A mixed-methods study on health learning materials utilization for COVID-19 risk communication and community engagement among health workers in Arsi Zone, Ethiopia: Implication for response to pandemic.

<h4>Background</h4>Risk communication and community engagement are among the key strategies used in response to pandemics. Effective risk communication and community engagement can be achieved when assisted by health learning materials. However, their utilization was not known in Ethiopi...

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Main Authors: Taye Debele, Firanbon Teshome, Demuma Amdisa, Girma Bacha, Zewdie Birhanu, Yohannes Kebede
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.0269574
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author Taye Debele
Firanbon Teshome
Demuma Amdisa
Girma Bacha
Zewdie Birhanu
Yohannes Kebede
author_facet Taye Debele
Firanbon Teshome
Demuma Amdisa
Girma Bacha
Zewdie Birhanu
Yohannes Kebede
author_sort Taye Debele
collection DOAJ
description <h4>Background</h4>Risk communication and community engagement are among the key strategies used in response to pandemics. Effective risk communication and community engagement can be achieved when assisted by health learning materials. However, their utilization was not known in Ethiopia. Therefore, the present study aimed to assess the utilization of COVID-19 health learning materials (HLMs), and explore barriers and facilitating factors.<h4>Methods</h4>A sequential explanatory mixed-methods study consisting of two phases was carried out. The first phase was a cross-sectional survey to assess the utilization of COVID-19 HLMs and their predictors. In this phase, a multistage sampling technique was used to select 530 health workers. A self-administered structured questionnaire was used for data collection. Epi-data manager version 4.6.0.2 and STATA version 16 were used for data entry and analyses, respectively. Descriptive analyses were carried out as necessary. Ordinal logistic regression analyses were done to identify the predictors of COVID-19 HLMs utilization. Phase two is a qualitative study to explore enablers and barriers to COVID-19 HLMs utilization. A judgmental sampling technique was used and 14 key informants were recruited. The collected data were uploaded into Atlas ti version 7.0.71. An inductive process of thematic analysis was employed and the data were coded, categorized, and thematized.<h4>Results</h4>Findings showed that out of the total 530 respondents, 210(39.6%), 117(22.1%), and 203(38.3%) of them never use COVID-19 HLMs, use sometimes, and always, respectively. Health workers' perceived quality of COVID-19 HLMs [AOR = 6.44 (95% CI: 4.18-9.94)], health workers' perceived usefulness of COVID-19 HLMs [AOR = 2.82 (95% CI: 1.88-4.22)], working facility [AOR = 1.83 (95% CI: 1.07-3.14)], educational level of the respondents [AOR = 1.73 (95% CI: 1.11-2.72)] and availability of COVID-19 HLMs [AOR = 1.45(95% CI: 1.01-2.08)] had statistically significant association with the utilization status of COVID-19 HLMs. Findings from the qualitative study showed that materials-related factors, and structure and health workers-related factors had influence on HLMs utilization.<h4>Conclusions</h4>In this study, we found that only a few of the respondents were regularly utilizing COVID-19 HLMs. Perceived quality, usefulness, and availability of HLMs, and health workers' educational status and working facility determined the level of COVID-19 HLMs utilization. There is a need for giving due attention to HLMs, evaluating their quality, availing them to health facilities, and providing training for health workers.
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spelling doaj.art-c0c501a9a477486fb747ea2d106104602022-12-22T00:44:05ZengPublic Library of Science (PLoS)PLoS ONE1932-62032022-01-01176e026957410.1371/journal.pone.0269574A mixed-methods study on health learning materials utilization for COVID-19 risk communication and community engagement among health workers in Arsi Zone, Ethiopia: Implication for response to pandemic.Taye DebeleFiranbon TeshomeDemuma AmdisaGirma BachaZewdie BirhanuYohannes Kebede<h4>Background</h4>Risk communication and community engagement are among the key strategies used in response to pandemics. Effective risk communication and community engagement can be achieved when assisted by health learning materials. However, their utilization was not known in Ethiopia. Therefore, the present study aimed to assess the utilization of COVID-19 health learning materials (HLMs), and explore barriers and facilitating factors.<h4>Methods</h4>A sequential explanatory mixed-methods study consisting of two phases was carried out. The first phase was a cross-sectional survey to assess the utilization of COVID-19 HLMs and their predictors. In this phase, a multistage sampling technique was used to select 530 health workers. A self-administered structured questionnaire was used for data collection. Epi-data manager version 4.6.0.2 and STATA version 16 were used for data entry and analyses, respectively. Descriptive analyses were carried out as necessary. Ordinal logistic regression analyses were done to identify the predictors of COVID-19 HLMs utilization. Phase two is a qualitative study to explore enablers and barriers to COVID-19 HLMs utilization. A judgmental sampling technique was used and 14 key informants were recruited. The collected data were uploaded into Atlas ti version 7.0.71. An inductive process of thematic analysis was employed and the data were coded, categorized, and thematized.<h4>Results</h4>Findings showed that out of the total 530 respondents, 210(39.6%), 117(22.1%), and 203(38.3%) of them never use COVID-19 HLMs, use sometimes, and always, respectively. Health workers' perceived quality of COVID-19 HLMs [AOR = 6.44 (95% CI: 4.18-9.94)], health workers' perceived usefulness of COVID-19 HLMs [AOR = 2.82 (95% CI: 1.88-4.22)], working facility [AOR = 1.83 (95% CI: 1.07-3.14)], educational level of the respondents [AOR = 1.73 (95% CI: 1.11-2.72)] and availability of COVID-19 HLMs [AOR = 1.45(95% CI: 1.01-2.08)] had statistically significant association with the utilization status of COVID-19 HLMs. Findings from the qualitative study showed that materials-related factors, and structure and health workers-related factors had influence on HLMs utilization.<h4>Conclusions</h4>In this study, we found that only a few of the respondents were regularly utilizing COVID-19 HLMs. Perceived quality, usefulness, and availability of HLMs, and health workers' educational status and working facility determined the level of COVID-19 HLMs utilization. There is a need for giving due attention to HLMs, evaluating their quality, availing them to health facilities, and providing training for health workers.https://doi.org/10.1371/journal.pone.0269574
spellingShingle Taye Debele
Firanbon Teshome
Demuma Amdisa
Girma Bacha
Zewdie Birhanu
Yohannes Kebede
A mixed-methods study on health learning materials utilization for COVID-19 risk communication and community engagement among health workers in Arsi Zone, Ethiopia: Implication for response to pandemic.
PLoS ONE
title A mixed-methods study on health learning materials utilization for COVID-19 risk communication and community engagement among health workers in Arsi Zone, Ethiopia: Implication for response to pandemic.
title_full A mixed-methods study on health learning materials utilization for COVID-19 risk communication and community engagement among health workers in Arsi Zone, Ethiopia: Implication for response to pandemic.
title_fullStr A mixed-methods study on health learning materials utilization for COVID-19 risk communication and community engagement among health workers in Arsi Zone, Ethiopia: Implication for response to pandemic.
title_full_unstemmed A mixed-methods study on health learning materials utilization for COVID-19 risk communication and community engagement among health workers in Arsi Zone, Ethiopia: Implication for response to pandemic.
title_short A mixed-methods study on health learning materials utilization for COVID-19 risk communication and community engagement among health workers in Arsi Zone, Ethiopia: Implication for response to pandemic.
title_sort mixed methods study on health learning materials utilization for covid 19 risk communication and community engagement among health workers in arsi zone ethiopia implication for response to pandemic
url https://doi.org/10.1371/journal.pone.0269574
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