Coronavirus Disease 2019 (COVID-19): A Cross-Sectional Survey of the Knowledge, Attitudes, Practices (KAP) and Misconceptions in the General Population of Katsina State, Nigeria
DOI:
https://doi.org/10.47430/ujmr.2161.004Keywords:
COVID-19, knowledge, attitude, practices, misconceptions, NigeriaAbstract
Over six million cases of Coronavirus Disease 2019 (COVID-19) were reported globally by the second quarter of 2020. This study assessed the COVID-19 related knowledge, attitudes, practices and misconceptions in Katsina state, Nigeria. The study is across-sectional survey of 722 respondents using an electronic questionnaire through the WhatsApp media platform. One thousand five hundred questionnaires were sent to the general public with a response rate of 48%. Among the respondents, 60% were men, and 56% held bachelor’s degree and above. The respondents have good knowledge of COVID-19 (80% correct rate on questions related to knowledge). Being more educated is associated with both higher average COVID-19 knowledge score and positive COVID-19 related practices. Overall, >70% of the respondents have a positive attitude towards successful COVID-19 control. Male were more likely than female (Fisher’s exact test P value < 0.05) to have recently attended a crowded place. Among the respondents, 83% held at least one misconception related to COVID-19. Respondents at all levels of education frequently chose to trust health unit and health care workers for relevant COVID-19 information. In conclusion, although there is high COVID-19 related knowledge among the respondents, misconceptions are widespread among them. These misconceptions have consequences on the short- and long-term control efforts against the disease and hence should be incorporated in targeted campaigns. Healthcare related personnel should be at the forefront of the campaign.
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References
Ali, M., Uddin, Z., Banik, P. C., Hegazy, F. A.,
Zaman, S., Ambia, A. S. M., . . . Bahalul,
S. M. (2020). Knowledge, attitude, practice and fear of COVID-19: A cross- cultural study. medRxiv. doi:DOI: 10.1101/2020.05.26.20113233
Alqahtani, A. S., Rashid, H., Basyouni, M. H., Alhawassi, T. M., & BinDhim, N. F. (2017). Public response to MERS-CoV in the Middle East: iPhone survey in six countries. Journal of Infection and Public Health, 10(5), 534-540.
https://doi.org/10.1016/j.jiph.2016.11.015
Arons, M. M., Hatfield, K. M., Reddy, S. C.,
Kimball, A., James, A., Jacobs, J. R., . . . Oakley, L. P. (2020). Presymptomatic SARS-CoV-2 infections and transmission in a skilled nursing facility. New England Journal of Medicine, 382, 2081-2090.
https://doi.org/10.1056/NEJMoa2008457
Aynalem, Y. A., Akalu, T. Y., Gebresellassie, B., Sharew, N. T., & Shiferaw, W. S. (2020). Assessment of undergraduate student knowledge, practices, and attitude towards COVID-19 in Debre Berhan University, Ethiopia. Research Square. doi:DOI: 10.21203/rs.3.rs- 28556/v1
https://doi.org/10.21203/rs.3.rs-28556/v1
Azlan, A. A., Hamzah, M. R., Sern, T. J., Ayub,
S. H., & Mohamad, E. (2020). Public knowledge, attitudes and practices towards COVID-19: A cross-sectional study in Malaysia. Plos One, 15(5), e0233668.
https://doi.org/10.1371/journal.pone.0233668
Bai, Y., Yao, L., Wei, T., Tian, F., Jin, D.-Y.,
Chen, L., & Wang, M. (2020). Presumed Asymptomatic carrier transmission of COVID-19. JAMA, 323(14), 1406-1407.
https://doi.org/10.1001/jama.2020.2565
Dorcas, S., Emmanuel, L., Anthony Baffour, A., Ephraim Kumi, S., & Jude Kyeremeh, A. (2020). Knowledge, risk perception and preparedness towards coronavirus disease-2019 (COVID-19) outbreak among Ghanaians: a quick online cross-sectional survey. Pan African Medical Journal, 35(2), 44. doi:DOI:
https://doi.org/10.11604/pamj.supp.2020.35.2.22630
11604/pamj.supp.2020.35.2.22630
Ferguson, N., Laydon, D., Nedjati Gilani, G., Imai, N., Ainslie, K., Baguelin, M., . . . Cuomo-Dannenburg, G. (2020). Report 9: Impact of non-pharmaceutical interventions (NPIs) to reduce COVID19 mortality and healthcare demand. Imperial College London. doi:DOI: https://doi.org/10.25561/77482
Gandhi, M., Yokoe, D. S., & Havlir, D. V. (2020). Asymptomatic transmission, the Achilles' heel of current strategies to control COVID-19. New England journal of medicine, 382, 2158-2160.
https://doi.org/10.1056/NEJMe2009758
Geldsetzer, P. (2020). Knowledge and perceptions of COVID-19 among the general public in the United States and the United Kingdom: A cross-sectional online survey. Annals of internal medicine. doi:DOI: 10.7326/M20-0912
https://doi.org/10.7326/M20-0912
Ghinai, I., Willott, C., Dadari, I., & Larson, H.
J. (2013). Listening to the rumours: What the northern Nigeria polio vaccine boycott can tell us ten years on. Glob Public Health, 8(10), 1138-1150.
https://doi.org/10.1080/17441692.2013.859720
Gidado, S., Awosanya, E., Haladu, S., Ayanleke,
H. B., Idris, S., Mamuda, I., . . . Nguku,
P. (2018). Cholera outbreak in a naïve rural community in Northern Nigeria: the importance of hand washing with soap, September 2010. Pan African Medical Journal, 30(5).
Hutin, Y., Luby, S., & Paquet, C. (2003). A large cholera outbreak in Kano City, Nigeria: the importance of hand washing with soap and the danger of street- vended water. Journal of Water Health, 1(1), 45-52.
https://doi.org/10.2166/wh.2003.0006
Iliyasu, G., Ogoina, D., Otu, A. A., Dayyab, F.
M., Ebenso, B., Otokpa, D., . . . Habib, A.
G. (2015). A multi-site knowledge attitude and practice survey of Ebola virus disease in Nigeria. PloS One, 10(8).
Jolley, D., & Douglas, K. M. (2014). The effects of anti-vaccine conspiracy theories on vaccination intentions. PloS One, 9(2).
https://doi.org/10.1371/journal.pone.0089177
Lewnard, J. A., & Lo, N. C. (2020). Scientific and ethical basis for social-distancing interventions against COVID-19. Lancet Infectious Diseases, 20(6), 631-633. doi:DOI: 10.1016/S1473-3099(20)30190-0
https://doi.org/10.1016/S1473-3099(20)30190-0
National Bureau of Statistics. (2018). 2017 Demographic statistics bulletin Retrieved from PDF:
http://nigerianstat.gov.ng/download/77 5
NCDC. (2020a). COVID-19 Nigeria. Retrieved from https://covid19.ncdc.gov.ng/
NCDC. (2020b). First case of corona virus disease confirmed in Nigeria. Retrieved from
https://ncdc.gov.ng/news/227/first- case-of-corona-virus-disease-confirmed- in-nigeria
Okoro, J., Odionye, T., Nweze, B., Onuoha, M., Ezeonwuka, C., Owoh, J., & Nkire, J. (2020). COVID-19 pandemic, psychological response to quarantine,
and knowledge of the disease among inmates in a Nigerian custodial center [version 1; peer review: 1 approved with reservations]. Emerald Open Research, 2(26), 26.
https://doi.org/10.35241/emeraldopenres.13684.2
Olapegba, P. O., Ayandele, O., Kolawole, S. O., Oguntayo, R., Gandi, J. C., Dangiwa, A. L., . . . Iorfa, S. K. (2020). A Preliminary Assessment of Novel Coronavirus (COVID-
Knowledge and Perceptions in Nigeria. MedRxiv. doi:DOI: 10.1101/2020.04.11.20061408
Onder, G., Rezza, G., & Brusaferro, S. (2020). Case-fatality rate and characteristics of patients dying in relation to COVID-19 in Italy. JAMA, 323(18), 1775-1776.
https://doi.org/10.1001/jama.2020.4683
Rugarabamu, S., Ibrahim, M., & Byanaku, A. (2020). Knowledge, attitudes, and practices (KAP) towards COVID-19: A quick online cross-sectional survey among Tanzanian residents. MedRxiv. doi:DOI: 10.1101/2020.04.26.20080820
https://doi.org/10.1101/2020.04.26.20080820
UNICEF. (2017). Promising practices in WASH. Retrieved from PDF: https://www.unicef.org/nigeria/media/1 476/file/Nigeria-promising-practices-in- WASH.pdf.pdf
UNICEF. (2020). NIGERIA Final Evaluation of the Water, Sanitation and Hygiene Program 2014-2017 between the Federal Government of Nigeria & UNICEF. Retrieved from PDF: https://www.unicef.org/evaldatabase/fil es/MASTER_Final1_Evaluation_Report_W ASH_Program_2014- 2017_Nigeria_14Feb2020.pdf
Van Bavel, J. J., Baicker, K., Boggio, P. S., Capraro, V., Cichocka, A., Cikara, M., . .
. Druckman, J. N. (2020). Using social and behavioural science to support COVID-19 pandemic response. Nature Human Behavior, 4, 460-471.
Wakabi, W. (2008). New Nigerian CDC to tackle infectious diseases. Lancet Infectious Diseases, 8(3), 154.
https://doi.org/10.1016/S1473-3099(08)70034-3
WHO. (2020a). Coronavirus. Retrieved from https://www.who.int/health- topics/coronavirus#tab=tab_2
WHO. (2020b). Coronavirus disease 2019 (COVID-19): situation report, 73. Retrieved from
https://www.who.int/emergencies/disea ses/novel-coronavirus-2019/situation- reports
WHO. (2020c). Coronavirus disease (COVID-19) advice for the public: Myth busters. Retrieved from
https://www.who.int/emergencies/disea
ses/novel-coronavirus-2019/advice-for- public/myth-busters
WHO. (2020d). Covid-19 situation update for the WHO african region, 27 May 2020. Retrieved from
https://apps.who.int/iris/bitstream/han dle/10665/332199/SITREP_COVID- 19_WHOAFRO_20200527-eng.pdf
WHO. (2020e). Modes of transmission of virus causing COVID-19: implications for IPC precaution recommendations. Retrieved from https://www.who.int/publications- detail/modes-of-transmission-of-virus- causing-covid-19-implications-for-ipc- precaution-recommendations
WHO. (2020f). New WHO estimates: Up to 190 000 people could die of COVID-19 in Africa if not controlled. Retrieved from https://www.afro.who.int/news/new- who-estimates-190-000-people-could-die- covid-19-africa-if-not-controlled
WHO. (2020g). Risk Communication and Community Engagement (RCCE) Action Plan Guidance COVID-19 Preparedness and Response Retrieved from https://www.who.int/publications- detail/risk-communication-and- community-engagement-(rcce)-action- plan-guidance
WHO. (2020h). Statement on the meeting of the International Health Regulations (2005) Emergency Committee regarding the outbreak of novel coronavirus (2019- nCoV). Retrieved from https://www.who.int/news- room/detail/23-01-2020-statement-on-
the-meeting-of-the-international-health- regulations-(2005)-emergency- committee-regarding-the-outbreak-of- novel-coronavirus-(2019-ncov)
Wilder-Smith, A., Chiew, C. J., & Lee, V. J. (2020). Can we contain the COVID-19 outbreak with the same measures as for SARS? Lancet Infect Dis, 20(5), E102- E107.
https://doi.org/10.1016/S1473-3099(20)30129-8
Worldometer. (2020). Coronavirus update. Retrieved from
https://www.worldometers.info/coronav irus/
Yu, X., & Yang, R. (2020). COVID‐19
transmission through asymptomatic carriers is a challenge to containment. Influenza Other Respir Viruses, 14(4), 474-475.
https://doi.org/10.1111/irv.12743
Zhao, S., Lin, Q., Ran, J., Musa, S. S., Yang, G., Wang, W., . . . He, D. (2020). Preliminary estimation of the basic reproduction number of novel coronavirus (2019-nCoV) in China, from 2019 to 2020: A data- driven analysis in the early phase of the outbreak. International Journal of Infectious Diseases, 92, 214-217.
https://doi.org/10.1016/j.ijid.2020.01.050
Zhong, B.-L., Luo, W., Li, H.-M., Zhang, Q.-Q.,
Liu, X.-G., Li, W.-T., & Li, Y. (2020).
Knowledge, attitudes, and practices towards COVID-19 among Chinese residents during the rapid rise period of the COVID-19 outbreak: a quick online cross-sectional survey. International Journal Biological Sciences, 16(10), 1745-
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