lancet-header

Preprints with The Lancet is part of SSRN´s First Look, a place where journals identify content of interest prior to publication. Authors have opted in at submission to The Lancet family of journals to post their preprints on Preprints with The Lancet. The usual SSRN checks and a Lancet-specific check for appropriateness and transparency have been applied. Preprints available here are not Lancet publications or necessarily under review with a Lancet journal. These preprints are early stage research papers that have not been peer-reviewed. The findings should not be used for clinical or public health decision making and should not be presented to a lay audience without highlighting that they are preliminary and have not been peer-reviewed. For more information on this collaboration, see the comments published in The Lancet about the trial period, and our decision to make this a permanent offering, or visit The Lancet´s FAQ page, and for any feedback please contact preprints@lancet.com.

COVID-19 Related Knowledge, Attitudes, Practices and Needs of Households in Informal Settlements in Nairobi, Kenya

24 Pages Posted: 23 Apr 2020

See all articles by Karen Austrian

Karen Austrian

Population Council, Kenya - Poverty, Gender, Youth Program

Jessie Pinchoff

Population Council, United States - Poverty, Gender, and Youth Program

James B. Tidwell

World Vision International - US

Corinne White

Population Council, United States - Poverty, Gender, and Youth Program

Timothy Abuya

Population Council, Kenya - Poverty, Gender, Youth Program

Beth Kangwana

Population Council, Kenya - Poverty, Gender, Youth Program

Rhoune Ochako

Population Council, Kenya - Poverty, Gender, Youth Program

John Wanyungu

Government of Kenya - Division of Community Health Services

Eva Muluve

Population Council, Kenya - Poverty, Gender, Youth Program

Faith Mbushi

Population Council, Kenya - Poverty, Gender, Youth Program

Daniel Mwanga

Population Council, Kenya - Poverty, Gender, Youth Program

Mercy Nzioki

Population Council, Kenya - Poverty, Gender, Youth Program

Thoai D Ngo

Population Council, United States - Poverty, Gender, and Youth Program

More...

Abstract

Background: Urban slums are at high risk of COVID-19 transmission due to the lack of basic housing, water, and sanitation facilities. Overcrowded conditions make quarantine measures near impossible.

Methods: A mobile phone knowledge, attitudes, and practices survey was conducted March 30-31, 2020. Participants were sampled from two study cohorts across five urban slums in Nairobi, Kenya.

Findings: 2,009 individuals (63% female) participated. Knowledge of fever and cough as COVID-19 symptoms was high, but only 42% listed difficulty breathing. Most (83%) knew anyone could be infected; younger participants had lower perceived risk. High risk groups were correctly identified (the elderly - 64%; those with weak immune systems - 40%) however, 20% incorrectly stated children. Handwashing and using hand sanitizer were known prevention methods, though not having a personal water source (37%) and hand sanitizer being too expensive (53%) were barriers. Social distancing measures were challenging as 61% said this would risk income. A third worried about losing income, only 26% were concerned about infecting others if themselves sick. Government TV ads and short message service (SMS) were the most common sources of COVID-19 information and considered trustworthy (by >95%) but were less likely to reach those with less education.

Interpretation: Knowledge of COVID-19 is high; significant challenges for behavior change campaigns to reach everyone with contextually appropriate guidance remain. Government communication channels should continue with additional efforts to reach less educated households. A strategy is necessary to facilitate social distancing, self-quarantine, handwashing and targeted distributions of cash and food.

Funding Statement: None.

Declaration of Interests: The authors claim no conflict of interest.

Ethics Approval Statement: The Population Council IRB had approved initial protocols for the AGI-K (p661) and NISITU (p829) cohorts, as well as the AMREF ESRC (P143/2014 and P407/2017). The Ministry of Health provided written approval to conduct the KAP surveys with these cohorts.

Keywords: COVID-19; Coronavirus; slums; knowledge, attitudes and practices; pandemic; Kenya; urban

Suggested Citation

Austrian, Karen and Pinchoff, Jessie and Tidwell, James B. and White, Corinne and Abuya, Timothy and Kangwana, Beth and Ochako, Rhoune and Wanyungu, John and Muluve, Eva and Mbushi, Faith and Mwanga, Daniel and Nzioki, Mercy and Ngo, Thoai D, COVID-19 Related Knowledge, Attitudes, Practices and Needs of Households in Informal Settlements in Nairobi, Kenya (4/14/2020). Available at SSRN: https://ssrn.com/abstract=3576785 or http://dx.doi.org/10.2139/ssrn.3576785

Karen Austrian (Contact Author)

Population Council, Kenya - Poverty, Gender, Youth Program ( email )

Nairobi
Kenya

Jessie Pinchoff

Population Council, United States - Poverty, Gender, and Youth Program ( email )

New York, NY
United States

James B. Tidwell

World Vision International - US

300 I Street NE
Washington, DC 20002

Corinne White

Population Council, United States - Poverty, Gender, and Youth Program

New York, NY
United States

Timothy Abuya

Population Council, Kenya - Poverty, Gender, Youth Program

Nairobi
Kenya

Beth Kangwana

Population Council, Kenya - Poverty, Gender, Youth Program

Nairobi
Kenya

Rhoune Ochako

Population Council, Kenya - Poverty, Gender, Youth Program

Nairobi
Kenya

John Wanyungu

Government of Kenya - Division of Community Health Services

Kenya

Eva Muluve

Population Council, Kenya - Poverty, Gender, Youth Program

Nairobi
Kenya

Faith Mbushi

Population Council, Kenya - Poverty, Gender, Youth Program

Nairobi
Kenya

Daniel Mwanga

Population Council, Kenya - Poverty, Gender, Youth Program

Nairobi
Kenya

Mercy Nzioki

Population Council, Kenya - Poverty, Gender, Youth Program

Nairobi
Kenya

Thoai D Ngo

Population Council, United States - Poverty, Gender, and Youth Program

New York, NY
United States

Click here to go to TheLancet.com

Paper statistics

Abstract Views
2,705
Downloads
758
PlumX Metrics