Assessing the progress of primary Measures to Prevent COVID-19 Transmission at the Gates of a Tertiary Hospital in Addis Ababa
Keywords:Covid-19, Tikur Anbessa Specialized Hospital, physical distancing, respiratory hygiene, hand hygiene
Background: COVID-19 is a major global threat. The only significant way to impact its magnitude is by applying preventative measures such as proper physical distancing, hand hygiene and respiratory hygiene practices.
Objective: To assess the status of measures to prevent COVID-19 transmission by patients, attendants and health care workers at the gates of Tikur Anbessa Specialized Hospital.
Methods: An institutional based cross-sectional study was conducted on all patients, attendants, health care workers and support staff entering the premises of Tikur Anbessa Specialized Hospital between 7:45 to 9:30 am via three gates from June 22 to August 30, 2020. A systematic random sampling method was employed to select 20 participants from each gate to observe twice weekly the status of individual behavior on hand and respiratory hygiene and physical distancing.
Results: Overall, 1000 individuals were involved in the study. From this 568 (56.8%) were men. The majority 79.6 (79.6%) were in the age group of 18 to 50. Altogether, the practices of proper hand hygiene, proper physical distancing and proper utilization face mask were 10.7%, 77.3% and 86.9%, respectively, over the period of 10 weeks.
Conclusion: There was an overall good practice of social distancing and mask usage. On the contrary, hand hygiene practice was remarkably low. Enforcement issues and shortage of infrastructures were key challenges observed in this study
Chen N, Zhou M, Dong X, Qu J, Gong F, Han Y, et al. Epidemiological and clinical characteristics of 99 cases of 2019 novel coronavirus pneumonia in Wuhan, China: a descriptive study. Lancet. 2020;395(10223):507-13.
Lu CW, Liu XF, Jia ZF. 2019-nCoV transmission through the ocular surface must not be ignored. Lancet. 2020;395(10224):e39.
Organization WH. Global surveillance for COVID-19 disease caused by human infection with novel coronavirus (â€Žâ€Žâ€Žâ€Žâ€Žâ€Žâ€ŽCOVID-19)â€Žâ€Žâ€Žâ€Žâ€Žâ€Žâ€Ž: interim guidance 2020 [updated 2020, February 27. Available from: https://apps.who.int/iris/handle/10665/331231.(Accessed 22 August 2020)
Dashboard by the Center for Systems Science and Engineering (CSSE) at Johns Hopkins University (JHU) [Internet]. 2020, August 22. Available from: https://coronavirus.jhu.edu/map.html.(Accessed 22 August 2020)
A O. Ethiopiaâ€™s unconventional COVID-19 response 2020, June 05 [Available from: https://www.weforum.org/agenda/2020/06/ethiopia-covid19-response/.(Accessed 22 August 2020)
Hospital EOCEoTAS. Emergency Preparedness Plan. In: Hospital TAS, editor. 2020, August 16.
Hospital EOCEoTAS. Covid-19 Epidemiologic Bulletin. 2020, August
Jemal B AZaMS, et al. Knowledge, attitude and practice of healthcare workers towards COVID-19 and its prevention in Ethiopia: a multicenter study. 2020, May (Accessed 26 August 2020)
Organization WH. Overview of Public Health and Social Measures in the context of COVID-19 2020, May 18 [Available from: https://www.who.int/publications/i/item/overview-of-public-health-and-social-measures-in-the-context-of-covid-19.(Accessed 22 August 2020)
Organization WH. World Health Organization & WHO Patient Safety. (â€Ž2009)â€Ž. WHO guidelines on hand hygiene in health care. World Health Organization 2009, January [WHO/IER/PSP/2009/01
p]. Available from: https://apps.who.int/iris/handle/10665/44102.(Accessed June 15, 2020)
Akalu Y, Ayelign B, Molla MD. Knowledge, Attitude and Practice Towards COVID-19 Among Chronic Disease Patients at Addis Zemen Hospital, Northwest Ethiopia. Infect Drug Resist. 2020;13:1949-60.
Kebede Y, Yitayih Y, Birhanu Z, Mekonen S, Ambelu A. Knowledge, perceptions and preventive practices towards COVID-19 early in the outbreak among Jimma university medical center visitors, Southwest Ethiopia. PLOS ONE. 2020;15(5):e0233744.