Predictors of knowledge regarding Ebola virus disease among medical and nursing students in a Nigerian teaching hospital


  • Lawan Gana Balami Department of Community Health, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, 43400, UPM Serdang, Selangor, Malaysia
  • Suriani Ismail Department of Community Health, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, 43400, UPM Serdang, Selangor, Malaysia
  • Suhainizam Muhamad Saliluddin Department of Community Health, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, 43400, UPM Serdang, Selangor, Malaysia
  • Sani Hyedima Garba Department of Human Anatomy, College of Medical Sciences, University of Maiduguri, P.M.B 1069, Maiduguri, Borno state, Nigeria



Ebola, Predictors, Knowledge, Medical and nursing students, Nigeria


Background: The Ebola Virus disease is one of the deadliest re-emerging diseases; the 2014 outbreak has been devastating with thousands of deaths resulting in global panic.

Methods: A cross-sectional study was conducted involving 423 under-graduate medical and nursing students from University of Maiduguri Teaching Hospital using multi-stage stratified random sampling. Data was collected using a pretested self-administered questionnaire and analyzed using IBM-SPSS version 22. Chi-square was used for association between categorical variables while Spearman’s correlation was used for correlation between continuous variables. Multiple Logistic regressions were used to determine independent predictors of knowledge.

Results: Mean knowledge score was 30.4±6.4, only 40.9% had good knowledge. Predictors of knowledge were Age (AOR=1.164, 95% CI=1.07-1.26), Field of study (AOR=4.64, 95% CI=2.33-9.23) and Year of studies (AOR=2.27, 95% CI = 1.06-4.84).

Conclusions: There is still poor knowledge regarding this disease and the need for improvements.


CDC. 2014 Ebola Outbreak in West Africa - Case Counts. Ebola Hemorrhagic Fever. CDC. CDC. 2014. vhf/ ebola/ outbreaks/ 2014-west-africa/ case-counts.html. Accessed June 22, 2015.

Matua GA, Van der Wal DM, Locsin RC. Ebola hemorrhagic fever outbreaks: strategies for effective epidemic management, containment and control. Braz J Infect Dis. 2015;19(3):308-13.

Lefebvre A, Fiet C, Belpois-Duchamp C, Tiv M, Astruc K, Aho Glélé LS. Case fatality rates of Ebola virus diseases: A meta-analysis of World Health Organization data. Médecine Mal Infect. 2014;44(9):412-6.

WHO. Ebola Situation Reports | Ebola. WHO. 2015. ebola/ ebola-situation-reports. Accessed June 13, 2015.

Rajak H, Jain DK, Singh A, Sharma AK, Dixit A. Ebola virus disease: past, present and future. Asian Pac J Trop Biomed. 2015;5(5):337-43.

Shears P, O’Dempsey TJD. Ebola virus disease in Africa: epidemiology and nosocomial transmission. J Hosp Infect. 2015;90(1):1-9.

Wong SS-Y, Wong SC-Y. Ebola virus disease in nonendemic countries. J Formos Med Assoc. 2015;114(5):384-98.

Sousa ZL. Key features of Ebola hemorrhagic fever: a review. Asian Pac J Trop Biomed. 2014;4(11):841-4.

Ohimain EI. Recent advances in the development of vaccines for Ebola virus disease. Virus Res. 2016;211:174-85.

Fazekas B, Fazekas J, Moledina M, Fazekas B, Karolyhazy K. Ebola virus disease: awareness among junior doctors in England. J Hosp Infect. 2015;90(3):260-2.

Olowookere SA, Abioye-Kuteyi EA, Adepoju OK. Knowledge, Attitude, and Practice of Health Workers in a Tertiary Hospital in Ile-Ife, Nigeria, towards Ebola Viral Disease. J Trop Med. 2015;2015:1-6.

Fasina FO, Adenubi OT, Ogundare ST, Shittu A, Bwala DG, Fasina MM. Descriptive analyses and risk of death due to Ebola Virus Disease, West Africa, 2014. J Infect Dev Ctries. 2015;9(12). doi:10.3855/jidc.6484.

CDC. Ebola in Health Care Workers-Guinea. CDC. 2015:23-7.

CDC. Ebola Virus Disease in Health Care Workers — Sierra Leone, 2014. CDC. 2015. mmwr/ preview/mmwrhtml/ mm6349a6.htm. Accessed October 19, 2015.

Shittu RO. Awareness, Knowledge and Misconceptions about Ebola Virus Disease (EVD) in a Family Practice Setting in Nigeria, West Africa. J Antivir Antiretrovir. 2015;07(01):10-4.

WHO. WHO declares end of Ebola outbreak in Nigeria. WHO. 2014. mediacentre/ news/ statements/2014/nigeria-ends-ebola/en/. Accessed June 22, 2015.

African Development Bank. Open Data for Nigeria. Borno State. 2015. search?query= borno bush meat consumption. Accessed July 18, 2015.

Monasch R. Study on Public Knowledge, Attitudes , and Practices Relating to Ebola Virus Disease (EVD) Prevention and Medical Care in Sierra Leone. Unicef. 2014. sites/ files/resources/Ebola-Virus-Disease-National-KAP-Study-Final-Report_-final.pdf.

Kobayashi M, Beer KD, Bjork A. Community Knowledge, Attitudes, and Practices Regarding Ebola Virus Disease - Five Counties, Liberia, September-October, 2014. MMWR Morb Mortal Wkly Rep. 2015;64(26):714-8.

Ministry of Health Liberia. National Knowledge, Attitudes and Practices (KAP) Study on Ebola Virus Disease in Liberia. 2015. cbsc/files/KAP-Study-Liberia-March-2015.pdf.

Oguntimehin O, Musa E, Nzuki C. Public Knowledge, Perception and Source of Information on Ebola Virus Disease -Lagos, Nigeria ; September, 2014. 2015. doi:10.1371/ currents.outbreaks.0b805cac244d700a47d6a3713ef2d6db.

Rübsamen N, Castell S, Horn J. Ebola risk perception in Germany, 2014. Emerg Infect Dis. 2015;21(6):1012-8.

Meyers L, Frawley T, Goss S, Kang C. Ebola Virus Outbreak 2014: Clinical Review for Emergency Physicians. Ann Emerg Med. 2015;65(1):101-8.

Tobin E, Asogun D, Isah E, Ugege O, Ebhodaghe P. Assessment of knowledge and attitude towards Lassa fever among Primary care providers in an endemic suburban community of Edo state: implications for control. J Med Med Sci. 2013;4(8):311-8.

Amoran O, Onwube O. Infection control and practice of standard precautions among healthcare workers in northern Nigeria. J Glob Infect Dis. 2013;5(4):156.

CDC. Sierra Leone Trial to Introduce a Vaccine against Ebola (STRIVE) Q&A | Ebola Hemorrhagic Fever | CDC. CDC. 2015. vhf/ ebola/ strive/qa.html. Accessed June 13, 2015.

CDC. Questions and Answers: 2014 Ebola Outbreak. Ebola Hemorrhagic Fever. CDC. CDC. 2015. vhf/ebola/outbreaks/ 2014-west-africa/ qa.html. Accessed February 3, 2016.

To KKW, Chan JFW, Tsang AKL, Cheng VCC, Yuen K-Y. Ebola virus disease: a highly fatal infectious disease reemerging in West Africa. Microbes Infect. 2015;17(2):84-97.

Vailaya CGR, Kumar S, Moideen S. Ebola Virus Disease : Knowledge, Attitude, Practices of Health Care Professionals in a Tertiary Care Hospital. 2014;2(August):13-8.




How to Cite

Balami, L. G., Ismail, S., Saliluddin, S. M., & Garba, S. H. (2016). Predictors of knowledge regarding Ebola virus disease among medical and nursing students in a Nigerian teaching hospital. International Journal Of Community Medicine And Public Health, 3(11), 3123–3129.



Original Research Articles