DOI: http://dx.doi.org/10.18203/2394-6040.ijcmph20210506

Knowledge and experience of healthcare workers during the COVID-19 pandemic: a cross-sectional study in Tema, Ghana

Mercy N. A. Opare-Addo, Josephine Mensah, Janice Osei Donkor, Amos Amoako-Adusei, Angela Opoku-Bona

Abstract


Background: Coronavirus Disease 2019 is a pandemic caused by a novel human coronavirus previously known as 2019-nCov. Healthcare workers are essential in the response to and management of such infectious diseases.  

Methods: A hospital-based cross-sectional study was conducted at Tema General Hospital, Ghana. Data was collected from healthcare workers using a structured questionnaire. Descriptive statistics was done for all socio-demographic characteristics of respondents. Level of knowledge about coronavirus disease and factors influencing participants’ willingness to work were summarized as frequencies, percentages and charts. Chi-square test was used to test for association between level of knowledge and all independent variables.  

Results: A total of 157 healthcare workers participated in this study. The news media (135, 85.99%) was the commonest source of information for participants. Almost half of participants (47.8%) had been tested for coronavirus disease, and 91.08% had sufficient knowledge about the disease. Occupation (p=0.047) was significantly associated with participants’ level of knowledge. A total of 46.49% disagreed with adequacy of personal protective equipment provided, with 70.06% admitting they have had to use their own personal protective equipment at work. A sense of duty (20, 31.8%) and motivation (14, 22.2%) positively influenced participants’ ability to work while challenges faced included fear of contracting and transmitting the virus (98.7%) and stigmatization (70.7%).  

Conclusions: The healthcare workers had sufficient knowledge about coronavirus disease. Insufficient personal protective equipment was evident during the pandemic. Measures must be established to ensure that barriers to work are eliminated while factors that enhance work output are encouraged.


Keywords


Knowledge, Experiences, Coronavirus disease 2019, Pandemic, Healthcare workers

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References


World Health Organization. Situation Report-73 HIGHLIGHTS. 2020.

Zhu N, Zhang D, Wang W, Li X, Yang, B, Song J, et al. A novel coronavirus from patients with pneumonia in China, 2019. N Engl J Med. 2020;382(8):727-33.

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. N Engl J Med. 2020;382(13):1199-207.

Lu H, Stratton CW, Tang YW. Outbreak of pneumonia of unknown etiology in Wuhan, China: The mystery and the miracle. J Med Virol. 2020;92(4):401-2.

Cascella M, Rajnik M, Cuomo A, Dulebohn SC, Di Napoli R. Features, Evaluation and Treatment Coronavirus (COVID-19). StatPearls Publishing; 2020. Available at: http://www.ncbi.nlm.nih.gov/pubmed/32150360. Accessed June 4, 2020.

Olum R, Chekwech G, Wekha G, Nassozi DR, Bongomin F. Coronavirus Disease-2019: Knowledge, Attitude, and Practices of Health Care Workers at Makerere University Teaching Hospitals, Uganda. Front Public Heal. 2020;8:181.

World Health Organization. WHO Director-General’s opening remarks at the media briefing on COVID-19 - 11 March 2020. Available at: https://www.who.int/dg/speeches/detail/who-director-general-s-opening-remarks-at-the-media-briefing-on-covid-19---11-march-2020. Accessed on 25 September 2020.

World Health Organization. Coronavirus Disease (COVID-19) Global Epidemiological Situation.; 2020.

Edeghere O, Fowler T, Wilson F, Caspa R, Raichand S, Kara E, et al. Knowledge, attitudes, experience and behaviour of frontline health care workers during the early phase of 2009 influenza A(HlNl) pandemic, birmingham, UK. J Heal Serv Res Policy. 2015;20(1):26-30.

Mbewa DO. More than 2,000 health workers in Ghana test positive for COVID-19 | CGTN Africa. CGTN Africa. Available at: https://africa.cgtn.com/2020/07/19/more-than-2000-health-workers-in-ghana-test-positive-for-covid-19/. Published 2020. Accessed on 25 September 2020.

Damery S, Draper H, Wilson S, Greenfield S, Ives J, Parry J, Petts J, et al. Healthcare workers’ perceptions of the duty to work during an influenza pandemic. J Med Ethics. 2010;36(1):12-8.

Nemati M, Ebrahimi B, Nemati F. Assessment of Iranian Nurses’ Knowledge and Anxiety Toward COVID-19 During the Current Outbreak in Iran. Arch Clin Infect Dis. 2020;15(COVID-19).

Ives J, Greenfield S, Parry JM, Draper H, Gratus C, Petts J, et al. Healthcare workers’ attitudes to working during pandemic influenza: A qualitative study. BMC Public Health. 2009;9(1):56.

Watt K, Tippett VC, Raven SG, Jamrozik K, Coory M, Archer F, et al. Attitudes to living and working in pandemic conditions among emergency prehospital medical care personnel. Prehosp Disaster Med. 2010;25(1):13-9.

Anderson MK, Barnett DJ, Thompson CB, Errett NA, Semon NL, Ferrell JL, et al. Determinants of emergency response willingness in the local public health workforce by jurisdictional and scenario patterns: A cross-sectional survey. Bo Med Cent Pub Heal. 2012;12(1).

Barnett DJ, Balicer RD, Blodgett DW, Everly GS, Omer SB, Parker CL, et al. Applying Risk Perception Theory to Public Health Workforce Preparedness Training. J Public Heal Manag Pract. 2005;11(Supplement):S33-7.

Kollie ES, Winslow BJ, Pothier P, Gaede D. Deciding to work during the Ebola outbreak: The voices and experiences of nurses and midwives in Liberia. Int J Africa Nurs Sci. 2017;7:75-81.

Wong ELY, Wong SYS, Lee N, Cheung A, Griffiths S. Healthcare workers’ duty concerns of working in the isolation ward during the novel H1N1 pandemic. J Clin Nurs. 2012;21(9-10):1466-75.

Zhang M, Zhou M, Tang F, Wang Y, Nie H, Zhang L, et al. Knowledge, attitude, and practice regarding COVID-19 among healthcare workers in Henan, China. J Hosp Infect. 2020;105(2):183-7.

Giao H, Le An P, Thi Ngoc Han N, Van Khanh T, Kim Ngan V, Van Tam V. Knowledge and attitude toward COVID-19 among healthcare workers at District 2 Hospital, Ho Chi Minh City. Asian Pac J Trop Med. 2020;13:6-11.

Honarvar B, Lankarani KB, Kharmandar A, Shaygani F, Zahedroozgar M, Rahmanian Haghighi, MR et al. Knowledge, attitudes, risk perceptions, and practices of adults toward COVID-19: a population and field-based study from Iran. Int J Pub Heal. 2020;65(6):731-9.

Ogolodom M, Mbaba N, Alazigha N, Erondu OF, Egbe NO, Golden Ugwuanyi DC, et al. Knowledge, Attitudes and Fears of HealthCare Workers towards the Corona Virus Disease (COVID-19) Pandemic in South-South, Nigeria. Heal Sci J. 2020;19(1: 002.):1-10.

Olowookere SA, Abioye-Kuteyi EA, Adepoju OK, Esan OT, Adeolu TM, Adeoye TK, et al. Knowledge, Attitude, and Practice of Health Workers in a Tertiary Hospital in Ile-Ife, Nigeria, towards Ebola Viral Disease. J Trop Med. 2015;2015.

Ghana Health Service. GHANA HEALTH SERVICE 2011 ANNUAL REPORT.

Fontenot T. Leading ladies: women in healthcare leadership. Front Health Serv Manage. 2012;28(4):11-21.

Data-OECD. Available at: https://www.oecd.org/gender/data/women-make-up-most-of-the-health-sector-workers-but-they-are-under-represented-in-high-skilled-jobs.htm. Accessed on 25 September 2020.

Saqlain M, Munir MM, Rehman SU, Gulzar A, Naz S, Ahmed Z, et al. Knowledge, attitude, practice and perceived barriers among healthcare workers regarding COVID-19: a cross-sectional survey from Pakistan. J Hosp Infect. 2020;105(3):419-23.

Srikanth Bhagavathula A, Ali Aldhaleei W, Rahmani J, Ashrafi Mahabadi M, Kumar Bandari D, Bhagavathula A, et al. Novel Coronavirus (COVID-19) Knowledge and Perceptions: A Survey of Healthcare Workers. medRxiv.

Asemahagn MA. Factors determining the knowledge and prevention practice of healthcare workers towards COVID-19 in Amhara region, Ethiopia: a cross-sectional survey. Trop Med Health. 2020;48(1):72.

Huynh G, Nguyen T, Tran V, Vo K, Vo V, Pham L. Knowledge and attitude toward COVID-19 among healthcare workers at District 2 Hospital, Ho Chi Minh City. Asian Pac J Trop Med. 2020;13(6):260-5.

Hussain I, Majeed A, Imran I, Ullah M, Hashmi FK, Saeed H, et al. Knowledge, Attitude, and Practices Toward COVID-19 in Primary Healthcare Providers: A Cross-Sectional Study from Three Tertiary Care Hospitals of Peshawar, Pakistan. J Community Health. 2020:1.

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.

Chen Y, Jin YL, Zhu LJ, Fang ZM,Wu N, Du MX, et al. The network investigation on knowledge, attitude and practice about Novel coronavirus pneumonia of the residents in Anhui Province. Zhonghua Yu Fang Yi Xue Za Zhi. 2020;54(0):E004.

Ajilore K, Atakiti I, Onyenankeya K. College students’ knowledge, attitudes and adherence to public service announcements on Ebola in Nigeria: Suggestions for improving future Ebola prevention education programmes. Health Educ J. 2017;76(6):648-60.

Muhammad K, Saqlain M, Hamdard A, Naveed M, Farooq Umer M, Khan S, et al. Knowledge, Attitude, and Practices of Community Pharmacists about COVID-19: A Cross-Sectional Survey in Two Provinces of Pakistan.

Akbari M, Moosazadeh M, Ghahramani S, Tabrizi R, Kolahdooz F, Asemi Z, et al. High prevalence of hypertension among Iranian children and adolescents. J Hypertens. 2017;35(6):1155-63.