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Awareness of COVID-19 among Illiterate Population in Pakistan: A Cross-Sectional Analysis

Published online by Cambridge University Press:  09 August 2021

Muhammad Salman*
Affiliation:
Department of Pharmacy Practice, Faculty of Pharmacy, The University of Lahore, Lahore, Pakistan
Zia Ul Mustafa
Affiliation:
Department of Pharmacy Services, District Headquarter Hospital Pakpattan, Pakpattan, Pakistan
Noman Asif
Affiliation:
Punjab University College of Pharmacy, University of the Punjab, Lahore, Pakistan
Naureen Shehzadi
Affiliation:
Punjab University College of Pharmacy, University of the Punjab, Lahore, Pakistan
Khalid Hussain
Affiliation:
Punjab University College of Pharmacy, University of the Punjab, Lahore, Pakistan
Tahir Mehmood Khan
Affiliation:
Institute of Pharmaceutical Science, University of Veterinary and Animal Sciences, Lahore, Pakistan
Tauqeer Hussain Mallhi*
Affiliation:
Department of Clinical Pharmacy, College of Pharmacy, Jouf University, Sakaka, Al-Jouf, Kingdom of Saudi Arabia
Yusra Habib Khan
Affiliation:
Department of Clinical Pharmacy, College of Pharmacy, Jouf University, Sakaka, Al-Jouf, Kingdom of Saudi Arabia
Muhammad Hammad Butt
Affiliation:
Faculty of Pharmacy, University of Central Punjab, Lahore, Pakistan
Muhammad Junaid Farrukh
Affiliation:
Faculty of Pharmaceutical Sciences, USCI University, Kuala Lumpur, Malaysia
Fahad Saleem
Affiliation:
Faculty of Pharmacy and Health Sciences, University of Balochistan, Quetta, Pakistan
*
Corresponding authors: Tauqeer Hussain Mallhi, Email: Tauqeer.hussain.mallhi@hotmail.com. Muhammad Salman, Email: msk5012@gmail.com.
Corresponding authors: Tauqeer Hussain Mallhi, Email: Tauqeer.hussain.mallhi@hotmail.com. Muhammad Salman, Email: msk5012@gmail.com.

Abstract

Background

COVID-19 outbreak has been accompanied by a massive infodemic, however, many vulnerable individuals such as illiterate or low-literate, older adults and rural populations have limited access to health information. In this context, these individuals are more likely to have poor knowledge, attitudes, and preventive practices related to COVID-19. The current study was aimed to investigate COVID-19’s awareness of the illiterate population of Pakistan.

Methods

A cross-sectional survey was conducted among illiterate Pakistanis of ages ≥ 18 years through a convenient sampling approach. The study participants were interviewed face to face by respecting the defined precautionary measures and all data were entered and analyzed using SPSS version 22 (IBM, Armonk, NY).

Results

The mean age of the study participants’ (N = 394) was 37.2 ± 9.60 years, with the majority being males (80.7%). All participants were aware of the COVID-19 outbreak and television news channels (75.1%) were the primary source of information. The mean knowledge score was 5.33 ± 1.88, and about 27% of participants had a good knowledge score (score ≥ 7) followed by moderate (score 4 - 6) and poor (score ≤ 3) knowledge in 41.6%, and 31.5% of respondents, respectively. The attitude score was 4.42 ± 1.22 with good (score ≥ 6), average (score 4 - 5), and poor attitude (score ≤ 3) in 19%, 66%, and 15% of the participants, respectively. The average practice-related score was 12.80 ± 3.34, with the majority of participants having inadequate practices.

Conclusion

COVID-19 knowledge, attitude, and preventive practices of the illiterate population in Pakistan are unsatisfactory. This study highlights the gaps in specific aspects of knowledge and practice that should be addressed through awareness campaigns targeting this specific population.

Type
Original Research
Copyright
© Society for Disaster Medicine and Public Health, Inc. 2021

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References

Jiang, S, Du, L, Shi, Z. An emerging coronavirus causing pneumonia outbreak in Wuhan, China: Calling for developing therapeutic and prophylactic strategies [published correction appears in Emerg Microbes Infect. 2020 Dec;9(1):539]. Emerg Microbes Infect. 2020;9(1):275-277.CrossRefGoogle Scholar
Hui, DS, I Azhar, E, Madani, TA, et al. The continuing 2019-nCoV epidemic threat of novel coronaviruses to global health - The latest 2019 novel coronavirus outbreak in Wuhan, China. Int J Infect Dis. 2020;91:264-266.CrossRefGoogle ScholarPubMed
World Health Organization. Weekly operational update on COVID-19. 2020. https://www.who.int/docs/default-source/coronaviruse/wou_21-dec_cleared.pdf?sfvrsn=a7575c1f_1&download=true. Accessed Dec 23, 2020.Google Scholar
Salman, M, Mustafa, ZU, Khan, TM, Shehzadi, N, Hussain, K. How prepared was Pakistan for the COVID-19 outbreak?. Disaster Med Public Health Prep. 2020;14(3):e44-e45.CrossRefGoogle ScholarPubMed
Tribune, T.E. WHO recommends ‘intermittent, targeted’ lockdowns in Pakistan. 2020. https://tribune.com.pk/story/2239223/recommends-intermittent-lockdown-punjab. Accessed Dec 3, 2020.Google Scholar
Reuters. WHO recommends Pakistan reimpose intermittent lockdowns as COVID-19 cases rise sharply. 2020. https://www.reuters.com/article/us-health-coronavirus-pakistan-who/who-recommends-pakistan-reimpose-intermittent-lockdowns-as-covid-19-cases-rise-sharply-idUSKBN23G2ZJ. Accessed December 3, 2020.Google Scholar
Government of Pakistan. COVID-19 dashboard. 2020. http://covid.gov.pk/stats/pakistan. Accessed December 3, 2020.Google Scholar
Ali, A. Second wave of Covid-19 in Pakistan; Are more episodes down the road? 2020. https://www.bmj.com/content/371/bmj.m4113/rr-0. Accessed December 6, 2020.Google Scholar
Salman, M, Mustafa, ZU, Asif, N, et al. Knowledge, attitude and preventive practices related to COVID-19: A cross-sectional study in two Pakistani university populations [published online ahead of print, 2020 May 9]. Drugs Ther Perspect. 2020;1-7.CrossRefGoogle Scholar
Ahmad, Z, Sadiq, S, Asghar, M, et al. Comparison of knowledge, attitudes, and practices of educated and uneducated adults regarding Human Immunodeficiency Virus in Karachi, Pakistan. Cureus. 2017;9(6):e1338.Google ScholarPubMed
OpenEpi. Sample size for a proportion or descriptive study. https://www.openepi.com/SampleSize/SSPropor.htm. Accessed May 3, 2020.Google Scholar
Salman, M, Mustafa, Z, Asif, N, et al. Knowledge, attitude and preventive practices related to COVID-19 among health professionals of Punjab Province of Pakistan. J Infect Dev Ctries. 2020;14(7):707-712.CrossRefGoogle ScholarPubMed
Muhammad, K, Saqlain, M, Muhammad, G, et al. Knowledge, attitude, and practices (KAPs) of community pharmacists regarding COVID-19: A cross-sectional survey in 2 provinces of Pakistan [published online ahead of print, 2021 Feb 16]. Disaster Med Public Health Prep. 2021;1-9.CrossRefGoogle Scholar
Salman, M, Asif, N, Mustafa, ZU, et al. Psychological impairment and coping strategies during the COVID-19 pandemic among students in Pakistan: A cross-sectional analysis [published online ahead of print, 2020 Oct 22]. Disaster Med Public Health Prep. 2020;1-7.Google Scholar
Misbah, S, Ahmad, A, Butt, MH, Khan, YH, Alotaibi, NH, Mallhi, TH. A systematic analysis of studies on Corona virus disease 19 (COVID-19) from viral emergence to treatment. J Coll Physicians Surg Pak. 2020;30(6):9-18.Google Scholar
Butt, MH, Ahmad, A, Misbah, S, et al. Ensuring the quality and appropriate use of hand sanitizers during the COVID-19 pandemic: Suggestions and recommendations with the role of the pharmacist [published online ahead of print, 2021 Feb 16]. Disaster Med Public Health Prep. 2021;1-2.CrossRefGoogle Scholar
Mallhi, TH, Ahmad, A, Butt, MH, Misbah, S, Khan, YH, Alotaibi, NH. Chloroquine and Hydroxychloroquine in COVID-19: Practice implications for healthcare professionals. J Coll Physicians Surg Pak. 2020;30(10):124-128.Google ScholarPubMed
Mallhi, TH, Khan, YH, Butt, MH, et al. Risks of zoonotic transmission of COVID-19 during Eid-Ul-Adha in Pakistan. Disaster Med Public Health Prep. 2020;14(4):e40-e41.CrossRefGoogle ScholarPubMed
Saqlain, M, Ahmed, A, Nabi, I, et al. Public knowledge and practices regarding Coronavirus Disease 2019: A cross-sectional survey from Pakistan. Front Public Health. 2021;9:629015.CrossRefGoogle ScholarPubMed
Hayat, K, Rosenthal, M, Xu, S, et al. View of Pakistani residents toward Coronavirus disease (COVID-19) during a rapid outbreak: A rapid online survey. Int J Environ Res Public Health. 2020;17(10):3347.CrossRefGoogle ScholarPubMed
Azlan, AA, Hamzah, MR, Sern, TJ, Ayub, SH, Mohamad, E. Public knowledge, attitudes and practices towards COVID-19: A cross-sectional study in Malaysia. PLoS One. 2020;15(5):e0233668.CrossRefGoogle ScholarPubMed
Zhong, BL, Luo, W, Li, HM, et al. Knowledge, attitudes, and practices towards COVID-19 among Chinese residents during the rapid rise period of the COVID-19 outbreak: A quick online cross-sectional survey. Int J Biol Sci. 2020;16(10):1745-1752.Google ScholarPubMed
Abdelhafiz, AS, Mohammed, Z, Ibrahim, ME, et al. Knowledge, perceptions, and attitude of Egyptians towards the novel Coronavirus disease (COVID-19). J Community Health. 2020;45(5):881-890.CrossRefGoogle ScholarPubMed
Paakkari, L, Okan, O. COVID-19: Health literacy is an underestimated problem. Lancet Public Health. 2020;5(5):e249-e250.CrossRefGoogle ScholarPubMed
Democracy Now. Pakistan medical workers score win as gov’t says it will ensure PPE. https://www.democracynow.org/2020/5/4/headlines/pakistan_medical_workers_score_win_as_govt_says_it_will_ensure_ppe. Accessed Dec 8, 2020.Google Scholar
Khan, YH, Mallhi, TH, Alotaibi, NH, et al. Threat of COVID-19 vaccine hesitancy in Pakistan: The need for measures to neutralize misleading narratives. Am J Trop Med Hyg. 2020;103(2):603-604.CrossRefGoogle ScholarPubMed
Mallhi, TH, Khan, YH, Alotaibi, NH, et al. Drug repurposing for COVID-19: A potential threat of self-medication and controlling measures [published online ahead of print, 2020 Aug 26]. Postgrad Med J. 2020;postgradmedj-2020-138447.CrossRefGoogle Scholar
Raja, R, Kumar, V, Khan, MA, Sayeed, KA, Hussain, SZM, Rizwan, A. Knowledge, attitude, and practices of complementary and alternative medication usage in patients of type II Diabetes Mellitus. Cureus. 2019;11(8):e5357.Google ScholarPubMed
Ahmed, F, Ayub, A, Hussain, H. Use of complementary and alternative medicine among asthmatic patients. J Ayub Med Coll Abbottabad. 2017;29(2):298-302.Google ScholarPubMed
Lail, G, Luck, N, Tasneem, AA, Rai, A, Laeeq, SM, Majid, Z. The usage of complementary and alternative medicine in gastrointestinal patients visiting the outpatients’ department of a large tertiary care centre-views from Pakistan. Pan Afr Med J. 2016;24:247.CrossRefGoogle ScholarPubMed
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