Pablo Javier Chami Bachelor of International Business International Business Argentina |
John Chuol Muon Doctor of International Relations International Relations Australia |
Yunji Wilson Yai Master of Science Geomatics Engineering Cameroon |
Sylvie Tabi Ojong Master of Education Education Cameroon |
Ntui Ebot Gabriel Doctor of Science Reproductive Clinical Science Cameroon |
Olufemi Ayoola Olawale Doctor of Philosophy Organizational Leadership Canada |
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José Daniel Barrera Sáez Doctor of Business Administration Business Administration Chile |
Álvaro Marcelo Contreras Marambio Bachelor of Business Administration Business Administration Chile |
Alvaro Hernando Rincón Trujillo Bachelor of Business Administration Business Administration Colombia |
Yelitza Indira Caicedo Ramos Master of Education Education and Natural Science Colombia |
Carlos Ernesto Guerra Nieto Doctor of Business Administration Strategic Planning Colombia |
Henry Doria Doria Master of Computer Engineering Computer Information Systems Colombia |
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Bruce Luaba Mudibi Master of Project Management Project Management Congo (DRC ) |
Eugenia Coto López Doctor of Education Methods of Investigation Costa Rica |
Pablo Henriquez Severino Doctor of Latin America Literature Latin American Literature Dominican Republic |
Maribel Gil Vilorio Master of English Education English Teaching Dominican Republic |
Rodolfo Michael Tavárez Fernández Master of Telecommunications Telecommunications Dominican Republic |
Francisco Javier Mora Espín Bachelor of Science Computer Science and Systems Engineering Ecuador |
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Rogelio Ricardo Jimenez Yepez Bachelor of Science Agronomy Engineering Ecuador |
Juan Alberto Salinas Hernandez Master of Business Management Business Management El Salvador |
Samba Juma Jallow Bachelor of Science Public Health and Nutrition Gambia |
Vicente Bracho Garay Bachelor of Communication Communication Germany |
Raymundo Rodríguez Baeza Doctor of Science Strategic Planning vvGuatemala |
Alvaro Leonel Vásquez Berganza Bachelor of Science Civil Engineering Guatemala |
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Ian Leonard Emanuel Doctor of Philosophy Organizational Behavior Jamaica |
Maxwell Ntchentche Bachelor of Financial Accounting Accounting Malawi |
Kampila Humphreys Nsona Doctor of Science Globa l Health Malawi |
Myriam Oropeza Morales Bachelor of Business and Economics Management and Direction Mexico |
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Iván Cruz Cruz Pedraza Doctor of Public Health Public Health Mexico |
Hendro Jenuve de Júlio Muchiguere Doctor of Business Administration Business Management Mozambi que |
Enna Gumbs Master of Science Counseling Namibia |
Serah Jacob Anzaku Bachelor of Science Human Resource Management Nigeria |
Olanrewaju Kazeem Bakinson Doctor of Science Public Administration Nigeria |
Ishaku Ardo Buba Master of Science Agriculture Marketing Nigeria |
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Obaroh, Rebbecca Yemi Bachelor of Human Resources Human Resources Nigeria |
Leonard Michael Onyinyechi Aminigbo Doctor of Philosophy Geospatial Information Systems Nigeria |
Okoro Roli Ego Doctor of Philosophy Public Administration Nigeria |
Victor Ogoegbunam Obimma Doctor of Philosophy Project Management Nigeria |
Awuzie Ozioma Kaosisochukwu Certificate of Science Health Science Nigeria |
Rafey A Siddiqui Doctor of Science Water Policy and Management Pakistan |
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Melva Alvarado Pineda Doctor of Education Research Panama |
Gregory Mario Gilbert Monfardino Bachelor of Science Diet and Nutrition Panama |
Demetrio Cabrera Román Doctor of Science Public Health Peru |
Nicanor Williams Pacheco Huamán Doctor of Science Mechanical Engineering Peru |
Leonel Meléndez Soler Bachelor of Accounting Accounting and Finance Puerto Rico USA |
Jacqueline Martinez Irizarry Doctor of Education Education Puerto Rico |
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Rafael Eduardo Ruiz Colón Doctor of Psychology Psychology Puerto Rico |
Aulio Anselmo Hernandez De Aza Bachelor of Science Civil Engineering Puerto Rico |
Stephanie Lizanne King Master of Education Educational Management Saint Lucia |
Summia Naveed Master of Science Nutrition Science Saudi Arabia |
Mohamoud Abdi Ahmed Doctor of Education Education Somalia |
Lefora France Mafete Doctor of Business Administration Business Administration South Africa |
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Genis Tosquella Santanyes Bachelor of Business Administration Business Administration Spain |
Luis Alberto Sánchez Guerra Bachelor of Science Anti-Terrorism Security Spain |
María del Pilar Abollado Amo Bachelor of Business Administration Business Administration Spain |
Fabian Leonard Bergen Bachelor of Science Mechanical Engineering Suriname |
Mbuso Mabuza Doctor of Public Health Epidemiology and Health Innovations Swaziland |
Robinson Ogwang Doctor of Business Administration Business Administration Uganda |
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Josephine Onyia Doctor of Education Educational Administration United Arab Emirates |
Wiltfer Mauricio Ordóñez Delgado Bachelor of Arts Arts and Paint United Arab Emirates |
Patrick Gregory Henry Bachelor of Science Refrigeration and Airconditioning United Kingdom |
Annabell Zavala Zavala Bachelor of Arts Languages USA |
Laura Yuranny Bocanegra Orozco Bachelor of Science Psychology USA |
Naveed Ahmad Bachelor of Science Computer Science USA |
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Alvaro Passaro Ferrari Doctor of Philosophy Psychology USA |
Maria Elena Zegarra Vasquez Master of Science Biotechnology USA |
Fidelis Ngochia Bachelor of Science Occupational Safety and Health USA |
Marvin Leal Hurtado Bachelor of Science Architecture USA |
Joiran Ibrahin Ruiz Castillo Master of Science Civil Engineering Venezuela |
Geroge Thole Bachelor of Science Animal Science Zimbabwe |
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Abstract
This study aimed at assessing
the knowledge, attitude
and practice of infection
preventive measures against
coronavirus (infection) among
caregivers at Kigali University
Teaching Hospital / Centre
Hospitalier Universitaire de
Kigali (CHUK), Rwanda.
Results have showed that
knowledge, attitude and practice
about infection preventive
measures against covid 19
were 74.45% ,83% and 60.30%
respectively. Residence place,
wealth and level of education
were associated with level of
knowledge. More studies are
needed to know the factors
associated with poor knowledge
about coronavirus ( covid
19) among some groups of
population including widowers,
rural population, …
Introduction
Coronavirus (Covid-19) infection
is pandemic of public
health concer since 2019-2020
starting in Wuhan China in
2019 and affecting the global
througout 2020.
Globally, Covid-19 confirmed
cases are estimated at
over 2 millions with an overall
cumulative of 200,000 deaths1.
It has come with drastic consequenses
to the community
economically, emotionally as
well as psychologocally.
The disease has no vaccine
or treatment and hence
infection prevention and
control are the only solution
to prevent and hence reduce
the burden of Coronavirus
infection worldwide. Infection
prevention and control
measures to stop the spread of
Covid-19 infection have been
put into place including, social
distancing, staying at home,
travel cessation, … n2.
Covid-19 can be transmitted
via air droplets, it can remain
in air and on metallic surfaces
for and thus it can be easily
transmitted from humans to
humans2.
Measures to control Coronavirus
infection transmission
human-to-human have been:
suspension of public transportation,
closing public spaces,
close management of communities
as well as isolation and
caring of infected people and
suspected cases. The proposed
measures include quarantine
of different cities in different
countries, social distancing
and lockdown6.
Peoples adherence to the
above mentioned control
measures is affected by their
knowledge, attitudes and
practices. This is in accordance
with the KAP theory2.
This study aimed at providing
information about practice
(or adherence) to Covid-19
preventive measures (infection
control measure) as well as the
gap the population’s knowledge
and their practice.
Being aware of level of
knowledge about infection
control measures against
Covid-19 among caregivers
at CHUK can lead to
proper interventions in health
education and health promotion.
Findings from this
study will orient Covid-19
response team to the right
interventions.
Methods
Design
This is a cross-sectional
study.
Ethical approval
Approval for data collection
has been obtained from CHUK
ethical committee. Confidentiality
and anonymity has been
insured and questionnaire will
not include names or any other
identifier specific to study
participants’s information.
Consent form of participation
been signed by each study
participant before answering
to interview questions.
Recruitment procedure
The target population was
caregivers who were taking
care of their patients at CHUK
since 1st -14th May 2020.
Statistical analysis
Data entry was through
excel then imported in SPSS
version 24 for analysis. Descriptive
statistics (means,
SD and percentage frequencies)
were computed for all
patients and responses from
the survey. Comparison of
means (scores of knowledge,
attitude and practice) were
performed using T-test or
analysis of variance (ANOVA)
as appropriate.
Results
Marital status was a significant
predictor of knowledge
score. For example, compared
to other marital statuses,
single unmarried respondents
had significantly higher
knowledge score even when
the residence place, urban and
rural, was controlled for (16 ±
2.1 vs 14.9 ± 2.1, p=0.005) .
Factors associated with
knowledge scores in the general
population in this study
were; residence place, wealth
index, level of education and
marital status.
The latter two were also
significantly associated with
knowledge scores among
urban population) but there
was no significant predictor
of knowledge, attitude and
practice scores among rural
respondents.
The wealth index had a
negative association with
practice scores among urban
respondents even though it
had an otherwise positive
association with knowledge
Image: scores in overall respondents.
Even though the employment
status did not significantly
predict knowledge and
practice scores among all
respondents in general, unemployed
respondents from urban
areas significantly expressed
better practice score against
Covid-19 compared to their
counterparts from rural areas
(8.5±1.9 vs 7.5±2.0, p=0.043).
Discussion
Covid-19 is a new killer virus
first detected in December
2019. To date, there has
been limited published data
on knowledge, attitude and
practice towards Covid-19 in
Rwanda. To the better of our
knowledge, this is the first
study conducted on knowledge,
attitude and practice
about preventive measures
against Covid 19. Assessing
level of knowledge ,attitude
and practice is of utmost
importance for the country in
order to set appropriate strategies
for health education and
promotion as well as management
of this pandemic.
The mean score of knowledge
of this study population
(15.2 +/- 2.6 in urban and
14.6+/- 2.4 in rural areas respectively)
is above the one of
Tanzanian population 9.3+/-2
over 12 according to their findings8.
But this comparison is
not accurate because questions
on knowledge were not
similar in both studies.
Education level, marital
status, residence and wealth
index are significantly associated
with score of knowledge
about Covid-19. This may be
due to usual ability and willingness
to retain new knowledge
or information (which
can be relatively better among
educated or highly educated
population), access to information
which can be different
due to respective residence
places and wealth indices.
A big number (87% of participants)
know main symptoms
and this percentage is
superior to the one of medical
students in India9. Participants
of this study know that
early treatment is contributive
to cure from the disease at a
bigger percentage (93%versus
92.4% found among indian
medical students)9.
The average score for right
answers about Covid-19
was 74.45%. This score is
below the one of health care
providers in Rwanda (this is
probably because health care
providers have background
knowledge from school in infectious
disease and epidemiology
of diseases. The mean
score for positive attitude
83%. The score for right practice
is 60.30%.
A big number of respondents
(90%) believe that Covid-
19 will be controlled and
only minority of respondents
went to crowdy places (30%),
findings similar to the ones of
Chinese population2.
Conclusion
Our findings show that more
studies are needed about factors
associated with low level
of knowledge about Covid-19
among widowers, ubudehe
category 1 and 2, rural population.
Health education and
health promotion interventions
are needed in order
to improve knowledge and
practice of infection control
measures against Covid-19
especially among those
above mentioned groups with
bigger gaps.
REFERENCES. 1. Sherman A, Breuninger K, Mui Y, Sloan KJ. Coronavirus
updates: Three West Coast states announce pact on reopening economy. https://
www.cnbc.com/2020/04/13/coronavirus-latest-updates.html. Published 2020. Accessed April
14, 2020. 2. Zhong B-L, Luo W, Li H-M, et al. 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. Int J Biol Sci.
2020;16(10):1745-1752. doi:10.7150/ijbs.45221 3. Cases C, Cases TC. Rwanda
Countries: https://www.worldometers.info/coronavirus/country/rwanda/. Published 2020. 4.
Journal NE. Coronavirus may. 2020. 5. Tina BY, Saey H. Vaccine scientists target
coronavirus. 2012. 6. Sorooshian S. Quarantine Decision due to Coronavirus
Pandemic. Electron J Gen Med. 2020;17 (4). doi:10.29333/ejgm/7862 7. Assessment
RR. Outbreak of acute respiratory syndrome associated with a novel
coronavirus , Wuhan , China ; first update. 2020;00 (January). 8. Rugarabamu
S, Ibrahim M, Byanaku A. Knowledge, attitudes, and practices (KAP) towards
Covid-19: A quick online cross-sectional survey among Tanzanian residents.
2020;216:1-18. 9. Azlan AA, Hamzah MR, Jen T, Id S, Hadi S, Id A. Public
knowledge, attitudes and practices towards Covid-19: A cross-sectional study in.
2020:1-15. doi:10.1371/journal.pone.0233668
We live in an extraordinary
world. I imagine
that everyone who reads the
previous sentence will be
thinking about many events in
our wonderful world.
Yes, we have such a developed
science that it has
allowed us to send the Perseverance
Rover to investigate
the planet Mars. In science we
are that every day the secrets
of the natural world are
less; natural world that also
includes living beings.
We talk about Quantum
Physics, Nanotechnology,
Artificial Intelligence; the
secrets of this world in which
we live are being left behind.
Every day we discover more
factors that make learning
easier to achieve.
We seek to have the largest
number of learning centers; learning that often doesn’t
require physical presence.
We do commerce in the
same way: every day is faster,
every day more products, every
day more elements created
by human beings to make life
more comfortable. It seems
that there are no limits to
commercialize with products
and even with culture.
Culture is what human
beings, in their existence, are
building and leaving to the
new generations. Civilization
is what we build in the
present.
There is an extraordinary
ability to put products anywhere
in the world in seconds.
When we say that culture is
marketed we mean that it is,
through marketing, creating
similar needs so that mass
production is faster. We are
talking about copying objects
or traditions that identify it.
Marketing has reached
such an extreme that the
communication of what has
been called the “global village”
generates needs for this or
that product and the market is
an endless race.
Work can also be had anywhere
in the world; every day
physical presence becomes
less necessary.
The State, created for the
organization of human life,
provided the rules or laws
to maintain space for each
First day at school (Greenland)
social group that has been
called Nation. The State as a
social organization contributes
elements of coexistence
to human groups that share a
culture and a civilization.
We have a world that any
existing on another planet
would say; we are going to live
on planet Earth because we
will have the dream life. Oh
surprise! What happens in this
world built by human beings?
Oh human beings! Humans
are a surprise. Anyone in their
right mind would say: It’s
impossible to believe that human
beings while building are
destroying what they do. It’s
impossible to believe. Believe it
because you see what they do.
What about science? With
science, it happens that, faced
with an interpretation of the
concept of freedom, human
groups are dedicated to creating
explanations that don’t follow
the procedure of thought
that has best been created by
human beings for explanations
of facts and events that
surround us. Those groups say
what they want and where
they want and disorient part
of society.
Science has given us
tangible fruits of the kind of
organization of thought that
needs to be done. A procedure
is needed that agrees with
the explanations given by the
other aspects of knowledge.
The aforementioned situation
generates a lot of noise.
You have to look for proven
and proven explanations so as
not to fall into such a discordant
world.
Something special happens
with learning: learning is
not for everyone. To learn
you need mental space
to do it, you need resources
and all the inhabitants of this
planet don’t have it.
Learning is part of privileged
groups because there’re
many nations that don’t have
the necessary organization to
give everyone an opportunity.
The world of marketing is
for elite. In a world of extraordinary
resources we can see
hunger in other groups we can
see children working hours
and hours longer than many
adults. In this world with a
social organization of human
groups in States, the rules of
coexistence aren’t respected
by all and we have undeclared
wars and groups that act
above all rights, taking away
all opportunities from others.
What happen to the natural
resources that generate the
life of comforts of a part of
the world’s population? Natural
resources are extracted
without any control. They
are extracted and there is no
care to see if they are renewable
or not. There is also
the dump anywhere of the
waste from the production of
objects that aren’t destroyed
in the short term.
A planet that can be a wonderful
place for everyone has
become a place for a pleasant
life for a few. All the evils
that humanity has created
throughout History are now joined by a pandemic that is
leaving deaths everywhere.
Let us hope with all the
faith and also the reasoning
that this pandemic teaches
us, makes us understand that
we can’t build and at the same
time destroy. It seems that the
construction we do is at the
expense of the other.
We have to learn to generate
opportunities for others at the
same time that we generate
our own.
The human condition with
which we have grown as a
society is to seek what I want
and forget the other. As long
as we don’t learn that the
world we live in is a social
and natural world and that it
has to be a life of opportunities
for each one. It has to be
a world of sustainable development,
a development of
opportunities for all instead
of always looking for a way to
benefit from the other.
When we understand that
we have to contribute to the
growth and sustainability
of the planet, to the growth
and opportunities for each
human being, then we will
have reached the world that
is possible for all. Analyzing
all the development achieved,
the questions of the reasons
why we don’t achieve a life of
satisfaction and peace are not
necessary.
Peace is not the peace of
graves; peace is coexistence
and educational opportunity,
of the necessary goods, for every
living being on this planet.
We do many extraordinary
activities but at the same time
we destroy what we build. We
need to learn to live with others.
We need to learn to create and grow what we create. We
need to learn to give the space
of life to the other and within
that other to our planet.
If life were possible for us
on another planet, let the beings
that inhabit there not say:
Human beings arrived that
what they build in the following
space of time they destroy
and on that they destroy
themselves.
Being confined by the
pandemic gives time to
think. Hopefully the big
learning is: We are beings of
learning. We are beings of
personal development. We
are human beings to have
and allow the development
of opportunities for each person
born on this planet.
Our planet also needs life to
give us life. Life of well-being
and opportunities for each
one; for all.
The pandemic has taught us the following
We must take care of each other no matter
where we live on the planet.
We must take care of each other regardless
of social differences.
We must provide the opportunity to learn to everyone
because we are human beings of opportunities.
We must care for the planet because we live on it.
If we don’t do the above; we are going to die.
We want to die; we already know what we shouldn’t do.
If we want to live, we also know what we have to do.
We have to change.
There’s no more; here we are.
BIBLIOGRAPHY. Naciones Unidas- Página oficial. Retrieved from
http://www.un.org/es/index.html | Organización de las Naciones Unidas para
la Educación, la Ciencia y la Cultura (UNESCO), Página oficial. Retrieved
from http://www.unesco.org/new/es
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