Research Article
Volume 5 Issue 12 - 2021
Knowledge, Attitudes and Practices towards COVID-19 among Expatriate Workers in Beledweyne/Somalia

Kabera René1* and Abushet Asnake Shibeshi2

1Family Physician, Former UN Medical Officer in Beledweyne, Rwanda
2Field Epidemiologist, Ethiopia
Received: November 01, 2021; Published: November 26, 2021


Background: Coronavirus disease 2019 (COVID-19) is a contagious disease caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). The first case was identified in Wuhan, China, in December 2019. The impact of the COVID-19 pandemic in Somalia is huge from the way people are working, some companies have changed the workplace, adopting the social distancing, putting in place the personal protecting equipment policy. We will assess the knowledge, attitudes and practices of the international workers in Beledweyne Somalia.

Methods: The study population is from the community of expatriate workers in Beledweyne/Somalia. A cross sectional study using a questionnaire administered to the sample population after an informed signed consent form. The data was collected, entered in Epidata Software and analyzed by the SPSS software. This study was conducted from December 2020 to March 2021.

Results: The study population was 108, 92.4% of male with a mean age of 37. Knowledge about COVID-19 was high with 93.5% with good knowledge on preventive measures, 75.9% able to identify vulnerable population, 80.4% have a good knowledge of modes of transmission and 88.9% could identify signs and symptoms of COVID-19. The population has positive attitude towards COVID-19 preventive measures with 93.5% on wearing masks, 95.4% on regular handwashing practice and 90.7% on social distancing. The positive perception on closure of businesses and school was low compared to other preventive measures. The acceptability of COVID-19 vaccine was 63% with a significance difference between the vaccine acceptance and level of education. Respondents with tertiary education had tendency to have a negative acceptance of the vaccine. The practice on prevention of COVID-19 is generally good with 79.7% on keeping always/often physical distancing, 77.8% always wear masks and 82.4% always avoid the handshaking. The availability of resources (Handwashing points, water, soap, hand sanitizer gel, facial masks) was estimated at 100%.

Conclusion: In general, the knowledge, attitudes and practices towards COVID-19 among the respondent were very good. The efforts from stakeholders have to focus on running continuous sensitization campaigns for COVID-19 preventive measures to keep the same stand in general to observe the preventive measures, and work on the acceptability of the COVID-19 vaccine within the community.

Keywords: COVID-19; Knowledge; Attitudes; Practices; Workplace; Somalia; International Workers


  1. World Health Organization. Coronavirus disease (COVID-19) pandemic (2020).
  2. Lotfi Melika., et al. “COVID-19: Transmission, prevention, and potential therapeutic opportunities”. Clinica Chimica Acta; International Journal of Clinical Chemistry 508 (2020): 254-266.
  3. Sheleme Tadesse., et al. “Clinical Presentation of Patients Infected with Coronavirus Disease 19: A Systematic Review”. Infectious Diseases 13 (2020): 1178633720952076.
  4. Güner Rahmet., et al. “COVID-19: Prevention and control measures in community”. Turkish Journal of Medical SciencesSI-1 (2020): 571-577.
  5. Somalia Ministry of health. COVID-19 Situational Update (2020).
  6. Beledweyne. In Wikipedia (2021).
  7. World Health Organization. Coronavirus disease (COVID-19): Health and safety in the workplace (2020).
  8. Center for Disease Control and Prevention. Interim Guidance for Businesses and Employers Responding to Coronavirus Disease 2019 (COVID-19) (2020).
  9. Agius Raymond. “Covid-19 and Health at Work”. Occupational Medicine5 (2020): 349-351.
  10. Ahmed Mohammed AM., et al. “COVID-19 in Somalia: Adherence to Preventive Measures and Evolution of the Disease Burden”. Pathogens9 (2020): 735.
  11. Ahmed Mohammed AM., et al. “Evidence for significant COVID-19 community transmission in Somalia using a clinical case definition”. International Journal of Infectious Diseases: IJID: Official Publication of the International Society for Infectious Diseases 98 (2020): 206-207.
  12. Mary Ross., et al. “COVID-19: an occupational health view from South Africa”. Occupational Medicine (2020): kqaa081.
  13. Wong Eliza Lai-Yi., et al. “Views on Workplace Policies and its Impact on Health-Related Quality of Life During Coronavirus Disease (COVID-19) Pandemic: Cross-Sectional Survey of Employees”. International Journal of Health Policy and Management (2020).
  14. George R and A George. “Prevention of COVID-19 in the workplace”. South African Medical Journal = Suid-Afrikaanse Tydskrif Vir Geneeskunde4 (2020): 269-270.
  15. World Health Organization. Preventing and mitigating COVID-19 at work: policy brief (2020).
  16. Hertel-Fernandez Alexander., et al. “Understanding the COVID-19 Workplace: Evidence from a Survey of Essential Workers”. New York: Roosevelt Institute (2020).
  17. Nicholas Tendongfor., et al. “COVID-19 knowledge, attitudes and practices in a conflict affected area of the South West Region of Cameroon”. The Pan African Medical Journal2 (2020): 34.
  18. Sengeh Paul., et al. “Community knowledge, perceptions and practices around COVID-19 in Sierra Leone: a nationwide, cross-sectional survey”. BMJ Open9 (2020): e040328.
  19. Feldman Mitra., et al. “Community health worker knowledge, attitudes and practices towards COVID-19: Learnings from an online cross-sectional survey using a digital health platform, UpSCALE, in Mozambique”. PloS One2 (2021): e0244924.
  20. Reuben Rine Christopher., et al. “Knowledge, Attitudes and Practices Towards COVID-19: An Epidemiological Survey in North-Central Nigeria”. Journal of Community Health3 (2021): 457-470.
  21. Ndishimye Pacifique., et al. “Knowledge, attitudes and preventive practices towards COVID-19 among frontline healthcare workers in Rwanda”. Rwanda Public Health Bulletin1 (2020): 16-21.
  22. Sengeh Paul., et al. “Community knowledge, perceptions and practices around COVID-19 in Sierra Leone: a nationwide, cross-sectional survey”. BMJ Open9 (2020): e040328.
Citation: Kabera René and Abushet Asnake Shibeshi. “Knowledge, Attitudes and Practices towards COVID-19 among Expatriate Workers in Beledweyne/Somalia”. EC Emergency Medicine and Critical Care 5.12 (2021): 55-67.

PubMed Indexed Article

EC Pharmacology and Toxicology
LC-UV-MS and MS/MS Characterize Glutathione Reactivity with Different Isomers (2,2' and 2,4' vs. 4,4') of Methylene Diphenyl-Diisocyanate.

PMID: 31143884 [PubMed]

PMCID: PMC6536005

EC Pharmacology and Toxicology
Alzheimer's Pathogenesis, Metal-Mediated Redox Stress, and Potential Nanotheranostics.

PMID: 31565701 [PubMed]

PMCID: PMC6764777

EC Neurology
Differences in Rate of Cognitive Decline and Caregiver Burden between Alzheimer's Disease and Vascular Dementia: a Retrospective Study.

PMID: 27747317 [PubMed]

PMCID: PMC5065347

EC Pharmacology and Toxicology
Will Blockchain Technology Transform Healthcare and Biomedical Sciences?

PMID: 31460519 [PubMed]

PMCID: PMC6711478

EC Pharmacology and Toxicology
Is it a Prime Time for AI-powered Virtual Drug Screening?

PMID: 30215059 [PubMed]

PMCID: PMC6133253

EC Psychology and Psychiatry
Analysis of Evidence for the Combination of Pro-dopamine Regulator (KB220PAM) and Naltrexone to Prevent Opioid Use Disorder Relapse.

PMID: 30417173 [PubMed]

PMCID: PMC6226033

EC Anaesthesia
Arrest Under Anesthesia - What was the Culprit? A Case Report.

PMID: 30264037 [PubMed]

PMCID: PMC6155992

EC Orthopaedics
Distraction Implantation. A New Technique in Total Joint Arthroplasty and Direct Skeletal Attachment.

PMID: 30198026 [PubMed]

PMCID: PMC6124505

EC Pulmonology and Respiratory Medicine
Prevalence and factors associated with self-reported chronic obstructive pulmonary disease among adults aged 40-79: the National Health and Nutrition Examination Survey (NHANES) 2007-2012.

PMID: 30294723 [PubMed]

PMCID: PMC6169793

EC Dental Science
Important Dental Fiber-Reinforced Composite Molding Compound Breakthroughs

PMID: 29285526 [PubMed]

PMCID: PMC5743211

EC Microbiology
Prevalence of Intestinal Parasites Among HIV Infected and HIV Uninfected Patients Treated at the 1o De Maio Health Centre in Maputo, Mozambique

PMID: 29911204 [PubMed]

PMCID: PMC5999047

EC Microbiology
Macrophages and the Viral Dissemination Super Highway

PMID: 26949751 [PubMed]

PMCID: PMC4774560

EC Microbiology
The Microbiome, Antibiotics, and Health of the Pediatric Population.

PMID: 27390782 [PubMed]

PMCID: PMC4933318

EC Microbiology
Reactive Oxygen Species in HIV Infection

PMID: 28580453 [PubMed]

PMCID: PMC5450819

EC Microbiology
A Review of the CD4 T Cell Contribution to Lung Infection, Inflammation and Repair with a Focus on Wheeze and Asthma in the Pediatric Population

PMID: 26280024 [PubMed]

PMCID: PMC4533840

EC Neurology
Identifying Key Symptoms Differentiating Myalgic Encephalomyelitis and Chronic Fatigue Syndrome from Multiple Sclerosis

PMID: 28066845 [PubMed]

PMCID: PMC5214344

EC Pharmacology and Toxicology
Paradigm Shift is the Normal State of Pharmacology

PMID: 28936490 [PubMed]

PMCID: PMC5604476

EC Neurology
Examining those Meeting IOM Criteria Versus IOM Plus Fibromyalgia

PMID: 28713879 [PubMed]

PMCID: PMC5510658

EC Neurology
Unilateral Frontosphenoid Craniosynostosis: Case Report and a Review of the Literature

PMID: 28133641 [PubMed]

PMCID: PMC5267489

EC Ophthalmology
OCT-Angiography for Non-Invasive Monitoring of Neuronal and Vascular Structure in Mouse Retina: Implication for Characterization of Retinal Neurovascular Coupling

PMID: 29333536 [PubMed]

PMCID: PMC5766278

EC Neurology
Longer Duration of Downslope Treadmill Walking Induces Depression of H-Reflexes Measured during Standing and Walking.

PMID: 31032493 [PubMed]

PMCID: PMC6483108

EC Microbiology
Onchocerciasis in Mozambique: An Unknown Condition for Health Professionals.

PMID: 30957099 [PubMed]

PMCID: PMC6448571

EC Nutrition
Food Insecurity among Households with and without Podoconiosis in East and West Gojjam, Ethiopia.

PMID: 30101228 [PubMed]

PMCID: PMC6086333

EC Ophthalmology
REVIEW. +2 to +3 D. Reading Glasses to Prevent Myopia.

PMID: 31080964 [PubMed]

PMCID: PMC6508883

EC Gynaecology
Biomechanical Mapping of the Female Pelvic Floor: Uterine Prolapse Versus Normal Conditions.

PMID: 31093608 [PubMed]

PMCID: PMC6513001

EC Dental Science
Fiber-Reinforced Composites: A Breakthrough in Practical Clinical Applications with Advanced Wear Resistance for Dental Materials.

PMID: 31552397 [PubMed]

PMCID: PMC6758937

EC Microbiology
Neurocysticercosis in Child Bearing Women: An Overlooked Condition in Mozambique and a Potentially Missed Diagnosis in Women Presenting with Eclampsia.

PMID: 31681909 [PubMed]

PMCID: PMC6824723

EC Microbiology
Molecular Detection of Leptospira spp. in Rodents Trapped in the Mozambique Island City, Nampula Province, Mozambique.

PMID: 31681910 [PubMed]

PMCID: PMC6824726

EC Neurology
Endoplasmic Reticulum-Mitochondrial Cross-Talk in Neurodegenerative and Eye Diseases.

PMID: 31528859 [PubMed]

PMCID: PMC6746603

EC Psychology and Psychiatry
Can Chronic Consumption of Caffeine by Increasing D2/D3 Receptors Offer Benefit to Carriers of the DRD2 A1 Allele in Cocaine Abuse?

PMID: 31276119 [PubMed]

PMCID: PMC6604646

EC Anaesthesia
Real Time Locating Systems and sustainability of Perioperative Efficiency of Anesthesiologists.

PMID: 31406965 [PubMed]

PMCID: PMC6690616

EC Pharmacology and Toxicology
A Pilot STEM Curriculum Designed to Teach High School Students Concepts in Biochemical Engineering and Pharmacology.

PMID: 31517314 [PubMed]

PMCID: PMC6741290

EC Pharmacology and Toxicology
Toxic Mechanisms Underlying Motor Activity Changes Induced by a Mixture of Lead, Arsenic and Manganese.

PMID: 31633124 [PubMed]

PMCID: PMC6800226

EC Neurology
Research Volunteers' Attitudes Toward Chronic Fatigue Syndrome and Myalgic Encephalomyelitis.

PMID: 29662969 [PubMed]

PMCID: PMC5898812

EC Pharmacology and Toxicology
Hyperbaric Oxygen Therapy for Alzheimer's Disease.

PMID: 30215058 [PubMed]

PMCID: PMC6133268

News and Events

February Issue Release

We always feel pleasure to share our updates with you all. Here, notifying you that we have successfully released the February issue of respective journals and the latest articles can be viewed on the current issue pages.

Submission Deadline for Upcoming Issue

ECronicon delightfully welcomes all the authors around the globe for effective collaboration with an article submission for the upcoming issue of respective journals. Submissions are accepted on/before February 21, 2023.

Certificate of Publication

ECronicon honors with a "Publication Certificate" to the corresponding author by including the names of co-authors as a token of appreciation for publishing the work with our respective journals.

Best Article of the Issue

Editors of respective journals will always be very much interested in electing one Best Article after each issue release. The authors of the selected article will be honored with a "Best Article of the Issue" certificate.

Certifying for Review

ECronicon certifies the Editors for their first review done towards the assigned article of the respective journals.

Latest Articles

The latest articles will be updated immediately on the articles in press page of the respective journals.