Hospital Based Cross-sectional Study on Knowledge, Attitude, Practice of Preventive Measures Against COVID-19 and Associated Factors Among Pregnant Women on Antenatal Care Follow up at Saint Paul’s Hospital Millennium Medical College, Addis Ababa, Ethiopia
Abstract
Background: Corona virus disease 19 is globally pandemic and highly contagious viral infectious disease that caused infection and death of millions of people across the globe. Since the virus can attack all groups of population assessing knowledge, attitude, practice and associated factors are the most critical step to control the infection. Observations show that pregnant women are more likely to be hospitalized, admitted to ICU and receive mechanical ventilation if infected. Therefore, this study was aimed at assessing knowledge, attitude, preventive practices and associated factors among pregnant women on ANC follow up at SPHMMC.
Methods: Hospital based cross-sectional study was conducted from 1st of May to April 2021, among 422 pregnant women who were on ANC follow up at SPHMMC. Data quality was controlled by training data collectors and supervisors and checking each data for completeness and consistency during and after actual data collection. Completely filled data was coded and entered to SPSS version 25 for analysis. Descriptive statistics using univariate analysis was applied to determine the distribution of study variables. Finally binary logistic regression analysis was performed to indicate the independent predictors of practice of preventive measures and adjusted odds ratio with P-value ≤ 0.05 at 95% CI was taken as statistically significant.
Results: This study indicated 98.8 % and 92.7 % of the participants had adequate knowledge and good attitude, respectively. However, only 31.3% of the respondents had good practice of preventive measures. The odds of having good practice of preventive measures were higher among participants who were urban residents (p value=0.013, AOR=3.1, 95% CI:1.3-7.7), who attained college or above educational level (p value=0.000, AOR=3, 95%CI:1.9-4.7), who were government employee (p value=0.014, AOR=2.35, 95%CI: 1.12-4.6) and had family income of >5000(ETB) (p value=0.001, AOR=2.1, 95%CI:1.4-3.3)
Conclusion: The study demonstrated that almost all of the target population had adequate knowledge and good attitude. But there was considerable limited practice of preventive measures. Thus, great attention on health education and consistent implementation of regulatory strategies needs to be employed to improve practice of preventive measures among the target population.