| Autor: |
Upadhyaya DP; School of Medicine, Case Western Reserve University, Euclid Ave, Cleveland, OH 44106, USA.; Central Department of Public Health, Institute of Medicine, Tribhuvan University, Kathmandu 44600, Nepal., Paudel R; Central Department of Public Health, Institute of Medicine, Tribhuvan University, Kathmandu 44600, Nepal., Acharya D; Department of Preventive Medicine, College of Medicine, Dongguk University, Gyeongju 38066, Korea., Khoshnood K; Department of Epidemiology of Microbial Diseases, Yale School of Public Health, Yale University, New Haven, CT 06510, USA., Lee K; Department of Preventive Medicine, College of Medicine, Dongguk University, Gyeongju 38066, Korea., Park JH; Department of Preventive Medicine, College of Medicine, Dongguk University, Gyeongju 38066, Korea., Yoo SJ; Department of Preventive Medicine, College of Medicine, Dongguk University, Gyeongju 38066, Korea., Shrestha A; Department of Public Health, School of Medical Sciences, Kathmandu University, Dhulikhel 45200, Nepal.; Institute for Implementation Science and Health, Kathmandu 44600, Nepal., Bc B; Ministry of Health and Population, Kathmandu 44600, Nepal., Bhandari S; B.P Koirala Institute of Health Sciences, Dharan 56700, Nepal., Yadav R; Ministry of Health and Population, Kathmandu 44600, Nepal., Timalsina A; Ministry of Health and Population, Kathmandu 44600, Nepal., Wagle CN; Ministry of Health and Population, Kathmandu 44600, Nepal., Das BK; Ministry of Health and Population, Kathmandu 44600, Nepal., Kunwar R; Ministry of Health and Population, Kathmandu 44600, Nepal., Chalise B; Graduate School for International Development and Cooperation, Hiroshima University, Hiroshima 739-8527, Japan., Bhatta DR; Ministry of Health and Population, Kathmandu 44600, Nepal., Adhikari M; Ministry of Health and Population, Kathmandu 44600, Nepal.; Department of Health Policy and Management, Yale School of Public Health, Yale University, New Haven, CT 06510, USA. |
| Abstrakt: |
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. |
