Published: 2021-10-27

Assessment of knowledge, attitude and practice towards COVID-19 infection among residents of an urban slum in a metropolitan city

Aritra Kumar Bose, Abhiram Kasbe, Janardan Bandi, Sudam R. Suryawanshi


Background: COVID-19 is an infectious disease caused by a newly discovered coronavirus named SARS COV 2. By 26th August 2021, India added a record 37,593 cases of coronavirus infection, pushing the country’s COVID-19 tally to 32.5 million, while the death toll climbed to 4.35 million. This was declared as the second wave. The ICMR has calculated that compared to rural areas, the risk of spread was 1.09 times higher in urban areas and 1.89 times higher in urban slums. With all its elms, the urban slum can be a testing ground for appropriate awareness about the cause, prevention of COVID-19.

Methods: The study was conducted in the field practice area of the Urban Health Centre of T. N. Medical College and B. Y. L. Nair Hospital situated in Mumbai. Approval for the conduction of the study was obtained from the Institutional Ethics Committee. The study was conducted over 1 month; i.e. from March 2021 to April 2021. The subjects were interviewed using a pre-designed interview schedule, information regarding education, occupation, marital status, and various information about knowledge, attitude and practice to prevent and protect against COVID-19 were obtained.

Results: Majority of the study subjects were aged less than 50 years, with mean age of 44.92±16.16 years. With female predominance (56.0%), majority of subjects were literate (72.5%) with 55% of subjects educated till class 10 and 53.5% were employed. Seventy-seven percent subjects had elderly family members residing with them. Non-communicable diseases was observed in 75.5% subjects.

Conclusions: The study highlighted the importance of effective and tailored health education programs aimed at improving COVID-19 knowledge, thereby leading to more favourable attitudes and implementation and maintenance of safe practices.


COVID-19, India, Pandemic, Slums

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Coronavirus (COVID-19). Google News. Available at: Accessed on 19 April 2021.

Microsoft Bing COVID-19 Tracker. Available at: Accessed on 19 April 2021.

Perappadan BS. Coronavirus. Urban slum population most vulnerable to COVID-19 spread: ICMR. The Hindu. 2020. Available at: Accessed on 19 April 2021.

4. COVID-19: 4 factors to test how vulnerable slums in 4 big cities are. Available at: Accessed on 19 April 2021.

Al-Hanawi MK, Angawi K, Alshareef N, Qattan AMN, Helmy HZ, Abudawood Y, et al. Knowledge, attitude and practice toward COVID-19 among the public in the Kingdom of Saudi Arabia: a cross-sectional study. Front Public Health. 2020;8.

Christy JS, Kaur K, Gurnani B, Hess OM, Narendran K, Venugopal A, et al. Knowledge, attitude and practise toward COVID-19 among patients presenting to five tertiary eye care hospitals in South India - A multicentre questionnaire-based survey. Indian J Ophthalmol. 2020;68(11):2385-90.

Lee M, Kang BA, You M. Knowledge, attitudes, and practices (KAP) toward COVID-19: a cross-sectional study in South Korea. BMC Public Health. 2021;21(1):295.

Unger A, Riley LW. Slum health: from understanding to action. PLoS Med. 2007;4(10).

Coronavirus. 57% of Mumbai slum population has developed antibodies: Study. The Hindu. 2020. Available at: news/national/coronavirus-57-of-mumbai-slum-population-has-developed-antibodies-study/article 32216939.ece. Accessed on 3 June 2021.

Habib MA, Dayyab FM, Iliyasu G, Habib AG. Knowledge, attitude and practice survey of COVID-19 pandemic in Northern Nigeria. PloS One. 2021;16(1):e0245176.

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 Psychiatry. 2020;51:102083.

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.

Haischer MH, Beilfuss R, Hart MR, Opielinski L, Wrucke D, Zirgaitis G, et al. Who is wearing a mask? Gender-, age-, and location-related differences during the COVID-19 pandemic. PLoS One. 2020;15(10).

Lee LY, Lam EP, Chan C, Chan S, Chiu M, Chong W, et al. Practice and technique of using face mask amongst adults in the community: a cross-sectional descriptive study. BMC Public Health. 2020;20(1):948.

Williams SN, Armitage CJ, Tampe T, Dienes K. Public perceptions and experiences of social distancing and social isolation during the COVID-19 pandemic: a UK-based focus group study. BMJ Open. 2020;10(7).

Ramirez AV, Ojeaga M, Espinoza V, Hensler B, Honrubia V. Telemedicine in Minority and Socioeconomically Disadvantaged Communities Amidst COVID-19 Pandemic. Otolaryngol Neck Surg. 2021;164(1):91-2.

Ganson KT, Tsai AC, Weiser SD, Benabou SE, Nagata JM. Job insecurity and symptoms of anxiety and depression among U.S. young adults during COVID-19. J Adolesc Health. 2021;68(1):53-6.

Drake RE, Sederer LI, Becker DR, Bond GR. COVID-19, unemployment, and behavioral health conditions: the need for supported employment. Adm Policy Mental Health. 2021;1-5.

Aneja R, Ahuja V. An assessment of socioeconomic impact of COVID‐19 pandemic in India. J Public Affairs. 2021;21(2):e2266.

WHO Guidelines on Hand Hygiene in Health Care: First Global Patient Safety Challenge Clean Care Is Safer Care. WHO-recommended handrub formulations. World Health Organization; 2009. Available at: NBK144054/. Accessed on 6 June 2021.