Knowledge, Attitude, Perceptions and Practice towards COVID-19: A systematic review and Meta-analysis

Bhagavathula, Akshaya Srikanth; Aldhaleei, Wafa Ali; Rahmani, Jamal; Khubchandani, Jagdish

doi:10.1101/2020.06.24.20138891

Cited by 22 publications

(43 citation statements)

References 44 publications

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“…The study showed a generally good knowledge amongst HCWs varying from about 50–90% with a pooled average of nearly 80%. This finding is consistent with a previous study done by Akshaya and his colleagues [ 30 ]. The subgroup analysis showed that HCWs from the Amhara region were more knowledgeable compared with those from the Ethiopian capital, Addis Ababa and were more knowledgeable in June compared with March.…”

Section: Discussionsupporting

confidence: 94%

“…The pooled level of poor practice for protective measures against COVID-19 was low at 40%. This was relatively lower than that found in a previous study Bhagavathula and his colleagues [ 30 ]. The reasons for this are unclear but may have to do with protective mechanisms conflicting with normal lifestyles, especially amongst the poorer sectors of the population.…”

Section: Discussioncontrasting

confidence: 69%

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Knowledge, attitude and practice towards COVID-19 among health professionals in Ethiopia: A systematic review and meta-analysis

et al. 2021

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Background The World Health Organization (WHO) declared coronavirus disease 2019 (COVID-19) a global pandemic on 11th March, 2020. In Ethiopia, more than 90,490 and 1,300 confirmed cases and deaths were reported by the Federal Ministry of Health at the time of writing up this project. As health care providers are frontline workers managing the COVID-19 pandemic, this systematic review and meta-analysis aimed to assess the pooled level of knowledge, attitude, and practice towards COVID-19 among health professionals in Ethiopia. Methods PubMed, Google Scholar, Excerpta Medica database (EMBASE), Cochrane Library, Web of Science, and African Journal of Online (AJOL) were searched. The data were extracted using Microsoft Excel and analyzed using STATA version 14. Publication bias was checked by funnel plot and more objectively through Egger’s regression test, with P < 0.05 considered to indicate potential publication bias. The heterogeneity of studies was checked using I2 statistics. Pooled analysis was conducted using a weighted inverse variance random-effects model. Subgroup analysis was done related to geographic region and time. A leave-one-out sensitivity analysis was also employed. Result A total of 11 studies with 3,843 study participants for knowledge, eight studies with 2,842 study participants for attitude and 10 studies with 3, 435 study participants for practice were used to estimate the pooled level of good knowledge, positive attitude and poor practice among health professionals. The overall estimated good level of knowledge, positive attitude and poor practice towards COVID-19 was found to be 79.4% (95% CI: 73.5%-85.2%; I2 = 96%), 73.7% (95%CI: 63.09%-84.4%; I2 = 98.3%) and 40.3% (95%CI: 31.1%-49.6%; I2 = 97.1%) respectively. Conclusion Study findings showed that there were significant gaps in COVID-19 related knowledge, attitude and practice with respect to World Health Organization recommendations on COVID-19 management and personal protection practices. This study therefore recommends that institutions provide with immediate effect accurate and up-to-date information on COVID-19 and training that encourages improved knowledge, attitude and practice to mitigate this pandemic.

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Section: Discussionsupporting

confidence: 94%

Section: Discussioncontrasting

confidence: 69%

Knowledge, attitude and practice towards COVID-19 among health professionals in Ethiopia: A systematic review and meta-analysis

et al. 2021

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“…In this study, the pooled proportion of participants with a good attitude regarding COVID-19 was 69.08% (95% CI: 55.42, 81.24), which was low for controlling viral transmission. This result is consistent with the findings reported by Bekele et al, in which 70–97.1% had a good attitude, 31 and higher than the 46% (95% CI: 15, 77) reported by Bhagavathula et al 32 The pooled proportion of positive attitudes regarding COVID-19 was low compared to that for knowledge in this study. The highest and lowest proportions of positive attitudes were observed in Addis Ababa (89.80%) and the Amhara (61.50%) region, respectively, in the subgroup analysis.…”

Section: Discussionsupporting

confidence: 93%

“…78.02). This proportion is consistent with that reported by Bekele et al, in which 40–99.5% of participants had good knowledge of COVD-19 31 and higher than the 56.6% (95%CI: 45%) reported by Bhagavathula et al 32 The knowledge of people regarding COVID-19 in the present study was low at the country level. The subgroup analysis indicated a higher knowledge in institution-based studies (73.91%) compared to community-based studies (62.60%).…”

Section: Discussionsupporting

confidence: 92%

Knowledge, Attitude, and Prevention Practices Toward Coronavirus Disease 2019 in Ethiopia: A Systematic Review and Meta-Analysis

Azene

Workie

Aragaw

2021

Current Therapeutic Research

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Background Coronavirus disease is a major global public health problem. The contagious disease caused by a newly discovered coronavirus, coronavirus disease 2019 (COVID-19), was declared a pandemic following the outbreak of cases of respiratory illness in 2019. While studies assessed COVID-19 knowledge, attitude, and practice in Ethiopia the findings were highly variable and inconsistent. 1 , 2 , 3 , 4 Therefore, this study assessed the pooled status of knowledge, attitude, and prevention practices regarding COVID -19 in Ethiopia. Methods International and national electronic databases, including PubMed/MEDLINE, EMBASE, CINAHL, Google Scholar, Science Direct, and Google, were systematically searched. All observational studies on COVID-19 knowledge, attitude, and prevention practices in Ethiopia were included. We assessed heterogeneity among the included studies using the Cochrane Q test statistics and I 2 test. Lastly, a random-effects meta-analysis model was fitted to estimate the pooled proportion of knowledge, attitude, and prevention practices toward COVID-19 in Ethiopia. Results Our search identified 206 studies, 13 of which were included in the final analysis. Adequate knowledge, good attitude, and good prevention practice towards COVID-19 in Ethiopia were observed in 70.25% (95% confidence interval [CI], 61.82, 78.02), 69.08% (95% CI: 55.42, 81.24), and 41.62% (95% CI: 27.77, 56.17) of total participants across studies, respectively. Conclusion The results of this study revealed low proportions of adequate knowledge, attitudes, and preventive practices toward COVID-19 in Ethiopia. The lowest pooled proportion was observed in the Amhara region. These findings indicate the need to revise plans and policies to improve the knowledge, attitudes, and prevention practices of people towards COVID-19 in Ethiopia, especially in the Amhara region.

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“…This finding was very different from a systematic review and meta-analysis result of 73%. 39 The possible justifications might be study area and sample size (27,617) differences.…”

Section: Discussionmentioning

confidence: 99%

Knowledge, Attitude and Practice Towards COVID-19 in Ethiopia: A Systematic Review; 2020

Yazew¹,

Abate²,

Mekonnen³

2021

PPA

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Background Novel coronavirus disease is a very fast spreading respiratory disease. This disease is becoming a public health emergency across the world. Despite many efforts by countries, organizations, and institutions to prevent and control, the pandemic remains a world health danger. Ethiopia is one of the countries which is severely affected by the pandemic. However, a systematic review of the knowledge, attitude, and practice about coronavirus disease in Ethiopia has not previously done. Thus, the main aim of this systematic review is to investigate the status of people’s knowledge, attitude, and practice about coronavirus disease preventive measures in Ethiopia in 2020. Methods Data were extracted based on the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. Studies were accessed through electronic web-based search from PubMed, Cochrane Library, Google, Google Scholar, and Embase. All statistical analyses were done using Stata version 11 software with a random-effects model. Results A total of 11 studies with 3818 participants were included in this systematic review and the overall estimated status of the knowledge, attitude, and practice about coronavirus in Ethiopia are 61.78%, 72.39%, and 52.83%, respectively. According to region subgroup analysis, the highest estimated statuses of the knowledge, attitude, and practice are 74% in Tigray, 86.13% in Southern nations, nationalities, and Peoples’ of the region, and 72% in Tigray region, respectively. Subgroup analysis was done based on the focused group and way of questionnaire administration. Conclusion This systematic review revealed people’s knowledge, attitude, and practice about coronavirus disease preventive measures were generally more than 50%. However, government and every individual should address those behaviors stipulated by the World Health Organization and Center for Communicable Disease and Control guidelines to prevent coronavirus disease.

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Knowledge, Attitude, Perceptions and Practice towards COVID-19: A systematic review and Meta-analysis

Cited by 22 publications

References 44 publications

Knowledge, attitude and practice towards COVID-19 among health professionals in Ethiopia: A systematic review and meta-analysis

Knowledge, attitude and practice towards COVID-19 among health professionals in Ethiopia: A systematic review and meta-analysis

Knowledge, Attitude, and Prevention Practices Toward Coronavirus Disease 2019 in Ethiopia: A Systematic Review and Meta-Analysis

Knowledge, Attitude and Practice Towards COVID-19 in Ethiopia: A Systematic Review; 2020

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