Trends over time in the knowledge, attitude and practices of pregnant women related to COVID-19: A cross-sectional survey from seven low- and middle-income countries
Year: 2023
Type: article
Study design: Observational Study
Abstract: Objective: To understand trends in the knowledge, attitudes and practices (KAP) of pregnant women related to COVID-19 in seven low- and middle-income countries. Design: Multi-country population-based prospective observational study. Setting: Study sites in Bangladesh, the Demographic Republic of Congo (DRC), Guatemala, India (two sites), Kenya, Pakistan and Zambia. Population: Pregnant women in the Global Network's Maternal and Neonatal Health Registry (MNHR). Methods: Pregnant women enrolled in the MNHR were interviewed to assess their KAP related to COVID-19 from September 2020 through July 2022 across all study sites. Main outcome measures: Trends of COVID-19 KAP were assessed using the Cochran–Armitage test for trend. Results: A total of 52 297 women participated in this study. There were wide inter-country differences in COVID-19-related knowledge. The level of knowledge of women in the DRC was much lower than that of women in the other sites. The ability to name COVID-19 symptoms increased over time in the African sites, whereas no such change was observed in Bangladesh, Belagavi and Guatemala. All sites observed decreasing trends over time in women avoiding antenatal care visits. Conclusions: The knowledge and attitudes of pregnant women related to COVID-19 varied substantially among the Global Network sites over a period of 2 years; however, there was very little change in knowledge related to COVID-19 over time across these sites. The major change observed was that fewer women reported avoiding medical care because of COVID-19 across all sites over time.
DOI: 10.17615/spc0-8y30
Authors: Billah S.M., Bucher S., Mazariegos M., Hibberd P.L., McClure E.M., Figueroa L., Goldenberg R.L., Jessani S., Derman R.J., Chomba E., Esamai F., Petri W.A., Jr., Lokangaka A., Patel A., Bauserman M., Bann C.M., Koso-Thomas M., Saleem S., Goudar S.S., Fogleman E., Tshefu A., Haque R., Das P., Krebs N.F., Kavi A., Carlo W.A., Mwenchanya M.
Institution: University of North Carolina at Chapel Hill
Language: English
Subfield: Obstetrics and Gynecology
Field: Medicine
Domain: Health Sciences
Open Access status: green
Awards: Global Network for Women's and Children's Health Research, The University of North Carolina-Kinshasa School of Public Health Research Partnership in the Democratic Republic of Congo; a Model for Improving Women's and Children's Health Through Research, Leveraging the Global Network to implement health interventions to improve maternal and child outcomes in a rapidly changing environment, TJU-JNMC Global Network for Women's and Children's Health Research Unit, NICHD Global Network for Women’s and Children’s Health Research: Research Units, Boston University/Lata Medical Research Foundation Global Network for Women's Children's Health Research Unit, Interventions to Reduce Infant Mortality and Morbidity in Low Resource Settings, Columbia University/Aga Khan University Global Network Research Unit
OpenAlex ID: W4386528769