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. 2021 Jan 26;18(3):1091.
doi: 10.3390/ijerph18031091.

Adherence to COVID-19 Preventive Measures in Mozambique: Two Consecutive Online Surveys

António Júnior  1 , Janeth Dula  1 , Sérgio Mahumane  1 , Olivier Koole  2 , Sónia Enosse  1 , Joseph Nelson Siewe Fodjo  3 , Robert Colebunders  3
Affiliations

Adherence to COVID-19 Preventive Measures in Mozambique: Two Consecutive Online Surveys

António Júnior et al. Int J Environ Res Public Health. .

Abstract

We assessed adherence to government recommendations implemented shortly after the introduction of COVID-19 in Mozambique in March 2020, through two online cross-sectional surveys in April and June 2020. We quantified adherence to preventive measures by a composite score comprising of five measures: physical distancing, face mask use, hand hygiene, cough hygiene, and avoidance of touching the face. 3770 and 1115 persons participated in the first and second round respectively. Wearing face masks, regular handwashing and cough hygiene all reached compliance rates of over 90% while physical distancing and avoiding to touch the face reached a compliance rate of 80-90%. A multivariable model investigating factors associated with adherence found that being older, more educated, and belonging to the healthcare sector increased the odds for higher adherence. Private workers and retired people, respondents receiving COVID-19 information through social media, and those who reported flu-like symptoms were less likely to adhere. 6% of respondents reported flu-like symptoms which aligned with the WHO clinical definition of COVID-19, suggesting low level community transmission. In conclusion, most respondents in this online survey in Mozambique complied well with strategies to prevent COVID-19. Whether the good preventive behaviour explains the low grade COVID-19 transmission requires further study.

Keywords: COVID-19; Mozambique; adherence; preventive measures; survey.

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Conflict of interest statement

The authors declare no conflict of interest. The funders had no role in the design of the study; in the collection, analyses, or interpretation of data; in the writing of the manuscript, or in the decision to publish the results.

Figures

Figure 1
Figure 1
Map of Mozambique with its provinces.
See this image and copyright information in PMC

References

    1. World Health Organisation WHO Director-General’s Opening Remarks at the Media brieFing on COVID-19—11 March 2020. [(accessed on 21 October 2020)]; Available online: https://www.who.int/dg/speeches/detail/who-director-general-s-opening-re....
    1. World Health Organisation Strengthening Preparedness for COVID-19 in Cities and Urban Settings. [(accessed on 21 October 2020)]; Available online: https://www.who.int/publications/i/item/strengthening-preparedness-for-c....
    1. Presidência da República Decreto Presidencial nº 11/2020 de Março, Declara o Estado de Emergência, por Razões de Calamidade Pública, em todo o território nacional. [(accessed on 21 October 2020)]; Available online: https://www.mic.gov.mz/por/covid-192/
    1. Presidência da República; Decreto Presidencial nº 79/2020 de 4 de Setembro de 2020. [(accessed on 21 October 2020)]; Available online: http://www.ts.gov.mz/images/Decreto_n._792020_de_4_de_Setembro_-_Declara....
    1. Ministry of Health Mozambique Boletím Diário 2020, Nº 2078, 11 October. [(accessed on 21 October 2020)]; Available online: https://covid19.ins.gov.mz/wp-content/uploads/2020/10/Boletim-Diario-208....

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