practice among frontline healthcare Workers in Nepal. BMC Public Health. 2020;20(1):1905.
16. Asemahagn MA. Factors determining the knowledge and prevention practice of healthcare workers towards COVID-19 in Amhara region, Ethiopia: A cross-sectional survey. Trop Med Health. 2020;48(72).
17. Akalu Y, Ayelign B, Molla MD. Knowledge, attitude and practice towards covid-19 among chronic disease patients at addis zemen hospital, Northwest Ethiopia. Infect Drug Resist. 2020;13:1949–60.
18. Tesfaye ZT, Yismaw MB, Negash Z, Ayele AG.
COVID-19-Related Knowledge, Attitude and Practice Among Hospital and Community Pharmacists in Addis Ababa, Ethiopia
. Integr Pharm Res Pract. 2020;Volume 9:105–12.19. Tadesse T, Tesfaye T, Alemu T, Haileselassie W. Healthcare worker’s knowledge, attitude, and practice of proper face mask utilization, and associated factors in police health facilities of Addis Ababa, Ethiopia. J Multidiscip Healthc. 2020;13:1203–13.
20. Tadesse T, Alemu T, Amogne G, Endazenaw G, Mamo E. Predictors of coronavirus disease 2019 (Covid-19) prevention practices using health belief model among employees in Addis Ababa, Ethiopia, 2020. Infect Drug Resist. 2020;13:3751–61.
21. Tamire AH, Tamire AH, Legesse TK. Original Article Knowledge , Attitudes , and Practices Towards Coronavirus Disease -19 Among Health Professionals in Addis Ababa. Ethiop Med J. 2020;58(4):343–9.
22. Andarge E, Fikadu T, Temesgen R, Shegaze M, Feleke T, Haile F, et al. Intention and practice on personal preventive measures against the covid-19 pandemic among adults with chronic conditions in southern ethiopia: A survey using the theory of planned behavior. J Multidiscip Healthc. 2020;13:1863–77.
23. Mechessa DF, Ejeta F, Abebe L, Henok A, Nigussie T, Kebede O, et al. Community ’ s Knowledge of COVID-19 and Its Associated Factors in Mizan-Aman Town,. Int J Gen Med. 2020;13(9):507–513.
24. Aweke Z, Jemal B, Mola S, Hussen R. Knowledge of COVID-19 and its prevention among residents of the Gedeo zone, South Ethiopia. Sources of information as a factor. Curr Med Res Opin. 2020;36(12):1955–60.
25. Nigussie TF. Knowledge , Attitude and Practice towards COVID-19 among Arba Minch Town GSJ : Volume 8 , Issue 6 , June 2020 , Online : ISSN 2320-9186 KNOWLEDGE , ATTITUDE AND PRACTICE TOWARDS COVID-19 AMONG ARBA. Glob Sci Jourunals. 2020;8(July):1283–307.
26. Adhena G, Hidru HD. Knowledge, attitude, and practice of high-risk age groups to coronavirus disease-19 prevention and control in korem district, tigray, Ethiopia: Cross-sectional study. Infect Drug Resist. 2020;13:3801–9.
27. Haftom M, Petrucka P, Gemechu K, Mamo H, Tsegay T, Amare E, et al. Knowledge, attitudes, and practices towards covid-19 pandemic among quarantined adults in Tigrai region, Ethiopia. Infect Drug Resist. 2020;13:3727–37.
28. Kassa AM, Mekonen AM, Yesuf KA, Woday Tadesse A, Bogale GG. Knowledge level and factors influencing prevention of COVID-19 pandemic among residents of Dessie and Kombolcha City administrations, North-East Ethiopia: A population-based cross-sectional study. BMJ Open. 2020;10(11):1–9.
29. Tadesse DB, Gebrewahd GT, Demoz GT. Knowledge, attitude, practice and psychological response toward COVID-19 among nurses during the COVID-19 outbreak in northern Ethiopia, 2020. New Microbes New Infect [Internet]. 2020;38:100787. Available from: https://doi.org/10.1016/j.nmni.2020.100787
30. Kebede Y, Yitayih Y, Birhanu Z, Mekonen S, Ambelu A. Knowledge, perceptions and preventive practices towards COVID-19 early in the outbreak among Jimma university medical center visitors, Southwest Ethiopia. PLoS One [Internet]. 2020;15(5):1–15. Available from: http://dx.doi.org/10.1371/journal.pone.0233744
31. Taye GM, Bose L, Beressa TB, Tefera GM, Mosisa B, Dinsa H, et al. COVID-19 knowledge, attitudes, and prevention practices among people with hypertension and diabetes mellitus attending public health facilities in Ambo, Ethiopia. Infect Drug Resist. 2020;13:4203–14.
32. Girma S, Alenko A, Agenagnew L. Knowledge and precautionary behavioral practice toward covid-19 among health professionals working in public university hospitals in ethiopia: A web-based survey. Risk Manag Healthc Policy. 2020;13:1327–34.
33. Geda NR, Legesse B, Kebede SW, Fekadu B, Ababa A. Knowledge and Attitude Towards Covid-19 in. Report. 2020;
34. Lee H, Moon SJ, Ndombi GO, Kim KN, Berhe H, Nam EW. Covid-19 perception, knowledge, and preventive practice: comparison between south korea, ethiopia, and democratic republic of congo. Afr J Reprod Health. 2020;24(2 Special Edition COVID-19):66–77.
35. Kassie BA, Adane A, Abebe Kassahun E, Ayele AS, Kassahun Belew A. Poor COVID-19 Preventive Practice among Healthcare Workers in Northwest Ethiopia, 2020. Adv Public Heal. 2020;2020(March):1–7.
36. Kassie BA, Adane A, Tilahun YT, Kassahun EA, Ayele AS, Belew AK. Knowledge and attitude towards COVID-19 and associated factors among health care providers in Northwest Ethiopia. PLoS One. 2020;15(8 august):1–12.
37. Asmelash D, Fasil A, Tegegne Y, Akalu TY, Ferede HA, Aynalem GL. Knowledge, attitudes and practices toward prevention and early detection of COVID-19 and associated factors among religious clerics and traditional healers in Gondar town, northwest Ethiopia: A community-based study. Risk Manag Healthc Policy. 2020;13:2239–50.
38. Birihane BM, Bayih WA, Alemu AY, Belay DM. Perceived barriers and preventive measures of COVID-19 among healthcare providers in debretabor, north central Ethiopia, 2020. Risk Manag Healthc Policy. 2020;13:2699–706.
39. Yimenu DK, Demeke CA, Kasahun AE, Asrade S, Mekuria AB. COVID-19: What should health professionals know? Assessment of Knowledge, attitude, and practice of community pharmacists in a developing country. SAGE Open Med. 2020;8:205031212097349.
40. Abate H, Mekonnen CK. Knowledge, attitude, and precautionary measures towards covid-19 among medical visitors at the university of gondar comprehensive specialized hospital northwest Ethiopia. Infect Drug Resist. 2020;13:4355–66.
41. Kabito GG, Alemayehu M, Mekonnen TH, Wami SD, Azanaw J, Adane T, et al. Community’s perceived high risk of coronavirus infections during early phase of epidemics are significantly influenced by socio-demographic background, in Gondar City, Northwest Ethiopia: A cross-sectional -study. PLoS One [Internet]. 2020;15(11 November):1–12. Available from: http://dx.doi.org/10.1371/journal.pone.0242654
42. Modesti PA. PA Modesti et al. Panethnic differences in blood pressure in europe: a systematic review and meta-analysis. S1 Text:NEWCASTLE - OTTAWA QUALITY ASSESSMENT SCALE (adapted for cross sectional studies). 1–2 p.
43. Higgins JPT, Thompson SG, Deeks JJ, Altman DG. Measuring inconsistency in meta-analyses. 2003;557–60.
| Files | ||
| Issue | Vol 7 No 4 (2021) | |
| Section | Review Article(s) | |
| DOI | https://doi.org/10.18502/jbe.v7i4.10392 | |
| Keywords | ||
| Corona virus disease-19 Knowledge Attitude Practice | ||
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How to Cite
1.
Gamtesa D, Tola H, Gutema G, Dagne B, Bedassa B. Knowledge, attitude and practice towards Coronavirus disease 2019 prevention in Ethiopia: Systematic review and meta-analysis. JBE. 2021;7(4):344-359.
