Knowledge, attitudes and practices of healthcare workers towards COVID-19 in three states of Nigeria in 2022

Background Knowledge, attitude and practices (KAP) towards COVID-19 can directly impact healthcare workers’ (HCWs) services and efforts to contain the spread of the disease. This study assessed KAP towards COVID-19 among HCWs (laboratorians, doctors, nurses and pharmacists) in Nigeria from August to...

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Main Authors: Alash’le Abimiku, Nifarta Andrew, Elima Jedy-Agba, Rita Okonkwo, Olumide Okunoye, Oyewole Oyedele, Martin Edun, Ugochi Ezenwelu, Asmau Aminu-Alhaji, Aondoakura Kombu, Timothy Attah, Jibreel Jumare, Kenneth Enwerem, Sophia Osawe, Victor Ejeh, Michaela Udioh, Okame Okah-Avae, Elonna Obak, Olusola Anuoluwapo Akanbi, Mary Okoli, Nnaemeka C Iriemenam, McPaul Okoye
Format: Article
Language:English
Published: BMJ Publishing Group 2025-01-01
Series:BMJ Public Health
Online Access:https://bmjpublichealth.bmj.com/content/3/1/e001307.full
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author Alash’le Abimiku
Nifarta Andrew
Elima Jedy-Agba
Rita Okonkwo
Olumide Okunoye
Oyewole Oyedele
Martin Edun
Ugochi Ezenwelu
Asmau Aminu-Alhaji
Aondoakura Kombu
Timothy Attah
Jibreel Jumare
Kenneth Enwerem
Sophia Osawe
Victor Ejeh
Michaela Udioh
Okame Okah-Avae
Elonna Obak
Olusola Anuoluwapo Akanbi
Mary Okoli
Nnaemeka C Iriemenam
McPaul Okoye
author_facet Alash’le Abimiku
Nifarta Andrew
Elima Jedy-Agba
Rita Okonkwo
Olumide Okunoye
Oyewole Oyedele
Martin Edun
Ugochi Ezenwelu
Asmau Aminu-Alhaji
Aondoakura Kombu
Timothy Attah
Jibreel Jumare
Kenneth Enwerem
Sophia Osawe
Victor Ejeh
Michaela Udioh
Okame Okah-Avae
Elonna Obak
Olusola Anuoluwapo Akanbi
Mary Okoli
Nnaemeka C Iriemenam
McPaul Okoye
author_sort Alash’le Abimiku
collection DOAJ
description Background Knowledge, attitude and practices (KAP) towards COVID-19 can directly impact healthcare workers’ (HCWs) services and efforts to contain the spread of the disease. This study assessed KAP towards COVID-19 among HCWs (laboratorians, doctors, nurses and pharmacists) in Nigeria from August to December 2022.Method A facility-based cross-sectional study was conducted on 1341 HCWs (laboratorians, doctors, nurses and pharmacists) in 7 healthcare facilities across 3 states in Nigeria. HCWs were selected using a stratified random sampling technique. A structured questionnaire including sociodemographic and health information, and KAP sections was administered to participants. Using Bloom’s cut-off, percentages of correct responses to KAP questions were grouped as either satisfactory (≥80%) or unsatisfactory (<80%). Binary logistic regression was used to determine the association between HCWs’ cadre and satisfactory KAP.Results The proportions of HCW with satisfactory KAP were 64.5%, 51.2% and 5.3%, respectively. Laboratorians had the lowest satisfactory KAP scores (59.4%, 45.9% and 2.0%). There was a weak linear relationship between knowledge and practice (r=0.1, p:0.03), knowledge and attitude (r=0.2, p<0.001), and attitude and practice scores (r=0.20, p<0.001). 6–10 years of practice increased HCWs’ odds of satisfactory knowledge (p=0.049). HCWs’ cadre was not significantly associated with knowledge and practice towards COVID-19 (P>.05). However, nurses compared to laboratorians had higher odds of satisfactory attitude (p:0.033). Socio-demographic factors associated with satisfactory attitude towards COVID-19 were age group, gender, marital status, vaccination status, and satisfactory knowledge (p<.05). Satisfactory attitude and marital status were associated with satisfactory practice (p<.05).Conclusion There are gaps in the practice of COVID-19 prevention among HCWs in Nigeria. Additional exploration is needed to understand the challenges of implementing safety protocols across cadres, particularly among laboratorians, to better handle future health emergencies. This study highlights the implementation strategies that include education and training, provision of personal protective equipment and clear guidelines for implementation of infection prevention and control practices.
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spelling doaj-art-637499d903bb497b9cea0fb0e850e9332025-01-22T04:30:16ZengBMJ Publishing GroupBMJ Public Health2753-42942025-01-013110.1136/bmjph-2024-001307Knowledge, attitudes and practices of healthcare workers towards COVID-19 in three states of Nigeria in 2022Alash’le Abimiku0Nifarta Andrew1Elima Jedy-Agba2Rita Okonkwo3Olumide Okunoye4Oyewole Oyedele5Martin Edun6Ugochi Ezenwelu7Asmau Aminu-Alhaji8Aondoakura Kombu9Timothy Attah10Jibreel Jumare11Kenneth Enwerem12Sophia Osawe13Victor Ejeh14Michaela Udioh15Okame Okah-Avae16Elonna Obak17Olusola Anuoluwapo Akanbi18Mary Okoli19Nnaemeka C Iriemenam20McPaul Okoye21Institute of Human Virology, University of Maryland, Baltimore, Maryland, USAInstitute of Human Virology, Nigeria2Department of Research, Institute of Human Virology, Abuja, NigeriaInstitute of Human Virology Nigeria, Abuja, NigeriaCenters for Disease Control and Prevention Division of Global HIV & Tuberculosis, Abuja, NigeriaInternational Research Centre of Excellence, Institute of Human Virology, Abuja, NigeriaInternational Research Centre of Excellence, Institute of Human Virology, Abuja, NigeriaDivision of Global Health Protection, Centers for Disease Control and Prevention, Abuja, NigeriaDivision of Global Health Protection, Centers for Disease Control and Prevention, Abuja, NigeriaInternational Research Centre of Excellence, Institute of Human Virology, Abuja, NigeriaInternational Research Centre of Excellence, Institute of Human Virology, Abuja, NigeriaInternational Research Centre of Excellence, Institute of Human Virology, Abuja, NigeriaInternational Research Centre of Excellence, Institute of Human Virology, Abuja, NigeriaInternational Research Centre of Excellence, Institute of Human Virology, Abuja, NigeriaInternational Research Centre of Excellence, Institute of Human Virology, Abuja, NigeriaInternational Research Centre of Excellence, Institute of Human Virology, Abuja, NigeriaInternational Research Centre of Excellence, Institute of Human Virology, Abuja, NigeriaInternational Research Centre of Excellence, Institute of Human Virology, Abuja, NigeriaCentre for Disease Control and Prevention, Abuja, NigeriaCentre for Disease Control and Prevention, Abuja, NigeriaCenters for Disease Control and Prevention Division of Global HIV & Tuberculosis, Abuja, NigeriaDivision of Global HIV & Tuberculosis, Centers for Disease Control and Prevention, Abuja, NigeriaBackground Knowledge, attitude and practices (KAP) towards COVID-19 can directly impact healthcare workers’ (HCWs) services and efforts to contain the spread of the disease. This study assessed KAP towards COVID-19 among HCWs (laboratorians, doctors, nurses and pharmacists) in Nigeria from August to December 2022.Method A facility-based cross-sectional study was conducted on 1341 HCWs (laboratorians, doctors, nurses and pharmacists) in 7 healthcare facilities across 3 states in Nigeria. HCWs were selected using a stratified random sampling technique. A structured questionnaire including sociodemographic and health information, and KAP sections was administered to participants. Using Bloom’s cut-off, percentages of correct responses to KAP questions were grouped as either satisfactory (≥80%) or unsatisfactory (<80%). Binary logistic regression was used to determine the association between HCWs’ cadre and satisfactory KAP.Results The proportions of HCW with satisfactory KAP were 64.5%, 51.2% and 5.3%, respectively. Laboratorians had the lowest satisfactory KAP scores (59.4%, 45.9% and 2.0%). There was a weak linear relationship between knowledge and practice (r=0.1, p:0.03), knowledge and attitude (r=0.2, p<0.001), and attitude and practice scores (r=0.20, p<0.001). 6–10 years of practice increased HCWs’ odds of satisfactory knowledge (p=0.049). HCWs’ cadre was not significantly associated with knowledge and practice towards COVID-19 (P>.05). However, nurses compared to laboratorians had higher odds of satisfactory attitude (p:0.033). Socio-demographic factors associated with satisfactory attitude towards COVID-19 were age group, gender, marital status, vaccination status, and satisfactory knowledge (p<.05). Satisfactory attitude and marital status were associated with satisfactory practice (p<.05).Conclusion There are gaps in the practice of COVID-19 prevention among HCWs in Nigeria. Additional exploration is needed to understand the challenges of implementing safety protocols across cadres, particularly among laboratorians, to better handle future health emergencies. This study highlights the implementation strategies that include education and training, provision of personal protective equipment and clear guidelines for implementation of infection prevention and control practices.https://bmjpublichealth.bmj.com/content/3/1/e001307.full
spellingShingle Alash’le Abimiku
Nifarta Andrew
Elima Jedy-Agba
Rita Okonkwo
Olumide Okunoye
Oyewole Oyedele
Martin Edun
Ugochi Ezenwelu
Asmau Aminu-Alhaji
Aondoakura Kombu
Timothy Attah
Jibreel Jumare
Kenneth Enwerem
Sophia Osawe
Victor Ejeh
Michaela Udioh
Okame Okah-Avae
Elonna Obak
Olusola Anuoluwapo Akanbi
Mary Okoli
Nnaemeka C Iriemenam
McPaul Okoye
Knowledge, attitudes and practices of healthcare workers towards COVID-19 in three states of Nigeria in 2022
BMJ Public Health
title Knowledge, attitudes and practices of healthcare workers towards COVID-19 in three states of Nigeria in 2022
title_full Knowledge, attitudes and practices of healthcare workers towards COVID-19 in three states of Nigeria in 2022
title_fullStr Knowledge, attitudes and practices of healthcare workers towards COVID-19 in three states of Nigeria in 2022
title_full_unstemmed Knowledge, attitudes and practices of healthcare workers towards COVID-19 in three states of Nigeria in 2022
title_short Knowledge, attitudes and practices of healthcare workers towards COVID-19 in three states of Nigeria in 2022
title_sort knowledge attitudes and practices of healthcare workers towards covid 19 in three states of nigeria in 2022
url https://bmjpublichealth.bmj.com/content/3/1/e001307.full
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