COVID-19 Perception, Knowledge, and Preventive Practice: Comparison between South Korea, Ethiopia, and Democratic Republic of Congo
Abstract
In Africa, the first confirmed case of COVID-19 was reported in Egypt on February 14, 2020. Since then, the number of cases has continued to increase with Ethiopia, the Democratic Republic of Congo (DRC), Nigeria, Sudan, Angola, Tanzania, Ghana, and Kenya identified as vulnerable countries. The present study aimed to: 1) identify differences in trust level of COVID-19 diagnosis, recent healthcare utilization experiences, and COVID-19-related knowledge, information, and prevention practices in South Korea, Ethiopia, and DRC; and 2) identify factors influencing trust level in healthcare facilities regarding COVID-19 diagnosis. The present study was cross-sectional. The questionnaire survey was conducted between May 1–14, 2020 using Google forms, and 748 respondents were included in the final analysis. The data collected were analyzed using ANOVA, post-hoc test, and binary logistic regression analysis. South Korea showed higher rate of practice for COVID-19 prevention such as hand washing, mask wearing, and etc. than Ethiopia and DRC. The results showed significant differences with the trust level being 3.129 times higher in respondents from DRC than those from Ethiopia (aOR=3.129, 95% CI: [1.884-5.196], p<.000) and 29.137 times higher in respondents from South Korean than those from Ethiopia (aOR=29.137, 95% CI: [13.869-61.210], p<.000). Gender, age, number of family members, healthcare utilization experience, information, and practice were significant variables. Health education expansion for information and practice about COVID-19 in Ethiopia and DRC is necessary. (Afr J Reprod Health 2020 (Special Edition); 24[2]:66-77).
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World Health Organization. WHO Virtual press
conference on COVID-19. 2020. Available from: https://www.who.int/docs/default-source/coronaviruse/transcripts/who-audio-emergencies-coronavirus-press-conference-full-and-final-11mar2020.pdf?sfvrsn=cb432bb3_2. Accessed May 12, 2020.
World Health Organization. WHO Coronavirus Disease
(COVID-19) Dashboard. Available from: https://covid19.who.int/. Accessed May 12, 2020.
Borjas GJ. Demographic determinants of testing
incidence and COVID-19 infections in New York City neighborhoods. National Bureau of Economic Research, 2020.
Health System Global. COVID-19: Lessons from South
Korea. 2020. Available from: https://www.healthsystemsglobal.org/blog/406/COVID-19-Lessons-from-South-Korea.html Accessed May 12 2020.
Pietrewicz O. Preparedness and Surveillance: South
Korea’s Response to COVID-19. 2020. Available form: https://www.ceeol.com/search/gray-literature-detail?id=846304 Accessed May 15 2020.
Nkengasong JN, Mankoula W. Looming threat of
COVID-19 infection in Africa: act collectively, and fast. Lancet. 2020; 395(10227): 841-842. https://doi.org/10.1016/S0140-6736(20)30464-5
Gilbert M, Pullano G, Pinotti F, Valdano E, Poletto C,
Boelle PY, Ortenzio ED, Yazdanpanah Y, Eholie SP, Pharm MA, Gutierrez B, Kraemer MUG and Colizzan V. Preparedness and vulnerability of African countries against importations of COVID-19: a modelling study. Lancet. 2020; 395(10227): 871-877. https://doi.org/10.1016/S0140-6736(20)30411-6
UN News. COVID-19: Major airlift operation, part of
wider UN supply chain effort reaches ‘most vulnerable’ African nations. 1. Available from: https://news.un.org/en/story/2020/04/1061662. Accessed May 10, 2020.
World Health Organization. First UN solidarity flight
departs Addis Ababa carrying vital COVID-19 medical supplies to all African nations. Available from: https://www.who.int/news-room/detail/14-04-2020-first-un-solidarity-flight-departs-addis-ababa-carrying-vital-covid-19-medical-supplies-to-all-african-nations . Accessed May 10, 2020
Hopman J, Allegranzi B and Mehtar S. Managing
COVID-19 in low-and middle-income countries. Jama. 2020. http://doi:10.1001/jama.2020.4169
World Health Organization. The African region
reinforces preparedness for novel coronavirus. Available from: https://www.afro.who.int/news/african-region-reinforces-preparedness-novel-coronavirus. Accessed May 10, 2020.
Paintsil E. COVID-19 threatens health systems in sub-
Saharan Africa: the eye of the crocodile. J Clin Invest. 2020; 130(6) https://doi.org/10.1172/JCI138493
Eaton LA and Kalichman SC. Social and behavioral
health responses to COVID-19: lessons learned from four decades of an HIV pandemic. Int J Behav Med. 2020; 1-5. https://doi.org/10.1007/s10865-020-00157-y
El-Sadr WM and Justman J. Africa in the Path of Covid-
N Engl J Med. 2020. http://doi.org/10.1056/NEJMp2008193
Zhong BL, Luo W, Li HM, Zhang QQ, Liu XG, Li WT
and Li Y. Knowledge, attitudes, and practices towards COVID-19 among Chinese residents during the rapid rise period of the COVID-19 outbreak: a quick online cross-sectional survey. Int J Biol Sci. 2020; 16(10): 1745. http://doi.org/ 10.7150/ijbs.45221
Rummel RJ. Social behavior and interaction. Rummel,
RJ, Conflict and War, 1976, 2.
Fishbein M and Ajzen I. Understanding attitudes and
predicting social behavior. 1980.
Centers for Disease Control and Prevention. How to
Protect Yourself & Others. 2020. Available from: https://www.cdc.gov/coronavirus/2019-ncov/prevent-getting-sick/prevention-H.pdf. Accessed May 10, 2020.
World Health Organization. Coronavirus disease
(COVID-19) technical guidance: Infection prevention and control / WASH. 2020. Available from: https://www.who.int/emergencies/diseases/novel-coronavirus-2019/technical-guidance/infection-prevention-and-control. Accessed May 10, 2020.
Remuzzi A and Remuzzi, G. COVID-19 and Italy: what
next? Lancet. 2020. https://doi.org/10.1016/S0140-6736(20)30627-9
Statistics Korea (2019) Statistics Korea. Available
from: https://kostat.go.kr/. Accessed Apr 10, 2019
USAID. Demographic and Health Survey: Ethiopia
2016 Available from: https://dhsprogram.com/pubs/pdf/FR328/FR328.pdf. Accessed May 12, 2020.
USAID. Demographic and Health Survey: Democratic
Republic of the Congo 2013–2014 (DRC-DHS II). 2015 Available from: https://dhsprogram.com/pubs/pdf/FR300/FR300.Mal.pdf. Accessed May 12, 2020.
Negi R. User's perceived service quality of mobile
communications: experience from Ethiopia. International Journal of Quality & Reliability Management. 2009. https://doi.org/10.1108/02656710910975769
Kim SS, Chung YS, Melissa J, Kawachi I and
Subramanian SV. Association between interpersonal trust, reciprocity, and depression in South Korea: a prospective analysis. PloS one. 2012; 7(1). https://doi.10.1371/journal.pone.0030602
Kim JY, Yoon JH, Kim MH and Kim SS. Association
between interpersonal trust, reciprocity, and suicidal behaviors: A longitudinal cohort study in South Korea. Prev Med. 2017(99): 218-221. https://doi.org/10.1016/j.ypmed.2017.02.023
Grundy J, Biggs B and Hipgrave DB. Public health and
international partnerships in the Democratic People’s Republic of Korea. PLoS Med. 2015; 12(12). http://doi.10.1371/journal.pmed.1001929
Asemahagn MA. Knowledge and experience sharing
practices among health professionals in hospitals under the Addis Ababa health bureau, Ethiopia. BMC Health Serv Res. 2014; 14(1): 431. https://doi.org/10.1186/1472-6963-14-431
Gebreegziabher HA, Kebede TF, Tekulu FW, Etsay NA,
Aregawi SH, Aregawi GG, Weldeslassie HG and Gebreayezgi GA. Determinants of Cesarean Section Deliveries in Public Hospitals of Addis Ababa, Ethiopia, 2018/19: A Case-Control Study. Int J Gynaecol Obstet. 2020. https://doi.org/10.1155/2020/9018747
Kanyangarara M, Munos MK and Walker N. Quality of
antenatal care service provision in health facilities across sub–Saharan Africa: Evidence from nationally representative health facility assessments. J Glob Health. 2017; 7(2). http://doi.10.7189/jogh.07.021101
Human Rights Watch. DR Congo: Respecting Rights
Key Amid COVID-19 Available from: https://www.hrw.org/news/2020/04/03/dr-congo-respecting-rights-key-amid-covid-19. Accessed May 12, 2020.
Oliver N, Letouzé E, Sterly H, Delataille S, De Nadai M,
Lepri B, Lambiotte B, Benjamins R, Cattuto C, Colizza V, de Cordes N, Fraiberger SP Koebe T, Lehmann S, Murillo J, Pentland A, Pham NP, Pivetta F, Salah AA, Saramaki J, Scarpino SV, Tizzoni M, Verhulst S and Vinck P. Mobile phone data and COVID-19: Missing an opportunity? arXiv preprint arXiv:2003.12347, 2020. Available from: https://arxiv.org/abs/2003.12347. Accessed May 12, 2020.
Medium. COVID-19: Why we should all wear masks—
there is new scientific rationale. Available from: https://medium.com/@Cancerwarrior/covid-19-why-we-should-all-wear-masks-there-is-new-scientific-rationale-280e08ceee71. Accessed May 12, 2020
Feng S, Shen C, Xia N, Song W, Fan M and Cowling BJ.
Rational use of face masks in the COVID-19 pandemic. Lancet Respir Med. 2020. https://doi.org/10.1016/S2213-2600(20)30134-X
Greenhalgh T, Schmid MB, Czypionka T, Bassler D and
Gruer L. Face masks for the public during the covid-19 crisis. BMJ. 2020; 369. https://doi.org/10.1136/bmj.m1435
Marasinghe KM. A systematic review investigating the
effectiveness of face mask use in limiting the spread of COVID-19 among medically not diagnosed individuals: shedding light on current recommendations provided to individuals not medically diagnosed with COVID-19. 2020.3 https://doi.10.21203/rs.3.rs-16701/v1
Long Y, Hu T, Liu L, Chen R, Guo Q, Yang L, Cheng T,
Huang J and Du L. Effectiveness of N95 respirators versus surgical masks against influenza: A systematic review and meta‐analysis. J Evid Based Med. 2020. https://doi.org/10.1111
/jebm.12381
Rohan H and McKay G. The Ebola outbreak in the
Democratic Republic of the Congo: why there is no “silver bullet.” Nat Immunol. 2020; 1-4. https://doi.org/10.1038/s41590-020-0675-8
Hemingway-Foday JJ, Ngoyi BF, Tunda C, Stolka KB,
Grimes KE, Lulbula L, Mossoko M, Kebela BL, Brown LM and MacDonald DM. Lessons learned from reinforcing epidemiologic surveillance during the 2017 Ebola outbreak in the Likati District, Democratic Republic of the Congo. Health security. 2020; 18(S1): S-81-S-91. https://doi.org/10.1089/hs.2019.0065
Maher D, Aseffa A, Kay S and Bayona MT. External
funding to strengthen capacity for research in low-income and middle-income countries: exigence, excellence and equity. BMJ Glob Health. 2020. 5(3): e002212. http://dx.doi.org/10.1136/bmjgh-2019-002212
Kaba, M, Assefa M, Yigzaw T, Kitaw Y, Worku S and
Bulto T. Gaps in public health training in Ethiopia: Insights from a qualitative study. The Ethiopian Journal of Health Development (EJHD). 2020; 34. Special issue. https://ejhd.org/index.php/ejhd/article/view/2625.
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