European Journal of Environment and Public Health

Knowledge, Attitudes, Practices, and Misconceptions towards COVID-19 among Sub-Sahara Africans
Chidera Gabriel Obi 1, Leo Fosso Fozeu 2, Ephraim Ibeabuchi Ezaka 1 3, Chisom Ochonma 1, Robert Kamwela 4 5 *
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1 Department of Parasitology and Entomology, Nnamdi Azikiwe University, Awka, NIGERIA
2 Bafmen Sub-Divisional Hospital, Northwest Region, CAMEROON
3 Department of Medical Laboratory Technology, College of Health Technology, Adamawa, NIGERIA
4 Department of Economics, University of Malawi, Zomba, MALAWI
5 Institute of Development Policy and Management, University of Antwerp, Antwerp, BELGIUM
* Corresponding Author
Research Article

European Journal of Environment and Public Health, 2022 - Volume 6 Issue 1, Article No: em0101

Published Online: 14 Jan 2022

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How to cite this article
APA 6th edition
In-text citation: (Obi et al., 2022)
Reference: Obi, C. G., Fozeu, L. F., Ezaka, E. I., Ochonma, C., & Kamwela, R. (2022). Knowledge, Attitudes, Practices, and Misconceptions towards COVID-19 among Sub-Sahara Africans. European Journal of Environment and Public Health, 6(1), em0101.
In-text citation: (1), (2), (3), etc.
Reference: Obi CG, Fozeu LF, Ezaka EI, Ochonma C, Kamwela R. Knowledge, Attitudes, Practices, and Misconceptions towards COVID-19 among Sub-Sahara Africans. EUROPEAN J ENV PUBLI. 2022;6(1):em0101.
AMA 10th edition
In-text citation: (1), (2), (3), etc.
Reference: Obi CG, Fozeu LF, Ezaka EI, Ochonma C, Kamwela R. Knowledge, Attitudes, Practices, and Misconceptions towards COVID-19 among Sub-Sahara Africans. EUROPEAN J ENV PUBLI. 2022;6(1), em0101.
In-text citation: (Obi et al., 2022)
Reference: Obi, Chidera Gabriel, Leo Fosso Fozeu, Ephraim Ibeabuchi Ezaka, Chisom Ochonma, and Robert Kamwela. "Knowledge, Attitudes, Practices, and Misconceptions towards COVID-19 among Sub-Sahara Africans". European Journal of Environment and Public Health 2022 6 no. 1 (2022): em0101.
In-text citation: (Obi et al., 2022)
Reference: Obi, C. G., Fozeu, L. F., Ezaka, E. I., Ochonma, C., and Kamwela, R. (2022). Knowledge, Attitudes, Practices, and Misconceptions towards COVID-19 among Sub-Sahara Africans. European Journal of Environment and Public Health, 6(1), em0101.
In-text citation: (Obi et al., 2022)
Reference: Obi, Chidera Gabriel et al. "Knowledge, Attitudes, Practices, and Misconceptions towards COVID-19 among Sub-Sahara Africans". European Journal of Environment and Public Health, vol. 6, no. 1, 2022, em0101.
Background: COVID-19 is a viral disease that can be transmitted from one person to another. The virus was first reported in Wuhan, China in 2019 and Nigeria recorded the first case of COVID-19 in Sub-Sahara Africa in 2020. The right knowledge, attitudes, and practices are essential in curbing the spread of the virus. Hence, the study was conducted to assess the level of knowledge, attitude, practice, and misconception of Sub-Sahara Africa towards COVID-19 and identifying the factors associated with COVID-19.
Method: An online cross-sectional survey was conducted among respondents from Sub-Sahara Africa from December 2020 to June 2021. This study involved respondents from six African countries, the responses were gotten from Kenya and Sudan (representing East Africa) Nigeria and Ghana (representing West Africa), Cameroon (representing Central Africa), and Malawi (representing Southern Africa). Data collected was analyzed using IBM SPSS version 26.0.
Results: A total of 913 respondents participated in this study with the majority of the age group coming from 21-30 (70.9%). The result indicates that the majority have a good level of knowledge (89.9%) and attitude (97.7%) with an insufficient level of practice (61%). Also, the majority of the respondents had an acceptable level of misconception (84%). 67% of the respondents believe that 5G causes COVID-19. The majority of the respondents reckon that everyone should wear a facemask (90.3%) and that alcohol does not cure COVID-19 (85.9%).
Conclusions: The study suggests that Sub-Sahara Africans have adequate knowledge and Attitude without sufficient practice towards COVID-19. Improved policies, awareness and sensitization campaigns should be carried out by government and social media companies to ensure adequate practice towards COVID-19. Furthermore, these findings should be considered by policymakers to implement interventions for outbreaks.
  • Abayomi, A., Balogun, M. R., Bankole, M., Banke-Thomas, A., Mutiu, B., Olawepo, J., et al. (2021). From ebola to COVID-19: Emergency preparedness and response plans and actions in Lagos, Nigeria. Global Health, 17(1), 79.
  • Adepoju, P. (2020). Nigeria responds to COVID-19; first case detected in Sub-Saharan Africa. Nature Medicine, 26(4), 444-448.
  • Adhikari, S. P., Meng, S., Wu, Y.-J., Mao, Y.-P., Ye, R.-X., Wang, Q.-Z., et al. (2020). Epidemiology, causes, clinical manifestation and diagnosis, prevention and control of coronavirus disease (COVID-19) during the early outbreak period: a scoping review. Infectious Diseases of Poverty, 9(1), 29.
  • Al-Hanawi, M. K., Angawi, K., Alshareef, N., Qattan, A. M. N., Helmy, H. Z., Abudawood, Y., et al. (2020). Knowledge, attitude and practice toward COVID-19 among the public in the Kingdom of Saudi Arabia: A cross-sectional study. Front Public Health, 8.
  • Aynalem, Y. A., Akalu, T. Y., Gebresellassie, B., Sharew, N.T. and Shiferaw, W. S. (2021). Assessment of undergraduate student knowledge, practices, and attitude towards COVID-19 in Debre Berhan University, Ethiopia. PloS One, 16(5), e0250444.
  • Baig, M., Jameel, T., Alzahrani, S. H., Mirza, A. A., Gazzaz, Z. J., Ahmad, T., et al. (2020). Predictors of misconceptions, knowledge, attitudes, and practices of COVID-19 pandemic among a sample of Saudi population. PLoS One, 15(12), e0243526.
  • Bakebillah, M., Billah, M. A., Wubishet, B. L. and Khan, M. N. (2021). Community’s misconception about COVID-19 and its associated factors in Satkhira, Bangladesh: A cross-sectional study. Plos One.
  • Bondah, E. K. and Agyemang, D. O. (2020). Factors predicting knowledge on COVID-19 misconceptions and perception of government efforts in Ghana: A cross-sectional study. International Journal of Scientific Reports, 6(9), 340.
  • Bruns, A., Harrington, S. and Hurcombe, E. (2020). ‘Corona? 5G? or both?’: The dynamics of COVID-19/5G conspiracy theories on Facebook. Media International Australia, 177(1), 12-29.
  • Chiedozie, A. P., Chukwuebuka, O. J., Chidimma, C. F., Gabriel, O. C. and Chioma, U. B. (2021). Willingness to accept a potential COVID-19 vaccine in Nigeria. American Journal of Medical Sciences and Medicine, 9(1), 1-5.
  • Chitungo, I., Dzobo, M., Hlongwa, M. and Dzinamarira, T. (2020). COVID-19: Unpacking the low number of cases in Africa. Public Health Practice, 1, 100038.
  • Clark, A., Jit, M., Warren-Gash, C., Guthrie, B., Wang, H. H. X., Mercer, S. W., et al. (2020). Global, regional, and national estimates of the population at increased risk of severe COVID-19 due to underlying health conditions in 2020: A modelling study. The Lancet Global Health, 8(8), e1003-17.
  • Dagne, H., Bogale, L., Borcha, M., Tesfaye, A.and Dagnew, B. (2019). Hand washing practice at critical times and its associated factors among mothers of under five children in Debark town, northwest Ethiopia, 2018. The Italian Journal of Pediatrics, 45(1), 120.
  • Desalegn, Z., Deyessa, N., Teka, B., Shiferaw, W., Hailemariam, D., Addissie, Aa, et al. (2021). COVID-19 and the public response: Knowledge, attitude and practice of the public in mitigating the pandemic in Addis Ababa, Ethiopia. PLoS One, 16(1), e0244780.
  • dos Santos, F. O. (2021). Myths and misconceptions on COVID-19: ‘Congo check’ and ‘Talato’ verification experiences. Frontiers in Communication, 6.
  • Ejeh, F. E., Saidu, A. S., Owoicho, S., Maurice, N. A., Jauro, S., Madukaji, L., et al. (2020). Knowledge, attitude, and practice among healthcare workers towards COVID-19 outbreak in Nigeria. Heliyon, 6(11), e05557.
  • Erinoso, O., Wright, K. O., Anya, S., Kuyinu, Y., Abdur-Razzaq, H. and Adewuya, A. (2021). Predictors of COVID-19 information sources and their perceived accuracy in Nigeria: Online cross-sectional study. JMIR Public Health and Surveillance, 7(1), e22273.
  • Gebretsadik, D., Gebremichael, S. and Belete, M. A. (2021). Knowledge, attitude and practice toward COVID-19 pandemic among population visiting Dessie Health Center for COVID-19 screening, Northeast Ethiopia. Infection and Drug Resistance, 14, 905-915.
  • Habib, M. A., Dayyab, F.M., Iliyasu, G. and Habib, A. G. (2021). Knowledge, attitude and practice survey of COVID-19 pandemic in Northern Nigeria. PLoS One, 16(1), e0245176.
  • Hager, E., Odetokun, I. A., Bolarinwa, O., Zainab, A., Okechukwu, O. and Al-Mustapha, A. I. (2020). Knowledge, attitude, and perceptions towards the 2019 Coronavirus pandemic: A bi-national survey in Africa. PLoS One, 15(7), e0236918.
  • Hopman, J., Allegranzi, B. and Mehtar, S. Managing COVID-19 in low- and middle-income countries. JAMA, 323(16), 1549.
  • Huang, C., Wang, Y., Li, X., Ren, L., Zhao, J., Hu, Y., et al. (2020). Clinical features of patients infected with 2019 novel coronavirus in Wuhan, China. The Lancet, 395(10223), 497-506.
  • Internet World Stats. (2020). Internet penetration in Africa. Available at: (Accessed: 14 August 2021).
  • Isah, M. B., Abdulsalam, M., Bello, A., Ibrahim, M.I., Usman, A., Nasir, A., et al. (2020). Coronavirus disease 2019 (COVID-19): Knowledge, attitudes, practices (KAP) and misconceptions in the general population of Katsina State, Nigeria. medRxiv, 2020.06.11.20127936.
  • Kanu, S., James, P. B., Bah, A. J., Kabba, J. A., Kamara, M. S., Williams, C. E. E., et al. (2021). Healthcare workers’ knowledge, attitude, practice and perceived health facility preparedness regarding COVID-19 in Sierra Leone. The Journal of Multidisciplinary Healthcare, 14, 67-80.
  • Khadka, S., Hashmi, F. K. and Usman, M. (2020). Preventing COVID-19 in low- and middle-income countries. Drugs & Therapy Perspectives, 36(6), 250-252.
  • Lee, M., Kang, B.-A. and You, M. (2021). Knowledge, attitudes, and practices (KAP) toward COVID-19: A cross-sectional study in South Korea. BMC Public Health, 21(1), 295.
  • Li, Y., Liu, G., Egolet, R. O., Yang, R., Huang, Y. and Zheng, Z. (2021). Knowledge, attitudes, and practices related to COVID-19 among Malawi adults: A community-based survey. International Journal of Environmental Research and Public Health, 18(8), 4090.
  • Massinga Loembé, M., Tshangela, A., Salyer, S. J., Varma, J. K., Ouma, A. E. O. and Nkengasong, J. N. (2020). COVID-19 in Africa: The spread and response. Nature Medicine, 26(7), 999-1003.
  • Ngwewondo, A., Nkengazong, L., Ambe, L. A., Ebogo, J. T., Mba, F. M., Goni, H. O., et al. (2020). Knowledge, attitudes, practices of/towards COVID-19 preventive measures and symptoms: A cross-sectional study during the exponential rise of the outbreak in Cameroon. PLOS Neglected Tropical Diseases, 14(9), e0008700.
  • Nsawotebba, A., Ibanda, I., Ssewanyana, I., Ogwok, P., Ocen, F., Okiira, C., et al. (2021). Effectiveness of thermal screening in detection of COVID-19 among truck drivers at Mutukula Land Point of Entry, Uganda. PLoS One, 16(5), e0251150.
  • Olaimat, A. N., Aolymat, I., Shahbaz, H. M. and Holley, R. A. (2020). Knowledge and information sources about COVID-19 among university students in Jordan: A cross-sectional study. Frontiers in Public Health, 8.
  • Osseni, I. A. (2020). COVID-19 pandemic in Sub-Saharan Africa: Preparedness, response, and hidden potentials. Tropical Medicine and Health, 48(1), 48.
  • Ovenseri-Ogbomo, G., Ishaya, T., Osuagwu, U. L., Abu, E. K., Nwaeze, O., Oloruntoba, R., et al. (2020). Factors associated with the myth about 5G network during COVID-19 pandemic in Sub-Saharan Africa. Journal of Global Health Reports, 4, e2020094.
  • Pal, R., Yadav, U., Grover, S., Saboo, B., Verma, A. and Bhadada, S. K. (2020). Knowledge, attitudes and practices towards COVID-19 among young adults with Type 1 Diabetes Mellitus amid the nationwide lockdown in India: A cross-sectional survey. Diabetes Research and Clinical Practice, 166, 108344.
  • Peng, Y., Pei, C., Zheng, Y., Wang, J., Zhang, K., Zheng, Z., et al. (2020). A cross-sectional survey of knowledge, attitude and practice associated with COVID-19 among undergraduate students in China. BMC Public Health, 20(1), 1292.
  • Pew Research Center. (2021). Internet use by age Available at: (Accessed: 3 September 2021).
  • Qutob, N. and Awartani, F. (2021). Knowledge, attitudes and practices (KAP) towards COVID-19 among Palestinians during the COVID-19 outbreak: A cross-sectional survey. PLoS One, 16(1), e0244925.
  • Reuben, R. C., Danladi, M. M. A., Saleh, D. A. and Ejembi, P. E. (2021). Knowledge, attitudes and practices towards COVID-19: An epidemiological survey in North-Central Nigeria. Journal of Community Health, 46(3), 457-470.
  • Rugarabamu, S., Ibrahim, M. and Byanaku, A. (2020). Knowledge, attitudes, and practices (KAP) towards COVID-19: A quick online cross-sectional survey among Tanzanian residents. medRxiv, 2020.04.26.20080820.
  • Shrestha, A., Thapa, T. B., Giri, M., Kumar, S., Dhobi, S., Thapa, H., et al. (202). Knowledge and attitude on prevention of COVID-19 among community health workers in Nepal-a cross-sectional study. BMC Public Health, 21(1), 1424.
  • Singh, A., Purohit, B. M., Bhambal, A., Saxena, S., Singh, A. and Gupta, A. (2011). Knowledge, attitudes, and practice regarding infection control measures among dental students in Central India. Journal of Dental Education, 75(3), 421-427.
  • Tartari, E., Saris, K., Kenters, N., Marimuthu, K., Widmer, A., Collignon, P., et al. (2020). Not sick enough to worry? “Influenza-like” symptoms and work-related behavior among healthcare workers and other professionals: Results of a global survey. PLoS One, 15(5), e0232168.
  • Ukaga, C. N., Sam-Wobo, S. O., Muhammed, R. H., Mogaji, H. O., Surakat, O. A., Suleiman, M. M., et al. (2021). Low first wave COVID-19 cases and health seeking behaviors across the six geopolitical zones of Nigeria. Nigerian Journal of Parasitology, 42(1), 1-8.
  • Umviligihozo, G., Mupfumi, L., Sonela, N., Naicker, D., Obuku, E. A., Koofhethile, C., et al. (2020). Sub-Saharan Africa preparedness and response to the COVID-19 pandemic: A perspective of early career African scientists. Wellcome Open Reserach, 5, 163.
  • WHO. (2021). Coronavirus disease (COVID-19) advice for the public: Myth busters. Available at: (Accessed: 7 September 2021).
  • Wu, X.-L. and Munthali, G. N. C. (2021). Knowledge, attitudes, and preventative practices (KAPs) towards COVID-19 among international students in China. Infection and Drug Resistance, 14, 507-518.
  • Zhong, B.-L., Luo, W., Li, H.-M., Zhang, Q.-Q., Liu, X.-G., Li, W.-T., et al. (2020). 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. International Journal of Biological Sciences, 16(10), 1745-1752.
  • Zhou, P., Yang, X. L., Wang, X. G., Hu, B., Zhang, L., Zhang, W., et al. (200). A pneumonia outbreak associated with a new coronavirus of probable bat origin. Nature, 579, 270-273.
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