Abstract
Background: In the absence of effective treatment, coronavirus disease (Covid-19) poses severe risks to public health. This study aimed to explore the knowledge, attitude, and practice towards the COVID-19 pandemic among healthcare workers.
Methods: An online approach was adopted to conduct a cross-sectional study from 1st to 31st October 2020 among Iraqi healthcare workers in Anbar Province, west of Iraq. A semi-structured and self-administered questionnaire was recruited to collect the data. The study tool contains four parts sociodemographic, knowledge, attitude, and practice assessment. Multiple Linear regression was performed to test the association between the dependent and the independent variables. SPSS version 16 was used to analyze the data, and the statistical significance level was considered at less than 0.05 p-values.
Results: A total of 209 health workers were included in this study. Most of the respondents (54.5%) were Doctors (Physician, dentist, and pharmacist), males (60.8%), married (74.2%), aged less than 45 years (53.1%), urban region (64.6%), with a monthly income of USD 400 and above (61.7%) and 75.1% of them perceived their health good. The mean knowledge, attitude, and practice level of participants were 14.43 (± 2.01), 27.68 (± 2.74), and 4.33 (± 0.97), respectively. In the regression analysis, doctors (P-value = 0.000) aged 45 years and above (P-value=0.008) and urban residents (P-value=0.007) were significantly associated with upper knowledge scores. Female gender (P-value =0.022) was significantly related to positive attitude scores. While married (P-value = 0.038), those with experience of 10 years and above (P-value=0.041) showed better practice.
Conclusion: The level of knowledge, attitudes, and practices of healthcare workers in Anbar Province was adequate. However, with the expected new waves of pandemics, the policy of continuous training to update healthcare workers is inevitable to control and prevention of COVID-19.
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References
- World Health Organization, WHO Director-General's opening remarks at the media briefing on COVID-19 -March 11, 2020. Available from: https://www.who.int/director-general/speeches/detail/who-director-general-s-opening-remarks-at-the-media-briefing-on-covid-19---11-march-2020 [Accessed on October 25, 2020].
- Ali Jadoo SA. The second wave of COVID-19 is knocking at the doors: have we learned the lesson? Journal of Ideas in Health. 2020 Oct. 8;3(Special1):183-4. DOI: 10.47108/jidhealth.vol3.issspecial1.72.
- Lake EA, Demissie BW, Gebeyehu NA, Wassie AY, Gelaw KA, Azeze GA. Knowledge, attitude and practice towards COVID-19 among health professionals in Ethiopia: A systematic review and meta-analysis. PLoS One. 2021 Feb 19;16(2): e0247204. doi: 10.1371/journal.pone.0247204.
- Mbachu CNP, Azubuike CM, Mbachu II, Ndukwu CI, Ezeuko AY, Udigwe IB, Nnamani CP, Umeh UM, Ezeagwuna DA, Onah SK, Eze HO, Okereke UC, Orji-Ifeanyi EN. COVID-19 infection: Knowledge, attitude, practices, and impact among healthcare workers in a South-Eastern Nigerian state. J Infect Dev Ctries. 2020 Sep 30;14(9):943-952. doi: 10.3855/jidc.13248. PMID: 33031078.
- Asdaq SMB, Imran M, Alshrari AS, Imran M, Sreeharsha N, Sultana R. Knowledge, attitude and practices of healthcare professionals of Riyadh, Saudi Arabia towards covid-19: A cross-sectional study. Saudi J Biol Sci. 2021 May 24. doi: 10.1016/j.sjbs.2021.05.036.
- Tamang N, Rai P, Dhungana S, 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. https://doi.org/10.1186/s12889-020-10025-8
- Lee M, Kang BA and You M. Knowledge, attitudes, and practices (KAP) toward COVID-19: a cross-sectional study in South Korea. BMC Public Health 2021; 21(1): 295.24. https://doi.org/10.1186/s12889-021-10285-y
- Shi Y, Wang J, Yang Y, Wang Z, Wang G, Hashimoto K, Zhang K, Liu H. Knowledge and attitudes of medical staff in Chinese psychiatric hospitals regarding COVID-19. Brain Behav Immun Health. 2020 Apr; 4:100064. doi: 10.1016/j.bbih.2020.100064.
- Malik UR, Atif N, Hashmi FK, Saleem F, Saeed H, Islam M, Jiang M, Zhao M, Yang C, Fang Y. Knowledge, Attitude, and Practices of Healthcare Professionals on COVID-19 and Risk Assessment to Prevent the Epidemic Spread: A Multicenter Cross-Sectional Study from Punjab, Pakistan. International Journal of Environmental Research and Public Health. 2020; 17(17):6395. https://doi.org/10.3390/ijerph17176395
- Abdel Wahed WY, Hefzy EM, Ahmed MI, Hamed NS. Assessment of Knowledge, Attitudes, and Perception of Health Care Workers Regarding COVID-19, A Cross-Sectional Study from Egypt. J Community Health. 2020 Dec;45(6):1242-1251. doi: 10.1007/s10900-020-00882-0.
- Papagiannis D, Malli F, Raptis DG, Papathanasiou IV, Fradelos EC, Daniil Z, Rachiotis G, Gourgoulianis KI. Assessment of Knowledge, Attitudes, and Practices towards New Coronavirus (SARS-CoV-2) of Health Care Professionals in Greece before the Outbreak Period. Int J Environ Res Public Health. 2020 Jul 8;17(14):4925. doi: 10.3390/ijerph17144925.
- Huynh G, Nguyen MQ, Tran TT, Nguyen VT, Nguyen TV, Do THT, Nguyen PHN, Phan THY, Vu TT, Nguyen TNH. Knowledge, Attitude, and Practices Regarding COVID-19 Among Chronic Illness Patients at Outpatient Departments in Ho Chi Minh City, Vietnam. Risk Manag Healthc Policy. 2020 Sep 14; 13:1571-1578. doi: 10.2147/RMHP.S268876.
- Ali Jadoo SA, Alhusseiny A, Yaseen S, Al-Samarrai M, Al-Rawi R, Al-Delaimy A, Abed M, Hassooni H. Knowledge, attitude, and practice toward COVID-19 among Iraqi people: a web-based cross-sectional study. Journal of Ideas in Health2020;3(Special2):258-65. doi: 10.47108/jidhealth.vol3.issspecial2.59
- Ali Jadoo SA, Dastan I, Al-Samarrai M, Yaseen S, Abbasi A, Alkhdar H, Al Saad M, Danfour O. Knowledge, attitude, and practice towards COVID-19 among Syrian people resident in Turkey. Journal of Ideas in Health 2020;3(Special2):278-85.
- Ali Jadoo SA, Danfour O, Zerzah M, Abujazia M, Torun P, Al-samarrai M, Yaseen S. Knowledge, attitude, and practice towards COVID-19 among Libyan people- a web-based cross-sectional study. Journal of Ideas in Health 2021;4(Special1):348-56. doi: 10.47108/jidhealth.vol4.issspecial1.97
- Kalliath J, Kizhatil A, Rose B, Kuncheria A, John A. Knowledge, attitude, and practice regarding COVID-19 pandemic among medical students of Ernakulam, India. Journal of Ideas in Health 2021;4(Special1):337-42. doi: 10.47108/jidhealth.vol4.issspecial1.103
- World Health Organization, Early COVID-19 preparation saved lives in Iraq. Available from: http://www.emro.who.int/irq/iraq-news/early-covid-19-preparation-saved-lives-in-iraq.html [Accessed on October 25, 2020].
- Ali Jadoo SA, Alhusseiny A, Yaseen S, Al-Samarrai M, Mahmood A. Evaluation of health system in Iraq from people’s point of view: a comparative study of two different eras. Journal of Ideas in Health 2021;4(2):380-8. doi: 10.47108/jidhealth.vol4.iss2.100
- Mustafa Salim and Louisa Loveluck, "Iraqi Hospitals Become Nexus of Infection as Coronavirus Cases Rise Dramatically Among Doctors", in The Washington Post, June 19 2020, https://wapo.st/3dfeWnx.
- The International Red Cross and Red Crescent (ICRC), violence against health workers must cease to help contain COVID-19 emergency, August 09, 2020. https://www.icrc.org/en/document/violence-against-health-workers-must-cease-to-help-contain-covid-19-emergency
- Ali Jadoo SA, Torun P, Dastan I, Al-Samarrai M. Impact of conflict related and workplace related violence on job satisfaction among physicians from Iraq - a descriptive cross-sectional multicentre study. Journal of Ideas in Health 2018;1(1):14-2. https://doi.org/10.47108/jidhealth.Vol1.Iss1.4.
- Al-Samarrai MA, Ali Jadoo SA. Iraqi medical students are still planning to leave after graduation. Journal of Ideas in Health 2018;1(1):23-8. https://doi.org/10.47108/jidhealth.Vol1.Iss1.5
- Raosoft, sample size calculator. Available from: http://www.raosoft.com/samplesize.html?nosurvey [Accessed on 06-October 2020].
- Al- Shatari SA-H, Al kazzaz HH. Knowledge, attitude, and practice of medical staff toward Covid-19: sample from Baghdad. European Journal of Molecular & Clinical Medicine, 2020; 7(10): 117-129.
- Abou-Abbas L, Nasser Z, Fares Y, Chahrour M, El Haidari R, Atoui R. Knowledge and practice of physicians during COVID-19 pandemic: a cross-sectional study in Lebanon. BMC Public Health. 2020 Sep 29;20(1):1474. doi: 10.1186/s12889-020-09585-6.
- Jin JM, Bai P, He W, Wu F, Liu XF, Han DM, Liu S, Yang JK. Gender Differences in Patients With COVID-19: Focus on Severity and Mortality. Front Public Health. 2020 April 29; 8:152. Doi: 10.3389/fpubh.2020.00152.
- Peckham H, de Gruijter NM, Raine C, Radziszewska A, Ciurtin C, Wedderburn LR, Rosser EC, Webb K, Deakin CT. Male sex identified by global COVID-19 meta-analysis as a risk factor for death and ITU admission. Nat Commun. 2020 December 09;11(1):6317. doi: 10.1038/s41467-020-19741-6.
- Adeyemo O, Sofoluwe N, Ganiyu Y, Ibrahim O, Oyeyinka O. Sex differences on the contextual factors and physical activity levels among the Nigerian people during the COVID-19. Journal of Ideas in Health 2021;4(1):293-7. https://doi.org/10.47108/jidhealth.Vol4.Iss1.85
- Scully EP, Schumock G, Fu M, Massaccesi G, Muschelli J, Betz J, Klein EY, West NE, Robinson M, Garibaldi BT, Bandeen-Roche K, Zeger S, Klein SL, Gupta A; JH-CROWN registry team. Sex and gender differences in COVID testing, hospital admission, presentation, and drivers of severe outcomes in the DC/Maryland region. medRxiv [Preprint]. 2021 Apr 7:2021.04.05.21253827. doi: 10.1101/2021.04.05.21253827.
- Galasso V, Pons V, Profeta P, Becher M, Brouard S, Foucault M. Gender differences in COVID-19 attitudes and behavior: Panel evidence from eight countries. Proc Natl Acad Sci U S A. 2020 Nov 3;117(44):27285-27291. doi: 10.1073/pnas.2012520117.
- de la Vega R, Ruíz-Barquín R, Boros S, Szabo A. Could attitudes toward COVID-19 in Spain render men more vulnerable than women? Global Public Health. 2020 Sep;15(9):1278-1291.
- Bekele F, Sheleme T, Fekadu G, Bekele K. Patterns and associated factors of COVID-19 knowledge, attitude, and practice among general population and health care workers: A systematic review. SAGE Open Med. 2020 November ;8: 2050312120970721. doi: 10.1177/2050312120970721