Community risk perception and barriers for the practice of COVID-19 prevention measures in Northwest Ethiopia: A qualitative study.

Publisher: Public Library of Science Country of Publication: United States NLM ID: 101285081 Publication Model: eCollection Cited Medium: Internet ISSN: 1932-6203 (Electronic) Linking ISSN: 19326203 NLM ISO Abbreviation: PLoS One Subsets: MEDLINE

Original Publication: San Francisco, CA : Public Library of Science

Pandemics* ; Perception* ; SARS-CoV-2*; COVID-19/*epidemiology ; COVID-19/*prevention & control ; COVID-19/*psychology; Adult ; Aged ; Ethiopia/epidemiology ; Female ; Humans ; Male ; Middle Aged ; Risk Factors

Background: According to the World Health Organization, viral diseases continue to emerge and represent a serious issue for public health. The elderly and those with underlying chronic diseases are more likely to become severe cases. Our study sets out to present in-depth exploration and analyses of the community's risk perception and barriers to the practice of COVID-19 prevention measures in South Gondar Zone, Northwest Ethiopia.
Methods: A qualitative study was done in three districts of South Gondar Zone. Community key informants and health extension workers were selected purposely for in-depth interviews and focus group discussion. The interviews were conducted by maintaining WHO recommendations for social distancing and use of appropriate personal protective equipment. The sample size for the study depended on the theoretical saturation of the data at the time of data collection. The qualitative data generated from in-depth interviews and focus group discussions was transcribed verbatim and translated into English language and thematically analyzed using open code software version 4.02.
Results: Three main themes and five categories emerged from the narrations of the participants regarding the perceived barriers for the practice of COVID-19 prevention measures. A total of 9 community key informants (5 women development armies (HDA), 2 health extension workers (HEW), and 2 religious leaders participated in the in-depth interview, while two focus group discussions (7 participants in each round) were conducted among purposely selected community members. The age of the participants ranged from 24 to 70 years with the median age of 48 years. The major identified barriers for practicing COVID-19 prevention measures were the presence of strong cultural and religious practices, perceiving that the disease does not affect the young, misinformation about the disease, and lack of trust in the prevention measures.
Conclusions: Socio-cultural, religious, and economic related barriers were identified from the participant's narratives for the practice of COVID-19 prevention measures in south Gondar Zone. Our findings suggest the need to strengthen community awareness and education programs about the prevention measures of COVID-19 and increase diagnostic facilities with strong community-based surveillance to control the transmission of the pandemic.
Competing Interests: The authors declare that they have no competing interests.

Lancet. 2020 Feb 15;395(10223):514-523. (PMID: 31986261)
Res Rep Trop Med. 2020 Nov 19;11:129-139. (PMID: 33244287)
Clin Epidemiol Glob Health. 2021 Jan-Mar;9:1. (PMID: 32838056)
Saf Health Work. 2020 Jun;11(2):241-243. (PMID: 32292622)
Int J Infect Dis. 2020 May;94:44-48. (PMID: 32171952)
PLoS One. 2020 Dec 30;15(12):e0244265. (PMID: 33378332)
Sci Total Environ. 2020 Aug 1;728:138762. (PMID: 32334157)
Confl Health. 2020 Jul 31;14:54. (PMID: 32754225)
Risk Manag Healthc Policy. 2020 Oct 20;13:2239-2250. (PMID: 33117002)
Science. 2020 May 1;368(6490):493-497. (PMID: 32213647)
Pan Afr Med J. 2020 Sep 11;37(Suppl 1):7. (PMID: 33294108)
Lancet. 2020 Feb 22;395(10224):565-574. (PMID: 32007145)
Asthma Res Pract. 2020 Sep 4;6:8. (PMID: 32901210)
Risk Manag Healthc Policy. 2020 Nov 17;13:2635-2644. (PMID: 33244280)
Risk Manag Healthc Policy. 2020 Dec 08;13:2887-2897. (PMID: 33335434)
Trop Med Health. 2020 Aug 20;48:72. (PMID: 32839649)
PLoS One. 2020 Dec 30;15(12):e0244269. (PMID: 33378367)
Int J Qual Health Care. 2007 Dec;19(6):349-57. (PMID: 17872937)
Lancet. 2020 Feb 15;395(10223):497-506. (PMID: 31986264)
PLoS One. 2020 Nov 30;15(11):e0243024. (PMID: 33253268)
Int J Gen Med. 2020 Aug 17;13:507-513. (PMID: 32903877)
J Multidiscip Healthc. 2021 May 28;14:1233-1243. (PMID: 34093019)
Risk Manag Healthc Policy. 2020 Dec 03;13:2803-2810. (PMID: 33299368)
Infect Drug Resist. 2020 Oct 20;13:3727-3737. (PMID: 33116693)

Date Created: 20210924 Date Completed: 20211004 Latest Revision: 20211004

20231215

PMC8462701

10.1371/journal.pone.0257897

34559858