There is no proven specific treatment or adequate vaccination roll out against COVID-19 infection in South Africa. Optimal infection control measures encompass primary intervention to minimize the spread of COVID-19. Public knowledge, attitude, and practices of dealing with this highly infectious respiratory disease play a vital role in limiting the spread of the infection. Aim was to identify knowledge, attitudes, and practices gaps on COVID-19 pandemic for possible health education intervention. The objectives were to determine the knowledge, attitude and practices of out-patients attending a primary health care facility. A cross-sectional descriptive survey was conducted. The Student’s t-test and ANOVA test were carried out to determine the different mean scores for knowledge, attitudes and practices. Pearson’s correlation test was conducted to determine the relationship between knowledge, attitudes, and practices scores. Binary logistic regression was undertaken to determine the predictor of good knowledge, positive attitude, and preventive practices. A total of 345 out-patient attendees participated of which 51% were male. Over half (52%) of respondents were evaluated as having good knowledge, 59% as having positive attitudes and almost all (95%) were practicing prevention of COVID-19. The knowledge of the respondent was correlated with preventive practices (r=.173, p<0.05). Multiple regression showed that respondents in the age groups 35-44 years and 45-54 years were 2.8 times and 5.7 times more likely to have good knowledge respectively. Non-smokers were 79% less likely to have good knowledge (OR=.219, p<0.05). Respondents with no comorbidity were 50% less likely to have good knowledge (OR=.503, p <0.05), when compared to those having co-morbidities. Respondents with the highest level of education was found to be positive predictor of positive attitudes (OR =7.3, p <0.05). Primary Health Care users have poor knowledge, negative attitudes but practiced properly for the prevention of the transmission of COVID-19. Mass education is required to educate communities to improve knowledge and attitudes on COVID-19 epidemic in SA.
Wang, C. A novel coronavirus outbreak of global health concern. Lancet 2020, 395, 470–473.
World Health Organization. Coronavirus disease 2019 (COVID‐19) situation report–78. 2020. Reference Source.
Mukandavire Z, Nyabadza F, Malunguza NJ, Cuadros DF et al. Quantifying early COVID-19 outbreak transmission in South Africa and exploring vaccine efficacy scenarios. PloS one. 2020; 15(7):236- 243.
Li Q, Guan X, Wu P, Wang X, Zhou L, Tong Y, Ren R et al. Early transmission dynamics in Wuhan, China, of novel coronavirus–infected pneumonia. N Engl J Med 2020; 382:1199-1207.
Rothe C, Schunk M, Sothmann P, Bretzel G, Froeschl G et al. Transmission of 2019-nCoV infection from an asymptomatic contact in Germany. N Engl J Med 2020; 382(10):970-1.
Ryu S, Chun BC. Korean Society of Epidemiology-nCo, an interim review of the epidemiological characteristics of 2019 novel coronavirus. Epidemiol. Health 2020, 42.
Chen, N. Epidemiological and clinical characteristics of 99 cases of 2019 novel coronavirus pneumonia in Wuhan, China: A descriptive study. Lancet 2020, 395, 507–513.
Holshue ML, DeBolt C, Lindquist S, Lofy KH, Wiesman J et al. First case of 2019 novel coronavirus in the United States. N Engl J Med. 2020; 382:929-936.
Austrian K, Pinchoff J, Tidwell JB, White C, Abuya T et al. COVID-19 related knowledge, attitudes, practices and needs of households in informal settlements in Nairobi, Kenya. The Lancet Global Health. 2020.
Cao Z, Zhang Q, Lu X, Pfeiffer D, Jia Z, Song H, Zeng DD. Estimating the effective reproduction number of the 2019-nCoV in China. MedRxiv. 2020.
Li JY, You Z, Wang Q, Zhou ZJ, Qiu Y, Luo R, Ge XY. The epidemic of 2019-novel-coronavirus (2019-nCoV) pneumonia and insights for emerging infectious diseases in the future. Microbes and infection. 2020; 22(2):80-5.
Department of health, Republic of South Africa, National COVID-19 daily report. Available on https://www.nicd.ac.za/contact-us/ accessed on 18 February 2021.
Zhong, B. L., Luo, W., Li, H. M., et al. (2020). 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. International Journal of Biological Sciences, 16(10), 1745–1752.
Wolf M, Serper M, Opsasnick L, et al. Awareness, attitudes, and actions related to COVID-19 among adults with chronic conditions at the onset of the US outbreak: A crosssectional survey. Annals of Internal Medicine 2020.
Zhong B, Luo W, Li H, et al. 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): 1745-52.
Ajilore K, Atakiti I, Onyenankey K. College students’ knowledge, attitudes and adherence to public service announcements on Ebola in Nigeria: Suggestions for improving future Ebola prevention education programmes. Health Education Journal. 2017; 76: 648-60.
Tachfouti N, Slama K, Berraho M, Nejjari C. The impact of knowledge and attitudes on adherence to tuberculosis treatment: a case-control study in a Moroccan region. Pan Afr Med J. 2012; 12: 52.
Hoque AM, Alam AM, Hoque M, Hoque ME and Van Hal G. Knowledge, Attitudes, and Practices towards COVID-19 of Pregnant Women at a Primary Health Care Facility in South Africa. Euro Jour of Med and Health science 2021; 3 (1) 50-55. DOI: 10.24018/ejmed.2021.3.1.654.
Hoque AM. Buckus S, Hoque M, Hoque ME. Knowledge, Attitudes & Practices of Primary Healthcare Workers on COVID-19 from a Rural Setting of KwaZulu-Natal, South Africa. Clinical and Experimental Investigations. ISSN 2674-5054 doi:10.31487/j.CEI.2020.03.0.
Van Walbeek C, Filby S, Van der Zee K. Smoking and Quitting Behaviour in Lockdown South Africa: Results from A Second Survey. July 2020. Research Unit on the Economics of Excisable Products. University of Cape Town. Available from www.reep.uct.ac.za/news.
Al-Hanawi MK, Angawi K, Alshareef N, Qattan AM, Helmy HZ, Abudawood Y, Alqurashi M, Kattan WM, Kadasah NA, Chirwa GC, Alsharqi O. Knowledge, Attitude and Practice Toward COVID-19 Among the Public in the Kingdom of Saudi Arabia: A Cross-Sectional Study. Frontiers in Public Health. 2020;8, 217.
Anikwe CC, Ogah CO, Anikwe IH, Okorochukwu BC, Ikeoha CC. Coronavirus disease 2019: Knowledge, attitude, and practice of pregnant women in a tertiary hospital in Abakaliki, southeast Nigeria. International Journal of Gynecology & Obstetrics. 2020; 151 (2)197-202.
Zhou, Minghe, Tang, Fang & Wang, Yunjian et al. Knowledge, attitude and practice regarding COVID-19 among health care workers in Henan, China. Journal of Hospital Infection. 2020; 105 (10) 101-106.
Edet CK, Captain Elechi Amadi CE, Kiri VA. Knowledge, Attitude and Practice of Clients towards COVID-19 at Primary Healthcare Facilities in Rivers State, Nigeria. Research Square 2020 DOI: 10.21203/rs.3.rs-40966/v1.
 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. BioRxiv. 2020.
Nwafor JI, Aniukwu JK, Anozie BO, Ikeotuonye AC. Knowledge and practice of preventive measures against COVID-19 infection among pregnant women in a low-resource African setting. medRxiv. 2020.
Reuben RC, Danladi MM, Saleh DA, Ejembi PE. Knowledge, attitudes and practices towards COVID-19: an epidemiological survey in North-Central Nigeria. J Community Health. 2020; 1-4.
Akalu Y, Ayelign B, Molla MD. Knowledge, attitude and practice towards COVID-19 among chronic disease patients at Addis Zemen Hospital, Northwest Ethiopia. Infect Drug Resist. 2020;13:1949-1960.
Rugarabamu, S., Byanaku, A., Ibrahim, M. Knowledge, attitudes and practices (KAP) towards COVID-19: A quick online cross-sectional survey among Tanzanian residents. medRxiv. 2020.
Azlan AA, Hamzah MR, Sern TJ, Ayub SH, Mohamad E (2020) Public knowledge, attitudes and practices towards COVID-19: A cross-sectional study in Malaysia. PLOS ONE 15(5): 233-238.
Zhong B, Luo W, Li H, Zhang Q, Liu X, Li W, et al. Knowledge, attitudes and practices towards COVID-19 among Chinese residents during a rapid rise period of the COVID-19 outbreak: a quick online cross-sectional survey. Int J Biol Sci. 2020;16:1745-1752.
Ferdous MZ, Islam MS, Sikder MT, et al. (2020) Knowledge, attitude and practice regarding COVID-19 outbreak in Bangladesh: An online-based cross-sectional study. PLos ONE 15(10): 239-254.
Lau L, Hung N, Go J, et al. Knowledge, attitudes and practices among income-poor households in the Philippines: A cross-sectional study. J Glob Health. 2020;(10)1: 110-117.
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