Résumé
Introduction
Ethiopia reported its first case of COVID-19 at the beginning of March 2020. Although the extent of the outbreak in Africa has remained unpredictable, it can be said that some of its effects are already observable in the economy, politics, and society. Lack of disease awareness and widespread poverty in the continent of Africa is supposed to be challenging to contain the spread of the disease.
Purpose
The study aimed to assess the COVID-19 awareness and safety recommendations response (adherence) rate of people living in Addis Ababa, Ethiopia.
Materials and Methods
Descriptive epidemiology and ethnography designs were used to assess the COVID-19 awareness and safety recommendations response (adherence) rate of people living in Addis Ababa. In this study, a mixed-method approach, in which the quantitative and qualitative paradigms are used at different phases was adopted. The relevant data were collected using questionnaires.
Results
A total of 1118 respondents and three key informants (ethnographers) were involved in this study. A significant portion of the respondents was found to be well aware of COVID-19. Out of the 1118 respondents, 99.6% (n=1114) have reported at least a single symptom and mode of transmission of the disease. On contrary, a poor adherence rate was reported by the respondents and ethnographers. For example, only 25% (n=280) and 22.3% (249) of the total study participants abided by the stay-at-home and physical distancing recommendations, respectively. Furthermore, only 55% (n=589) of the respondents used to wash their hands correctly. Negligence was also reported among 70.1% (n=714) of the respondents.
Conclusion
Both the descriptive epidemiology and the ethnographic approaches have revealed that the COVID-19 safety recommendations adherence rate of residents in Addis Ababa was found to be insufficient. In contrast, the disease awareness was significantly high. Therefore, more public and media campaigns need to be initiated to improve people’s adherence to the COVID-19 preventive measures. Furthermore, accessibility to face masks, gloves, sanitary materials, and non-crowded public transport should be ascertained to contain the spread of the disease.
Références
Addis Standard. (2020). Analysis: Ethiopia’s response to Covid-19. https://addisstandard.com/analysis-ethiopias-response-to-covid-19/.
Al-Dmour, H., Masa'deh, R., Salman, A., Abuhashesh, M., & Al-Dmour, R. (2020). Influence of Social Media Platforms on Public Health Protection Against the COVID-19 Pandemic via the Mediating Effects of Public Health Awareness and Behavioral Changes: Integrated Model. J Med Internet Res, 22(8), e19996. doi: 10.2196/19996.
Ahmed, M. A., Colebunders, R., & Fodjo, J. N. S. (2020). Evidence for significant COVID-19 community transmission in Somalia using a clinical case definition. Int. J. Infect. Dis. 98, 206–207.
Ahmed, M., A., M., Siewe-Fodjo, J., N., Gele, A., A., et al. (2020). COVID-19 in Somalia: adherence to preventive measures and evolution of the disease burden. Pathogens, 9, 735.
Arino, J., Brauer, F., Driessche, P., V., Watmough, J., & Wu, J. (2006). A simple model for containment of a pandemic. J. R. Soc. Interface, 3, 453-457.
Centers for Disease Prevention and Control. (2020). Coronavirus. http://www.bccdc.ca/about/newsstories/stories/2020/information-on-novelcoronavirus.
Chan, J. F. W., Yuan, S., Kok, K. H., To, K., K.-W., Chu, H., Yang, J., Xing, F., Liu, J., Yip, C., C.-Y., Poon, R., W.-S., et al. (2020). A familial cluster of pneumonia associated with the 2019 novel coronavirus indicating person-to-person transmission: A study of a family cluster. Lancet, 395, 514–523.
Chu, D., K., Akl, E., A., Duda, S., et al. (2020). Physical distancing, face masks, and eye protection to prevent person-to-person transmission of SARS-CoV-2 and COVID-19: a systematic review and meta-analysis. Lancet, 395, 1973–87.
Elhadi, M., Msherghi, A., Alkeelani, M., et al. (2020). Concerns for low-resource countries, with under-prepared intensive care units, facing the COVID-19 pandemic. Infect Dis Health 25, 227–32.
Feng, S., Shen, C., Xia, N., Song, W., Fan, M., & Cowling, B. J. (2020). Rational use of face masks in the COVID-19 pandemic. Lancet Respir. Med., 8, 434–436.
Jang, W., M., Jang, D., H., & Lee, J., Y. (2020). Social distancing and Transmission reducing practices during the 2019 coronavirus disease and 2015 middle East respiratory syndrome coronavirus outbreaks in Korea. J Korean Med Sci, 35, e220.
Kobia, F., & Gitaka, J. (2020). COVID-19: Are Africa’s diagnostic challenges blunting response effectiveness? AAS open research, 3 http:// europepmc.org/abstract/MED/32399515.
Li, H., Wang, S., Zhong, F., Bao, W., Li, Y., Liu, L., Wang, H., & He, Y. (2020). Age-Dependent Risks of Incidence and Mortality of COVID-19 in Hubei Province and Other Parts of China. Front. Med., 7.
Moulds, J., (2020). How the threat of COVID-19 is affecting people across Africa. https://www.weforum.org/agenda/2020/05/africa-covid-19-coronavirus-pandemic-food-water-perc/.
Noh, J., Y., Seong, H., Yoon, J., G., et al. (2020). Social distancing against COVID-19: implication for the control of influenza. J Korean Med Sci, 35, e182.
Reuben, R., C., Danladi, M., M., A, Saleh, D., A., et al. (2020). Knowledge, attitudes and practices towards COVID-19: an epidemiological survey in northcentral Nigeria. J Community Health, doi:10.1007/s10900-020- 00881-1.
Siewe, K., Fodjo, J., N., Pengpid, S., Villela, E., F., et al. (2020). Mass masking as a way to contain COVID-19 and exit lockdown in low- and middle-income countries. J Infect, 81, e1–5.
The World Bank, (2020). Community Responses to COVID-19: From the Horn of Africa to the Solomon Islands. https://www.worldbank.org/en/news/feature/2020/05/19/community-responses-to-covid-19-from-the-horn-of-africa-to-the-solomon-islands.
Tobaiqy, M., Qashqary, M., Al-Dahery, S., et al. (2020). Therapeutic management of patients with COVID-19: a systematic review. Infect Prevent Pract, 2, 100061.
Wang, J., Pan, L., Tang, S., et al. (2020). Mask use during COVID-19: a risk adjusted strategy. Environ Pollut, 266, 115099.
Wang, Q., & Yu, C. (2020). The role of masks and respirator protection against SARS-CoV-2. Infect Control Hosp Epidemiol, 41, 746–7.
Wang, Y., Tian, H., Zhang, L., et al. (2020). Reduction of secondary transmission of SARS-CoV-2 in households by face mask use, disinfection and social distancing: a cohort study in Beijing, China. BMJ Glob Health, 5, e002794.
West, R., Michie, S., Rubin, G., J., et al. (2020). Applying principles of behaviour change to reduce SARS-CoV-2 transmission. Nat Hum Behav, 4, 451–9.
World Health Organization, (2020). COVID-19 Situation update for the WHO African Region. Report No.: 26. Retrieved March 30, 2020 from https://apps.who.int/iris/bitstream/handle/10665/334003/SITREP_COVID-19_ WHOAFRO_20200826-eng.pdf.
World Health Organization, (2021). WHO Coronavirus (COVID-19) Dashboard. https://covid19.who.int/.
World Health Organization. (2020). Coronavirus disease 2019 (COVID-19), Situation Report – 51. https://www.who.int/docs/defaultsource/coronaviruse/situation-reports/20200311-sitrep-51-covid19.pdf?sfvrsn=1ba62e57_10.
World Health Organization. (2020). New WHO estimates: Up to 190 000 people could die of COVID-19 in Africa if not controlled. https://www.afro.who.int/news/new-who-estimates-190-000-people-could-die-covid19-africa-if-not-controlled.
World Health Organization. (2020). What is coronavirus? https://health.howstuffworks.com/diseases-conditions/respiratory/coronavirus.htm.
Wolff, W., Martarelli, C., S., Schüler, J., et al. (2020). High Boredom proneness and low trait self-control impair adherence to social distancing guidelines during the COVID-19 pandemic. Int J Environ Res Public Health, 17, 5420.
Yenswah, T, (2020). Africa has a COVID-19-time bomb to defuse. https://www.weforum.org/agenda/2020/04/africa-covid-19-time-bomb-defuse/).
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