Abstract
Coronavirus disease 2019 (COVID-19) causes more than five million deaths worldwide. Pregnant women are at high risk for infection due to the physiologic change in the immune and cardiopulmonary system and also it increases the risk of severe disease, intensive care unit admission, and receive mechanical ventilation when compared with non-pregnant women. It is associated with adverse maternal and neonatal outcomes. So pregnant women need to have adhered to preventive measures to prevent COVID-19 related consequences. Therefore, this study aimed to assess adherence toCOVID-19 preventive practice and associated factors among pregnant women in Gondar city, northwest Ethiopia. A community-based cross-sectional study was conducted from July 1st to 30th, 2021, in Gondar city. A cluster sampling technique was employed to select 678 pregnant women. Data were collected using a pre-tested, face-to-face interviewer-administered questionnaire. Data were entered into EPI DATA version 4.6 and exported to SPSS version 25 for analysis. Both bivariable and multivariable logistic regression analysis was fitted to identify associated factors. Adjusted odds ratio with a 95% confidence interval was used to report the association between covariates and the outcome variable. The prevalence of good adherence to COVID-19 preventive practice was 44.8% (95% CI: 41.3, 48.7). Maternal age (≤24 years) [AOR = 2.89, 95% CI: 1.37, 6.10], maternal education (secondary school) [AOR = 2.95, 95% CI: 1.58, 5.53] and (college and above) [AOR = 4.57,95% CI: 2.42, 8.62], having ANC follow up [AOR = 2.95, 95% CI: 1.35, 6.46] and adequate knowledge towards COVID-19 [AOR = 1.70, 95% CI: 1.20, 2.41] were significantly associated with good adherence to COVID-19 preventive practice. In this study, adherence towards COVID-19 preventive practice in pregnant women is low. Hence, it is important to strengthen women's awareness about COVID-19 through different media and health education. In addition, empowering women to attain ANC and special consideration should be given to women who had no formal education.
Highlights
Coronavirus disease 2019 (COVID-19) is a novel virus that is caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) first detected at the end of December 2019, in Wuhan city China [1, 2]
The prevalence of good adherence to COVID-19 preventive practice was 44.8%
Empowering women to attain antenatal care (ANC) and special consideration should be given to women who had no formal education
Summary
Coronavirus disease 2019 (COVID-19) is a novel virus that is caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) first detected at the end of December 2019, in Wuhan city China [1, 2]. The presence of different COVID-19 variants (Delta, Kappa, Alpha, Beta etc.), with high mutation characteristics and ineffectiveness of the vaccine makes the pandemic difficult to control in the world. This virus variation possibly creates more worst complications in the third wave of the pandemic [12]. Pregnant women are at high risk for infection due to the physiologic change in the immune and cardiopulmonary system and it increases the risk of severe disease, intensive care unit admission, and receive mechanical ventilation when compared with non-pregnant women It is associated with adverse maternal and neonatal outcomes. This study aimed to assess adherence toCOVID-19 preventive practice and associated factors among pregnant women in Gondar city, northwest Ethiopia
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