Adherence to COVID-19 preventive practice and associated factors among pregnant women in Gondar city, northwest Ethiopia, 2021: Community-based cross-sectional study

Abstract

Background Coronavirus disease 2019 (COVID-19) causes more than five million deaths worldwide. Pregnant women are at high risk for infection due to the physiologic change in the immune and cardiopulmonary system and also it increases the risk of severe disease, intensive care unit admission, and receive mechanical ventilation when compared with non-pregnant women. It is associated with adverse maternal and neonatal outcomes. So pregnant women need to have adhered to preventive measures to prevent COVID-19 related consequences. Therefore, this study aimed to assess adherence toCOVID-19 preventive practice and associated factors among pregnant women in Gondar city, northwest Ethiopia. Methods A community-based cross-sectional study was conducted from July 1st to 30th, 2021, in Gondar city. A cluster sampling technique was employed to select 678 pregnant women. Data were collected using a pre-tested, face-to-face interviewer-administered questionnaire. Data were entered into EPI DATA version 4.6 and exported to SPSS version 25 for analysis. Both bivariable and multivariable logistic regression analysis was fitted to identify associated factors. Adjusted odds ratio with a 95% confidence interval was used to report the association between covariates and the outcome variable. Results The prevalence of good adherence to COVID-19 preventive practice was 44.8% (95% CI: 41.3, 48.7). Maternal age (≤24 years) [AOR = 2.89, 95% CI: 1.37, 6.10], maternal education (secondary school) [AOR = 2.95, 95% CI: 1.58, 5.53] and (college and above) [AOR = 4.57,95% CI: 2.42, 8.62], having ANC follow up [AOR = 2.95, 95% CI: 1.35, 6.46] and adequate knowledge towards COVID-19 [AOR = 1.70, 95% CI: 1.20, 2.41] were significantly associated with good adherence to COVID-19 preventive practice. Conclusion In this study, adherence towards COVID-19 preventive practice in pregnant women is low. Hence, it is important to strengthen women’s awareness about COVID-19 through different media and health education. In addition, empowering women to attain ANC and special consideration should be given to women who had no formal education.

A Mixed-Methods Study of COVID-19 Vaccine Acceptance and Its Determinants Among Pregnant Women in Northeast Ethiopia

“…COVID-19 has expanded to over 228 countries worldwide, causing a variety of severe issues that affect humanity, such as mortality and morbidity, as well as social and economic challenges. 1 , 2 According to the World Health Organization (WHO) Coronavirus (COVID-19) Dashboard, as of December 27, 2021, there have been 290, 726,856 confirmed cases and 5,459,051 deaths reported worldwide, and in Ethiopia, 424,750 confirmed cases and 6947 deaths were reported. 3 Findings from the WHO collaborating center for global women’s health show that COVID-19 was found in 9% of pregnant women who were admitted for any reason.…”

Adherence to COVID-19 preventive measures and associated factors in Ethiopia: A systematic review and meta-analysis

“…Eventually, 15 articles were found fully eligible for systematic review, of which 11 articles were included in meta-analysis. All of them were conducted using a cross-sectional study design [10,11,13,[19][20][21][22][23][24][25][26][27][28][29][30]. Nearly half (n = 7) of these studies were conducted in Amhara region [10,19,24,[27][28][29]31], four articles in SNNP (Southern Nations, Nationalities, and Peoples') region [11,20,21,25], three in Oromia region [13,22,23] and the remained one study was conducted in Addis Ababa [30].…”

“…All of them were conducted using a cross-sectional study design [10,11,13,[19][20][21][22][23][24][25][26][27][28][29][30]. Nearly half (n = 7) of these studies were conducted in Amhara region [10,19,24,[27][28][29]31], four articles in SNNP (Southern Nations, Nationalities, and Peoples') region [11,20,21,25], three in Oromia region [13,22,23] and the remained one study was conducted in Addis Ababa [30]. The maximum sample size recorded was 2751 subjects [13], while the minimum was 324 [19].…”

“…Both authors agreed that articles with � 50% of the total score to be included in the systematic review and meta-analysis. As a result, 15 studies were of high methodological quality for the primary outcome of interest [10,11,13,[19][20][21][22][23][24][25][26][27][28][29][30] (S2 Table ).…”

“…Fifteen articles [10,11,13,[19][20][21][22][23][24][25][26][27][28][29][30] discussed the participants' level of adherence to COVID-19 preventive measures in Ethiopia. Of these, four articles [19,20,29,30] discussed the adherence level of participants to each preventive measures separately while the remained 11 articles…”