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Adherence to COVID-19 preventive practice and associated factors among pregnant women in Gondar city, northwest Ethiopia, 2021: Community-based cross-sectional study.
Temesgan, Wubedle Zelalem; Aklil, Mastewal Belayneh; Yacob, Henok Solomon; Mekonnen, Esubalew Tsega; Tegegne, Elias Derso; Tesfa, Esubalew Binega; Melese, Eshetie Melkie; Seyoum, Tewodros.
  • Temesgan WZ; Department of Clinical Midwifery, School of Midwifery, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.
  • Aklil MB; Department of Clinical Midwifery, School of Midwifery, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.
  • Yacob HS; Department of General Midwifery, School of Midwifery, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.
  • Mekonnen ET; Department of General Midwifery, School of Midwifery, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.
  • Tegegne ED; Department of General Midwifery, School of Midwifery, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.
  • Tesfa EB; Department of General Midwifery, School of Midwifery, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.
  • Melese EM; Department of General Midwifery, School of Midwifery, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.
  • Seyoum T; School of Midwifery, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.
PLoS One ; 17(3): e0264237, 2022.
Article in English | MEDLINE | ID: covidwho-1724847
ABSTRACT

BACKGROUND:

Coronavirus disease 2019 (COVID-19) causes more than five million deaths worldwide. Pregnant women are at high risk for infection due to the physiologic change in the immune and cardiopulmonary system and also it increases the risk of severe disease, intensive care unit admission, and receive mechanical ventilation when compared with non-pregnant women. It is associated with adverse maternal and neonatal outcomes. So pregnant women need to have adhered to preventive measures to prevent COVID-19 related consequences. Therefore, this study aimed to assess adherence toCOVID-19 preventive practice and associated factors among pregnant women in Gondar city, northwest Ethiopia.

METHODS:

A community-based cross-sectional study was conducted from July 1st to 30th, 2021, in Gondar city. A cluster sampling technique was employed to select 678 pregnant women. Data were collected using a pre-tested, face-to-face interviewer-administered questionnaire. Data were entered into EPI DATA version 4.6 and exported to SPSS version 25 for analysis. Both bivariable and multivariable logistic regression analysis was fitted to identify associated factors. Adjusted odds ratio with a 95% confidence interval was used to report the association between covariates and the outcome variable.

RESULTS:

The prevalence of good adherence to COVID-19 preventive practice was 44.8% (95% CI 41.3, 48.7). Maternal age (≤24 years) [AOR = 2.89, 95% CI 1.37, 6.10], maternal education (secondary school) [AOR = 2.95, 95% CI 1.58, 5.53] and (college and above) [AOR = 4.57,95% CI 2.42, 8.62], having ANC follow up [AOR = 2.95, 95% CI 1.35, 6.46] and adequate knowledge towards COVID-19 [AOR = 1.70, 95% CI 1.20, 2.41] were significantly associated with good adherence to COVID-19 preventive practice.

CONCLUSION:

In this study, adherence towards COVID-19 preventive practice in pregnant women is low. Hence, it is important to strengthen women's awareness about COVID-19 through different media and health education. In addition, empowering women to attain ANC and special consideration should be given to women who had no formal education.
Subject(s)

Full text: Available Collection: International databases Database: MEDLINE Main subject: Primary Prevention / Patient Compliance / COVID-19 Type of study: Cohort study / Observational study / Prognostic study / Qualitative research / Randomized controlled trials Limits: Adult / Female / Humans / Pregnancy / Young adult Country/Region as subject: Africa Language: English Journal: PLoS One Journal subject: Science / Medicine Year: 2022 Document Type: Article Affiliation country: JOURNAL.PONE.0264237

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Primary Prevention / Patient Compliance / COVID-19 Type of study: Cohort study / Observational study / Prognostic study / Qualitative research / Randomized controlled trials Limits: Adult / Female / Humans / Pregnancy / Young adult Country/Region as subject: Africa Language: English Journal: PLoS One Journal subject: Science / Medicine Year: 2022 Document Type: Article Affiliation country: JOURNAL.PONE.0264237