COVID-19 in Somalia: Adherence to Preventive Measures and Evolution of the Disease Burden
Following the COVID-19 outbreak in Somalia, strict preventive measures were implemented by the government. We assessed adherence to the government recommendations via two consecutive online cross-sectional surveys between April and July 2020. A five-point adherence score was constructed based on sel...
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| Format: | Article |
| Language: | English |
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MDPI AG
2020-09-01
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| Series: | Pathogens |
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| Online Access: | https://www.mdpi.com/2076-0817/9/9/735 |
| _version_ | 1827706788465606656 |
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| author | Mohammed A. M. Ahmed Joseph Nelson Siewe Fodjo Abdi A. Gele Abdiqani A. Farah Shariff Osman Ibraahim Abdullahi Guled Abdiaziz Mohamed Ali Robert Colebunders |
| author_facet | Mohammed A. M. Ahmed Joseph Nelson Siewe Fodjo Abdi A. Gele Abdiqani A. Farah Shariff Osman Ibraahim Abdullahi Guled Abdiaziz Mohamed Ali Robert Colebunders |
| author_sort | Mohammed A. M. Ahmed |
| collection | DOAJ |
| description | Following the COVID-19 outbreak in Somalia, strict preventive measures were implemented by the government. We assessed adherence to the government recommendations via two consecutive online cross-sectional surveys between April and July 2020. A five-point adherence score was constructed based on self-reported observance of five preventive measures (physical distancing, face mask use, hand hygiene, mouth covering when coughing/sneezing, and avoidance of touching the face). 4124 and 4703 responses were analyzed during the first and second survey, respectively. The mean adherence score decreased from 3.54 ± 1.5 in the first survey to 3.40 ± 1.6 during the second survey; <i>p</i> < 0.001. More participants experienced at least one flu-like symptom during the second survey (38.2%) compared to the first (16.2%); however, the proportion of positive COVID-19 tests in the first (26.9%) and second survey (26.5%) was similar. The ordinal logistic regression model identified the following predictors for high adherence scores: female gender (odds ratio (OR) = 1.715 (1.581–1.861), <i>p</i> < 0.001); being a healthcare worker/student (OR = 2.180 (2.000–2.377), <i>p</i> < 0.001); obtaining COVID-19 information from official sources (OR = 1.460 (1.341–1.589), <i>p</i> < 0.001); and having postgraduate education (OR = 1.679 (1.220–2.307), <i>p</i> < 0.001). Conversely, obtaining COVID-19 information from social media and residing in urban settings were associated with lower adherence. Targeted and context-specific adaptations of the COVID-19 response may be required in Somalia. |
| first_indexed | 2024-03-10T16:31:33Z |
| format | Article |
| id | doaj.art-25add51cfe7b44ce8a94a9a54680c7c6 |
| institution | Directory Open Access Journal |
| issn | 2076-0817 |
| language | English |
| last_indexed | 2024-03-10T16:31:33Z |
| publishDate | 2020-09-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Pathogens |
| spelling | doaj.art-25add51cfe7b44ce8a94a9a54680c7c62023-11-20T12:45:04ZengMDPI AGPathogens2076-08172020-09-019973510.3390/pathogens9090735COVID-19 in Somalia: Adherence to Preventive Measures and Evolution of the Disease BurdenMohammed A. M. Ahmed0Joseph Nelson Siewe Fodjo1Abdi A. Gele2Abdiqani A. Farah3Shariff Osman4Ibraahim Abdullahi Guled5Abdiaziz Mohamed Ali6Robert Colebunders7Department of Paediatrics, Faculty of Medicine and Surgery, Mogadishu University, P.O. Box 004 Mogadishu, SomaliaGlobal Health Institute, University of Antwerp, Doornstraat 331, 2610 Antwerp, BelgiumDepartment of Health Services, Norwegian Institute of Public Health, P.O. Box 222 Skøyen, 0213 Oslo, NorwayPuntland State University, Garowe, SomaliaDepartment of Paediatrics, Faculty of Medicine and Surgery, Mogadishu University, P.O. Box 004 Mogadishu, SomaliaDepartment of Paediatrics, Faculty of Medicine and Surgery, Mogadishu University, P.O. Box 004 Mogadishu, SomaliaDepartment of Paediatrics, Faculty of Medicine and Surgery, Mogadishu University, P.O. Box 004 Mogadishu, SomaliaGlobal Health Institute, University of Antwerp, Doornstraat 331, 2610 Antwerp, BelgiumFollowing the COVID-19 outbreak in Somalia, strict preventive measures were implemented by the government. We assessed adherence to the government recommendations via two consecutive online cross-sectional surveys between April and July 2020. A five-point adherence score was constructed based on self-reported observance of five preventive measures (physical distancing, face mask use, hand hygiene, mouth covering when coughing/sneezing, and avoidance of touching the face). 4124 and 4703 responses were analyzed during the first and second survey, respectively. The mean adherence score decreased from 3.54 ± 1.5 in the first survey to 3.40 ± 1.6 during the second survey; <i>p</i> < 0.001. More participants experienced at least one flu-like symptom during the second survey (38.2%) compared to the first (16.2%); however, the proportion of positive COVID-19 tests in the first (26.9%) and second survey (26.5%) was similar. The ordinal logistic regression model identified the following predictors for high adherence scores: female gender (odds ratio (OR) = 1.715 (1.581–1.861), <i>p</i> < 0.001); being a healthcare worker/student (OR = 2.180 (2.000–2.377), <i>p</i> < 0.001); obtaining COVID-19 information from official sources (OR = 1.460 (1.341–1.589), <i>p</i> < 0.001); and having postgraduate education (OR = 1.679 (1.220–2.307), <i>p</i> < 0.001). Conversely, obtaining COVID-19 information from social media and residing in urban settings were associated with lower adherence. Targeted and context-specific adaptations of the COVID-19 response may be required in Somalia.https://www.mdpi.com/2076-0817/9/9/735COVID-19Somaliapreventive measuresadherencesurvey |
| spellingShingle | Mohammed A. M. Ahmed Joseph Nelson Siewe Fodjo Abdi A. Gele Abdiqani A. Farah Shariff Osman Ibraahim Abdullahi Guled Abdiaziz Mohamed Ali Robert Colebunders COVID-19 in Somalia: Adherence to Preventive Measures and Evolution of the Disease Burden Pathogens COVID-19 Somalia preventive measures adherence survey |
| title | COVID-19 in Somalia: Adherence to Preventive Measures and Evolution of the Disease Burden |
| title_full | COVID-19 in Somalia: Adherence to Preventive Measures and Evolution of the Disease Burden |
| title_fullStr | COVID-19 in Somalia: Adherence to Preventive Measures and Evolution of the Disease Burden |
| title_full_unstemmed | COVID-19 in Somalia: Adherence to Preventive Measures and Evolution of the Disease Burden |
| title_short | COVID-19 in Somalia: Adherence to Preventive Measures and Evolution of the Disease Burden |
| title_sort | covid 19 in somalia adherence to preventive measures and evolution of the disease burden |
| topic | COVID-19 Somalia preventive measures adherence survey |
| url | https://www.mdpi.com/2076-0817/9/9/735 |
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