A qualitative study of knowledge, beliefs and misinformation regarding COVID-19 in selected districts in Zimbabwe.
Beliefs
COVID-19
Focus group discussions
Key informant interviews
Knowledge
Misinformation
Journal
BMC public health
ISSN: 1471-2458
Titre abrégé: BMC Public Health
Pays: England
ID NLM: 100968562
Informations de publication
Date de publication:
27 Sep 2024
27 Sep 2024
Historique:
received:
01
01
2024
accepted:
11
09
2024
medline:
28
9
2024
pubmed:
28
9
2024
entrez:
28
9
2024
Statut:
epublish
Résumé
Lack of appropriate knowledge, incorrect beliefs and misinformation misleads people about the risks they face and how best to protect themselves. A study was conducted to explore the knowledge, beliefs and misinformation regarding COVID-19 in Zimbabwe. A qualitative study was conducted in September-October 2022 with a purposive sample of religious leaders, women leaders, youth leaders, health workers, village health workers, teachers, traditional healers, transporters, and the general population selected from ten sites across the country. In total there were 128 participants (30 key informants and 98 focus group discussion participants). At each site, 3 key informant interviews and one homogenous focus group discussion were conducted using semi-structured interviews and focus group discussion guides, respectively. The data were recorded on audiotapes, transcribed verbatim, and translated into English. Manual thematic analysis of the data was performed. Three themes were identified in this study: (1) beliefs about COVID-19, (2) knowledge about COVID-19 (knowledge of origin, definition, transmission, signs and symptoms and recommended preventive measures), and (3) misinformation about COVID-19 (regarding its nature, existence and recommended preventive measures). There was awareness of the origin, transmission, signs and symptoms of COVID-19 among the participants. Participants reported that Zimbabwean communities were conversant with public health measures such as maintaining social distancing, wearing masks, and maintaining hand hygiene. However, misinformation was also observed to have circulated among the communities. Participants demonstrated good knowledge of COVID-19. However, the misinformation circulating in the country calls for the government to establish structures to monitor the legitimacy of information coming through different sources and invest in providing information through trusted sources. In any disease outbreak, the government should engage its citizenry to understand their knowledge, beliefs and any misinformation that might influence adherence to disease preventive measures.
Sections du résumé
BACKGROUND
BACKGROUND
Lack of appropriate knowledge, incorrect beliefs and misinformation misleads people about the risks they face and how best to protect themselves. A study was conducted to explore the knowledge, beliefs and misinformation regarding COVID-19 in Zimbabwe.
METHODS
METHODS
A qualitative study was conducted in September-October 2022 with a purposive sample of religious leaders, women leaders, youth leaders, health workers, village health workers, teachers, traditional healers, transporters, and the general population selected from ten sites across the country. In total there were 128 participants (30 key informants and 98 focus group discussion participants). At each site, 3 key informant interviews and one homogenous focus group discussion were conducted using semi-structured interviews and focus group discussion guides, respectively. The data were recorded on audiotapes, transcribed verbatim, and translated into English. Manual thematic analysis of the data was performed.
FINDINGS
RESULTS
Three themes were identified in this study: (1) beliefs about COVID-19, (2) knowledge about COVID-19 (knowledge of origin, definition, transmission, signs and symptoms and recommended preventive measures), and (3) misinformation about COVID-19 (regarding its nature, existence and recommended preventive measures). There was awareness of the origin, transmission, signs and symptoms of COVID-19 among the participants. Participants reported that Zimbabwean communities were conversant with public health measures such as maintaining social distancing, wearing masks, and maintaining hand hygiene. However, misinformation was also observed to have circulated among the communities.
CONCLUSION
CONCLUSIONS
Participants demonstrated good knowledge of COVID-19. However, the misinformation circulating in the country calls for the government to establish structures to monitor the legitimacy of information coming through different sources and invest in providing information through trusted sources. In any disease outbreak, the government should engage its citizenry to understand their knowledge, beliefs and any misinformation that might influence adherence to disease preventive measures.
Identifiants
pubmed: 39334096
doi: 10.1186/s12889-024-20053-3
pii: 10.1186/s12889-024-20053-3
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
2637Informations de copyright
© 2024. The Author(s).
Références
Zhu N, Zhang D, Wang W, et al. A novel coronavirus from patients with Pneumonia in China, 2019. N Engl J Med. 2020;382(8):727–33. https://doi.org/10.1056/NEJMoa2001017 .
doi: 10.1056/NEJMoa2001017
pubmed: 31978945
pmcid: 7092803
Cucinotta D, Vanelli M. WHO declares COVID-19 a pandemic. Acta Biomed. 2020;91(1):157–60. https://doi.org/10.23750/abm.v91i1.9397 .
doi: 10.23750/abm.v91i1.9397
pubmed: 32191675
pmcid: 7569573
Murewanhema G, Burukai T, Mazingi D, Maunganidze F, Mufunda J, Munodawafa D, Pote W. A descriptive study of the trends of COVID-19 in Zimbabwe from March-June 2020: policy and strategy implications. Pan Afr Med J. 2020;37(Suppl 1):33. https://doi.org/10.11604/pamj.supp.2020.37.33.25835 .
doi: 10.11604/pamj.supp.2020.37.33.25835
pubmed: 33456657
pmcid: 7796830
Zimbabwe guidelines for management of COVID-19. 2020.
World health Organization. Zimbabwe receives nearly one million COVID-19 vaccine doses from COVAX. 2021. https://www.afro.who.int/news/zimbabwe-receives-nearly-one-million-covid-19-vaccine-doses-covax . Accessed 16 July 2024.
Shrestha N, Mishra SR, Ghimire S, Gyawali B, Marahatta SB, Maskey S, Baral S, Shrestha N, Yadav R, Pokharel S, Adhikari B. Health System preparedness for COVID-19 and its impacts on Frontline Health-Care workers in Nepal: a qualitative study among Frontline Health-Care workers and Policy-makers. Disaster Med Public Health Prep. 2021. https://doi.org/10.1017/dmp.2021.204 .
doi: 10.1017/dmp.2021.204
pubmed: 34140051
pmcid: 8376855
WHO. Top threats to global health in 2019. Available online at https://www.who.int/news-room/spotlight/ten-threats-to-global-health-in-2019 (Accessed on 1st July 2023. 2019.
Kim HY, Shin SH, Lee EH. Effects of Health Belief, Knowledge, and attitude toward COVID-19 on Prevention Behavior in Health College Students. Int J Environ Res Public Health. 2022;19(3):1898. https://doi.org/10.3390/ijerph19031898 .
doi: 10.3390/ijerph19031898
pubmed: 35162919
pmcid: 8834839
Ajilore K, Atakiti I, Onyenankeya K. College students’ knowledge, attitudes and adherence to public service announcements on Ebola in Nigeria: suggestions for improving future Ebola prevention education programmes. Health Educ J. 2017;76:648–60. https://doi.org/10.1177/0017896917710969 .
doi: 10.1177/0017896917710969
Park JH, Chang SJ, Kim KS. Correlation between the preventive behaviors on middle east respiratory syndrome and the knowledge, attitude, and compliance of medically inclined college students. J Dent Hyg Sci. 2017;17:341–51. https://doi.org/10.17135/jdhs.2017.17.4.341 .
doi: 10.17135/jdhs.2017.17.4.341
Chen Y, Zhou R, Chen B, Chen H, Li Y, Chen Z, Zhu H, Wang H, Knowledge. Perceived beliefs, and preventive behaviors related to COVID-19 among Chinese older Adults: cross-sectional web-based survey. J Med Internet Res. 2020;22(12):e23729. https://doi.org/10.2196/23729 .
doi: 10.2196/23729
pubmed: 33293262
pmcid: 7781588
Aberese-Ako M, Immurana M, Dalaba MA, Anumu FE, Ofosu AA, Gyapong M. (2023). An Ethnographic Study of Multiple Factors Influencing Perceptions, Attitudes, and Observance of COVID-19 Preventive Measures among Rural and Urban Slum Dwellers in Ghana. Journal of Environmental and Public Health, 2023.
Qutob N, Awartani F. Knowledge, attitudes and practices (KAP) towards COVID-19 among palestinians during the COVID-19 outbreak: a cross-sectional survey. PLoS ONE. 2021;16:e0244925. https://doi.org/10.1371/journal.pone.0244925 .
doi: 10.1371/journal.pone.0244925
pubmed: 33400722
pmcid: 7785223
Jokwiro Y, Urbanavicius T, Robinson AM, Scott C, Islam MR. The development and psychometric evaluation of COVID-19 staff questionnaire for infectious disease outbreak readiness and preparedness (SQIDORP). BMC Health Serv Res. 2022;22:381. https://doi.org/10.1186/s12913-022-07768-y .
doi: 10.1186/s12913-022-07768-y
pubmed: 35317805
pmcid: 8941815
Person B, Sy F, Holton K, Govert B, Liang A, Garza B, et al. Fear and stigma: the epidemic within the SARS outbreak. Emerg Infect Dis J. 2004;10:358–63. https://doi.org/10.3201/eid1002.030750 .
doi: 10.3201/eid1002.030750
Mark E, Udod G, Skinner J, Jones M. Knowledge, attitudes, and practices [KAP] toward COVID-19: a cross-sectional study in the New York metropolitan area and California Bay Area. PLoS ONE. 2022;17:e0271212. https://doi.org/10.1371/journal.pone.0271212 .
doi: 10.1371/journal.pone.0271212
pubmed: 35947556
pmcid: 9365154
Kasozi KI, MacLeod E, Ssempijja F, Mahero MW, Matama K, Musoke GH, Bardosh K, Ssebuufu R, Wakoko-Studstil F, Echoru I, Ayikobua ET, Mujinya R, Nambuya G, Onohuean H, Zirintunda G, Ekou J, Welburn SC. Misconceptions on COVID-19 risk among Ugandan men: results from a Rapid exploratory survey, April 2020. Front Public Health. 2020;8:416. https://doi.org/10.3389/fpubh.2020.00416 .
doi: 10.3389/fpubh.2020.00416
pubmed: 32850606
pmcid: 7405654
Kouzy R, Abi Jaoude J, Kraitem A, Alam E, Karam MB, Adib B, Zarka E, Traboulsi J, Akl C, E. W., Baddour K. Coronavirus goes viral: quantifying the COVID-19 misinformation epidemic on Twitter. Cureus. 2020;12(3):e7255. https://doi.org/10.7759/cureus.7255 .
doi: 10.7759/cureus.7255
pubmed: 32292669
pmcid: 7152572
Lee JJ, Kang KA, Wang MP, Zhao SZ, Wong JYH, O’Connor S, Yang SC, Shin S. Associations between COVID-19 misinformation exposure and belief with COVID-19 knowledge and preventive Behaviors: cross-sectional online study. J Med Internet Res. 2020;22(11):e22205. https://doi.org/10.2196/22205 .
doi: 10.2196/22205
pubmed: 33048825
pmcid: 7669362
Pennycook G, McPhetres J, Zhang Y, Lu JG, Rand DG. Fighting COVID-19 misinformation on Social Media: experimental evidence for a scalable accuracy-nudge intervention. Psychol Sci. 2020;31(7):770–80. https://doi.org/10.1177/0956797620939054 .
doi: 10.1177/0956797620939054
pubmed: 32603243
Habib MA, Dayyab FM, Iliyasu G, Habib AG. Knowledge, attitude and practice survey of COVID-19 pandemic in Northern Nigeria. PLoS ONE. 2021;16(1):e0245176. https://doi.org/10.1371/journal.pone.0245176 .
doi: 10.1371/journal.pone.0245176
pubmed: 33444360
pmcid: 7808653
Carey JM, Chi V, Flynn DJ, Nyhan B, Zeitzoff T. The effects of corrective information about disease epidemics and outbreaks: evidence from Zika and yellow fever in Brazil. Sci Adv. 2020;6(5):eaaw7449. https://doi.org/10.1126/sciadv.aaw7449 .
doi: 10.1126/sciadv.aaw7449
pubmed: 32064329
pmcid: 6989147
Scheufele DA, Krause NM. Science audiences, misinformation, and fake news. Proc Natl Acad Sci USA. 2019;116(16):7662–9. https://doi.org/10.1073/pnas.1805871115 .
doi: 10.1073/pnas.1805871115
pubmed: 30642953
pmcid: 6475373
Freeman D, Waite F, Rosebrock L, Petit A, Causier C, East A, Jenner L, Teale AL, Carr L, Mulhall S, Bold E, Lambe S. Coronavirus conspiracy beliefs, mistrust, and compliance with government guidelines in England. Psychol Med. 2022;52(2):251–63. https://doi.org/10.1017/S0033291720001890 .
doi: 10.1017/S0033291720001890
pubmed: 32436485
Lewandowsky S, Ecker UKH, Cook J. Beyond misinformation: understanding and coping with the posttruth era. J Appl Res Memory Cognition. 2017;6(4):353–69. https://doi.org/10.1016/j.jarmac.2017.07.008 .
doi: 10.1016/j.jarmac.2017.07.008
Swire-Thompson B, Lazer D. Public Health and Online Misinformation: challenges and recommendations. Annu Rev Public Health. 2020;41:433–51. https://doi.org/10.1146/annurev-publhealth-040119-094127 .
doi: 10.1146/annurev-publhealth-040119-094127
pubmed: 31874069
Roozenbeek J, Schneider CR, Dryhurst S, Kerr J, Freeman ALJ, Recchia G, van der Bles AM. L.S. Susceptibility to misinformation about COVID-19 around the world. R Soc Open Sci. 2020;7201199. https://doi.org/10.1098/rsos.201199 .
Gadzayi MR, Mubonani G, Muza A, Muwishi C, Chirongoma F, Nyangani N, Majuru E, Dube F, Pomo S, Dhlandhlara B, Muparanyama L, Govha E, Gombe NT, Juru T, Tshimanga M. Knowledge, attitudes and practices on COVID-19 among urban residents, Harare, Zimbabwe 2020: a Cross Sectional Study. J Interventional Epidemiol Public Health. 2023;6(1):1. https://doi.org/10.11604/JIEPH.supp.2023.6.1.1204 .
doi: 10.11604/JIEPH.supp.2023.6.1.1204
Herald 20, July. 2020. COVID-19 Knowledge, Attitudes and Practices in Harare, https://www.herald.co.zw/covid-19-knowledge-attitudes-and-practices-in-harare/
Muyambo N, Mlilo P, Mathe U, Chitongo L. Perceived knowledge on management of COVID-19 by rural, youths and women: a blurred dialectic of the ontologies and experiences in rural Gwanda South. Zimbabwe Cogent Social Sci. 2022;8(1). https://doi.org/10.1080/23311886.2022.2069208 .
Mabika N. An assessment of knowledge, attitudes and perceptions of Great Zimbabwe University students towards COVID-19 vaccination, Vol. 8 No. 10 (2022): October 2022, https://doi.org/10.18203/issn.2454-2156.IntJSciRep20222393
McAbee L, Tapera O, Kanyangarara M. Factors Associated with COVID-19 Vaccine intentions in Eastern Zimbabwe: a cross-sectional study. Vaccines. 2021;9(10):1109. https://doi.org/10.3390/vaccines9101109 .
doi: 10.3390/vaccines9101109
pubmed: 34696215
pmcid: 8538260
Chenzi VF, News. Social Media, and the COVID-19 Pandemic: The Zimbabwean Experience, Chap. 17 in COVID-19 in Zimbabwe Trends, Dynamics and Implications in the Agricultural, Environmental and Water Sectors.2023. ebook. Springer Nature Switzerland. https://doi.org/10.1007/978-3-031-21472-1
Anadolu Agency: Myths on COVID-19 pandemic spread across Zimbabwe:Myths derailing fight against disease in Zimbabwe. 2020. https://www.aa.com.tr/en/africa/myths-on-covid-19-pandemic-spread-across-zimbabwe/1925786 [Accessed 18 July 2024].
Key W. (2020, March 9). @keywilliamss, Twitter. https://twitter.com/keywilliamss/status/1237068388905730048 . Accessed 20 May 2020.
Ifan M. (2021, August 6). Covid anti-vaxxers: ‘Shut down fake news sites,’ begs daughter. BBC News. https://www.bbc.com/news/uk-wales-58103604 . Accessed 15 Oct 2021.
Chiweshe MK, Dandah G. (2024). Social Media, Fake News and Covid-19 Vaccine Hesitancy in Zimbabwe. Africa Review 16, 1, 14–31, Available From: Brill https://doi.org/10.1163/09744061-bja10103 [Accessed 18 July 2024].
Launiala A. How much can a KAP survey tell us about people’s knowledge, attitudes and practices? Some observations from medical anthropology research on malaria in pregnancy in Malawi. Anthropol Matters. 2009;11:1–13. https://doi.org/10.22582/am.v11i1.31 .
doi: 10.22582/am.v11i1.31
Erkin Ö, Özsoy S. Validity and reliability of health belief model applied to influenza. Acad Res Int. 2012;2:31.
Rosenstock IM, Why People Use Health Services. Milbank Q. 2005;83(4). https://doi.org/10.1111/j.1468-0009.2005.00425.x .
Blue CL, Valley JM. Predictors of influenza vaccine. Acceptance among healthy adult workers. AAOHN J. 2002;50(5):227–33.
doi: 10.1177/216507990205000509
pubmed: 12033090
Shahrabani S, Benzion U, Yom Din G. Factors affecting nurses’ decision to get the flu vaccine. Eur J Health Econ. 2009;10(2):227–31.
doi: 10.1007/s10198-008-0124-3
pubmed: 18781347
Olive JL. Reflecting on the tensions between emic and etic perspectives in life history research: Lessons learned. In Forum qualitative sozialforschung/forum: qualitative social research 2014 Mar 28 (Vol. 15, No. 2).
Mostowlansky T, Rota A. (2020). Emic and Etic. In: Stein, F.; Lazar, S.; Candea, M.; Diemberger, H.; Robbins, J.; Sanchez, A.; Stasch, R, editors The Cambridge Encyclopedia of Anthropology (pp. 1–16). Cambridge: University of Cambridge https://doi.org/10.29164/20emicetic
Midzi N, Mutsaka-Makuvaza MJ, Charimari LS, Mangwiro P, Manengureni T, Mugadza G. Factors affecting hand hygiene practice duringthe COVID-19 pandemic in the Zimbabwean population: a qualitative study. BMC Infect Dis. 2024;24(1):385. https://doi.org/10.1186/s12879-024-09277-1 .
doi: 10.1186/s12879-024-09277-1
pubmed: 38594631
pmcid: 11003113
Zimbabwe National Statistical Agency. 2022 Population and Housing Census Preliminary report on population figures, 2022. https://zimbabwe.unfpa.org/en/publications/2022-population-and-housing-census-preliminary-results
Mutsaka-Makuvaza MJ, Midzi N, Charimari LS, et al. Use of face masks for COVID-19 prevention: a qualitative study on barriers and motivators in Zimbabwe. Discov Soc Sci Health. 2024;4:24. https://doi.org/10.1007/s44155-024-00083-3 .
doi: 10.1007/s44155-024-00083-3
Midzi N, Mutsaka-Makuvaza MJ, Charimari LS, Mangwiro P, Manengureni T, Mugadza G. Understanding facilitators and barriers to COVID-19 vaccination in the Zimbabwean population: a qualitative analysis. BMC Public Health. 2024;24(1):1174. https://doi.org/10.1186/s12889-024-18650-3 .
doi: 10.1186/s12889-024-18650-3
pubmed: 38679733
pmcid: 11057155
Tong A, Sainsbury P, Craig J. Consolidated criteria for reporting qualitative research (COREQ): a 32-item checklist for interviews and focus groups. Int J Qual Health Care. 2007;19(6):349–57. https://doi.org/10.1093/intqhc/mzm042 .
doi: 10.1093/intqhc/mzm042
pubmed: 17872937
Taghrir MH, Borazjani R, Shiraly R. COVID-19 and Iranian medical students; a survey on their related-knowledge, preventive behaviors and risk perception. Arch Iran Med. 2020;23:249–54. https://doi.org/10.34172/aim.2020.06 .
doi: 10.34172/aim.2020.06
pubmed: 32271598
Tune SNBK, Islam BZ, Islam MR, Tasnim Z, Ahmed SM. Exploring the knowledge, attitudes, practices and lived experiences of frontline health workers in the times of COVID-19: a qualitative study from Bangladesh. BMJ Open. 2022;12(1):e051893. https://doi.org/10.1136/bmjopen-2021-051893 .
doi: 10.1136/bmjopen-2021-051893
pubmed: 35017240
Lockyer B, Islam S, Rahman A, Dickerson J, Pickett K, Sheldon T, Wright J, McEachan R, Sheard L, Bradford Institute for Health Research Covid-19 Scientific Advisory Group. Understanding COVID-19 misinformation and vaccine hesitancy in context: Findings from a qualitative study involving citizens in Bradford, UK. Health Expect, Khosla K, Potharaju K, Mukherjea A, Sarkar U. COVID-19–Associated Misinformation Across the South Asian Diaspora: Qualitative Study of WhatsApp Messages JMIR Infodemiology 2023;3:e38607. https://doi.org/10.2196/38607
El Mikati IK, Hoteit R, Harb T, El Zein O, Piggott T, Melki J, Mustafa RA, Akl EA. Defining misinformation and related terms in Health-related literature: scoping review. J Med Internet Res. 2023;25:e45731. https://doi.org/10.2196/45731 .
doi: 10.2196/45731
pubmed: 37556184
pmcid: 10414029
O’Brien BC, Harris IB, Beckman TJ, et al. Standards for reporting qualitative research: a synthesis of recommendations. Acad Med. 2014;89:1245–51.
doi: 10.1097/ACM.0000000000000388
pubmed: 24979285
Mboowa G, Musoke D, Bulafu D, Aruhomukama D. Face-Masking, an acceptable protective measure against COVID-19 in Ugandan High-Risk groups. Am J Trop Med Hyg. 2020;104(2):502–13. https://doi.org/10.4269/ajtmh.20-1174 .
doi: 10.4269/ajtmh.20-1174
pubmed: 33319741
pmcid: 7866310
Malecki KMC, Keating JA, Safdar N. Crisis Communication and Public Perception of COVID-19 risk in the era of Social Media. Clin Infect Diseases: Official Publication Infect Dis Soc Am. 2021;72(4):697–702. https://doi.org/10.1093/cid/ciaa758 .
doi: 10.1093/cid/ciaa758
Yapi RB, Houngbedji CA, N’Guessan DKG, Dindé AO, Sanhoun AR, Amin A, Gboko KDT, Heitz-Tokpa K, Fokou G, Bonfoh B. Knowledge, attitudes, and practices (KAP) regarding the COVID-19 outbreak in Côte d’Ivoire: understanding the non-compliance of populations with non-pharmaceutical interventions. Int J Environ Res Public Health. 2021;18(9):4757. https://doi.org/10.3390/ijerph18094757 .
doi: 10.3390/ijerph18094757
pubmed: 33946980
pmcid: 8124153