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Article

Level and Determinants of Adherence to COVID-19 Preventive Measures in the First Stage of the Outbreak in Uganda

by
Bob O. Amodan
1,*,
Lilian Bulage
1,
Elizabeth Katana
1,
Alex R. Ario
1,
Joseph N. Siewe Fodjo
2,
Robert Colebunders
2 and
Rhoda K. Wanyenze
3
1
Uganda Public Health Fellowship Program, Kampala 7272, Uganda
2
Global Health Institute, University of Antwerp, Doornstraat 331, 2610 Antwerp, Belgium
3
School of Public Health, College of Health Sciences, Makerere University, Mulago Kampala 7072, Uganda
*
Author to whom correspondence should be addressed.
Int. J. Environ. Res. Public Health 2020, 17(23), 8810; https://doi.org/10.3390/ijerph17238810
Submission received: 21 September 2020 / Revised: 29 October 2020 / Accepted: 2 November 2020 / Published: 27 November 2020
(This article belongs to the Special Issue COVID-19 in Low and Middle Income Countries)
Review Reports Versions Notes

Abstract

We conducted an online survey in the first two months of the Coronavirus Disease 2019 (COVID-19) epidemic in Uganda to assess the level and determinants of adherence to and satisfaction with the COVID-19 preventive measures recommended by the government. We generated Likert scales for adherence and satisfaction outcome variables and measured them with four preventive measures, including handwashing, wearing face masks, physical distancing, and coughing/sneezing hygiene. Of 1726 respondents (mean age: 36 years; range: 12–72), 59% were males, 495 (29%) were adherent to, and 545 (32%) were extremely satisfied with all four preventive measures. Adherence to all four measures was associated with living in Kampala City Centre (AOR: 1.7, 95% CI: 1.1–2.6) and receiving COVID-19 information from health workers (AOR: 1.2, 95% CI: 1.01–1.5) or village leaders (AOR: 1.4, 95% CI: 1.02–1.9). Persons who lived with younger siblings had reduced odds of adherence to all four measures (AOR: 0.75, 95% CI: 0.61–0.93). Extreme satisfaction with all four measures was associated with being female (AOR: 1.3, 95% CI: 1.1–1.6) and health worker (AOR: 1.2, 95% CI: 1.0–1.5). Experiencing violence at home (AOR: 0.25, 95% CI: 0.09–0.67) was associated with lower satisfaction. Following reported poor adherence and satisfaction with preventive measures, behavior change programs using health workers should be expanded throughout, with emphasis on men.
Keywords: COVID-19; preventive measures; adherence; satisfaction; Uganda COVID-19; preventive measures; adherence; satisfaction; Uganda

Share and Cite

MDPI and ACS Style

Amodan, B.O.; Bulage, L.; Katana, E.; Ario, A.R.; Fodjo, J.N.S.; Colebunders, R.; Wanyenze, R.K. Level and Determinants of Adherence to COVID-19 Preventive Measures in the First Stage of the Outbreak in Uganda. Int. J. Environ. Res. Public Health 2020, 17, 8810. https://doi.org/10.3390/ijerph17238810

AMA Style

Amodan BO, Bulage L, Katana E, Ario AR, Fodjo JNS, Colebunders R, Wanyenze RK. Level and Determinants of Adherence to COVID-19 Preventive Measures in the First Stage of the Outbreak in Uganda. International Journal of Environmental Research and Public Health. 2020; 17(23):8810. https://doi.org/10.3390/ijerph17238810

Chicago/Turabian Style

Amodan, Bob O., Lilian Bulage, Elizabeth Katana, Alex R. Ario, Joseph N. Siewe Fodjo, Robert Colebunders, and Rhoda K. Wanyenze. 2020. "Level and Determinants of Adherence to COVID-19 Preventive Measures in the First Stage of the Outbreak in Uganda" International Journal of Environmental Research and Public Health 17, no. 23: 8810. https://doi.org/10.3390/ijerph17238810

APA Style

Amodan, B. O., Bulage, L., Katana, E., Ario, A. R., Fodjo, J. N. S., Colebunders, R., & Wanyenze, R. K. (2020). Level and Determinants of Adherence to COVID-19 Preventive Measures in the First Stage of the Outbreak in Uganda. International Journal of Environmental Research and Public Health, 17(23), 8810. https://doi.org/10.3390/ijerph17238810

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