Knowledge, perceptions and safety practices of COVID-19 infection among healthcare workers in a tertiary health institution, Southwest, Nigeria

Abdul Mumin K. Ahmed, Omobola Y. Ojo, Gloria B. Imhonopi, Funmilayo O. Oladeji, Olurotimi A. Oyesola, Olanipekun K. Alausa


Background: Globally, COVID-19 is a topic of concern among the populace and especially with the health care workers. Recent report by NCDC showed that globally as at August 2020, the world had witnessed 17,396,943 cases with 675,060 deaths presenting a case fatality rate of 3.89%. This study assessed the knowledge, perception and safety practices of COVID-19 infection among healthcare workers.

Methods: It was a descriptive cross-sectional study. Both qualitative and quantitative methods were used. 410 participants drawn across most units in the hospital. Data analysis was done using SPSS software version 20. Responses were summarized using percentages, and frequencies. Test of association done using chi-square, and level of significance set at 5% (p<0.05).

Results: This study found mean population 39.23±9.87 years with modal of 30-39years. All 410 (100.0%) respondents heard about COVID-19 pandemic but further knowledge rating showed 347 (84.6%) had good knowledge. Perception was high at all thematic areas, 275 (67.1%) affirmed that COVID-19 infection was fatal. About 273 (66.6%) strongly agreed that PPE must be worn, similarly, 299 (72.9%) strongly agreed that use of facemask was important for infection prevention strategy. However, observational checklist gave varied opinion on availability and use of PPEs.

Conclusions: This study identified a significant gap in information source, knowledge levels especially among lower cadre staff, discrepancies in perceptions of COVID-19 and unavailability of PPEs. There is a need by the government and hospitals management to ensure regular training of all cadres of staff and regular provision of PPEs for the healthcare workers.


Health institutions, Healthcare workers, Infections, Knowledge, Perception, Safety-practices

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Akande OW, Akande TM. COVID-19 pandemic: a global health burden. Niger Postgrad Med J. 2020;27:147-55.

Federal Ministry of Health (FMoH). Nigeria Centre for Disease Control. National Interim Guidelines for Clinical Management of Covid-19, March, 2020. Available from: national-interim-guidelines-clinical-management-covid-19.

Li Q, Guan X, Wu P, Wang X, Zhou L, Tong Y, et al. Early transmission dynamics in Wuhan, China, of novel coronavirus-infected pneumonia. New Engl J Med. 2020;106-110.

Bhagavathula AS, Aldhaleei WA, Rahmani J, Mahabadi MA, Bandari DK. Novel coronavirus (covid-19) knowledge and perceptions: a survey on healthcare workers. MedRxiv. 2020.

World Health Organization (2020). Novel coronavirus (COVID-19) situation. Available from: Accessed on 9 March 2020.

Nigeria Centre for Disease Control. COVID-19 Situation Report 86; 2020. Available from: outbreak%20in%20Nigeria. Accessed on 25 May 2020.

Nigeria Centre for Disease Control. COVID-19 Situation Report 156; 2020. Available from: outbreak%20in%20Nigeria. Accessed on 2 August 2020.

Honourable Minister of Health. Federal Ministry of Health. Nigeria Centre for Disease Control (2020). Real-time update on new cases through the website:

World Health Organization (2020). Emerging Respiratory Viruses, including COVID-19: methods for detection, prevention, response, and control. Available from: Accessed on 1 February 2020.

Alanzi ME, Albalawi MAH, Kabrah S, Aljehani YT, Okashah AM, Aljohani ZDE, et al. Knowledge, Attitudes, and Practices (KAPs) of Healthcare Workers towards MERS-CoV Infection at PHCs in Madinah, KSA during Hajj 1440, 2019. Am J Microbiol Res. 2019;7(4):122-9.

Abdollahi M, Ghahramanian A, Shahbazi S, Rezaei F, Naghili B, Asghari‐Jafarabadi M. Developing a questionnaire to assess Iranian nurses’ knowledge of and attitude to Middle East respiratory syndrome. East Mediterr Health J. 2019;25:12.

Centers for Disease Control and Prevention. Update and Interim Guidelines on Outbreak of 2019 Novel coronavirus (2019-nCoV). Available from: Accessed on 12 February 2020.

Araoye MO. Research methodology with statistics for health and social sciences. Ilorin: Nathadex Publisher. 2003;115(9):25-120.

Bhagavathula AS, Aldhaleei WA, Rahmani J, Mahabadi MA, Bandari DK. Knowledge and Perceptions of COVID-19 among Health Care Workers: Cross-Sectional Study, JMIR Public Health Surveill. 2020;6(2):e19160.

Delgado D, Quintana FW, Perez G, Liprandi AS, Ponte-Negretti C, Mendoza I, Baranchuk A. Personal safety during the COVID-19 pandemic: realities and perspectives of healthcare workers in Latin America. Int J Environ Res Public Health. 2020;17(8):2798.

Hager E, Odetokun IA, Bolarinwa O, Zainab A, Okechukwu O, Al-Mustapha AI. Knowledge, attitude, and perceptions towards the 2019 Coronavirus Pandemic: a bi-national survey in Africa. PloS One. 2020;15(7):e0236918.

P.O. Olapegba, O. Ayandele, S.O. Kolawole, R. Oguntayo, J.C. Gandi, A.L. Dangiwa, I.F.A. Ottu, S.K. Iorfa. COVID-19 Knowledge and Perceptions in Nigeria. A Preliminary Assessment of Novel Coronavirus (COVID-19) Knowledge and Perceptions in Nigeria. 2020.

Lau JTF, Yang X, Tsui H, Kim JH. Monitoring community responses to the SARS Epidemic in Hong Kong: from day 10 to day 62. J Epidemiol Community Health. 2003;57:864-70.

Vartti AM, Oenema A, Schreck M, Uutela A, de Zwart O, Brug J, et al. SARS knowledge, perceptions, and behaviors: a comparison between Finns and the Dutch during the SARS outbreak in 2003. Int J Behav Med. 2009;16(1):41-8.

Voeten H, de Zwart O, Veldhuijzen IK, Yuen C, Jiang X, Elam G, et al. Sources of information and health beliefs related to SARS and avian influenza among Chinese Communities in the United Kingdom and The Netherlands, compared to the general population in these countries. Int J Behav Med. 2009;16(1)49-57.

Kebede Y, Yitayih Y, Birhanu Z, Mekonen S, Ambelu A. Knowledge, perceptions and preventive practices towards COVID-19 early in the outbreak among Jimma university medical center visitors, Southwest Ethiopia. PLoS One. 2020;15(5):e0233744.

Alsahafi AJ, Cheng AC. Knowledge, attitudes and behaviours of healthcare workers in the Kingdom of Saudi Arabia to MERS coronavirus and other emerging infectious diseases. Int J Environ Res Public Health. 2016;13:1214.

Zhong BL, Luo W, Li HM, Zhang QQ, Liu XG, Li WT, et al. 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. Int J Biol Sci. 2020;16(10):1745-52.