Community acceptability of public health measures during the coronavirus pandemic in Malawi: a cross-sectional survey of knowledge, attitudes, and practices
Accepted: 5 November 2022
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Background. The knowledge, attitudes, and practices (KAP) of people during the coronavirus pandemic are pivotal to the uptake of recommended preventative strategies.
Objective. This paper describes the Malawian KAP related to coronavirus and associated public health measures.
Methods. This was a multi-site cross-sectional survey where data was collected through personal one-on-one interviews in nine Malawian districts over 3 weeks (5-25 October 2020). 521 participants (>18 years) were enrolled to answer a questionnaire.
Results. We found that all respondents were aware of the ongoing coronavirus pandemic with the majority using the Radio. 75% of participants displayed knowledge of all key symptoms of coronavirus disease (cough, fever, and shortness of breath) and additionally, the majority of participants (97%) knew enough to take some sort of intervention (calling a hotline or visiting the nearest hospital) if they developed symptoms. Participants also demonstrated a high perception of the risk of coronavirus, where >60% believed to be susceptible to the coronavirus under the current preventative measures, and >50% believed they would die from the infection. Communities displayed a high perceived effectiveness of all preventative measures, with “hand hygiene using soap and water” being perceived as effective by the majority of respondents. Although the majority of the participants (>80%) were willing to self-isolate at home, various barriers to home isolation were raised which would ultimately influence their ability to do so.
Conclusions. Baseline community psychosocial and behavioral information which influence the adoption of public health measures in Malawi has been highlighted alongside recommendations for best practices.
World Health Organisation-Rolling updates on coronavirus disease (COVID-19) [Internet]. 2020. Available from: https://www.who.int/emergencies/diseases/novel-coronavirus-2019/events-as-they-happen
Daolin Tang, Paul Comish, Rui Kang. The hallmarks of COVID-19 disease. Plos Pathogens [Internet]. 2020 May 22; 16(5). Available from: https://journals.plos.org/plospathogens/article/file?id=10.1371/journal.ppat.1008536&type=printable DOI: https://doi.org/10.1371/journal.ppat.1008536
Weekly epidemiological update on COVID-19 - 4 May 2022 [Internet]. [cited 2022 May 6]. Available from: https://www.who.int/publications/m/item/weekly-epidemiological-update-on-covid-19---4-may-2022
Patrick GT Walker, Charles Whittaker, Oliver Watson, et al. The Global Impact of COVID-19 and Strategies for Mitigation and Suppression. Imperial College London. 2020 Mar 26;
Seth Flaxman, Swapnil Mishra, Axel Gandy, et al. Estimating the effects of non-pharmaceutical interventions on COVID-19 in Europe. Nature Research Journal [Internet]. 2020 Jun 8; Available from: https://doi.org/10.1038/s41586-020-2405-7 DOI: https://doi.org/10.1038/s41586-020-2405-7
World Health Organisation. Non-pharmaceutical public health measures on mitigating the risk and impact of epidemic and pandemic influenza. 2019.
United Nations Malawi. Declaration of State of Disaster by Malawi President- 20 March 2020 [Internet]. Available from: https://mw.one.un.org/declaration-of-state-of-disaster-by-malawi-president-20-march-2020/
Government of Malawi. Laws of Malawi: Public Health Act [Internet]. 1948. Available from: https://malawilii.org/mw/consolidated_legislation/3401
United Nations Malawi. Mutharika’s statement Covid-19 Lockdown for 21 Days [Internet]. Available from: https://mw.one.un.org/president-peter-mutharika-statement-on-covid-19-state-lockdown/
Charles Abraham, Paschal Sheeran. Health Belief Model. 2015 May 28; Available from: https://www.researchgate.net/publication/290193215
Karen Austrian, Jessie Pinchoff, James B. Tidwell, et al. COVID-19 related knowledge, attitudes, practices and needs of households in informal settlements in Nairobi, Kenya. Bulletin of the World Health Organization. 2020 Apr 20; DOI: https://doi.org/10.2471/BLT.20.260281
Kin On Kwok, Kin-Kit Li, Henry Ho Hin Chan, et al. Community responses during the early phase of the COVID-19 epidemic in Hong Kong: risk perception, information exposure and preventive measures. Emerging Infectious Diseases. 2020 Jul; 26(7). DOI: https://doi.org/10.3201/eid2607.200500
Christina J Atchison, Leigh Bowman, Charlotte Vrinten, et al. Early perceptions and behavioural responses during the COVID-19 pandemic: a cross-sectional survey of UK adults. BMJ Open [Internet]. 2021 Jan 4;11(1). Available from: https://bmjopen.bmj.com/content/11/1/e043577.info DOI: https://doi.org/10.1136/bmjopen-2020-043577
Ministry of Disaster Management Affairs and Public Events, Ministry of Health Malawi. National Covid-19 Preparedness and Response Plan [Internet]. 2020. 84 p. Available from: https://reliefweb.int/sites/reliefweb.int/files/resources/National-COVID-19-Preparedness-and-Response-Plan_08-04-2020_Final-Version.pdf
World Health Organization. Coronavirus disease (COVID-19) advice for the public [Internet]. Available from: https://www.who.int/emergencies/diseases/novel-coronavirus-2019/advice-for-public
Centres for Disease Control and Prevention. What to Do If You Are Sick [Internet]. [cited 2021 Aug 12]. Available from: https://www.cdc.gov/coronavirus/2019-ncov/if-you-are-sick/steps-when-sick.html
Batterton KA, Hale KN. The Likert Scale What It Is and How to Use It. Phalanx. 2017;50(2):32–9.
RightsThe data collected by this study remains a property of the Ministry of Health of Malawi
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