COVID-19 Preventive Measures Research Articles

Knowledge, attitudes, practices, and perception of COVID-19 preventive measures among adult residents of Matadi (Democratic Republic of the Congo) after the third epidemic wave.

Several governments from African countries, including the Democratic Republic of the Congo (DRC), implemented stringent public health measures to curb COVID-19 transmission in the early phases of the pandemic. While these restrictive measures are believed to have contributed to lowering case incidence and related mortality in DRC, data on the population's knowledge and adherence are limited. This study aimed to assess the knowledge, perception, attitudes, and practices of COVID-19 preventive measures and associated factors among adult residents of Matadi, thereby generating evidence for a strategy adjustment as the COVID-19 response is transitioning from emergency to control status. We used data from a population-based cross-sectional study conducted in October 2021. Consenting participants were enrolled through a multi-stage cluster sampling approach and administered a pre-tested structured questionnaire using a mobile application (Epicollect 5). We analyzed adult participants' data using STATA 15.1. Univariable and multivariable analyses were applied to identify factors associated with good knowledge, good perception, positive attitude and good practice. We included 1,269 adult respondents for the secondary analysis. One respondent in six was female. The median age was 36 years (IQR 24-50). Most respondents (76.5%) had good knowledge. Respondents aged 40-49 years and those with vocational education level were 1.7 time (AOR 1.75, 95% CI 1.07-2.87) and twice as likely (AOR 2.06, 95% CI 1.01-4.21) to have good knowledge. Preventive measures were perceived as efficient by 45% of respondents. Good perception was associated with education level, profession, average household monthly income and good knowledge. Only 40% of respondents had a positive attitude. A positive attitude was associated with age, education level, and good knowledge. Respondents having good practice represented 5.8%. Good practice was associated with good knowledge, attitude and perception. Most respondents were knowledgeable, had a good perception of government-related COVID-19 preventive measures, a moderately positive attitude and an extremely low level of good practice. Current COVID-19 preventive strategies, including vaccination rollout, need adjustment into high-efficiency, context-based and risk group-specific interventions. Evidence generated by this study will improve preparedness and response to future outbreaks.

Subgroup Behaviors and Factors Influencing Compliance With COVID-19 Preventive Measures Among Undergraduate Students in Southern Thailand.

To investigate clusters of students' COVID-19 preventive behaviors and their associated factors. We surveyed undergraduate students using an online questionnaire at a regional university in southern Thailand, between April and June 2022. Statistical analyses included latent class analysis and multinomial regression analysis. Three latent classes were identified: moderately consistent practitioner (7.5%), high compliance overall (48.9%), and good compliance with routine safeguards (43.6%). Females tended to have high compliance overall (RRR 2.46 95% CI 1.23-4.94), and higher academic performance was associated with high compliance overall and good routine safeguards. Perceived threats from COVID-19 were associated with good compliance with routine safeguards (RRR 4.21 95% CI 1.70-10.45). Benefits of actions and clear cues to action were associated with high overall compliance (RRR 5.24 95% CI 2.13-12.90). Students who perceived feasibility were more likely to be moderately consistent practitioners. The common clusters of the students' preventive behaviors were high compliance overall and good compliance with routine preventions. Female, academic performance, perceived threats, and perceived benefits and cues to action were associated with compliance.

Modeling and optimal control of COVID-19 and malaria co-infection based on vaccination

<p>Malaria is a serious health problem in Africa, and the ongoing COVID-19 pandemic has affected the implementation of key malaria control interventions. This jeopardizes the gains made in malaria. As a result, a new co-infection model of COVID-19 and malaria is constructed, and the role of vaccination in COVID-19-malaria co-infection is analyzed. The existence and stability of the equilibria of each single infection are first studied by their respective basic reproduction numbers. When the basic reproduction numbers $ R_{C0} $ and $ R_{M0} $ are both below unity, the COVID-19-malaria-free equilibrium is locally asymptotically stable. Sensitivity analysis reveals that the main parameters affecting the spread of diseases are their respective disease transmission rate and vaccine efficacy. Further, we introduce the effect of vaccination rate and efficacy on controlling the co-infected population. It also shows that under the condition of a low recovery rate caused by the shortage of medical resources, improving the vaccination rate and effectiveness of vaccines has a positive impact on suppressing diseases. The model is then extended into an optimal control system by introducing prevention and treatment measures for COVID-19 and malaria. The results suggest that applying each strategy alone can reduce the scale of co-infection, but strategy A increases the number of malaria cases and strategy B prolongs the period of COVID-19 infection. Measures to control COVID-19 must be combined with efforts to ensure malaria control is maintained.</p>

Critical Evaluation of Global Infection Prevention and Control Guidelines for Dentistry Published during the First 2 Years of the COVID-19 Pandemic.

The outbreak of the coronavirus disease (COVID-19) encouraged immediate actions by governments and healthcare associations across the world to flatten the curve and prevent health systems from being overburdened. As dentistry comprises aerosol-generating procedures (AGPs), which could increase the risk of infection, various guidelines were issued for dental services which focused on infection prevention and control (IPC) measures for COVID-19. This systematic review focuses on dental IPC guidelines, with the aim of comparing these guidelines against a gold standard. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) 2020 checklist was employed. Predefined inclusion and exclusion criteria were constructed. Information sources comprised Google Scholar, PubMed, and a manual search from December 2019 to December 2021. The Appraisal of Guidelines for Research and Evaluation (AGREE II) instrument was used. Consensus scoring was applied for all guidelines. A total 61 guidelines were included in the review. The UK national guideline was used as a gold standard as it ranked the highest AGREE score (75 out of 84) and thus was established for comparison with each of the included guidelines. Overall, 40% of the included guidelines had a high consensus score in relation to the UK national guideline. This systematic review highlighted the variability in content and quality of advice given by different organizations in response to the COVID-19 pandemic in their efforts to reduce SARS-CoV-2 transmission in dentistry. Establishing a single worldwide fast-acting dental organization would ensure that high-quality standardized guidance is available, to enhance health equality and worldwide dental clinical standards.

GLO GERM AND COVID-19: ILLUMINATING HYGIENE AND PROMOTING TRANSMISSION AWARENESS.

Maintaining effective surface hygiene and preventing contamination is of paramount importance. Our study introduces Glo Germ, a versatile product available in various forms, which possesses the unique ability to reveal hidden truths under ultraviolet light, enhance understanding of hygiene, and spread awareness of COVID-19 transmission and preventive measures. A comprehensive study was conducted to assess different surface cleaning techniques' effectiveness. Glo Germ, containing a fluorescent dye activated by ultraviolet light, was used to visualize germ spread and compare disinfectant cleaners' efficacy. The study encompassed diverse surfaces and materials, aiming to identify optimal cleaning techniques for each context. Furthermore, a small illustrative study was conducted during a COVID-19 awareness presentation involving students. Glo Germ was applied to hands, revealing its subsequent spread to faces and surfaces. This visual experiment effectively emphasized hand hygiene and mask-wearing importance. Results indicated that while water alone achieved satisfactory cleaning results, using detergent and the appropriate cleaning tools further improved efficacy. Notably, adhering to consistent patterns and applying pressure during cleaning proved essential. The student demonstration showed how contaminants spread quickly, highlighting hand hygiene's significance and the potential extent of contamination through sneezing. Glo Germ inclusion in these experiments highlights its potential in educating about surface cleaning and microbial transmission, offering an interactive and engaging approach to promoting personal hygiene and fostering illness prevention awareness.

Factors Associated with Utilization of COVID-19 Preventive Measures by Patients Attending Private Healthcare Facilities in Southwest Nigeria

Background: Understanding disease risk is important for prevention. Identifying high-risk COVID-19 patients helps healthcare professionals implement precautions. This study examined factors related to COVID-19 prevention in patients at private healthcare facilities in Southwest Nigeria, during the early stages of the pandemic. Methods: A descriptive cross-sectional survey was conducted in two hospitals using multi-stage sampling. 400 respondents were selected two out of 78 private healthcare facilities in in Southwest Nigeria. Trained interviewers administered a questionnaire to collect information on risk profile, symptoms, perception of COVID-19 risk, and preventive practices. Data was analyzed using descriptive statistics, chi-square test, and binary logistic regression at a significance level of 0.05. Results: The average age of participants was 27.83 + 10.46 years. 52.8% of respondents were female. 70.5% were single, 75.8% belonged to the Yoruba ethnic group, and 72% identified as Christians. None had a history of international travel or contact with a confirmed COVID-19 case in the past 14 days, but 12.75% had been in contact with suspected cases. 47% reported having a fever. The majority had a low risk score for COVID-19. Most did not smoke (98.5%), consume alcohol (83.75%), or visit club houses (85.75%). Only 9.5% underwent COVID-19 testing, and 16.0% of those tested were positive. The main reason for test refusal was a lack of perception of susceptibility to COVID-19. Adherence to preventive practices was poor in all investigated circumstances. Conclusion: Patients presenting in hospitals during the early phase of the COVID-19 pandemic had a low risk of COVID-19. However, their poor compliance with preventive protocols and low testing uptake make them a potential source of transmission. Strategies to promote adoption of preventive measures are needed, especially among patients at private healthcare facilities.

“Let Them Stay There”: COVID-19 and Zimbabwe’s Indignation Against Return Migrants and Travelers

This paper explains the indignation against and stigmatization of return migrants and travelers when Zimbabwe first recorded cases of COVID-19 in 2020. While xenophobic hatred toward foreign migrants enjoyed much media and scholarly attention, the similar risk faced by the return migrants and travelers among “their own” during the pandemic was largely left on the back burner. The paper uses secondary analysis of information from social media, government reports, media briefings, and public utterances of government officials to provide an explanation for the negative attitudes of locals against migrants at the height of COVID-19. The findings revealed that in times of change and dealing with uncertainty, there is a tendency to redraw boundary lines between in-groups and out-groups with negative consequences for those labeled as the out-group. For some time, the returnees were stigmatized as harbingers of the COVID-19 virus and viewed as troublesome and acting in an unreasonable manner, thus courting the indignation of local Zimbabweans. This paper lends support to the view that pandemics create fear, which results in the rejection and exclusion of ordinary members of the in-group. Perceived resource competition, resource scarcity, anxiety, and fear heightened the stigmatization of return migrants and travelers. To build back better from the negative effects of the pandemic, there is a need to review COVID-19 preventive measures, avoid reckless public pronouncements that stigmatize and stoke hatred for return migrants, and invest in the healthcare system.

Practice of COVID-19 prevention measures and its factors in long-distance truck drivers of Tigray

Practice of COVID-19 prevention measures and its factors in long-distance truck drivers of Tigray

Off-Campus Admission and Girls’ Vulnerability: Spaces for Immorality and Sexual Oppression

This study was conducted to investigate how the off-campus mode of university admission makes the girl-child vulnerable and creates spaces for immorality and sexual oppression. The study was conducted using questionnaires and oral interviews, both done online due to Covid-19 preventive measures. Using Gayatri Spivak’s idea of “The Female Subaltern”, the paper argues that admitting students on off-campus mode with little or no financial support increases girls’ vulnerability to such vices as prostitution and sexual abuse by ‘rich’ men, who take advantage of the girls’ suffering. The paper observes that this has negative effects on the girls’ education and lives as they may contract sexually transmitted infections, leaving them traumatized. This development also compromises the morality of university students, who are taken as role models in society. This immoral behaviour impacts negatively on the girls’ studies. The study observes that while the intentions to introduce this mode was in good faith, to ensure increased access to tertiary education, the challenges faced therein (regarding girls’ welfare) go a long way in defeating this rather good intention, and it becomes a gender issue considering the vulnerability of the girl-child, as men take advantage of the compromised welfare of these girls. With these girls losing their moral well-being, they cease from being reliable citizens after graduating from the university; not mentioning the fact that their life span is reduced should they contract deadly sexually transmitted infections.

Safety measures of Emergency Medical Service (EMS) during COVID-19 pandemic in Riyadh, Saudi Arabia

The global outbreak of COVID-19 posed difficulties for emergency medical services (EMS) personnel across the globe, including those in Saudi Arabia. The objective of this descriptive study was to evaluate the level of consciousness among EMS personnel in Saudi Arabia concerning COVID-19 prevention approaches and resources, as well as to point out potential areas for improvement. For this study, the data was gathered via surveys that were distributed to a subset of Emergency Medical Services (EMS) personnel. The study revealed that a significant proportion of individuals who were infected with the disease, precisely 32%, acknowledged that they did not adhere to the recommended guidelines for the proper utilization of their personal protective equipment (PPE). This highlights the pressing necessity for improved COVID-19 prevention measures and resources for Emergency Medical Services (EMS) personnel. Besides, the findings of this research have the potential to provide valuable insights to policymakers, healthcare establishments, and educational institutions in Saudi Arabia. These insights can be used to design evidence-based interventions and initiatives that focus on improving COVID-19 prevention strategies, ensuring an adequate supply of personal protective equipment, and promoting the implementation of clear and effective protocols.

The Moderating Role of Perceived Efficacy of COVID-19 Prevention Measures on the Relation Between Perceived Risk and Perceived Mental Health

The pandemic situation caused by COVID-19 led countries to adopt harsh and prolonged (over time) measures that—along with the high number of infections and deaths and continuous negative information—have affected the mental health of individuals. In this study, the impact on mental health of the COVID-19 health crisis in Spain was explored through the perceived efficacy of pandemic containment measures as a moderator of the relationship that COVID-19 perceived risk establishes with stress and depression. A questionnaire composed of scales conceived to measure COVID-19 perceived risk, perceived efficacy of COVID-19 prevention measures, stress, and depression was completed by 478 adults living in Spain (66.9% females, Mage = 36.30, SD = 15.32) between May 16, 2021, and June 6, 2021. The results confirmed the moderating role of perceived efficacy. Perceived efficacy acted as a protective factor for stress and depression by decreasing the negative impact that perceived risk had on both variables related to mental distress. Also, the perception that participants had about the effectiveness of prevention measures appeared to be a relevant protective factor regarding mental health during the pandemic. This study highlights the relevance of psychological interventions and government policies that improve positive risk communication and provide adequate information regarding the effectiveness of health-prevention measures. La pandemia del COVID-19 ha llevado a los países a adoptar severas y prolongadas medidas que —junto con el alto número de contagios y muertes y la continua información negativa— ha afectado la salud mental de las personas. Este estudio analiza el impacto de la crisis sanitaria del COVID-19 en España explorando el rol moderador de la eficacia percibida de las medidas de contención en la relación que establece la percepción del riesgo del COVID-19 con el estrés y la depresión. Un total de 478 adultos residentes en España (un 66.9% mujeres; Medad = 36.30, DT = 15.32) completaron un cuestionario con escalas concebidas para medir el riesgo percibido del COVID-19, la eficacia percibida de las medidas de protección, el estrés y la depresión entre el 16 de mayo y el 6 de junio de 2021. Los resultados confirmaron el rol moderador de la eficacia percibida, la cual actuó como un factor protector del estrés y la depresión al disminuir el impacto negativo que la percepción de riesgo del COVID-19 tiene en ambas variables relacionadas con el distrés mental. La percepción que tienen los individuos sobre la efectividad de las medidas de protección parece ser un factor protector relevante en relación con la salud mental durante una pandemia. Se subraya la relevancia de intervenciones psicológicas y de políticas gubernamentales que mejoren la comunicación positiva del riesgo y la información adecuada sobre la eficacia de las medidas de protección.

COVID-19 in Pakistan: A national analysis of five pandemic waves.

The COVID-19 pandemic showed distinct waves where cases ebbed and flowed. While each country had slight, nuanced differences, lessons from each wave with country-specific details provides important lessons for prevention, understanding medical outcomes and the role of vaccines. This paper compares key characteristics from the five different COVID-19 waves in Pakistan. Data was sourced from daily national situation reports (Sitreps) prepared by the National Emergency Operations Centre (NEOC) in Islamabad. We use specific criteria to define COVID-19 waves. The start of each COVID-19 wave is marked by the day of the lowest number of daily cases preceding a sustained increase, while the end is the day with the lowest number of cases following a 7-days decline, which should be lower than the 7 days following it. Key variables such as COVID-19 tests, cases, and deaths with their rates of change to the peak and then to the trough are used to draw descriptive comparisons. Additionally, a linear regression model estimates daily new COVID-19 deaths in Pakistan. Pakistan saw five distinct waves, each of which displayed the typical topology of a complete infectious disease epidemic. The time from wave-start to peak became progressively shorter, and from wave-peak to trough, progressively longer. Each wave appears to also be getting shorter, except for wave 4, which lasted longer than wave 3. A one percent increase in vaccinations decreased deaths by 0.38% (95% CI: -0.67, -0.08) in wave 5 and the association is statistically significant. Each wave displayed distinct characteristics that must be interpreted in the context of the level of response and the variant driving the epidemic. Key indicators suggest that COVID-19 preventive measures kept pace with the disease. Waves 1 and 2 were mainly about prevention and learning how to clinically manage patients. Vaccination started late during wave 3 and its impact on hospitalizations and deaths became visible in wave 5. The impact of highly virulent strains Alpha/B.1.1.7 and Delta/B.1.617.2 variants during wave 3 and milder but more infectious Omicron/B.1.1.529 during wave 5 are apparent.

Heterogeneity in the Adoption of COVID-19 Preventive Measures Among Adults in Ethiopia: A Cluster Analysis Approach

This study investigates the extent of heterogeneity in the adoption of preventive measures among adult individuals in Ethiopia. Utilizing a nationally representative cross-sectional survey conducted by the World Health Organization in 2021, encompassing 895 participants, we explore the varying patterns of preventive measure adoption. Hierarchical cluster analysis is employed to discern potential subgroups within the respondents based on their adoption of preventive measures. Subsequently, logistic regression analysis is applied to ascertain the factors associated with the identified group divisions. We identify two distinct groups characterized by their responses to nine preventive measures. Group 1 comprises the majority of respondents (87%) who exhibit lower frequencies of adopting preventive measures. In contrast, Group 2 consists of 13% of respondents who demonstrate a higher frequency of adopting preventive measures. The amalgamation of cluster analysis and logistic regression outcomes yields insightful implications for the profile of preventive measure adoption. Our logistic regression analysis delves into the determinants influencing membership in the identified subgroups. Notably, it uncovers that individuals with a higher educational attainment exhibit a 2.33-fold greater likelihood of belonging to Group 1, signifying their relatively lesser adoption of preventive measures. In conclusion, this study not only sheds light on the heterogeneity within the adoption of preventive measures among Ethiopian adults but also underscores the influence of education on the propensity to adopt such measures. The findings contribute to better understanding of the dynamics surrounding public health behavior in the context of a pandemic. Keywords: COVID-19, Cluster analysis, Ethiopia, Heterogeneity, Logistic regression, Preventive measures.

Antisocial personality traits relationship with behaviours and beliefs on COVID-19 containment measures: Investigation in a large Brazilian sample.

In the COVID-19 context, traits associated with antisociality can decrease concern and awareness about the potential harmfulness of the virus. This study investigated associations of pathological traits of antisocial personality disorder (ASPD) with behaviours and beliefs linked to COVID-19 containment measures. The sample consisted of 2230 Brazilian adults who answered ASPD-related facets of the Personality Inventory for DSM-5 and a questionnaire regarding adherence to COVID-19 containment measures. We applied the DSM-5 ASPD criteria to divide the sample into antisocial and non-antisocial groups. Our findings suggest that individuals meeting the criteria for ASPD tend to exhibit reduced compliance with pandemic control measures and lower adherence to hygiene practices. Moreover, sex, income, and age should be considered potential covariates in research investigating the relationship between antisocial traits and adherence to COVID-19 preventive measures. Altogether, our findings highlight ASPD traits' role in the predisposition to lack of prosocial behaviours of adherence to COVID-19 containment measures.

Knowledge and perceived barriers for care provision regarding COVID-19 among hospital nurses in Nepal

COVID-19 pandemic is significantly affecting the overall health and healthcare system globally. It has not shown mercy to Nepal either. All the health facilities are full of COVID-19 patients. Almost all death from COVID-19, has occurred in hospital. Adequate knowledge of nurses regarding the source, transmission, symptoms, and preventive measures of COVID-19 helps to provide effective care and prevent spreading infections from patients to patients, and nurses to patients. Therefore, this study aimed to identify the knowledge regarding COVID-19 and perceived barriers for care provision regarding COVID-19 patients among hospital nurses in Nepal. A cross-sectional descriptive study was conducted in different COVID-19 care designated hospitals of Nepal. Data were collected by using self-administered validated questionnaire through online survey. Descriptive analysis was done by using SPSS-16. More than 80% of nurses had adequate knowledge regarding symptoms, route of transmission, vulnerable population and preventive measures of COVID- 19 and only 15.0% had got training related to COVID-19 pandemic. Nurses perceived negligence of the patients and community people on COVID-19 prevention (84.6%), fear of being infected and carrier to family and community while contacting with patients (80.0%), long duty hour (75.0%), inadequately supply of personal protective equipment and insufficient institutional preparedness (74.0%) were the major barriers for providing care of COVID-19 patients. Thus, hospital authority, nursing administration and nursing professionals’ organizations should play an important role in organizing training to nurses and awareness program to community people. It is also essential in providing required supplies, and facilitates the motivating environment for effective care and prevention of COVID-19.

Impact of the Covid-19 Pandemic on the Performance of Micro Enterprises in CA Mau Province, Vietnam

This study investigates how the COVID-19 pandemic has affected the business performance of microenterprises in Ca Mau province, aiming to extract valuable insights and recommendations for crisis management by enterprises. The research involved direct questionnaire interviews with 121 microenterprises in Ca Mau. Employing descriptive statistics, exploratory factor analysis, and regression analysis, the study spans the period from 2019 to 2021. Findings reveal that COVID-19 prevention measures, such as mobility restrictions, lockdowns, and business suspensions, have repercussions on the labor market, financial market, and supply chain, resulting in adverse impacts on business performance. Positive influences on business performance include the supply of materials, while negative correlations are observed with factors like mobility restrictions, employee reduction, and financial leverage. Drawing from these results, the author provides recommendations for the recovery and enhancement of business performance.

‘What are you doing here?’: (mis)trust, COVID-19 pandemic, and sexual reproductive health rights

We explore how the government’s messaging on COVID-19 pandemic response perpetuated mistrust and impeded people’s ability to access and utilise sexual and reproductive health (SRH) services. While the need for SRH information increased, public health messages fostered mistrust in sexual and reproductive health services. We draw on in-depth interviews and focus group discussions conducted among women, girls, and healthcare providers in five African countries (Burkina Faso, Ethiopia, Kenya, Malawi, and Uganda) between May and October 2021. We show how trust was largely eroded through preventive measures, such as stay-at-home directives, social distancing, curfews, and lockdowns. We argue that, on one hand, while state-led epidemic preparedness and response were geared towards the common good, i.e., controlling the virus, on the other hand, de-prioritisation of much-needed services for sexual and reproductive health and rights (SRHR), as well as a lack of transparency among some of the service providers, bred mistrust in healthcare. We conclude that ambiguity in communication and implementation of COVID-19 prevention measures further compromised access to and utilisation of sexual and reproductive health services.

Diabetes Management and Problems Experienced by Patients with Type 1 Diabetes Mellitus During the COVID-19 Pandemic: A Qualitative Study

Objective: A study was conducted to obtain information about problems in diabetes management experienced by patients with type 1 diabetes mellitus during the coronavirus disease (COVID-19) pandemic. Materials and Methods: In this qualitative study, in-depth interviews were carried out with 43 patients with type 1 diabetes mellitus (25 women, 18 men) aged 18-34 years who volunteered to participate. Each interview lasted 30 to 35 minutes. The conventional content analysis of data was performed using Graneheim & Lundman method. Results: The mean age of the participants was 26.05±8.01 years, the mean HbA1c level was 9.57±2.57%, and the duration of diabetes was 8.70±5.22 years. The study revealed 7 problem areas related to the patients’ diabetes management during the COVID-19 pandemic: blood glucose control, dietary adherence, insulin dose adjustment, exercising, psychosocial problems, sleep problems, and compliance with COVID-19 preventive measures. Conclusion: The study's results showed that during the COVID-19 pandemic, patients with type 1 diabetes mellitus experienced difficulties in diabetes management and negatively impacted psychosocially.

Knowledge, practices and adherence to COVID-19 preventive measures by community members in the Phalombe District Malawi: a cross-sectional qualitative study

Background: The COVID-19 pandemic has strained already struggling health systems in low- and middle-income countries such as Malawi. To slow the spread of the virus, the World Health Organization recommended non-pharmaceutical measures including frequent hand washing, wearing of face masks when in groups or social gatherings and maintaining physical distance. To ensure adequate uptake of these preventive measures, many communities intensified engagement, advocacy meetings and health promotion interventions. In this study, we investigated knowledge, practice and adherence towards COVID-19 preventive measures of people living in the rural community of Phalombe District of Malawi. Methods: In this cross-sectional, qualitative study, data were collected in focus group discussions and in-depth interviews. Participants were selected from six randomly selected villages under traditional authorities, namely Nazombe, Jenala and Nkhumba from Phalombe District. Data were thematically analysed to identify emerging themes. Results: Most participants knew about and were aware of, but reported poor adherence to COVID-19 preventive measures. Two major themes emerged, namely, perceived low-risk of COVID-19 and non-adherence to preventive measures. Various sub-themes emerged regarding the use of preventive measures when participating in social gatherings. These sub-themes included knowledge of preventive measures, use of face masks, observing physical distance and hand washing practices. Conclusion: People living in the rural district of Phalombe District of Malawi were able to identify COVID-19 preventive methods. Participants reported low adherence to preventive methods, which was associated with low perceived risk. Community perceptions and willingness need to be considered when mandating preventive measures for future pandemics.

The Level of Knowledge, Attitudes, and Practices in a Caribbean Colombian Population That Recovered from COVID-19 during the Pandemic.

This study aimed to assess the knowledge, attitudes, and behaviors related to COVID-19 among Colombians. A cross-sectional descriptive study was carried out during the pandemic between November 2020 and May 2021 using a survey that focused on knowledge, attitudes, and practices regarding COVID-19. The online survey was completed by 1424 participants who had a history of COVID-19 illness, and the study spanned 3 months. Many respondents were male students who demonstrated adequate knowledge of COVID-19 symptoms and prevention measures, although their understanding of its transmission routes was limited. Nevertheless, 65.9% expressed optimism that COVID-19 would ultimately be successfully controlled, and 71.8% had confidence in the Colombian government's handling of the crisis. Additionally, more than half of the participants admitted to visiting crowded places, and this practice was more common among those who were less informed about COVID-19. However, many respondents reported using face masks in public. This highlights a significant gap between theoretical knowledge and actual practices that need to be addressed. To bridge this gap, establishing an interdisciplinary support network is crucial, as is launching mass education campaigns targeting specific population groups, and compiling reports on successful practices implemented during the pandemic. These efforts are essential for enhancing the overall level of knowledge, and the attitudes and practices related to COVID-19, and also for preparing for future health emergencies.