Healthcare workers’ compliance with COVID-19 preventive measures, and associated factors, in Ethiopia: A systematic review and meta-analysis

ABSTRACT

Objective Compliance with COVID-19 prevention measures limits infection occurrence and spread in healthcare settings. According to research conducted in Ethiopia, compliance with COVID-19 preventative strategies is inconsistent among healthcare providers. This systematic review and meta-analysis aimed to estimate the national pooled proportion of healthcare workers (HCWs) who adhere to COVID-19 preventive measures and associated factors with good compliance. Design A systematic review and meta-analysis of all identified studies with cross-sectional study design. Data sources A comprehensive search was conducted in PubMed/MEDLINE, POPLINE, HINARI, Science Direct, Cochrane Library databases and Google Scholar search engines from January 2020 to September 2021. Data extraction and synthesis This review included all observational studies conducted in Ethiopia that reported the proportion of compliance with COVID-19 preventive measures and associated factors among HCWs. Two independent authors assessed the methodological quality of studies using Joanna Briggs Institute’s meta-analysis of statistical assessment and review instrument. The effect estimates for pooled proportion and pooled OR (POR) were determined. Results From retrieved 611 original studies, 21 studies were included in the meta-analysis with a total of n=7933 HCWs. The pooled proportion of good compliance with COVID-19 preventive measures among HCWs was 49.7% (95% CI 42.3% to 57.1%). Being male (POR=2.21, 95% CI 1.52 to 3.21), service years (>3 years) (POR=2.65, 95% CI 1.94 to 3.64), training (POR=2.30, 95% CI 1.78 to 2.98), positive attitude (POR=3.14, 95% CI 1.66 to 5.94) and good knowledge (POR=2.36, 95% CI 1.92 to 2.89) were factors significantly associated with good compliance towards COVID-19 preventive measures. Conclusion Our study indicated that approximately one in every two HCWs had good compliance with COVID-19 preventive measures. There must be more emphasis on providing further training sessions for the HCWs to improve their compliance with COVID-19 preventative measures.