The knowledge and perception about COVID-19 among three tribal population of Khagrachari hill district, Bangladesh: a community based cross sectional study on ongoing outbreak

Mohammad M. Morshed, Soumik Tripura, Mohammad A. Hossain, Mohammad M. Rahman, Asif Mahmud, Pratul D. Somadder


Background: The ongoing pandemic COVID-19 is a new disease that provides a little bit of knowledge. Modern society is getting further information about this pandemic. But the people who are far away from development may not get proper learning and instruction to defect the new virus. Keep this reality in mind, and we aimed via this study to find out the precipitance and knowledge about COVID-19 of the tribal community from Khagrachari district, who are backward and less developed people of Bangladesh.

Methods: Simple random sampling method is used for selecting responders. A willing responder was interviewed using a per-developed questioner and 348 responders (Chakma-131, Marma-106 and Tripura-111) across the Khagrachari district. All statistical analyses were done by SPSS version 20.

Results: COVID-19 is a viral disease known by 87.0% Chakma, 85.0% Marma and 81.1% Tripura alongside 54.2%, 53.8%, and 60.4% Chakma, Marma Tripura; respectively think that COVID-19 is a deadly disease. Using face masks as a safety measurement about 87% of Chakma, 85% of Marma, and 81.1% of Tripura but using hand sanitizer or shop was slightly low compared to facemask use. Although they were eager to take a vaccine at a particular time, it seems they are not optimistic about the vaccine's efficacy.

Conclusions: Overall, the tribal population has sufficient knowledge about COVID-19 and has a good tendency to maintain proper health hygiene to prevent COVID19 infection.


COVID-19, Pandemic, Chakma, Marma, Tripura

Full Text:



Sohrabi C, Alsafi Z, O'Neill N, Khan M, Kerwan A, Al-Jabir A, Iosifidis C, Agha R. World Health Organization declares global emergency: A review of the 2019 novel coronavirus (COVID-19). Int J Surg. 2020;76:71-6.

COVID Live Update Worldometer. Available at: Accessed on 20 February 2021.

World health organization: COVID19 emergencies. Available at: diseases/novel-coronavirus-2019. Accessed on 20 February 2021.

Roy D, Tripathy S, Kar SK, Sharma N, Verma SK, Kaushal V. Study of knowledge, attitude, anxiety & perceived mental healthcare need in Indian population during COVID-19 pandemic. Asian J Psychiatr. 2020;51:102083.

Xu H, Gonzalez Mendez MJ, Guo L, Chen Q, Zheng L, Chen P, Cao X, Liu S, Sun X, Zhang S, Qiao Y. Knowledge, Awareness, and Attitudes Relating to the COVID-19 pandemic among different populations in central china: cross-sectional survey. J Med Internet Res. 2020;22(10):e22628.

Qazi A, Qazi J, Naseer K, Zeeshan M, Hardaker G, Maitama JZ, Haruna K. Analyzing situational awareness through public opinion to predict adoption of social distancing amid pandemic COVID-19. J Med Virol. 2020;92(7):849-55.

Smith RD. Responding to global infectious disease outbreaks: lessons from SARS on the role of risk perception, communication and management. Soc Sci Med. 2006;63(12):3113-23.

Symptoms of Coronavirus. Available at: html. Accessed on 20 February 2021.

Ing AJ, Cocks C, Green JP. COVID-19: in the footsteps of Ernest Shackleton. Thorax. 2020;75(8): 693-4.

Byambasuren O, Buitrago-Garcia D, Egli-Gany D, Counotte MJ. Occurrence and transmission potential of asymptomatic and presymptomatic SARS-CoV-2 infections: A living systematic review and meta-analysis. PLoS Med. 2020;17(9):e1003346.

Singh D, Yi SV. On the origin and evolution of SARS-CoV-2. Exp Mol Med. 2021;53(4):537-47.

Zhu Z, Meng K, Meng G. Genomic recombination events may reveal the evolution of coronavirus and the origin of SARS-CoV-2. Sci Rep. 2020;10(1): 21617.

Shereen MA, Khan S, Kazmi A, Bashir N, Siddique R. COVID-19 infection: Origin, transmission, and characteristics of human coronaviruses. J Adv Res. 2020;24:91-8.

Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID- 19. The COVID-19 resource centre is hosted on Elsevier Connect, the company’s public news and information. Available at: https://www.elsevier. com/connect/coronavirus-information-center. Accessed on 20 February 2021.

Singh A, Zaheer S, Kumar N, Singla T, Ranga S. Covid19, beyond just the lungs: a review of multisystemic involvement by Covid19. Pathol Res Pract. 2021;153384.

COVID-19 situation updates. Available at: Accessed on 20 February 2021.

Coronavirus disease (COVID-19) update of Bangladesh. Available at: region/searo/country/bd. Accessed on 20 February 2021.

Khagrachari District at a Glance. Available at: Accessed on 20 February 2021.

District LGED. Available at: https://oldweb.lged. Accessed on 20 February 2021.

Wuhan municipal health department’s message about our city’s present pneumonia situation. Available at: Accessed on 20 February 2021.

Mahmud A, Paul A, Sikdar D, Hossain MM. Knowledge, attitudes, and practices toward the novel coronavirus among Bangladeshis: Implications for mitigation measures. PLoS One. 2020;15(9): e0238492.

Huang C, Wang Y, Li X, Ren L, Zhao J, Hu Y, et al. Clinical features of patients infected with 2019 novel coronavirus in Wuhan, China. Lancet. 2020; 395(10223):497-506.

Ferdous MZ, Islam MS, Sikder MT, Mosaddek ASM, Zegarra-Valdivia JA, Gozal D. Knowledge, attitude, and practice regarding COVID-19 outbreak in Bangladesh: An online-based cross-sectional study. PLoS One. 2020;15(10):e0239254.

Ali M, Hossain A. What is the extent of COVID-19 vaccine hesitancy in Bangladesh?: A cross-sectional rapid national survey. medRxiv. 2021;2021: 21251917.

Akram L, Khan MHU, Iqbal A, Akram A. A case report of recurrent covid-19 infection of a physician in Bangladesh: re-infection or persistence infection?. Bangladesh J Infect Dis. 2020;7:50-8.