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Adherence to COVID-19 preventive measures and associated factors in Ethiopia: A systematic review and meta-analysis

Gebreheat, Gdiom; Paterson, Ruth; Mulugeta, Henok; Teame, Hirut

Authors

Gdiom Gebreheat

Henok Mulugeta

Hirut Teame



Abstract

Background: Reluctance to the COVID-19 preventive measures have been repeatedly reported in Ethiopia although compliance with these actions is the key step to minimize the pandemic’s burden. Hence, this systematic review and meta-analysis aims to address the gap in the literature by determining the pooled magnitude of adherence to COVID-19 preventive measures and identifying its associated factors in Ethiopia. Materials and methods: The electronic databases used to search articles were PubMed/MEDLINE, CINAHL, Web of Science, ScienceDirect, Research4Life and other sources of grey literature including Google Scholar and World Health Organization (WHO) database portals for low- and middle-income countries. Full English-language articles published between 2019 and 2022 were eligible for the review and meta-analysis. Relevant data extracted and descriptive summaries of the studies presented in tabular form. The methodological quality of articles assessed using the Joanna Briggs Institute (JBI) quality assessment tool. The pooled magnitude of adherence determined by applying a random-effects model at a 95% CI. Results: Of 1029 records identified, 15 articles were included in the systematic review and 11 were selected for meta-analysis. The pooled estimate of adherence to COVID-19 preventive measures in Ethiopia was 41.15% (95% CI:32.16–50.14%). Furthermore, perceived COVID-19 disease severity (AOR:1.77, 95% CI: (1.40–2.25)), attitude (AOR:1.85, 95% CI: (1.36–2.53)) and knowledge (AOR:2.51, 95% CI: (1.67–3.78)) to COVID-19 preventive measures showed significant association with adherence to COVID-19 preventive measures. Conclusion: The magnitude of adherence to COVID-19 preventive measures in Ethiopia appeared to be low. Therefore, the government of Ethiopia and other stakeholders should mobilize resources to improve the adherence level of the community to the COVID-19 preventive measures and decrease public fatigue.

Journal Article Type Article
Acceptance Date Sep 14, 2022
Online Publication Date Oct 13, 2022
Publication Date 2022
Deposit Date Oct 17, 2022
Publicly Available Date Oct 17, 2022
Journal PLOS ONE
Print ISSN 1932-6203
Publisher Public Library of Science
Peer Reviewed Peer Reviewed
Volume 17
Issue 10
Article Number e0275320
DOI https://doi.org/10.1371/journal.pone.0275320
Public URL http://researchrepository.napier.ac.uk/Output/2933095

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http://creativecommons.org/licenses/by/4.0/

Copyright Statement
This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.





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