COVID-19 knowledge, attitudes and practices in Thabo Mofutsanyana District, South Africa, 2022

Background: Adherence to COVID-19 prevention and control measures is related to people’s knowledge, attitudes and practices. Setting: In Thabo Mofutsanyana District, the proportion of reported community COVID-19-related deaths was higher than in-facility reported deaths. Aim: To assess knowledge,...

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Main Authors: Inge Kleinhans, Siphesihle K. Mahanjana, Lehlohonolo Kumalo, Brian Brümmer, Ashley Chitaka, Zandile D. Nukeri, Fiona Els, Sizeka Mashele, Michelle Groome, Natalie Mayet, Ramasedi S. Mokoena, Emily B. Atuheire, Joy I. Ebonwu
Format: Article
Language:English
Published: AOSIS 2025-06-01
Series:Journal of Public Health in Africa
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Online Access:https://publichealthinafrica.org/index.php/jphia/article/view/885
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Summary:Background: Adherence to COVID-19 prevention and control measures is related to people’s knowledge, attitudes and practices. Setting: In Thabo Mofutsanyana District, the proportion of reported community COVID-19-related deaths was higher than in-facility reported deaths. Aim: To assess knowledge, attitudes and practices of the community towards COVID-19. Methods: A survey was conducted among consenting adults from 28 February 2022 to 4 March 2022. An interviewer-administered questionnaire was used for data collection. Descriptive statistics was used to describe the responses and logistic regression used to assess factors associated with poor knowledge towards COVID-19. Results: A total of 551 participants’ data were analysed, most of whom were 40 years (63%) and female (68%). Despite 43.4% having education levels below high school, 89% knew that anyone could contract COVID-19, mainly through television and/or radio (74%) and social media (53%). The majority practiced mask-wearing (84%) and social distancing (80%), while 65% indicated they will use home remedies if there was severe COVID-19 infection. Older age group (OR = 2.40; 95% CI 1.17-4.89; p = 0.015), higher education level (OR = 0.59; 95% CI 0.39–0.87; p = 0.009) and higher monthly income were each associated with poor knowledge towards COVID-19 but the significance did not remain in multivariate model. Conclusion: Participants had good knowledge of COVID-19; however, a high proportion supported the use of home remedies in severe COVID-19 infections. This underscores the need to enhance the health-seeking behaviour of communities through health education and community engagement, using television and/or radio and social media. Contribution: Study findings are useful to inform preparedness and response strategies in communities.
ISSN:2038-9922
2038-9930