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article · SAGE Open Medicine

Knowledge, attitude, and practice of healthcare workers toward COVID-19 and its prevention in Ethiopia: A multicenter study

202193 citationsOpen accessDebre Berhan University

In plain language

An assessment across eight teaching and referral hospitals in Ethiopia examined healthcare worker awareness, attitudes, and preventive practices concerning COVID-19. Based on responses from 397 participants, the vast majority demonstrated strong knowledge and positive attitudes regarding the virus and its prevention. However, overall preventative practices remained comparatively low. Access to information via social media, telecommunication platforms, and broadcast television or radio significantly improved knowledge levels. Conversely, healthcare personnel with preexisting chronic medical conditions showed significantly poorer knowledge and were more likely to report negative attitudes toward the disease. These findings highlight that while broad awareness and positive outlooks can be achieved across clinical institutions through varied communication channels, gaps between understanding and actual day-to-day infection control behaviours persist, especially among vulnerable clinical staff facing underlying health challenges.

Key takeaways

  • Around 88.2 percent of surveyed healthcare workers possessed good knowledge of COVID-19, and 94.7 percent held positive attitudes.
  • Reported prevention practices among healthcare workers remained comparatively low despite high levels of knowledge.
  • Information gathered from telecommunications, social media, and television or radio was strongly linked to better disease knowledge.
  • A personal history of chronic medical illness was significantly associated with lower knowledge and negative attitudes toward the disease.

Why it matters

Healthcare professionals rely on clear information and protective habits to curb infectious disease spread within clinical environments. Identifying gaps between what medical workers know and what they actively practise allows public health authorities to tailor institutional training. Recognising how specific media channels influence staff understanding helps health systems deploy communication resources more effectively during respiratory epidemics.

Commercialisation angle

The abstract does not indicate an application pathway or commercial product. The evidence provides observational insight that could inform hospital administrators and health training providers designing workforce education or behaviour-change programmes. Any digital communications or training tool derived from these findings would be at an early conceptual stage, requiring development and testing before real-world operational use.

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Abstract

BACKGROUND: An emerging respiratory disease abbreviated as coronavirus disease 2019 was first reported in December 2019 in Wuhan city of China. The virus is zoonotic and tends to be transmitted between animals to humans and humans to humans. The major route of transmission of coronavirus disease 2019 is droplet and close contact. The Ethiopian Ministry of Health has initiated training for health care workers at a different level. Thus, the main objective of this study is to assess the knowledge, attitudes, and practices of health workers in Ethiopia toward coronavirus disease 2019 and its prevention techniques. METHOD: An institution-based multicenter cross-sectional study was conducted in each of eight teaching and referral hospitals. A total of 422 Ethiopian healthcare workers were selected for the assessment of knowledge, attitude, and practice toward coronavirus disease 2019. Data were collected using a structured questionnaire. A logistic regression model was used to identify factors associated with the attitude and knowledge of healthcare workers toward coronavirus disease 2019 at a significance level of p < 0.05. RESULT: Three hundred ninety-seven healthcare workers participated in the study, with a response rate of 94%. Among these, 88.2% and 94.7% of respondents had good knowledge and positive attitudes, respectively. A respondent with a history of chronic medical illness (odds ratio: 0.193, 95% confidence interval: 0.063-0.593), social media, telecommunication, and television/radio as a source of information were significantly associated with knowledge (odds ratio: 3.4, 95% confidence interval: 1.5-7.4, OR: 4.3, 95% confidence interval: 1.3-14.3 and odds ratio: 3.2, 95% confidence interval: 1.4-7.2). In addition, respondents with a history of chronic medical illness were significantly associated with a negative attitude toward coronavirus disease 2019. CONCLUSION: The knowledge and attitude were good while; the practice was relatively low. Sources of information such as social media, telecommunication, and television/radio were positively associated with healthcare workers' knowledge about coronavirus disease 2019.

Research topics

  • COVID-19 and Mental Health
  • Infection Control and Ventilation
  • COVID-19 epidemiological studies

Read the original research

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DOI: 10.1177/20503121211034389

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