Knowledge, Attitudes, and Practices towards COVID-19 of Pregnant Women at a Primary Health Care Facility in South Africa

##plugins.themes.bootstrap3.article.main##

COVID-19 pandemic has resulted in the death of hundreds of thousands of people globally. Several preventive measures have been recommended to reduce the spread of the disease. However, the level of knowledge, attitudes, and practices (KAP) of these preventive measures among pregnant women, are yet to be evaluated in South Africa. Therefore, the objective of this study was to determine the KAP towards COVID-19 among pregnant women. The purpose was to identify KAP gaps of pregnant women and develop educational materials and implement programmes. A questionnaire-based cross-sectional study was undertaken. Student’s t-test, ANOVA test, Pearson’s correlation test and Binary logistic regression analysis was carried out. Majority of the respondents were single (71%), unemployed (52%), and had low education (78% had either no or less than 12 years education). More than half (51.2%) had vulnerable comorbidities for COVID-19 infection and complication. Both knowledge and attitude mean of pregnant women were found to be low at 43.5% and 30% respectively. However, their practice on prevention of COVID-19 was good at 76%. Knowledge was found to be significantly positively correlated with practice towards COVID-19 (r= 0.111). Women having good knowledge were seven times more likely to practice positively regarding COVID-19 (P=0.019). Women having 1-5 years of education were 94% less likely to practice good towards COVID-19 prevention (P=0.018) compared to those having post matric education. The pregnant women in this research had inadequate knowledge and attitude of COVID-19 infection. However, preventive practices were good among them. Mass education and communication strategies are thus required to improve the knowledge and attitudes of pregnant women towards COVID-19.

  1. Zhu N, Zhang D, Wang W, et al. A novel coronavirus from patients with pneumonia in China, 2019. New Engl J Med. 2020; 382(8): 727–733.
    DOI
     Google Scholar 
  2. World Health Organization. Coronavirus disease 2019 (COVID‐19) situation report–78. 2020. Reference Source.
     Google Scholar 
  3. Zhou F, Yu T, Du R, Fan G, Liu Y, Liu Z, et al. Clinical course and risk factors for mortality of adult inpatients with COVID-19 in Wuhan, China: a retrospective cohort study. Lancet 2020; (395), 10229, 1054-62.
    DOI
     Google Scholar 
  4. Wu Z, McGoogan JM. Characteristics of and important lessons from the Coronavirus disease 2019 (COVID-19) outbreak in China: summary of a report of 72 314 cases from the Chinese Center for Disease Control and Prevention. JAMA. 2020; 323(13):1239-42.
    DOI
     Google Scholar 
  5. Istituto Superiore di Sanità: Report about the Characteristics of Death Patients Positive to COVID-19 in Italy. Epidemiology for public health(Based on Data Updated on 17th March 2020).
     Google Scholar 
  6. Qiao J. What are the risks of COVID-19 infection in pregnant women? The Lancet 2020;395(10226):760-762.
    DOI
     Google Scholar 
  7. Bouaziz J, Even M, Isnard-Bogillot F, et al. COVID-19 in pregnancy: What do we really know? Research. 2020, 9:362.
    DOI
     Google Scholar 
  8. Khan, S., Jun, L., Nawsherwan, Siddique, R., Li, Y., et al. Association of COVID-19 with pregnancy outcomes in health-care workers and general women. Clinical microbiology and infection. 2020; 26(6), 788–790.
    DOI
     Google Scholar 
  9. Zimmermann P, Curtis N. COVID-19 in children, pregnancy and neonates: A review of epidemiologic and clinical features. Pediatr Infect Dis J 2020;39(6):469-477.
    DOI
     Google Scholar 
  10. Chen H, Guo J, Wang C, et al. Clinical characteristics and intrauterine vertical transmission potential of COVID-19 infection in nine pregnant women: A retrospective review of medical records. Lancet 2020;395(10226):809-815.
    DOI
     Google Scholar 
  11. Adebayo B. A two-day-old baby has died of Covid-19 in South Africa. CNN, 21 May 2020. https://edition.cnn.com/2020/05/21/africa/south-africa-baby-death-coronavirus-intl/index.html (accessed 29 June 2020).
     Google Scholar 
  12. Chen L, Li Q, Zheng D, et al. Clinical characteristics of pregnant women with Covid-19 in Wuhan, China. N Engl J Med 2020;385(25):100.
    DOI
     Google Scholar 
  13. Chen R, Zhang Y, Huang L, et al. Safety and efficacy of different anesthetic regimens for parturient with COVID-19 undergoing caesarean delivery: A case series of 17 patients. Can J Anaesth 2020;67(6):655- 663.
    DOI
     Google Scholar 
  14. Di Renzo GC, Giardina I. COVID-19 in pregnancy: Consider thromboembolic disorders and thromboprophylaxis. Am J Obstet Gynecol 2020;223(1):135.
    DOI
     Google Scholar 
  15. Kimberlin DW, Stagno S. Can SARS-CoV-2 infection be acquired in utero? More definitive evidence is needed. JAMA 2020;323(18):1788-1789.
    DOI
     Google Scholar 
  16. Ortiz EI, Herrera E, De La Torre A. Coronavirus (COVID 19) Infection in Pregnancy. Colombia Médica. RCOG, 2020;51(2).
    DOI
     Google Scholar 
  17. Rubin GJ, Wessely S. The psychological effects of quarantining a city. BMJ. 2020; 368.
    DOI
     Google Scholar 
  18. Pulla P. Covid-19: India imposes lockdown for 21 days and cases rise. BMJ, 2020; 368 (1251).
    DOI
     Google Scholar 
  19. Department of health, Republic of South Africa, National COVID-19 daily report. Available on https://www.nicd.ac.za/contact-us/. Accessed on 18 August 2020.
     Google Scholar 
  20. World Health Organisation; Rational use of personal protective equipment (PPE) for coronavirus disease (COVID-19); Interim guidelines; 2020.
     Google Scholar 
  21. Nwafor J I, Aniukwu J K, Anozie B O. Knowledge and practice of preventive measures against COVID-19 infection among pregnant women in a low-resource African setting. Int J Gynecol Obstet 2020; 1–3.
    DOI
     Google Scholar 
  22. Department of Health. Guidelines for Maternity Care in South Africa: A Manual for Clinics, Community Health Centers and District Hospitals. 4th ed. Pretoria, South Africa: Department of Health; 2016.
     Google Scholar 
  23. Hoque AM, Buckus S, Hoque M, Hoque ME, Van Hal G. COVID-19 Vaccine Acceptability Among Pregnant Women at a Primary Health Care Facility in Durban, South Africa. EJMED (accepted).
     Google Scholar 
  24. Qiacheng X, Jian S, Lingling P, et al. Coronavirus disease 2019 in pregnancy. Int J Infect Disease. 2020; 95, 376-383.
    DOI
     Google Scholar 
  25. Lopes de Sousa AF, Carvalho HEF, Oliviera LB, et al. Effects of COVID-19 Infection during Pregnancy and Neonatal Prognosis: What Is the Evidence? Int J Environ Res Public Health. 2020;17(11):4176.
    DOI
     Google Scholar 
  26. Novel Coronavirus 2019. Accessed on 16 August 2020 from; https://www.acog.org/clinical/clinical-guidance/practice-advisory/articles/2020/03/novel-coronavirus-2019. Last updated 12 August 2020.
     Google Scholar 
  27. Al-Hanawi MK, Angawi K, Alshareef N, 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.
    DOI
     Google Scholar 
  28. Anikwe C. Chidebe, Ogah C.O, Anikwe I.H., Okorochukwa B.C. Coronavirus disease 2019: Knowledge, attitude, and practice of pregnant women in a tertiary hospital in Abakaliki, southeast Nigeria Inter J of Obst and Gyn. 2020; 151(2):197-202.
    DOI
     Google Scholar 
  29. Zhou M, Tang F, Wang Y, Nie H, Zhang L, You G, Zhang M. Knowledge, attitude and practice regarding COVID-19 among health care workers in Henan, China. Journal of Hospital Infection. 2020; 105(2): 183-87.
    DOI
     Google Scholar 
  30. 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. 2020. doi: https://doi.org/10.1101/2020.06.01.127381.
    DOI
     Google Scholar 
  31. Rasmussen SA, Smulian JC, Lednicky JA, Wen TS, Jamieson DJ. Coronavirus Disease 2019 (COVID-2019) and Pregnancy: What obstetricians need to know. AJOG. 2020.
    DOI
     Google Scholar 
  32. Poon LC, Yang H, Kapur A, Melamed N, et al. Global interim guidance on coronavirus disease 2019 (COVID‐19) during pregnancy and puerperium from FIGO and allied partners: Information for healthcare professionals. International Journal of Gynecology & Obstetrics. 2020;149(3):273-86.
    DOI
     Google Scholar 
  33. Fisher WA, Fisher JD, Rye BJ. Understanding and promoting AIDS preventive. behavior: insights from the theory of reasoned action. Health Psych. 1995;14 (255)64.
    DOI
     Google Scholar 

Downloads

Download data is not yet available.

How to Cite

Hoque, A. M., Alam, A. M., Hoque, M., Hoque, M. E., & Van Hal, G. (2021). Knowledge, Attitudes, and Practices towards COVID-19 of Pregnant Women at a Primary Health Care Facility in South Africa. European Journal of Medical and Health Sciences, 3(1), 50–55. https://doi.org/10.24018/ejmed.2021.3.1.654