Frontline Healthcare Workers’ Knowledge and Perception of COVID-19, and Willingness to Work during the Pandemic in Nepal

  • Dipak Prasad Upadhyaya
    School of Medicine, Case Western Reserve University, Euclid Ave, Cleveland, OH 44106, USA
  • Rajan Paudel
    Central Department of Public Health, Institute of Medicine, Tribhuvan University, Kathmandu 44600, Nepal
  • Dilaram Acharya
    Department of Preventive Medicine, College of Medicine, Dongguk University, Gyeongju 38066, Korea
  • Kaveh Khoshnood
    Department of Epidemiology of Microbial Diseases, Yale School of Public Health, Yale University, New Haven, CT 06510, USA
  • Kwan Lee
    Department of Preventive Medicine, College of Medicine, Dongguk University, Gyeongju 38066, Korea
  • Ji-Hyuk Park
    Department of Preventive Medicine, College of Medicine, Dongguk University, Gyeongju 38066, Korea
  • Seok-Ju Yoo
    Department of Preventive Medicine, College of Medicine, Dongguk University, Gyeongju 38066, Korea
  • Archana Shrestha
    Department of Public Health, School of Medical Sciences, Kathmandu University, Dhulikhel 45200, Nepal
  • Bom BC
    Ministry of Health and Population, Kathmandu 44600, Nepal
  • Sabin Bhandari
    B.P Koirala Institute of Health Sciences, Dharan 56700, Nepal
  • Ramgyan Yadav
    Ministry of Health and Population, Kathmandu 44600, Nepal
  • Ashish Timalsina
    Ministry of Health and Population, Kathmandu 44600, Nepal
  • Chetan Nidhi Wagle
    Ministry of Health and Population, Kathmandu 44600, Nepal
  • Brij Kumar Das
    Ministry of Health and Population, Kathmandu 44600, Nepal
  • Ramesh Kunwar
    Ministry of Health and Population, Kathmandu 44600, Nepal
  • Binaya Chalise
    Graduate School for International Development and Cooperation, Hiroshima University, Hiroshima 739-8527, Japan
  • Deepak Raj Bhatta
    Ministry of Health and Population, Kathmandu 44600, Nepal
  • Mukesh Adhikari
    Ministry of Health and Population, Kathmandu 44600, Nepal

説明

<jats:p>This study investigated the contextual factors associated with the knowledge, perceptions, and the willingness of frontline healthcare workers (FHWs) to work during the COVID-19 pandemic in Nepal among a total of 1051 FHWs. Multivariable logistic regression analysis was applied to identify independent associations between predictors and outcome variables. Of the total study subjects, 17.2% reported inadequate knowledge on COVID-19, 63.6% reported that they perceived the government response as unsatisfactory, and 35.9% showed an unwillingness to work during the pandemic. Our analyses demonstrated that FHWs at local public health facilities, pharmacists, Ayurvedic health workers (HWs), and those with chronic diseases were less likely, and male FHWs were more likely, to have adequate knowledge of COVID-19. Likewise, nurses/midwives, public health workers, FHWs from Karnali and Far-West provinces, and those who had adequate knowledge of COVID-19 were more likely to have satisfactory perceptions towards the government response. Further, FHWs—paramedics, nurse/midwives, public health workers, laboratory workers—FHWs from Karnali Province and Far-West Province, and those with satisfactory perceptions of government responses to COVID-19 were predictors of willingness to work during the COVID-19 pandemic. These results suggest that prompt actions are required to improve FHWs’ knowledge of COVID-19, address negative perceptions of government responses, and motivate them through specific measures to provide healthcare services during the pandemic.</jats:p>

収録刊行物

  • Healthcare

    Healthcare 8 (4), 554-, 2020-12-11

    MDPI AG

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