Skip to main content
Top
Published in: Journal of Community Health 2/2021

01-04-2021 | Public Health | Original Paper

Knowledge, Attitudes and Practices Regarding COVID‑19 in N’Djamena, Chad

Authors: Guy Rodrigue Takoudjou Dzomo, Margarita Bernales, Rodrigo López, Yves Djofang Kamga, Jean Pierre Kila Roskem, Francis Deassal Mondjimbaye, Joseph Nanbolngar, Richard Modode, Roger Rongar, Faro Diba, Madjadoum Toglengar, Jean Pierre Ongolo, Carlos Gómez-Vírseda

Published in: Journal of Community Health | Issue 2/2021

Login to get access

Abstract

The first African COVID-19 case was reported in Egypt in February 2020. Since then, Sub-Saharan countries have struggled to respond to the pandemic. Among them, Chad is characterized by a high rate of poverty and mortality, a high burden of infectious diseases, insufficient epidemiological surveillance and underdeveloped infrastructure. In this study, we explore the knowledge, attitudes and practices (KAPs) regarding COVID-19 within the Chadian population, to determine whether there are more vulnerable groups of the population that require greater attention from authorities. This study was designed as a cross-sectional survey conducted in N'Djamena, Chad, using a convenience sampling technique that included 2269 participants. The study was conducted in May and August 2020. Questions regarding technical concepts were answered incorrectly by most participants (83.65%). The population had better knowledge about concrete aspects of the pandemics, such as prevention measures and contagion. Regarding attitudes, 34.55% participants were very concerned about the possibility of being infected, 81.27% were unsatisfied/very unsatisfied with their social relationships after the pandemic began, and 68.44% thought that the pandemic was a disturbing/very disturbing issue. As for practices, 49.41% of men followed all preventive measures compared to 32.07% of women, and 3.04% of people with vulnerable jobs did not respect any of preventive measures compared to 1.19% of people without this condition. Gender, job conditions and educational level impact KAPs within the Chadian population. It is suggested that local authorities in Chad should consider these variables when developing health strategies.
Literature
1.
go back to reference Zhou, P., Yang, X. L., Wang, X. G., et al. (2020). A pneumonia outbreak associated with a new coronavirus of probable bat origin. Nature, 579(7798), 270–273.CrossRef Zhou, P., Yang, X. L., Wang, X. G., et al. (2020). A pneumonia outbreak associated with a new coronavirus of probable bat origin. Nature, 579(7798), 270–273.CrossRef
2.
go back to reference Zhu, N., Zhang, D., Wang, W., et al. (2020). A novel coronavirus from patients with pneumonia in China, 2019. New England Journal of Medicine, 382(8), 727–733.CrossRef Zhu, N., Zhang, D., Wang, W., et al. (2020). A novel coronavirus from patients with pneumonia in China, 2019. New England Journal of Medicine, 382(8), 727–733.CrossRef
7.
go back to reference Gilbert, M., Pullano, G., Pinotti, F., et al. (2020). Preparedness and vulnerability of African countries against importations of COVID-19: a modelling study. The Lancet, 395(10227), 871–877.CrossRef Gilbert, M., Pullano, G., Pinotti, F., et al. (2020). Preparedness and vulnerability of African countries against importations of COVID-19: a modelling study. The Lancet, 395(10227), 871–877.CrossRef
8.
go back to reference United Nations, Department of Economic and Social Affairs, Population Division (2020). World Population Ageing 2019. United Nations, Department of Economic and Social Affairs, Population Division (2020). World Population Ageing 2019.
9.
go back to reference Williamson, E., Walker, A. J., Bhaskaran, K. J., et al. (2020). (2020) OpenSAFELY: factors associated with COVID-19-related hospital death in the linked electronic health records of 17 million adult NHS patients. MedRxiv, 05(06), 20092999. Williamson, E., Walker, A. J., Bhaskaran, K. J., et al. (2020). (2020) OpenSAFELY: factors associated with COVID-19-related hospital death in the linked electronic health records of 17 million adult NHS patients. MedRxiv, 05(06), 20092999.
10.
go back to reference Kamara, F. M., Mokuwa, E. Y., & Richards, P. (2020). How villagers in central Sierra Leone understand infection risks under threat of Covid-19. Plos One, 15(6), e0235108.CrossRef Kamara, F. M., Mokuwa, E. Y., & Richards, P. (2020). How villagers in central Sierra Leone understand infection risks under threat of Covid-19. Plos One, 15(6), e0235108.CrossRef
11.
go back to reference Mennechet FJD, Dzomo GRT. (2020). Coping with COVID-19 in sub-Saharan Africa: what might the future hold? Virologica Sinica, 1-10. Mennechet FJD, Dzomo GRT. (2020). Coping with COVID-19 in sub-Saharan Africa: what might the future hold? Virologica Sinica, 1-10.
14.
go back to reference Makoni, M. (2020). Keeping COVID-19 at bay in Africa. The Lancet Respiratory Medicine, 8(6), 553–554.CrossRef Makoni, M. (2020). Keeping COVID-19 at bay in Africa. The Lancet Respiratory Medicine, 8(6), 553–554.CrossRef
15.
go back to reference Akinleye, FE., Akinbolaji, GR., & Olasupo, JO. (2020). Towards universal health coverage: lessons learnt from the COVID-19 pandemic in Africa. The Pan African Medical Journal, 35(S2). Akinleye, FE., Akinbolaji, GR., & Olasupo, JO. (2020). Towards universal health coverage: lessons learnt from the COVID-19 pandemic in Africa. The Pan African Medical Journal35(S2).
16.
go back to reference Velavan, T. P., & Meyer, C. G. (2020). The COVID-19 epidemic. Tropical Medicine and International Health, 25(3), 278–280.CrossRef Velavan, T. P., & Meyer, C. G. (2020). The COVID-19 epidemic. Tropical Medicine and International Health, 25(3), 278–280.CrossRef
17.
go back to reference Glassman, A., Chalkidou, K., & Sullivan, R. (2020). Does one size fit all? Realistic alternatives for COVID-19 response in low-income countries. Center for Global development, 2. Glassman, A., Chalkidou, K., & Sullivan, R. (2020). Does one size fit all? Realistic alternatives for COVID-19 response in low-income countries. Center for Global development, 2.
18.
go back to reference Zhong, B. L., Luo, W., Li, H. M., et al. (2020). 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. International Journal of Biological Sciences, 16(10), 1745–1752.CrossRef Zhong, B. L., Luo, W., Li, H. M., et al. (2020). 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. International Journal of Biological Sciences, 16(10), 1745–1752.CrossRef
20.
go back to reference Azétsop, J., & Ochieng, M. (2015). The right to health, health systems development and public health policy challenges in Chad. Philosophy, Ethics, and Humanities in Medicine, 10(1), 1.CrossRef Azétsop, J., & Ochieng, M. (2015). The right to health, health systems development and public health policy challenges in Chad. Philosophy, Ethics, and Humanities in Medicine, 10(1), 1.CrossRef
22.
go back to reference Ambassade de France au Tchad (2020) Coronavirus COVID-19: Mesures adoptées par les autorités tchadiennes. 1-10. Ambassade de France au Tchad (2020) Coronavirus COVID-19: Mesures adoptées par les autorités tchadiennes. 1-10.
23.
go back to reference Décret N°0708/PR/ 2020 du 25 avril 2020 portant institution de l'état d'urgence sanitaire en République du Tchad. Décret N°0708/PR/ 2020 du 25 avril 2020 portant institution de l'état d'urgence sanitaire en République du Tchad.
29.
go back to reference Clements, J. M. (2020). Knowledge and behaviors toward COVID-19 among us residents during the early days of the pandemic: cross-sectional online questionnaire. JMIR Public Health and Surveillance, 6(2), e19161.CrossRef Clements, J. M. (2020). Knowledge and behaviors toward COVID-19 among us residents during the early days of the pandemic: cross-sectional online questionnaire. JMIR Public Health and Surveillance, 6(2), e19161.CrossRef
30.
go back to reference Azlan, A. A., Hamzah, M. R., Sern, T. J., Ayub, S. H., & Mohamad, E. (2020). Public knowledge, attitudes and practices towards COVID-19: A cross-sectional study in Malaysia. Plos One, 15(5), e0233668.CrossRef Azlan, A. A., Hamzah, M. R., Sern, T. J., Ayub, S. H., & Mohamad, E. (2020). Public knowledge, attitudes and practices towards COVID-19: A cross-sectional study in Malaysia. Plos One, 15(5), e0233668.CrossRef
31.
go back to reference Huynh, G., Nguyen, T. N. H., Vo, K. N., & Pham, L. A. (2020). Knowledge and attitude toward COVID-19 among healthcare workers at District 2 Hospital, Ho Chi Minh City. Asian Pacific Journal of Tropical Medicine, 13(6), 260.CrossRef Huynh, G., Nguyen, T. N. H., Vo, K. N., & Pham, L. A. (2020). Knowledge and attitude toward COVID-19 among healthcare workers at District 2 Hospital, Ho Chi Minh City. Asian Pacific Journal of Tropical Medicine, 13(6), 260.CrossRef
32.
go back to reference Saqlain, M., Munir, M. M., Rehman, S. U., Gulzar, A., Naz, S., Ahmed, Z., et al. (2020). Knowledge, attitude, practice and perceived barriers among healthcare workers regarding COVID-19: a cross-sectional survey from Pakistan. The Journal of Hospital Infection, 105(3), 419–423.CrossRef Saqlain, M., Munir, M. M., Rehman, S. U., Gulzar, A., Naz, S., Ahmed, Z., et al. (2020). Knowledge, attitude, practice and perceived barriers among healthcare workers regarding COVID-19: a cross-sectional survey from Pakistan. The Journal of Hospital Infection, 105(3), 419–423.CrossRef
33.
go back to reference Abdelhafiz, A. S., Mohammed, Z., Ibrahim, M. E., Ziady, H. H., Alorabi, M., Ayyad, M., & Sultan, E. A. (2020). Knowledge, perceptions, and attitude of egyptians towards the novel coronavirus disease (COVID-19). Journal of Community Health, 45(5), 881–890.CrossRef Abdelhafiz, A. S., Mohammed, Z., Ibrahim, M. E., Ziady, H. H., Alorabi, M., Ayyad, M., & Sultan, E. A. (2020). Knowledge, perceptions, and attitude of egyptians towards the novel coronavirus disease (COVID-19). Journal of Community Health, 45(5), 881–890.CrossRef
34.
go back to reference Austrian, K., Pinchoff, J., Tidwell, et al. (2020). COVID-19 related knowledge, attitudes, practices and needs of households in informal settlements in Nairobi, Kenya. [Preprint] Bulletin World Health Organization. Austrian, K., Pinchoff, J., Tidwell, et al. (2020). COVID-19 related knowledge, attitudes, practices and needs of households in informal settlements in Nairobi, Kenya. [Preprint] Bulletin World Health Organization.
36.
go back to reference Hager, E., Odetokun, I. A., Bolarinwa, O., Zainab, A., Okechukwu, O., & Al-Mustapha, A. I. (2020). Knowledge, attitude, and perceptions towards the 2019 coronavirus pandemic: a bi-national survey in Africa. PloS One, 15(7), e0236918.CrossRef Hager, E., Odetokun, I. A., Bolarinwa, O., Zainab, A., Okechukwu, O., & Al-Mustapha, A. I. (2020). Knowledge, attitude, and perceptions towards the 2019 coronavirus pandemic: a bi-national survey in Africa. PloS One, 15(7), e0236918.CrossRef
37.
go back to reference Hezima, A., Aljafari, A., Aljafari, A., Mohammad, A., & Adel, I. (2020). Knowledge, attitudes, and practices of Sudanese residents towards COVID-19. Eastern Mediterranean Health Journal, 26(6), 646–651.CrossRef Hezima, A., Aljafari, A., Aljafari, A., Mohammad, A., & Adel, I. (2020). Knowledge, attitudes, and practices of Sudanese residents towards COVID-19. Eastern Mediterranean Health Journal, 26(6), 646–651.CrossRef
38.
39.
go back to reference Reuben, R. C., Danladi, M. M., Saleh, D. A., & Ejembi, P. E. (2020). Knowledge, attitudes and practices towards COVID-19: an epidemiological survey in North-Central Nigeria. Journal of community health, 1-14. Reuben, R. C., Danladi, M. M., Saleh, D. A., & Ejembi, P. E. (2020). Knowledge, attitudes and practices towards COVID-19: an epidemiological survey in North-Central Nigeria. Journal of community health, 1-14.
40.
go back to reference Olum, R., Chekwech, G., Wekha, G., Nassozi, D. R., & Bongomin, F. (2020). Coronavirus disease-2019: Knowledge, attitude, and practices of health care workers at makerere university teaching hospitals. Uganda. Frontiers in Public Health, 8, 181.CrossRef Olum, R., Chekwech, G., Wekha, G., Nassozi, D. R., & Bongomin, F. (2020). Coronavirus disease-2019: Knowledge, attitude, and practices of health care workers at makerere university teaching hospitals. Uganda. Frontiers in Public Health, 8, 181.CrossRef
41.
go back to reference Bhagavathula, AS., Aldhaleei, WA., Rahmani, J., Mahabadi, MA., & Bandari, DK. (2020). Novel coronavirus (COVID-19) knowledge and perceptions: a survey on healthcare workers. MedRxiv. Bhagavathula, AS., Aldhaleei, WA., Rahmani, J., Mahabadi, MA., & Bandari, DK. (2020). Novel coronavirus (COVID-19) knowledge and perceptions: a survey on healthcare workers. MedRxiv.
42.
go back to reference Akalu, Y., Ayelign, B., & Molla, M. D. (2020). Knowledge, attitude and practice towards COVID-19 among chronic disease patients at addis zemen hospital, Northwest Ethiopia. Infection and drug resistance, 13, 1949–1960.CrossRef Akalu, Y., Ayelign, B., & Molla, M. D. (2020). Knowledge, attitude and practice towards COVID-19 among chronic disease patients at addis zemen hospital, Northwest Ethiopia. Infection and drug resistance, 13, 1949–1960.CrossRef
43.
go back to reference Wolf, M. S., Serper, M., Opsasnick, L., O’Conor, R. M., Curtis, L. M., Benavente, J. Y., & Russell, A. (2020). Awareness, attitudes, and actions related to COVID-19 among adults with chronic conditions at the onset of the US outbreak: a cross-sectional survey. Annals of Internal Medicine, 173(2), 100–109.CrossRef Wolf, M. S., Serper, M., Opsasnick, L., O’Conor, R. M., Curtis, L. M., Benavente, J. Y., & Russell, A. (2020). Awareness, attitudes, and actions related to COVID-19 among adults with chronic conditions at the onset of the US outbreak: a cross-sectional survey. Annals of Internal Medicine, 173(2), 100–109.CrossRef
44.
go back to reference Erfani, A., Shahriarirad, R., Ranjbar, K., Mirahmadizadeh, A., & Moghadami, M. (2020). Knowledge, attitude and practice toward the novel coronavirus (COVID-19) outbreak: A population-based survey in Iran (p. 30). E-pub: Bulletin World Health Organization. Erfani, A., Shahriarirad, R., Ranjbar, K., Mirahmadizadeh, A., & Moghadami, M. (2020). Knowledge, attitude and practice toward the novel coronavirus (COVID-19) outbreak: A population-based survey in Iran (p. 30). E-pub: Bulletin World Health Organization.
45.
go back to reference Wahed, W. Y. A., Hefzy, E. M., Ahmed, M. I., & Hamed, N. S. (2020). Assessment of knowledge, attitudes, and perception of health care workers regarding COVID-19, a cross-sectional study from Egypt. Journal of Community Health, 45(6), 1242–1251.CrossRef Wahed, W. Y. A., Hefzy, E. M., Ahmed, M. I., & Hamed, N. S. (2020). Assessment of knowledge, attitudes, and perception of health care workers regarding COVID-19, a cross-sectional study from Egypt. Journal of Community Health, 45(6), 1242–1251.CrossRef
46.
go back to reference Afzal, MS., Khan, A., Qureshi, UUR., et al. (2020). Community-based assessment of knowledge, attitude, practices and risk factors regarding COVID-19 among Pakistanis residents during a recent outbreak: a cross-sectional survey. Journal of Community Health, 1-11. Afzal, MS., Khan, A., Qureshi, UUR., et al. (2020). Community-based assessment of knowledge, attitude, practices and risk factors regarding COVID-19 among Pakistanis residents during a recent outbreak: a cross-sectional survey. Journal of Community Health, 1-11.
47.
go back to reference Zhou, M., Tang, F., Wang, Y., Nie, H., Zhang, L., You, G., & Zhang, M. (2020). Knowledge, attitude and practice regarding COVID-19 among health care workers in Henan, China. Journal of Hospital Infection, 105(2), 183–187.CrossRef Zhou, M., Tang, F., Wang, Y., Nie, H., Zhang, L., You, G., & Zhang, M. (2020). Knowledge, attitude and practice regarding COVID-19 among health care workers in Henan, China. Journal of Hospital Infection, 105(2), 183–187.CrossRef
48.
go back to reference Burström, B., & Tao, W. (2020). Social determinants of health and inequalities in COVID-19. European Journal of Public Health, 30(4), 617–618.CrossRef Burström, B., & Tao, W. (2020). Social determinants of health and inequalities in COVID-19. European Journal of Public Health, 30(4), 617–618.CrossRef
49.
go back to reference Alsan, M., Stantcheva, S., Yang, D., & Cutler, D. (2020). Disparities in coronavirus 2019 reported incidence, knowledge, and behavior among US Adults. JAMA Network Open, 3(6), e2012403.CrossRef Alsan, M., Stantcheva, S., Yang, D., & Cutler, D. (2020). Disparities in coronavirus 2019 reported incidence, knowledge, and behavior among US Adults. JAMA Network Open, 3(6), e2012403.CrossRef
50.
go back to reference Smith, J. A., & Judd, J. (2020). COVID-19: Vulnerability and the power of privilege in a pandemic. Health Promotion Journal of Australia, 31(2), 158–160.CrossRef Smith, J. A., & Judd, J. (2020). COVID-19: Vulnerability and the power of privilege in a pandemic. Health Promotion Journal of Australia, 31(2), 158–160.CrossRef
51.
go back to reference Khazanchi, R., Beiter, E. R., Gondi, S., Beckman, A. L., Bilinski, A., & Ganguli, I. (2020). County-level association of social vulnerability with COVID-19 cases and deaths in the USA. Journal of General Internal Medicine, 35(9), 2784–2787.CrossRef Khazanchi, R., Beiter, E. R., Gondi, S., Beckman, A. L., Bilinski, A., & Ganguli, I. (2020). County-level association of social vulnerability with COVID-19 cases and deaths in the USA. Journal of General Internal Medicine, 35(9), 2784–2787.CrossRef
52.
go back to reference Lancet, The. (2020). Redefining vulnerability in the era of COVID-19. Lancet (London, England), 395(10230), 1089.CrossRef Lancet, The. (2020). Redefining vulnerability in the era of COVID-19. Lancet (London, England), 395(10230), 1089.CrossRef
Metadata
Title
Knowledge, Attitudes and Practices Regarding COVID‑19 in N’Djamena, Chad
Authors
Guy Rodrigue Takoudjou Dzomo
Margarita Bernales
Rodrigo López
Yves Djofang Kamga
Jean Pierre Kila Roskem
Francis Deassal Mondjimbaye
Joseph Nanbolngar
Richard Modode
Roger Rongar
Faro Diba
Madjadoum Toglengar
Jean Pierre Ongolo
Carlos Gómez-Vírseda
Publication date
01-04-2021
Publisher
Springer US
Published in
Journal of Community Health / Issue 2/2021
Print ISSN: 0094-5145
Electronic ISSN: 1573-3610
DOI
https://doi.org/10.1007/s10900-021-00963-8

Other articles of this Issue 2/2021

Journal of Community Health 2/2021 Go to the issue