University Hospital Complex "Le Bon Samaritain", N'Djamena, Chad.
Pontificia Universidad Católica de Chile, Santiago, Chile.
J Community Health. 2021 Apr;46(2):259-266. doi: 10.1007/s10900-021-00963-8. Epub 2021 Jan 23.
The first African COVID-19 case was reported in Egypt in February 2020. Since then, Sub-Saharan countries have struggled to respond to the pandemic. Among them, Chad is characterized by a high rate of poverty and mortality, a high burden of infectious diseases, insufficient epidemiological surveillance and underdeveloped infrastructure. In this study, we explore the knowledge, attitudes and practices (KAPs) regarding COVID-19 within the Chadian population, to determine whether there are more vulnerable groups of the population that require greater attention from authorities. This study was designed as a cross-sectional survey conducted in N'Djamena, Chad, using a convenience sampling technique that included 2269 participants. The study was conducted in May and August 2020. Questions regarding technical concepts were answered incorrectly by most participants (83.65%). The population had better knowledge about concrete aspects of the pandemics, such as prevention measures and contagion. Regarding attitudes, 34.55% participants were very concerned about the possibility of being infected, 81.27% were unsatisfied/very unsatisfied with their social relationships after the pandemic began, and 68.44% thought that the pandemic was a disturbing/very disturbing issue. As for practices, 49.41% of men followed all preventive measures compared to 32.07% of women, and 3.04% of people with vulnerable jobs did not respect any of preventive measures compared to 1.19% of people without this condition. Gender, job conditions and educational level impact KAPs within the Chadian population. It is suggested that local authorities in Chad should consider these variables when developing health strategies.
2020 年 2 月，埃及报告了首例非洲新冠肺炎病例。自那时以来，撒哈拉以南非洲国家一直在努力应对这一大流行病。其中，乍得的特点是贫困率和死亡率高、传染病负担重、流行病学监测不足和基础设施欠发达。在这项研究中，我们探讨了乍得人口对 COVID-19 的知识、态度和实践（KAP），以确定是否存在更需要当局关注的弱势人群。本研究设计为横断面调查，在乍得恩贾梅纳采用便利抽样技术，纳入 2269 名参与者。研究于 2020 年 5 月和 8 月进行。大多数参与者对技术概念问题的回答不正确（83.65%）。人们对大流行的具体方面，如预防措施和传染，有更好的了解。关于态度，34.55%的参与者非常担心感染的可能性，81.27%的参与者对大流行开始后他们的社会关系不满意/非常不满意，68.44%的人认为大流行是一个令人不安/非常不安的问题。至于做法，与 32.07%的女性相比，49.41%的男性遵守了所有预防措施，与 1.19%没有这种情况的人相比，3.04%从事脆弱工作的人没有遵守任何预防措施。性别、工作条件和教育水平影响乍得人口的 KAP。建议乍得地方当局在制定卫生战略时应考虑这些变量。
