A health worker knowledge, attitudes and practices survey of SARS-CoV-2 infection prevention and control in South Africa

BMC Infectious Diseases

Molebogeng Malotle¹  Nosimilo Mlangeni¹  Nkululeko Thunzi²  Nico Claassen³  Kuku Voyi³  Saiendhra Vasudevan Moodley³  Jonathan Ramodike⁴  Muzimkhulu Zungu⁴ 

[1] National Institute for Occupational Health, A division of the National Health Laboratory Service, Johannesburg, South Africa;National Institute for Occupational Health, A division of the National Health Laboratory Service, Johannesburg, South Africa;Department of Community Health, Sefako Makgatho Health Sciences University, Ga-Rankuwa, South Africa;School of Health Systems and Public Health, University of Pretoria, Pretoria, South Africa;School of Health Systems and Public Health, University of Pretoria, Pretoria, South Africa;National Institute for Occupational Health, A division of the National Health Laboratory Service, Johannesburg, South Africa;

关键词: SARS-CoV-2;    COVID-19;    Health workers;    Infection prevention;    Knowledge;    Attitudes;    Perceptions;    Practices;   

DOI  :  10.1186/s12879-021-05812-6

来源: Springer

【 摘 要 】

BackgroundHealth workers are crucial to the successful implementation of infection prevention and control strategies to limit the transmission of SARS-CoV-2 at healthcare facilities. The aim of our study was to determine SARS-CoV-2 infection prevention and control knowledge and attitudes of frontline health workers in four provinces of South Africa as well as explore some elements of health worker and health facility infection prevention and control practices.MethodsA cross-sectional study design was utilised. The study population comprised both clinical and non-clinical staff working in casualty departments, outpatient departments, and entrance points of health facilities. A structured self-administered questionnaire was developed using the World Health Organization guidance as the basis for the knowledge questions. COVID-19 protocols were observed during data collection.ResultsA total of 286 health workers from 47 health facilities at different levels of care participated in the survey. The mean score on the 10 knowledge items was 6.3 (SD = 1.6). Approximately two-thirds of participants (67.4%) answered six or more questions correctly while less than a quarter of all participants (24.1%) managed to score eight or more. A knowledge score of 8 or more was significantly associated with occupational category (being either a medical doctor or nurse), age (< 40 years) and level of hospital (tertiary level). Only half of participants (50.7%) felt adequately prepared to deal with patients with COVD-19 at the time of the survey. The health workers displaying attitudes that would put themselves or others at risk were in the minority. Only 55.6% of participants had received infection prevention and control training. Some participants indicated they did not have access to medical masks (11.8%) and gloves (9.9%) in their departments.ConclusionsThe attitudes of participants reflected a willingness to engage in appropriate SARS-CoV-2 infection prevention and control practices as well as a commitment to be involved in COVID-19 patient care. Ensuring adequate infection prevention and control training for all staff and universal access to appropriate PPE were identified as key areas that needed to be addressed. Interim and final reports which identified key shortcomings that needed to be addressed were provided to the relevant provincial departments of health.

【 授权许可】

CC BY