Health work force risk of exposure and factors associated with COVID-19 exposure in Addis Ababa, Ethiopia: A facility-based survey
Keywords:Key words: COVID-19, Health Work Force, Exposure risk, Infection Prevention & Control, Adherence
Background: Health Work Force (HWF) risk of exposure to COVID-19 is expected to be higher than the general population. This study investigated the risk of exposure and associated factors among HWF in Addis Ababa, Ethiopia.
Method: A facility-based cross-sectional study was conducted at COVID-19 diagnostic and treatment centers found in Addis Ababa from September 20 – Oct. 10, 2020. Seven hundred thirty two HWF were included in the study. The samples were taken from each facility based on proportional allocation to the number of staff directly engaged in managing cases. Data were collected using questionnaire adapted from WHO and CDC tools. Descriptive statistics and logistic regression were conducted using SPSS version 24. Categorization of COVID-19 exposure risk was done based on WHO classification, into “High exposure risk” and “Low exposure risk” level.
Result: Four hundred forty (62.1%) of the health work force have high exposure risk level to COVID-19. The age group of 25 – 34 years had a higher risk of exposure (AOR: 1.697 [95% CI: 1.055, 2.729]) compared to age group 18 - 24, while working in outpatient department showed a decreased exposure risk (AOR; 0.385 [95% CI: 0.195, 0.760]).
Conclusion: Exposure risk to COVID-19 is high among HWF whereas non-adherence to infection prevention and control was observed. Infection prevention and control awareness creations are required from stakeholders.