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COVID-19 preventive practices during intrapartum care- adherence and barriers in Ethiopia; a multicenter cross- sectional study.
Kebede, Azmeraw Ambachew; Taye, Birhan Tsegaw; Wondie, Kindu Yinges; Tiguh, Agumas Eskezia; Eriku, Getachew Azeze; Mihret, Muhabaw Shumye.
  • Kebede AA; Department of Clinical Midwifery, School of Midwifery, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.
  • Taye BT; Department of Midwifery, College of Medicine and Health Sciences, Debre Berhan University, Debre Berhan, Ethiopia.
  • Wondie KY; Department of Clinical Midwifery, School of Midwifery, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.
  • Tiguh AE; Department of Clinical Midwifery, School of Midwifery, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.
  • Eriku GA; Department of Physiotherapy, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.
  • Mihret MS; Department of Clinical Midwifery, School of Midwifery, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.
PLoS One ; 16(11): e0260270, 2021.
Article in English | MEDLINE | ID: covidwho-1523455
ABSTRACT

BACKGROUND:

Coronavirus disease 19 (COVID-19) is a newly emerging pandemic affecting more than 120 million people globally. Compliance with preventive practices is the single most effective method to overcome the disease. Although several studies have been conducted regarding COVID-19, data on healthcare provider's adherence to COVID-19 preventive practices during childbirth through direct observation is limited. Therefore, this study aimed to assess healthcare provider's adherence to COVID-19 preventive practices during childbirth in northwest Ethiopia.

METHODS:

A multicenter study was conducted at hospitals in northwest Ethiopia among 406 healthcare providers from November 15 /2020 to March 10 /2021. A simple random sampling technique was employed to select the study subjects. Data were collected via face-to-face interviews and direct observation using a structured questionnaire and standardized checklist respectively. EPI INFO version 7.1.2 and SPSS 25 were used for data entry and analysis respectively. Binary logistic regression analyses were undertaken to identify associated factors. The level of significance was decided based on the adjusted odds ratio (AOR) with a 95% confidence interval at a p-value of ≤ 0.05.

RESULTS:

The proportion of healthcare providers having good adherence to COVID-19 preventive practices during intrapartum care was 46.1% (95% CI 41.2, 50.9). Healthcare providers who had job satisfaction (AOR = 3.18; 95% CI 1.64, 6.13), had smartphone and/or computer (AOR = 2.75; 95% CI 1.62, 4.65), ever received training on infection prevention (AOR = 3.58; 95% CI 2.20, 5.84), earned higher monthly income (AOR = 2.15; 95% CI 1.30, 3.57), and worked at health facility in the urban area (AOR = 1.72; 95% CI 1.07, 2.77) had a significant association with adherence to COVID-19 preventive practices. Moreover, the most commonly mentioned barriers for not adhering to the preventive practice of COVID-19 were crowdedness of the delivery room, non-availability of personal protective equipment, and shortage of alcohol or sanitizer.

CONCLUSION:

The healthcare provider's adherence to COVID-19 preventive practices was low. Hence, stakeholders need to pay special attention to increase healthcare provides' job satisfaction. In addition, the provision of continuous training on infection prevention would be helpful. Furthermore, personal protective equipment, alcohol, and sanitizer supply must be provided for healthcare providers.
Subject(s)

Full text: Available Collection: International databases Database: MEDLINE Main subject: Health Knowledge, Attitudes, Practice / Health Personnel / Pandemics / COVID-19 / Health Facilities Type of study: Experimental Studies / Observational study / Prognostic study / Qualitative research / Randomized controlled trials Limits: Adult / Female / Humans / Male / Middle aged / Pregnancy / Young adult Country/Region as subject: Africa Language: English Journal: PLoS One Journal subject: Science / Medicine Year: 2021 Document Type: Article Affiliation country: Journal.pone.0260270

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Health Knowledge, Attitudes, Practice / Health Personnel / Pandemics / COVID-19 / Health Facilities Type of study: Experimental Studies / Observational study / Prognostic study / Qualitative research / Randomized controlled trials Limits: Adult / Female / Humans / Male / Middle aged / Pregnancy / Young adult Country/Region as subject: Africa Language: English Journal: PLoS One Journal subject: Science / Medicine Year: 2021 Document Type: Article Affiliation country: Journal.pone.0260270