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Abstract
Limited research exists on pregnant women’s knowledge, attitudes, and behavior concerning COVID-19 in sub-Saharan Africa. We performed a cross-sectional study among 648 pregnant women in Fort Portal, Uganda, after the first lockdown starting in June 2020. Structured interviews were conducted at three different facilities during routine antenatal care, assessing sociodemographic background, knowledge of COVID-19, prevention behavior adherence, and psycho-emotional stress levels. We performed descriptive analyses and examined associated factors using multivariable logistic regression. In Fort Portal Region, 32.8% of pregnant women had a higher knowledge regarding the COVID-19 pandemic, while all women at least heard of COVID-19. 88.6% of the women showed low self-reported prevention behavior adherence. More than one third of the pregnant women experienced high psycho-emotional stress related to the pandemic (39.8%). The odds for psycho-emotional stress were increased among the age group 21–30 years (AOR 1.97; 95% CI 1.18–3.35) compared to women under the age of 21, and decreased in single or divorced women compared to women in partnerships (AOR 0.42; 0.22–0.77) and in women having less COVID-19-related knowledge (AOR 0.40; 0.27–0.58). In conclusion, prevention behavior adherence seemed challenging, and psycho-emotional stress was ubiquitous among our cohort. To avoid adverse consequences in maternal and neonatal health, campaigns for hygiene but also women’s emotional state should be a major focus of community healthcare in exceptional times such as the SARS-CoV-2 pandemic.
Highlights
In early 2020, when the World Health Organization (WHO) declared the emerging respiratory infection Coronavirus disease 2019 (COVID-19) to be a public health emergency of international concern [1], one of the greatest fears of the international health community was the spread of the virus to low- and middle- income countries with inadequate and often non-functional health systems [2]
We interviewed 648 pregnant women who visited one of the three participating health facilities for their first antenatal care (ANC) visit
208 (32.8%) participants showed a higher knowledge of COVID-19, while 427 (67.2%) had a lower knowledge level
Summary
In early 2020, when the World Health Organization (WHO) declared the emerging respiratory infection Coronavirus disease 2019 (COVID-19) to be a public health emergency of international concern [1], one of the greatest fears of the international health community was the spread of the virus to low- and middle- income countries with inadequate and often non-functional health systems [2]. Despite the fact that compared to other regions of the world, most African countries were initially spared the main burden of the pandemic [3], case numbers are on the rise, with the number of confirmed COVID-19 cases exceeding. While approximately 15% of COVID-19 patients will experience severe disease requiring oxygen support, and 5% will develop critical disease [5], Int. J.
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