Knowledge, Adherence Mapping of Covid-19 Preventive Measures Among Adults in Southwest Nigeria: A Cross-Sectional Study

Main Article Content

Kabir Adekunle Durowade
Omotosho Ibrahim Musa
Taofeek Adedayo Sanni
Rofiat Bunmi Mudashiru
Makinde Adebayo Adeniyi
Mojirola Martina Fasiku
Kehinde Olubukola Ojo

Abstract

Background: COVID-19 preventive measures represent the largest public health interventions in human history. However, gap still exist in the knowledge and adherence towards the preventive measures of the disease. This study assessed the knowledge and adherence towards COVID-19 preventive measures among adults in selected communities of Ekiti state, Southwest Nigeria


Methodology: This is a cross-sectional analytical study with multi-stage sampling technique. A pre-tested, structured questionnaire was used to collect data. Statistical Package for the Social Sciences version 23 and ArcGIS version 10.5 were used for data analysis and adherence mapping respectively. Level of statistical significance was set at p<0.05.


Result: Majority, 593 (98.8%), knew the preventive measures of COVID-19 and more than three quarter demonstrated good knowledge, 460 (76.7%).  Less than half, 269 (44.8%), had good adherence to the preventive measures of COVID-19. Age and higher educational status were found to be associated with knowledge while socio-economic status was associated with adherence (p<0.05). Marriage was found as a predictor of knowledge [(aOR=7.43 (0.85-65.01); p=0.038)] and female respondents were about twice likely than the males to have good adherence to preventive measures. [(aOR=1.78 (1.17-2.69); p=0.007)]. The rich respondents were three times more likely to adhere to preventive measures of COVID-19 [(aOR=3.15 (1.51-6.55); p=0.002)].


Conclusion: The knowledge of COVID-19 preventive measures was high, but adherence to it was poor. The government and other relevant stakeholders in the State need to institute various interventions like health awareness campaign to increase adherence to the preventive measures.

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Article Details

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Original Articles

Author Biography

Rofiat Bunmi Mudashiru, Department of Civil Engineering, Federal Polytechnic, Offa, Nigeria

   

How to Cite

Durowade, K., Musa, O., Sanni, T., Mudashiru, R., Adeniyi, M., Fasiku, M., & Ojo, K. (2026). Knowledge, Adherence Mapping of Covid-19 Preventive Measures Among Adults in Southwest Nigeria: A Cross-Sectional Study. The Nigerian Health Journal, 25(4), 1467-1481. https://doi.org/10.71637/tnhj.v25i4.1218

References

1.World Health Organization (W.H.O). Coronavirus disease 2019 (COVID-2019). Situation Report-51. Available from www.who.int/docs/default-source/coronaviruse/ Last accessed 27/08/2020

2.Dong Y, Mo X, Hu Y, Qi X, Jang F, Jiang Z et al. Epidemiological characteristics of 2143 paediatric patients with 2019 Coronavirus Disease in China. Journal of Emergency Medicine.2020; 58(4):712-713. doi: 10.1016/j.jemermed.2020.04.06

3.Qiu H, Wu J, Hong L, Luo Y, Song Q, Chen D. Clinical and epidemiological features of 36 children with coronavirus disease 2019 (COVID-19) in Zhejiang, China: an observational study. The Lancet Infectious Diseases 2020; 20 (6): 689-696

4.Villela EFDM, Lopez RVM, Sato APS, de Oliveira FM, Waldman EA, Van den Bergh R et al. COVID-19 outbreak in Brazil: Adherence to national preventive measures and impact on people’s lives, an online survey. BMC Public Health 2021; 21(1):152-161. https://doi.org/10.1186/s12889-021-10222-z

5.Akande OW, Akande TM. COVID-19 pandemic: A global health burden. Niger Postgrad Med J. 2020; 27 (3): 147-155

6.Abdelhafiz AS, Mohammed Z, Ibrahim ME, Ziady HH, Alorabi M, Ayyad M et al. Knowledge, perceptions, and attitude of Egyptians towards the Novel Coronavirus Disease (COVID-19). J. Comm Health. 2020; 45 (5): 881-890. doi: 10.1007/s10900-020-00827-7

7.Ferrer R, Klein WM. Risk perceptions and health behaviour. Curr Opin Psychol. 2015; 5: 85-89. doi:10.1016/j.copsyc.2015.03.012

8.Abeya SG, Barkesa SB, Sadi CG, Gemeda DG, Muleta FY, Tolera AF et al. Adherence to COVID-19 preventive measures and associated factors in Oromia regional state of Ethiopia. PLoS ONE 2021; 16(10): 1-26. e0257373. https://doi.org/10.1371/ journal.pone.0257373

9.Folmer CPR, Brownlee MA, Fine AD, Kooistra EB, Kuiper ME, Olthuis EH et al. Social distancing in America: Understanding long-term adherence to COVID-19 mitigation recommendations. PLoS ONE 2021; 16(9):1-39. e0257945. https://doi.org/10.1371/journal. pone.0257945

10.Kumbeni MT, Apanga PA, Yeboah EO, Lettor IBK. Knowledge and preventive practices towards COVID-19 among pregnant women seeking antenatal services in Northern Ghana. PLoS ONE 2021; 16(6): 1-11. e0253446. https://doi.org/10.1371/journal.pone.0253446

11.Oyeyemi OT, Oladoyin VO, Okunlola OA, Mosobalaje A, Oyeyemi IT, Adebimpe WO et al. COVID-19 pandemic: an online-based survey of knowledge, perception, and adherence to preventive measures among educated Nigerian adults. Z Gesundh Wiss. 2022;30(6):1603-1612 doi: https://doi.org/10.1007/s10389-020-01455-0

12.Cabore JW, Karamagi HC, Kipruto H, Asamani JA, Droti B, Seydi ABW et al. The potential effects of widespread community transmission of SARS-CoV-2 infection in the World Health Organization African Region: a predictive model. BMJ Global Health 2020; 5: 1-13. doi :10.1136/ bmjgh-2020-002647.

13.Balogun JA. Epidemiology of COVID-19: A review. African Journal of Reproductive Health 2020; 24 (2) :117-124

14.Asemahagn MA. Factors determining the knowledge and prevention practice of healthcare workers towards COVID-19 in Amhara region, Ethiopia: a cross-sectional study. Tropical Medicine and Health 2020; 48: 72-82

15.Otu A, Charles CH, Yaya S. Mental health and psychosocial well-being during the COVID-19 pandemic: the invisible elephant in the room. Int J. Ment Health Syst. 2020; 14(38): 1-5.

16.Ayeni GO. Assessment of urban poverty and service provision in Ekiti state, Nigeria. Saudi Journal of Humanities and Social Sciences 2017; 2 (3): 211-222.

17.Araoye MO Subjects selection. In: Research Methodology with statistics for Health and Social sciences. Nigeria. Nathadex Publishers, 117-119. 2004.

18.Whitley E, Ball J. Statistics review 4. Sample size calculations. Crit. Care 2002; 6(4): 335-341

19.Hachiya M, Miyano S, Mori Y, Vynnycky E, Keungsaneth P, Vongphrachanh P, et al. Evaluation of nationwide supplementary immunization in Lao people’s Democratic Republic: Population-based seroprevalence survey of anti-measles and anti-rubella IgG in children and adults, mathematical modelling and a stability testing of the vaccine. PLoS ONE 2018; 13(3):1-16. e0194931. https://doi.org/10.1371/journal.pone.0194931.

20.Durowade KA, Sanni TA, Adeniyi MA, Babalola SA, Popoola TA, Adebara IO et al. Psychological, socio-economic effects of COVID-19 pandemic and associated self-reported vulnerability factors among residents of Southwest Nigeria. Niger J Med 2020; 29(4): 566-574

21.Bekele D, Tolossa T, Tsegaye R, Teshome W. The knowledge and practice towards COVID-19 pandemic prevention among residents of Ethiopia: An Online Cross-Sectional Study. PLoS ONE 2020; 16(1):1-13 e0234585. https://doi.org/10.1371/journal.pone.0234585

22.Oyeyemi O, Oladoyin V, Okunlola O, Mosobalaje A, Oyeyemi I, Adebimpe W, et al. COVID-19 pandemic: Nigerians’ knowledge, perception and adherence to preventive measures. Research Square 2020; 1-19. DOI: https://doi.org/10.21203/rs.3.rs-49707/v1

23.Okoro J, Ekeroku A, Nweze B, Odionye T, Nkire J, Onuoha M. Attitude and preventive practices towards COVID-19 disease and the impact of awareness training on knowledge of the disease among correctional officers. Emerald Open Research. 2020; 2(51):1-14. https://doi.org/10.35241/emeraldopenres.13839.1

24.Rodriguez-Rey R, Garrido-Hernansaiz H, Collado S. Psychological impact and associated factors during the initial stage of the Coronavirus (COVID-19) pandemic among the general population in Spain. Front. Psychol. 2020; 11(1540): 1-23.

25.Bolarinwa OA. Principles and methods of validity and reliability testing of questionnaires used in social and health science researches. Niger Postgrad Med J. 2015; 22: 195-201.

26.Durowade KA, Salaudeen AG, Musa OI, Olokoba LB, Osinubi MO, Fasiku MM, et al. Knowledge of glaucoma and its socio-demographic determinants: A comparative study of selected rural and urban communities in Kwara state, North-central Nigeria. Savannah Journal of Medical Research and Practice 2017; 6(2), 18-30.

27.Nwonwu EZ, Ossai EN, Umeokonkwo CD, Ituma IB. Knowledge and preventive practice to COVID-19 among household heads in Enugu metropolis South-East Nigeria. PAMJ. 2020; 37(63): 1-12. doi:10.11604/pamj.2020.37.63.23986

28.Hjelm L, Mathiassen A, Miller D, Wadhwa A. World Food Programme. Creation of a Wealth Index. VAM Guidance Paper. pp 1-26. 2017.

29.Nwafor JI, Aniukwu JK, Anozie BO, Ikeotuonye AC, Okedo-Alex IN. Pregnant women’s knowledge and practice of preventive measures against COVID-19 in a low-resource African setting. Int J Gynaecol Obstet. 2020; 150(1): 121-123. doi: 10.1002/ijgo.13186.

30.Assefa N, Soura A, Hemler EC, Korte ML, Wang D, Abdullahi YY, et al. COVID-19 knowledge, perception, preventive measures, stigma and mental health among healthcare workers in three sub-Saharan African countries: A phone survey. Am J. Trop. Med. Hyg., 2021; 105(2):342-350. https://doi:10.4269/ajtmh.20-1621

31.Owhonda G, Maduka O, Nwadiuto I, Tobin-West C, Azi E, Ojimah C, et al. Awareness, perception, and the practice of COVID-19 prevention among residents of a State in the South-South region of Nigeria: implications for public health control efforts. International Health 2022; 14(3): 309-318. Doi: https://doi.org/10.1093/inthealth/ihab046

32.Ogolodom MP, Mbaba AN, Alazigha N, Erondu OF, Egbe NO, et al. Knowledge, Attitudes and Fears of HealthCare Workers towards the Corona Virus Disease (COVID-19) Pandemic in South-South, Nigeria. Health Sci J. 2020; Sp. Iss 1 (002):1-10. DOI:10.36648/1791-809X.S1.002

33.Ngwewondo A, Nkengazong L, Ambe LA, Ebogo JT, Mba FM, Goni HO et al. Knowledge, attitudes, practices of/towards COVID-19 preventive measures and symptoms: A cross-sectional study during the exponential rise of the outbreak in Cameroon. PLos Negl Trop Dis 2020; 14(9):1-15. e0008700. https://doi.org/10.1371/journal.pntd.0008700

34.Afzal MS, Khan A, Qureshi UR, Saleem S, Saqib MAN, Shabbir RMK, et al. Community-based assessment of knowledge, attitude, practices and risk factors regarding COVID-19 among Pakistanis residents during a recent outbreak: A cross-sectional survey. J. Comm Health 2020; 1-10. https://doi.org/10.1007/s10900-020-00875-z

35.Oluwadiya KS, Amu E, Omotayo JA, Raimi TH, Dada SA, Fadeyi A et al. Ekiti State Government. Ekiti COVID-19 Surveys (EKCOVS) 2020 State-wide household survey of prevalence, risk perception, adoption of preventive measures and people’s understanding of COVID-19 in Ekiti State, Nigeria. Technical Report. 2021; 1-65. DOI: 10.13140/RG.2.2.19269.37603. https://www.researchgate.net/publication/350513270

36.Bante A, Mersha A, Tesfaye A, Tsegaye B, Shibiru S, Ayele G, et al. Adherence with COVID-19 preventive measures and associated factors among residents of Dirashe district, Southern Ethiopia. Patient Preference and Adherence 2021; 15: 237-249.

37.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: 217-226

38.Reuben RC, Danladi MMA, Saleh DA, Ejembi PE. Knowledge, attitudes and practice towards COVID-19: An epidemiological survey in North-central Nigeria. Journal of Community Health 2020; 1-14. https://doi.org/10.1007/s10900-020-00881-1

39.Karimy M, Bastamy F, Sharifat R, Heydarabadi AB, Hatamzadeh N, Pakpour AH et al. Factors related to preventive COVID-19 behaviours using health belief model among general population: a cross-sectional study in Iran. BMC Public Health 2021; 21(1934):1-8. https://doi.org/10.1186/s12889-021-11983-3

40.Bondad-Reantaso MG, Mackinnon B, Bin H, Jie H, Tang-Nelson K, Surachetpong W et al. Viewpoint: SARS-CoV-2 (The cause of COVID-19 in humans) is not known to infect aquatic animals nor contaminate their products. Asian Fisheries Science 2020; 33: 74-78

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