Research Article
AssessmentofHealthWorkers’Knowledge,Beliefs,Attitudes,and
UseofPersonalProtectiveEquipmentforPreventionofCOVID-19
Infection in Low-Resource Settings
M.A.Alao ,
1,2
A. O. Durodola,
2,3
O. R. Ibrahim ,
4
and O. A. Asinobi
5
1
Department of Paediatrics, Bowen University Teaching Hospital, Ogbomoso, Oyo State, Nigeria
2
Bowen University College of Medicine Iwo, Iwo, Osun State, Nigeria
3
Department of Family Medicine, Bowen University Teaching Hospital, Ogbomoso, Oyo State, Nigeria
4
Department of Paediatrics, Federal Medical Centre, Kastina, Kastina State, Nigeria
5
University College Hospital Ibadan, Ibadan, Oyo State, Nigeria
Correspondence should be addressed to M. A. Alao; mikevikefountains@gmail.com
Received 14 May 2020; Revised 15 July 2020; Accepted 5 August 2020; Published 24 August 2020
Academic Editor: Carol J. Burns
Copyright © 2020 M. A. Alao et al. is is an open access article distributed under the Creative Commons Attribution License,
which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Background. Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is a highly infectious disease with a potential for
healthcare workers (HCWs) getting infected due to inadequate protection while attending to patients. Effective use of personal
protective equipment (PPE) is key to mitigating the spread of SARS-CoV-2 infection in healthcare settings. Hence, there is a need
to understand HCWs’ use of PPE in resource-limited settings and how closely the currently recommended guidelines for PPE are
followed. is study assessed the HCWs’ knowledge about, attitudes towards, beliefs on, and use of PPE to prevent SARS-CoV-2
infection in a resource-limited setting. Methods. is cross-sectional study was conducted in April 2020 in Southwest and
Northwest Nigeria. e selection of participants was performed via the snowball sampling technique using a 33-item, web-based,
self-administered questionnaire via a social media network. We obtained relevant sociodemographic data and information on
participants’ occupations and knowledge about, attitudes towards, beliefs on, and use of PPE. We analysed the data using SPSS
version 23.0 for Windows (IBM, Armonk, New York, USA). A p values <0.05 were considered statistically significant. Results.A
total of 290 subjects responded to the questionnaire, and 18 (6.2%) were excluded because of incomplete data. e mean age of the
respondents was 32.3 ± 9.9 years. ere were 116 males (42.6%). e majority of the respondents were medical doctors (114,
41.9%), followed by nurses and clinical students. Of the 272 respondents in this survey, only 70 (25.7%) had adequate knowledge
about PPE. Of the respondents who presumed they had adequate knowledge about donning and doffing PPE, 94 (56%) were
incorrect. e predictors of good knowledge were ages younger than 45 years (p � 0.046) and practice location (p � 0.009).
Conclusion. is study showed that HCWs’ knowledge about, attitudes towards, and beliefs on PPE and their PPE skill in practice
in Nigeria were remarkably poor. ere is an urgent need for nationwide practical training on PPE use to curtail the spread of
SARS-CoV-2 infection among HCWs.
1.Introduction
Severe acute respiratory syndrome coronavirus 2 (SARS-
CoV-2), the pathogen that causes coronavirus disease
2019(COVID-19),isoneofthemostcontagiousvirusesin
human history [1]. Following the declaration by the
World Health Organization (WHO) on 11 March that
COVID-19 is a pandemic disease, COVID-19 has rapidly
spread across 212 countries with an estimated 4,248,389
cases and 294,046 mortalities within the five months from
the start of the outbreak to 14 May 2020 [2, 3]. Over a
period of five weeks, the number of COVID-19 cases in
Nigeria rose from 38 cases on 24 March to 4,791 cases by
14 May 2020 [2]. is ravaging infection has spread be-
yond boundaries and race and has a predilection for se-
nior citizens.
Hindawi
Advances in Public Health
Volume 2020, Article ID 4619214, 10 pages
https://doi.org/10.1155/2020/4619214