| Peer-Reviewed

Knowledge, Attitudes and Practices of Populations Towards Barrier and Preventive Measures Against COVID-19 in Two Cities in Cameroon

Received: 25 May 2021    Accepted: 7 June 2021    Published: 5 August 2021
Views:       Downloads:
Abstract

Coronavirus Disease 2019 (COVID-19) is a contagious disease caused by the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). Since the first reported case in sub Saharan Africa, countries have struggled to respond to the pandemic despite all the barrier measures and preventions strategies put in place; amongst them, Cameroon is characterized by a large amount of contamination and an increase in death rates. The purpose of this study was to assess the knowledge, attitudes and practices (KAPs) of the Cameroonian population on barrier and preventive measures against COVID-19; the first undertaken in the cities of Douala and Bangangté since the beginning of the COVID-19 pandemic. A cross-sectional study was carried out on 777 residents in the Littoral (Douala) and in the West (Banganté) regions of Cameroon from a structured, pre-tested and self-administered questionnaire (according to WHO guidelines). Data were collected and analyzed using SPSS version 18.0 software. For p=0.05, the difference was statistically significant. Out of 777 participants, 67.7% (n=526) were from Douala and 32.3% (n=251) from Bangangté. Seventy percent (70%) of our participants were aware of the main preventive measures against COVID-19 taken by the Cameroonian government. The most used preventive method was the practice of hand hygiene (88.9%); followed by social distancing (87.2%), respiratory hygiene (75.8%), and self-confinement (85.3%). The majority of our participants had a positive attitude towards hand hygiene (81.6%) and wearing a face mask (84.7%). About 52.9% wore a face mask occasionally, 66.67% always washed their hands, 53.1% always used a hand sanitizer to disinfect their hands and 65,4% regularly self-confined themselves homes. Improving behaviors / attitudes and practices remain a major challenge for our populations. It is important to integrate the community in decision-making and increase awareness among our populations. Further studies are required to assess the impact of strategies undertaken by the decision makers, to roll out the COVID-19 pandemic in Cameroon.

Published in World Journal of Public Health (Volume 6, Issue 3)
DOI 10.11648/j.wjph.20210603.13
Page(s) 89-98
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Knowledge, Attitudes, Practices, Barrier and Preventive Measures, COVID-19

References
[1] COVID-19 situation update worldwide, as of 16 June 2020 [Internet]. European Center for Disease Prevention and Control. [cited June 17, 2020]. Available at: https://www.ecdc.europa.eu/en/geographical-distribution-2019-ncov-cases.
[2] Borges do Nascimento IJ, Cacic N, Abdulazeem HM, von Groote TC, Jayarajah U, Weerasekara I, et al. Novel Coronavirus Infection (COVID-19) in Humans: A Scoping Review and Meta-Analysis. Journal of Clinical Medicine. 2020 Apr; 9 (4): 941.
[3] Olum R, Chekwech G, Wekha G, Nassozi DR, Bongomin F. Coronavirus Disease-2019: Knowledge, Attitude, and Practices of Health Care Workers at Makerere University Teaching Hospitals, Uganda. Front Public Health [Internet]. 30 Apr 2020 [cited 17 Jun 2020]; 8. Available at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7204940/.
[4] Knowledge, Attitude, and Practices of Healthcare Workers Regarding the Use of Face Mask to Limit the Spread of the New Coronavirus Disease (COVID-19) [Internet]. [cited June 17, 2020]. Available at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7241223/.
[5] Zhong BL, Luo W, Li HM, Zhang QQ, Liu XG, Li WT, 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 Mar 15; 16 (10): 1745-52.
[6] Track the spread of COVID-19 around the world | Le Devoir [Internet]. [cited 7 Nov 2020]. Available at: https://www.ledevoir.com/documents/special/20-03_covid19-carte-dynamique/index.html.
[7] Gehanno JF, Bonneterre V, Andujar P, Pairon JC, Paris C, Petit A, et al. Arguments for a possible airborne transmission of SARS-CoV-2 in the COVID-19 crisis. Archives of Occupational Diseases and the Environment [Internet]. May 4, 2020 [cited July 25, 2020]; Available at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7198203/.
[8] Harapan H, Itoh N, Yufika A, Winardi W, Keam S, Te H, et al. Coronavirus disease 2019 (COVID-19): A literature review. J Infect Public Health. May 2020; 13 (5): 667-73.
[9] Shereen MA, Khan S, Kazmi A, Bashir N, Siddique R. COVID-19 infection: Origin, transmission, and characteristics of human coronaviruses. Journal of Advanced Research. 1 Jul 2020; 24: 91-8.
[10] Guo YR, Cao QD, Hong ZS, Tan YY, Chen SD, Jin HJ, et al. The origin, transmission and clinical therapies on coronavirus disease 2019 (COVID-19) outbreak - an update on the status. Military Medical Research. 2020 Mar 13; 7 (1): 11.
[11] Li X, Xu S, Yu M, Wang K, Tao Y, Zhou Y, et al. Risk factors for severity and mortality in adult COVID-19 inpatients in Wuhan. J Allergy Clin Immunol. Jul 2020; 146 (1): 110-8.
[12] Licourt J. Coronavirus: what do the different stages of the government plan represent? [Internet]. Le Figaro.fr. 2020 [cited 7 Nov 2020]. Available at: https://www.lefigaro.fr/sciences/coronavirus-que-representent-les-differents-stades-du-plan-gouvernemental-20200229.
[13] ALdowyan N, Abdallah AS, El-Gharabawy R. Knowledge, Attitude and Practice (KAP) Study about Middle East Respiratory Syndrome Coronavirus (MERS-CoV) among Population in Saudi Arabia. int arch med [Internet]. 2017 Oct 2 [cited 2020 May 9]; 10. Available at: http://imedicalsociety.org/ojs/index.php/iam/article/view/2736.
[14] GOVERNMENT STRATEGY FOR RESPONSE TO THE CORONAVIRUS PANDEMIC (COVID-19) Services of the Prime Minister [Internet]. [cited 27 Apr 2020]. Available at: https://www.spm.gov.cm/site/?q=fr/content/strategie-gouvernementale-de-riposte-face-la-pandemie-de-coronavirus-COVID-19.
[15] Nicholas T, Mandaah FV, Esemu SN, Vanessa ABT, Gilchrist KTD, Vanessa LF, et al. COVID-19 knowledge, attitudes and practices in a conflict affected area of the South West Region of Cameroon. The Pan African Medical Journal [Internet]. May 13, 2020 [cited Aug 26, 2020]; 35 (34). Available at: https://www.panafrican-med-journal.com/content/series/35/2/34/full/.
[16] Abdelhafiz AS, Mohammed Z, Ibrahim ME, Ziady HH, Alorabi M, Ayyad M, et al. Knowledge, Perceptions, and Attitude of Egyptians Towards the Novel Coronavirus Disease (COVID-19). J Community Health [Internet]. 21 Apr 2020 [cited 17 Jun 2020]; Available at: http://link.springer.com/10.1007/s10900-020-00827-7.
[17] Yue S, Zhang J, Cao M, Chen B. Knowledge, Attitudes and Practices of COVID-19 Among Urban and Rural Residents in China: A Cross-sectional Study. J Community Health [Internet]. August 5, 2020 [cited August 26, 2020]; Available at: https://doi.org/10.1007/s10900-020-00877-x.
[18] Reuben RC, Danladi MMA, Saleh DA, Ejembi PE. Knowledge, Attitudes and Practices Towards COVID-19: An Epidemiological Survey in North-Central Nigeria. J Community Health. 7 Jul 2020; 1-14.
[19] Dkhar SA, Quansar R, Saleem SM, Khan SMS. Knowledge, attitude, and practices related to COVID-19 pandemic among social media users in J&K, India. Indian Journal of Public Health. 2020 Jan 6; 64 (6): 205.
[20] Afzal MS, Khan A, Qureshi UUR, Saleem S, Saqib MAN, Shabbir RMK, et al. Community-Based Assessment of Knowledge, Attitude, Practices and Risk Factors Regarding COVID-19 Among Pakistanis Residents During a Recent Outbreak: A Cross-Sectional Survey. J Community Health. 13 Jul 2020; 1 11.
[21] Lau LL, Hung N, Go DJ, Ferma J, Choi M, Dodd W, et al. Knowledge, attitudes and practices of COVID-19 among income-poor households in the Philippines: A cross-sectional study. J Glob Health [Internet]. [cited 23 Jul 2020]; 10 (1). Available at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7294392/.
[22] Salman M, Mustafa ZU, Asif N, Zaidi HA, Hussain K, Shehzadi N, et al. Knowledge, attitude and preventive practices related to COVID-19: a cross-sectional study in two Pakistani university populations. Drugs Ther Perspect. May 9, 2020; 1 7.
[23] Cvetković VM, Nikolić N, Radovanović Nenadić U, Öcal A, K. Noji E, Zečević M. Preparedness and Preventive Behaviors for a Pandemic Disaster Caused by COVID-19 in Serbia. Int J Environ Res Public Health [Internet]. Jun 2020 [cited 23 Jul 2020]; 17 (11). Available at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7313005/.
[24] Saefi M, Fauzi A, Kristiana E, Adi WC, Muchson M, Setiawan ME, et al. Survey data of COVID-19-related Knowledge, Attitude, and Practices among Indonesian Undergraduate Students. Data Brief [Internet]. June 12, 2020 [cited June 17, 2020]; Available at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7291994/.
[25] Liu X, Zhang S. COVID-19: Face masks and human-to-human transmission. Influenza and Other Respiratory Viruses. 2020 Jul 1; 14 (4): 472-3.
[26] Chhabra HS, Bagaraia V, Keny S, Kalidindi KKV, Mallepally A, Dhillon MS, et al. COVID-19: Current Knowledge and Best Practices for Orthopedic Surgeons. Indian J Orthop. May 18, 2020; 1-15.
[27] Kebede Y, Yitayih Y, Birhanu Z, Mekonen S, Ambelu A. Knowledge, perceptions and preventive practices towards COVID-19 early in the outbreak among Jimma university medical center visitors, Southwest Ethiopia. PLoS One [Internet]. May 21, 2020 [cited June 17, 2020]; 15 (5). Available at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7241810/.
[28] Tso RV, Cowling BJ. Importance of Face Masks for COVID-19: A Call for Effective Public Education. Clin Infect Dis [Internet]. [cited 25 Aug 2020]; Available at: https://academic.oup.com/cid/advance-article/doi/10.1093/cid/ciaa593/5866410.
[29] BOURQUIN S. Hand hygiene remains the most effective measure against infections [Internet]. Infirmiers.com. 2017 [cited 2 Feb 2020]. Available at: https://www.infirmiers.com/les-grands-dossiers/hygiene/hygiene-mains-oms-renouvelle-recommandations.html.
Cite This Article
  • APA Style

    Cécile Ingrid Djuikoue, Elodie Ngazoue, Gildas Tazemda, Rodrigue Kamga Wouambo, Agbor Michael Ashu, et al. (2021). Knowledge, Attitudes and Practices of Populations Towards Barrier and Preventive Measures Against COVID-19 in Two Cities in Cameroon. World Journal of Public Health, 6(3), 89-98. https://doi.org/10.11648/j.wjph.20210603.13

    Copy | Download

    ACS Style

    Cécile Ingrid Djuikoue; Elodie Ngazoue; Gildas Tazemda; Rodrigue Kamga Wouambo; Agbor Michael Ashu, et al. Knowledge, Attitudes and Practices of Populations Towards Barrier and Preventive Measures Against COVID-19 in Two Cities in Cameroon. World J. Public Health 2021, 6(3), 89-98. doi: 10.11648/j.wjph.20210603.13

    Copy | Download

    AMA Style

    Cécile Ingrid Djuikoue, Elodie Ngazoue, Gildas Tazemda, Rodrigue Kamga Wouambo, Agbor Michael Ashu, et al. Knowledge, Attitudes and Practices of Populations Towards Barrier and Preventive Measures Against COVID-19 in Two Cities in Cameroon. World J Public Health. 2021;6(3):89-98. doi: 10.11648/j.wjph.20210603.13

    Copy | Download

  • @article{10.11648/j.wjph.20210603.13,
      author = {Cécile Ingrid Djuikoue and Elodie Ngazoue and Gildas Tazemda and Rodrigue Kamga Wouambo and Agbor Michael Ashu and Mariella Leumi and Esemu Livo and Héritier Malengele Mawalala and Yvonne Valérie Yolande Voumbo Matoumona Mavoungou and Aliocha Natuhoyila Nkodila and Eugène Ndebia and Nombulelo Chitha and Wezile Chita and John Sungwacha Nasila and Omer Tchikamgoua Njajou and Venant Tchokonte-Nana and Benjamin Longo-Mbenza and Charles Awono Onana},
      title = {Knowledge, Attitudes and Practices of Populations Towards Barrier and Preventive Measures Against COVID-19 in Two Cities in Cameroon},
      journal = {World Journal of Public Health},
      volume = {6},
      number = {3},
      pages = {89-98},
      doi = {10.11648/j.wjph.20210603.13},
      url = {https://doi.org/10.11648/j.wjph.20210603.13},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.wjph.20210603.13},
      abstract = {Coronavirus Disease 2019 (COVID-19) is a contagious disease caused by the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). Since the first reported case in sub Saharan Africa, countries have struggled to respond to the pandemic despite all the barrier measures and preventions strategies put in place; amongst them, Cameroon is characterized by a large amount of contamination and an increase in death rates. The purpose of this study was to assess the knowledge, attitudes and practices (KAPs) of the Cameroonian population on barrier and preventive measures against COVID-19; the first undertaken in the cities of Douala and Bangangté since the beginning of the COVID-19 pandemic. A cross-sectional study was carried out on 777 residents in the Littoral (Douala) and in the West (Banganté) regions of Cameroon from a structured, pre-tested and self-administered questionnaire (according to WHO guidelines). Data were collected and analyzed using SPSS version 18.0 software. For p=0.05, the difference was statistically significant. Out of 777 participants, 67.7% (n=526) were from Douala and 32.3% (n=251) from Bangangté. Seventy percent (70%) of our participants were aware of the main preventive measures against COVID-19 taken by the Cameroonian government. The most used preventive method was the practice of hand hygiene (88.9%); followed by social distancing (87.2%), respiratory hygiene (75.8%), and self-confinement (85.3%). The majority of our participants had a positive attitude towards hand hygiene (81.6%) and wearing a face mask (84.7%). About 52.9% wore a face mask occasionally, 66.67% always washed their hands, 53.1% always used a hand sanitizer to disinfect their hands and 65,4% regularly self-confined themselves homes. Improving behaviors / attitudes and practices remain a major challenge for our populations. It is important to integrate the community in decision-making and increase awareness among our populations. Further studies are required to assess the impact of strategies undertaken by the decision makers, to roll out the COVID-19 pandemic in Cameroon.},
     year = {2021}
    }
    

    Copy | Download

  • TY  - JOUR
    T1  - Knowledge, Attitudes and Practices of Populations Towards Barrier and Preventive Measures Against COVID-19 in Two Cities in Cameroon
    AU  - Cécile Ingrid Djuikoue
    AU  - Elodie Ngazoue
    AU  - Gildas Tazemda
    AU  - Rodrigue Kamga Wouambo
    AU  - Agbor Michael Ashu
    AU  - Mariella Leumi
    AU  - Esemu Livo
    AU  - Héritier Malengele Mawalala
    AU  - Yvonne Valérie Yolande Voumbo Matoumona Mavoungou
    AU  - Aliocha Natuhoyila Nkodila
    AU  - Eugène Ndebia
    AU  - Nombulelo Chitha
    AU  - Wezile Chita
    AU  - John Sungwacha Nasila
    AU  - Omer Tchikamgoua Njajou
    AU  - Venant Tchokonte-Nana
    AU  - Benjamin Longo-Mbenza
    AU  - Charles Awono Onana
    Y1  - 2021/08/05
    PY  - 2021
    N1  - https://doi.org/10.11648/j.wjph.20210603.13
    DO  - 10.11648/j.wjph.20210603.13
    T2  - World Journal of Public Health
    JF  - World Journal of Public Health
    JO  - World Journal of Public Health
    SP  - 89
    EP  - 98
    PB  - Science Publishing Group
    SN  - 2637-6059
    UR  - https://doi.org/10.11648/j.wjph.20210603.13
    AB  - Coronavirus Disease 2019 (COVID-19) is a contagious disease caused by the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). Since the first reported case in sub Saharan Africa, countries have struggled to respond to the pandemic despite all the barrier measures and preventions strategies put in place; amongst them, Cameroon is characterized by a large amount of contamination and an increase in death rates. The purpose of this study was to assess the knowledge, attitudes and practices (KAPs) of the Cameroonian population on barrier and preventive measures against COVID-19; the first undertaken in the cities of Douala and Bangangté since the beginning of the COVID-19 pandemic. A cross-sectional study was carried out on 777 residents in the Littoral (Douala) and in the West (Banganté) regions of Cameroon from a structured, pre-tested and self-administered questionnaire (according to WHO guidelines). Data were collected and analyzed using SPSS version 18.0 software. For p=0.05, the difference was statistically significant. Out of 777 participants, 67.7% (n=526) were from Douala and 32.3% (n=251) from Bangangté. Seventy percent (70%) of our participants were aware of the main preventive measures against COVID-19 taken by the Cameroonian government. The most used preventive method was the practice of hand hygiene (88.9%); followed by social distancing (87.2%), respiratory hygiene (75.8%), and self-confinement (85.3%). The majority of our participants had a positive attitude towards hand hygiene (81.6%) and wearing a face mask (84.7%). About 52.9% wore a face mask occasionally, 66.67% always washed their hands, 53.1% always used a hand sanitizer to disinfect their hands and 65,4% regularly self-confined themselves homes. Improving behaviors / attitudes and practices remain a major challenge for our populations. It is important to integrate the community in decision-making and increase awareness among our populations. Further studies are required to assess the impact of strategies undertaken by the decision makers, to roll out the COVID-19 pandemic in Cameroon.
    VL  - 6
    IS  - 3
    ER  - 

    Copy | Download

Author Information
  • Faculty of Health Sciences, University des Montagnes, Bangangte, Cameroon

  • Department of Microbiology, Estuary Academy and Strategic Institute (IUEs/ INSAM),Yaounde, Cameroon

  • Faculty of Health Sciences, University des Montagnes, Bangangte, Cameroon

  • Prevention and Control Foundation, Yaounde, Cameroon

  • Faculty of Health Sciences, University des Montagnes, Bangangte, Cameroon

  • Faculty of Health Sciences, University des Montagnes, Bangangte, Cameroon

  • Center for Research in Emerging and Reemerging Diseases, Institute for Medical Research and Medical Plants Studies, yaounde, Cameroon

  • Faculty of Public Health, LOMO University of Reseach, Kinshasa, Democratic Republic of Congo

  • Faculty of Health Sciences, University Marien Ngouabi, Brazzaville, Republic of Congo

  • Faculty of Public Health, LOMO University of Reseach, Kinshasa, Democratic Republic of Congo

  • Faculty of Health Sciences Walter Sisulu University, Eastern Cape, Mthatha, South of Africa

  • Health Systems Enablement & Innovation Unit, University of the Witwaterstand, Johannesburg, South of Africa

  • Health Systems Enablement & Innovation Unit, University of the Witwaterstand, Johannesburg, South of Africa

  • Health Systems Enablement & Innovation Unit, University of the Witwaterstand, Johannesburg, South of Africa

  • Prevention and Control Foundation, Yaounde, Cameroon

  • Faculty of Health Sciences, University des Montagnes, Bangangte, Cameroon

  • Faculty of Public Health, LOMO University of Reseach, Kinshasa, Democratic Republic of Congo

  • Faculty of Health Sciences, University des Montagnes, Bangangte, Cameroon

  • Sections