Exploring the knowledge, attitudes, practices and lived experiences of frontline health workers in the times of COVID-19: a qualitative study from Bangladesh

被引:12
作者
Tune, Samiun Nazrin Bente Kamal [1 ]
Islam, Bushra Zarin [1 ]
Islam, Mir Raihanul [2 ]
Tasnim, Zarin [1 ]
Ahmed, Syed Masud [1 ]
机构
[1] BRAC Univ, Ctr Excellence Hlth Syst & Universal Hlth Coverag, BRAC James P Grant Sch Publ Hlth, Dhaka, Bangladesh
[2] Int Food Policy Res Inst, Poverty Hlth & Nutr Div, Dhaka, Bangladesh
来源
BMJ OPEN | 2022年 / 12卷 / 01期
关键词
COVID-19; health policy; health & safety; health services administration & management; quality in healthcare; public health; CARE WORKERS; IMPACT; OUTBREAK; CRISIS;
D O I
10.1136/bmjopen-2021-051893
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Objective This study explored Frontline Health Workers' (FLWs) knowledge, attitude and practice (KAP) on COVID-19 and their lived experiences, in both their personal and work lives, at the early stage of the pandemic in Bangladesh. Design, setting and participants This was a qualitative study conducted through telephone interviews in May 2020. A total of 41 FLWs including physicians, nurses, paramedics, community healthcare workers and hospital support staff from 34 public and private facilities of both urban and rural parts of Bangladesh participated in the interview. A purposive sampling technique supplemented by a snowball sampling method was followed to select the participants. The in-depth interviews followed a semi-structured interview guide, and we applied the thematic analysis method for the qualitative data analysis. Findings Except physicians, the FLWs did not receive any institutional training on COVID-19, including its prevention and management, in most instances. Also, they had no training in the use of personal protective equipment (PPE). Their common source of knowledge was the different websites or social media platforms. The FLWs were at risk while delivering services because patients were found to hide histories and not maintaining safety rules, including physical distancing. Moreover, inadequate supply of PPE, fear of getting infected, risk to family members and ostracisation by the neighbours were mentioned to be quite common by them. This situation eventually led to the development of mental stress and anxiety; however, they tried to cope up with this dire situation and attend to the call of humanity. Conclusion The uncertain work environment during the COVID-19 pandemic simultaneously affected FLWs' physical and emotional health in Bangladesh. However, they showed professional devotion in overcoming such obstacles and continued to deliver essential services. This could be further facilitated by a quick and targeted training package on COVID-19, and the provision of supplies for delivering services with appropriate safety precautions.
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页数:10
相关论文
共 29 条
  • [21] The Inadequacy of Regulatory Frameworks in Time of Crisis and in Low-Resource Settings: Personal Protective Equipment and COVID-19
    Pecchia, Leandro
    Piaggio, Davide
    Maccaro, Alessia
    Formisano, Claudio
    Iadanza, Ernesto
    [J]. HEALTH AND TECHNOLOGY, 2020, 10 (06) : 1375 - 1383
  • [22] Sakib S.N., 2020, BANGLADESH LOW COVID
  • [23] Smith Elizabeth M, 2005, Nurse Res, V12, P32
  • [24] Impact of the COVID-19 pandemic on the core functions of primary care: will the cure be worse than the disease? A qualitative interview study in Flemish GPs
    Verhoeven, Veronique
    Tsakitzidis, Giannoula
    Philips, Hilde
    Van Royen, Paul
    [J]. BMJ OPEN, 2020, 10 (06):
  • [25] Reasons for healthcare workers becoming infected with novel coronavirus disease 2019 (COVID-19) in China
    Wang, J.
    Zhou, M.
    Liu, F.
    [J]. JOURNAL OF HOSPITAL INFECTION, 2020, 105 (01) : 100 - 101
  • [26] World Health Organization, 2006, HLTH WORK GLOB PROF
  • [27] Characteristics of and Important Lessons From the Coronavirus Disease 2019 (COVID-19) Outbreak in China Summary of a Report of 72 314 Cases From the Chinese Center for Disease Control and Prevention
    Wu, Zunyou
    McGoogan, Jennifer M.
    [J]. JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2020, 323 (13): : 1239 - 1242
  • [28] Yasmin R, 2020, J BANGLADESH COLL PH, P43, DOI 10.3329/jbcps.v38i0
  • [29] Knowledge, attitude, and practice regarding COVID-19 among healthcare workers in Henan, China
    Zhang, M.
    Zhou, M.
    Tang, F.
    Wang, Y.
    Nie, H.
    Zhang, L.
    You, G.
    [J]. JOURNAL OF HOSPITAL INFECTION, 2020, 105 (02) : 183 - 187