Preparedness toward COVID-19 pandemics and associated factors among health care workers in Dire Dawa Hospitals, Eastern Ethiopia: A facility-based cross-sectional study

埃塞俄比亚东部迪雷达瓦医院医护人员应对新冠肺炎疫情的准备情况及相关因素:一项基于机构的横断面研究

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Abstract

INTRODUCTION: Health care workers are at the frontline of the response against the COVID-19 outbreak. Poor preparedness and infection prevention practices among health care workers compound the hazard and occurrence of COVID-19 hospital transmission. Thus, the study aimed to assess preparedness toward COVID-19 pandemics and associated factors among health care workers in Hospitals of Eastern Ethiopia. METHODS: Facility-based cross-sectional study was conducted from 20 June to July 10 2020. A simple random sampling technique was used to select 423 health care workers. Data were collected using a structured self-administered questionnaire and analyzed using SPSS Version 23. Bivariate and multivariable logistic regression was conducted to identify factors associated with the outcome variable, and statistical significance was declared at a p-value less than 0.05. RESULTS: This study revealed that the proportion of health care workers' preparedness toward the COVID-19 pandemic was 40.9% (95% CI: 36.2-45.9). Working in a public hospital (AOR = 2.7, 95% CI: 1.6-4.3), being unafraid of transmitting COVID-19 to patients (Adjusted odds ratio/AOR = 4.6, 95% CI: 2.2-10.0), feeling safe at the workplace (AOR = 3.3, 95% CI: 1.7-6.4)), satisfied with the infection control policy (AOR = 6.0, 95% CI: 2.3-15.0), and not feeling anxious about the likelihood of COVID-19 spread (AOR = 2.1, 95% CI: 1.3-3.4) were significantly associated with COVID-19 preparedness. CONCLUSION: The majority of the health care workers were not prepared for COVID-19 pandemics. Feeling safe at the workplace scared of transmitting COVID-19 to patients, satisfied with the infection control policy, and feeling anxious concerning the likelihood of COVID-19 were factors associated with health care workers' preparedness to COVID-19. The current awareness creation training, including motivational and psychological preparation for all health care workers, is mandatory, regardless of their profession or working place.

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