Faculty of Medicine and Health Sciences, SIMAD University, Mogadishu, Somalia.
Department of Neonatal Intensive Care Unit in Yardimeli Hospital Mogadishu, Mogadishu, Somalia.
BMC Public Health. 2023 Aug 28;23(1):1650. doi: 10.1186/s12889-023-16562-2.
In September 2022, a new Ebola outbreak was reported in Uganda, East Africa, and 142 confirmed cases, including 19 Healthcare workers (HCWs) reported. Ebola is not endemic in Somalia, but the country is at a reasonable risk of the virus being introduced due to the direct connection with daily flights from Uganda without border health control and prevention activities. Therefore, evaluating HCWs' Knowledge and attitude is crucial since this is the first time being evaluated in Somalia. The study's objective is to evaluate the HCWs' Knowledge and attitude toward the Ebola virus disease in Somalia.
An online self-administrated cross-sectional survey was conducted among HCWs (n = 1103) in all six federal member states of Somalia using a validated, reliable, well-structured questionnaire. Data we analyzed using descriptive statistics and Logistic regression were used to determine sociodemographic characteristics associated with poor Knowledge and negative attitude.
Over one-third (37.3%) of HCWs had poor Knowledge; the mean knowledge score was 7.97 SD ± 2.15. Almost 40.1% of the HCWs had a negative attitude; the mean attitude was 27.81 SD ± 8.06. Low-income HCWs (AOR = 2.06, 95%CI:1.01-4.19), Married HCWs (AOR = 1.39, 95%CI: 1.110-1.963), Midwives (AOR = 2.76, 95%CI: 1.74-4.39), Lab technicians (AOR = 2.43, 95%CI: 1.43-4.14), HCWs work in Jubaland state of Somalia (AOR = 3.69, 95%CI: 2.39-5.70), Galmudug state (AOR = 8.50, 95%CI: 4.59-15.77), Hirshabelle state (AOR = 3.18, 95%CI: 2.15-4.71) were more likely to have poor Knowledge compared to their counterparts. HCWs who work in Hirshabelle state (AOR = 5.44,95%CI: 3.58-8.27), Jubaland state (AOR = 8.47, 95%CI: 4.69-15.29), and Galmudug state (AOR = 4.43, 95%CI: 3.03-6.48) was more likely to have a negative attitude than those working in the Banadir region administration.
Most Somali healthcare workers showed good Knowledge and a positive attitude toward the Ebola virus. The implementation to enhance Knowledge and attitude must specifically focus on low-income HCWs, Midwives, Lab technicalities, and those who work in Hirshabelle, Jubaland, and Galmudug states of Somalia.
2022 年 9 月，乌干达东非报告了新的埃博拉疫情，确诊病例 142 例，其中包括 19 名医护人员。埃博拉在索马里并不流行，但由于与乌干达的每日航班直接相连，且没有边境卫生控制和预防措施，该国病毒传入的风险处于合理水平。因此，评估医护人员对埃博拉病毒病的知识和态度至关重要，因为这是索马里首次进行评估。本研究的目的是评估索马里医护人员对埃博拉病毒病的知识和态度。
采用经过验证、可靠、结构良好的问卷，对索马里六个联邦成员州的所有医护人员（n=1103）进行了在线自我管理的横断面调查。我们使用描述性统计和逻辑回归分析数据，以确定与知识水平差和负面态度相关的社会人口学特征。
超过三分之一（37.3%）的医护人员知识水平较差；平均知识得分 7.97±2.15。近 40.1%的医护人员态度消极；平均态度得分为 27.81±8.06。低收入医护人员（AOR=2.06，95%CI：1.01-4.19）、已婚医护人员（AOR=1.39，95%CI：1.110-1.963）、助产士（AOR=2.76，95%CI：1.74-4.39）、实验室技术员（AOR=2.43，95%CI：1.43-4.14）、在索马里朱巴兰州工作的医护人员（AOR=3.69，95%CI：2.39-5.70）、加尔穆杜格州（AOR=8.50，95%CI：4.59-15.77）、希兰州（AOR=3.18，95%CI：2.15-4.71）的医护人员与同行相比，更有可能知识水平较差。与在邦纳迪尔地区工作的医护人员相比，在希兰州（AOR=5.44，95%CI：3.58-8.27）、朱巴兰州（AOR=8.47，95%CI：4.69-15.29）和加尔穆杜格州（AOR=4.43，95%CI：3.03-6.48）工作的医护人员更有可能持负面态度。
大多数索马里医护人员对埃博拉病毒表现出良好的知识和积极的态度。必须特别关注低收入医护人员、助产士、实验室技术员以及在索马里希兰州、朱巴兰州和加尔穆杜格州工作的医护人员，以增强他们的知识和态度。
