Adherence to the Use of Masks by Communities in Compliance with Covid-19 Prevention Measures in Kadoma City, Zimbabwe

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DOI: 10.21522/TIJPH.2013.13.03.Art008

Authors : A. Chimbaru, D. Chirundu, N. Midzi

Abstract:

Given non-availability of effective therapeutics during the COVID-19 pandemic, Public health and social measures were crucial to limiting the transmission of the diseases, amongst which Masks were introduced as an intervention. The use of masks reduced transmission in medical settings, and the same results would be anticipated in communities affected by COVID-19. Compliance to the use of masks remains a challenge in many countries. A case-control study design was used to investigate factors affecting compliance with COVID-19 preventive measures. We recruited 402 respondents for the study. Out of these, 206 case respondents were selected using random numbers generated by Excel 2017, which were then matched to the line listing. The remaining 186 controls were selected based on proximity to confirmed cases. We used an interviewer-administered questionnaire to collect data. Analysis was done using Epi-Info 7 software. Out of the total respondents, a proportion of 64% (132/206) of the total cases and 45% (89/196) of the total controls (p=0.0002) believed that using masks in the previous week helped to prevent COVID-19. Amongst the male respondents, who put on masks in the past two weeks to prevent COVID-19, 66% (75/113) of them were cases and 42% (43/103) of were controls (p=0.001). We conclude that compliance with the use of masks was as a result of positive perception of the Kadoma community who believed that use of masks prevented them from getting infected by COVID 19. Availability of masks, government policies, employers’ enforcement also contributed to compliance in public places.

References:

[1]. Abraham, C., & Sheeran, P., 2015, The Health Belief Model. https://www.researchgate.net/figure/The-health-belief-model_fig1_290193215

[2]. Ather, B., Mirza, T. M., & Edemekon., P. F., 2023, Airborne Precautions. https://www.ncbi.nlm.nih.gov/books/NBK531468/

[3]. Banda, J., Dube, A. N., Brumfield, S., Amoah, A. S., Reniers, G., Crampin, A. C., & Helleringer, S., 2021, Knowledge, risk perceptions, and behaviors related to the COVID-19 pandemic in Malawi. https://www.demographic-research.org/articles/volume/44/20

[4]. Bekele, D., Tolossa, T., Tsegaye, R., & Teshome, W., 2020, The Knowledge and practice towards COVID-19 pandemic prevention among residents of Ethiopia; An online Cross Sectional Study. https://www.biorxiv.org/content/10.1101/2020.06.01.127381v1.full.pdf

[5]. Beca-Martínez, M. T., Romay-Barja, M., Falcón-Romero, M., Rodríguez-Blázquez, C., Benito-Llanes, A., & Forjaz, M. J., 2021, Compliance with the main preventive measures of COVID-19 in Spain, the role of knowledge, attitudes, practices, and risk perception. https://onlinelibrary.wiley.com/doi/full/10.1111/tbed.14364

[6]. CDC, 2016, Epi Infor 7 User Guide. Retrieved from https://www.cdc.gov/epiinfo/

[7]. Cheng, V. C. C., Wong, S. C., Chuang, V. W. M., So, S. Y. C., Chen, J. H. K., Sridhar, S., To, K. K. W., 2020, The role of community-wide wearing of face mask for control of coronavirus disease 2019 (COVID-19) epidemic due to SARS-CoV-2, https://pubmed.ncbi.nlm.nih.gov/32335167/

[8]. Desalegn, Z., Deyessa, N., Teka, B., Shiferaw, W., Hailemariam, D., Addissie, A., Abebe, T., 2021, COVID-19 and the public response: Knowledge, attitude and practice of the public in mitigating the pandemic in Addis Ababa. Ethiopia. https://doi.org/10.1371/journal.pone.0244780

[9]. Haischer, M. H., Beilfuss, R., Hart, M. R., Opielinski, L., Wrucke, D., Zirgaitis, G., Hunter, S. K., 2020, Who is wearing a mask? Gender-, age-, and location-related differences during the COVID-19 pandemic | PLOS ONE. https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0240785

[10]. Howard, J., Huang, A., Li, Z., Tufekci, Z., Zdimal, V., Van Der Westhuizen, H., Fridmand, L., 2020, Face Masks Against COVID-19: An Evidence Review. https://www.preprints.org/manuscript/202004.0203/v1

[11]. Jones, C. L., Jensen, J. D., Scherr, C. L., Brown, N. R., Christy, K., & Weaver, J., 2015, The Health Belief Model as an Explanatory Framework in Communication Research: Exploring Parallel, Serial, and Moderated Mediation. https://pmc.ncbi.nlm.nih.gov/articles/PMC4530978/

[12]. Kadoma City Health GIS unit, 2024. Kadoma City Map ward boundaries

[13]. Keck, F., & Macia, E., 2023, The government of masks in sentinel territories against Covid-19: Dakar and Seine- Saint-Denis. https://bmcpublichealth.biomedcentral.com/articles/10.1186/s12889-023-15968-2

[14]. Mboowa, G., Musoke, D., Bulafu, D., & Aruhomukama, D., 2020, Face-Masking, an Acceptable Protective Measure against COVID-19 in Ugandan High-Risk Groups. https://www.ajtmh.org/view/journals/tpmd/104/2/article-p502.xml. Accessed March 2021

[15]. Midzi, N., Mutsaka-Makuvaza, M. J., Charimari, L. S., Mangwiro, P., Manengureni, T., & Mugadza, G., 2024, A qualitative study of knowledge, beliefs and misinformation regarding COVID-19 in selected districts in Zimbabwe. https://bmcpublichealth.biomedcentral.com/articles/10.1186/s12889-024-20053-3

[16]. Murewanhema, G., & Murewanhema, F., 2021, Drivers of the third wave of COVID-19 in Zimbabwe and challenges for control: perspectives and recommendations. https://www.panafrican-med-journal.com/content/article/40/46/pdf/46.pdf

[17]. Mutsaka‑Makuvaza, M. J., Midzi, N., Charimari, L. S., Mangwiro, P., Manengureni, T., & Mugadza, G., 2024, Use of face masks for COVID 19 prevention: a qualitative study on barriers and motivators in Zimbabwe. https://link.springer.com/article/10.1007/s44155-024-00083-3

[18]. Polit, D. F., & Beck, C. T., 2012, Nursing Research: Generating and Assessing Evidence for Nursing Practice. 10th Edition. Lippincott Williams and Wilkins. New York

[19]. Rosenstock, I. M., Victor, J. S., & Becker, M. H., 1988, Social Learning Theory and the Health Belief Model. https://typeset.io/pdf/social-learning-theory-and-the-health-belief-model-2mj57y2742.pdf

[20]. Taylor-Clark, K., Blendon, R. J., Zaslavsky, A., & Benson J., 2005, Confidence in crisis? Understanding trust in government and public attitudes toward mandatory state health powers. Biosecurity Bioterrorism. 2005;3(2):138–47. https://pubmed.ncbi.nlm.nih.gov/16000045/

[21]. WHO Scientific brief, 2020, Modes of transmission of virus causing COVID-19, implications for IPC precaution recommendations. https://www.who.int/news-room/commentaries/detail/modes-of-transmission-of-virus-causing-covid-19-implications-for-ipc-precaution-recommendations

[22]. WHO, 2020, Novel Coronavirus (2019-nCoV) Situation Report 1. https://apps.who.int/iris/handle/10665/330760.

[23]. WHO, 2020, WHO Coronavirus Disease (COVID-19) Dashboard', Accessed 1 November. https://covid19.who.int/.

[24]. WHO, 2020, Novel Coronavirus (‎2019-nCoV), Situation Report, 11. https://www.who.int/docs/default-source/coronaviruse/situation-reports/20200131-sitrep-11-ncov.pdf?sfvrsn=de7c0f7_4

[25]. WHO AFRO, 2023, Weekly epidemiological update on COVID-19 - 4 January 2023. https://www.who.int/publications/m/item/weekly-epidemiological-update-on-covid-19---4-january-2023

[26]. WHO, 2020, Mask use in the context of COVID 19. https://iris.who.int/bitstream/handle/10665/337199/WHO-2019-nCov-IPC_Masks-2020.5-eng.pdf?sequence=1.

[27]. WHO, 2021, Coronavirus Disease. How is it transmitted? Question and Answer. https://www.who.int/emergencies/diseases/novel-coronavirus-2019/question-and-answers-hub/q-a-detail/coronavirus-disease-covid-19-how-is-it-transmitted?gad_source=1&gclid=CjwKCAjw0t63BhAUEiwA5xP54drDnjzxmtOlXHWjmxh1O9lpZw0PCK_6phOpLK3Bozv_a_6zMJgTExoCazIQAvD_BwE

[28]. Zhong, B. L., Luo, W., Li, H. M., Zhang, Q. Q., Liu, X. G., Li, W. T., & Li, Y., 2020, Knowledge, attitudes, and practices towards COVID-19 among Chinese residents during the rapid rise period of the COVID-19 outbreak: a quick online cross-sectional survey. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7098034/