The emergence of COVID-19 in the Democratic Republic of Congo: Community knowledge, attitudes, and practices in Kinshasa.

<h4>Background</h4>The first COVID-19 case in the Democratic Republic of Congo (DRC) was reported on 10 March 2020 in Kinshasa, prompting the government to promote internationally agreed non-pharmacological interventions for infection prevention and control. Public compliance to these me...

Full description

Bibliographic Details
Main Authors: Pierre Z Akilimali, Désiré K Mashinda, Aimé M Lulebo, Eric M Mafuta, Marie A Onyamboko, Nguyen Toan Tran
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2022-01-01
Series:PLoS ONE
Online Access:https://doi.org/10.1371/journal.pone.0265538
_version_ 1811217492104708096
author Pierre Z Akilimali
Désiré K Mashinda
Aimé M Lulebo
Eric M Mafuta
Marie A Onyamboko
Nguyen Toan Tran
author_facet Pierre Z Akilimali
Désiré K Mashinda
Aimé M Lulebo
Eric M Mafuta
Marie A Onyamboko
Nguyen Toan Tran
author_sort Pierre Z Akilimali
collection DOAJ
description <h4>Background</h4>The first COVID-19 case in the Democratic Republic of Congo (DRC) was reported on 10 March 2020 in Kinshasa, prompting the government to promote internationally agreed non-pharmacological interventions for infection prevention and control. Public compliance to these measures is critical and depends on the knowledge, attitudes, and practices (KAP) of communities regarding COVID-19, for which there was no data. This study aimed to bridge that gap.<h4>Methods</h4>A community-based cross-sectional study was conducted in Kinshasa in June 2020, during the emergency state, following a four-stage sampling process. Master's students from the Kinshasa School of Public Health conducted the survey. Descriptive and regression analyses were performed.<h4>Results</h4>The study enrolled 726 women and 600 men (mean age: 43; SD 16-85). Nearly everyone heard about COVID-19 (mainly through television, radio, and street reports), but only 17% were highly knowledgeable about its transmission modes, signs and symptoms, and preventive measures. More than 80% of participants believed in the disease's seriousness; however, only 21% found the total lockdown acceptable. Nonetheless, 86% reported regular hand cleaning and mask-wearing followed by physical distancing (72%). Poorer, younger, and non-Catholic participants were overall markedly less knowledgeable and had comparatively lower levels of health-protective attitudes, acceptance, and practices. The education level and household size did not matter. Female participants tended to show fewer enabling attitudes and practices toward COVID-19 prevention measures compared to men.<h4>Conclusion</h4>Adequate public health information to improve the population's KAP related to COVID-19 is critical and must be designed with and delivered to the community-considering the specific needs of diverse sub-groups and contexts. Studies in Kinshasa and similar settings are necessary to understand the barriers to and enablers of acquiring, applying, and maintaining the optimal population's KAP for COVID-19 prevention and control.
first_indexed 2024-04-12T06:55:42Z
format Article
id doaj.art-1a2fba9d60684b0aaebfd31604ca3d62
institution Directory Open Access Journal
issn 1932-6203
language English
last_indexed 2024-04-12T06:55:42Z
publishDate 2022-01-01
publisher Public Library of Science (PLoS)
record_format Article
series PLoS ONE
spelling doaj.art-1a2fba9d60684b0aaebfd31604ca3d622022-12-22T03:43:10ZengPublic Library of Science (PLoS)PLoS ONE1932-62032022-01-01176e026553810.1371/journal.pone.0265538The emergence of COVID-19 in the Democratic Republic of Congo: Community knowledge, attitudes, and practices in Kinshasa.Pierre Z AkilimaliDésiré K MashindaAimé M LuleboEric M MafutaMarie A OnyambokoNguyen Toan Tran<h4>Background</h4>The first COVID-19 case in the Democratic Republic of Congo (DRC) was reported on 10 March 2020 in Kinshasa, prompting the government to promote internationally agreed non-pharmacological interventions for infection prevention and control. Public compliance to these measures is critical and depends on the knowledge, attitudes, and practices (KAP) of communities regarding COVID-19, for which there was no data. This study aimed to bridge that gap.<h4>Methods</h4>A community-based cross-sectional study was conducted in Kinshasa in June 2020, during the emergency state, following a four-stage sampling process. Master's students from the Kinshasa School of Public Health conducted the survey. Descriptive and regression analyses were performed.<h4>Results</h4>The study enrolled 726 women and 600 men (mean age: 43; SD 16-85). Nearly everyone heard about COVID-19 (mainly through television, radio, and street reports), but only 17% were highly knowledgeable about its transmission modes, signs and symptoms, and preventive measures. More than 80% of participants believed in the disease's seriousness; however, only 21% found the total lockdown acceptable. Nonetheless, 86% reported regular hand cleaning and mask-wearing followed by physical distancing (72%). Poorer, younger, and non-Catholic participants were overall markedly less knowledgeable and had comparatively lower levels of health-protective attitudes, acceptance, and practices. The education level and household size did not matter. Female participants tended to show fewer enabling attitudes and practices toward COVID-19 prevention measures compared to men.<h4>Conclusion</h4>Adequate public health information to improve the population's KAP related to COVID-19 is critical and must be designed with and delivered to the community-considering the specific needs of diverse sub-groups and contexts. Studies in Kinshasa and similar settings are necessary to understand the barriers to and enablers of acquiring, applying, and maintaining the optimal population's KAP for COVID-19 prevention and control.https://doi.org/10.1371/journal.pone.0265538
spellingShingle Pierre Z Akilimali
Désiré K Mashinda
Aimé M Lulebo
Eric M Mafuta
Marie A Onyamboko
Nguyen Toan Tran
The emergence of COVID-19 in the Democratic Republic of Congo: Community knowledge, attitudes, and practices in Kinshasa.
PLoS ONE
title The emergence of COVID-19 in the Democratic Republic of Congo: Community knowledge, attitudes, and practices in Kinshasa.
title_full The emergence of COVID-19 in the Democratic Republic of Congo: Community knowledge, attitudes, and practices in Kinshasa.
title_fullStr The emergence of COVID-19 in the Democratic Republic of Congo: Community knowledge, attitudes, and practices in Kinshasa.
title_full_unstemmed The emergence of COVID-19 in the Democratic Republic of Congo: Community knowledge, attitudes, and practices in Kinshasa.
title_short The emergence of COVID-19 in the Democratic Republic of Congo: Community knowledge, attitudes, and practices in Kinshasa.
title_sort emergence of covid 19 in the democratic republic of congo community knowledge attitudes and practices in kinshasa
url https://doi.org/10.1371/journal.pone.0265538
work_keys_str_mv AT pierrezakilimali theemergenceofcovid19inthedemocraticrepublicofcongocommunityknowledgeattitudesandpracticesinkinshasa
AT desirekmashinda theemergenceofcovid19inthedemocraticrepublicofcongocommunityknowledgeattitudesandpracticesinkinshasa
AT aimemlulebo theemergenceofcovid19inthedemocraticrepublicofcongocommunityknowledgeattitudesandpracticesinkinshasa
AT ericmmafuta theemergenceofcovid19inthedemocraticrepublicofcongocommunityknowledgeattitudesandpracticesinkinshasa
AT marieaonyamboko theemergenceofcovid19inthedemocraticrepublicofcongocommunityknowledgeattitudesandpracticesinkinshasa
AT nguyentoantran theemergenceofcovid19inthedemocraticrepublicofcongocommunityknowledgeattitudesandpracticesinkinshasa
AT pierrezakilimali emergenceofcovid19inthedemocraticrepublicofcongocommunityknowledgeattitudesandpracticesinkinshasa
AT desirekmashinda emergenceofcovid19inthedemocraticrepublicofcongocommunityknowledgeattitudesandpracticesinkinshasa
AT aimemlulebo emergenceofcovid19inthedemocraticrepublicofcongocommunityknowledgeattitudesandpracticesinkinshasa
AT ericmmafuta emergenceofcovid19inthedemocraticrepublicofcongocommunityknowledgeattitudesandpracticesinkinshasa
AT marieaonyamboko emergenceofcovid19inthedemocraticrepublicofcongocommunityknowledgeattitudesandpracticesinkinshasa
AT nguyentoantran emergenceofcovid19inthedemocraticrepublicofcongocommunityknowledgeattitudesandpracticesinkinshasa