Public risk perception and behaviours towards COVID-19 during the first and second waves in Nigeria: a secondary data analysis

OBJECTIVES

To describe changes in public risk perception and risky behaviours during the first wave (W1) and second wave (W2) of COVID-19 in Nigeria, associated factors and observed trend of the outbreak.

DESIGN

A secondary data analysis of cross-sectional telephone-based surveys conducted during the W1 and W2 of COVID-19 in Nigeria.

SETTING

Nigeria.

PARTICIPANTS

Data from participants randomly selected from all states in Nigeria.

PRIMARY OUTCOME

Risk perception for COVID-19 infection categorised as risk perceived and risk not perceived.

SECONDARY OUTCOME

Compliance to public health and social measures (PHSMs) categorised as compliant; non-compliant and indifferent.

ANALYSIS

Comparison of frequencies during both waves using χ² statistic to test for associations. Univariate and multivariate logistic regression analyses helped estimate the unadjusted and adjusted odds of risk perception of oneself contracting COVID-19. Level of statistical significance was set at p<0.05.

RESULTS

Triangulated datasets had a total of 6401 respondents, majority (49.5%) aged 25-35 years. Overall, 55.4% and 56.1% perceived themselves to be at risk of COVID-19 infection during the W1 and W2, respectively. A higher proportion of males than females perceived themselves to be at risk during the W1 (60.3% vs 50.3%, p<0.001) and the W2 (58.3% vs 52.6%, p<0.05). Residing in the south-west was associated with not perceiving oneself at risk of COVID-19 infection (W1-AOdds Ratio (AOR) 0.28; 95% CI 0.20 to 0.40; W2-AOR 0.71; 95% CI 0.52 to 0.97). There was significant increase in non-compliance to PHSMs in the W2 compared with W1. Non-compliance rate was higher among individuals who perceived themselves not to be at risk of getting infected (p<0.001).

CONCLUSION

Risk communication and community engagement geared towards increasing risk perception of COVID-19 should be implemented, particularly among the identified population groups. This could increase adherence to PHSMs and potentially reduce the burden of COVID-19 in Nigeria.

Impact of a behaviour change intervention on long-lasting insecticidal net care and repair behaviour and net condition in Nasarawa State, Nigeria

BACKGROUND

While some data on net durability have been accumulating in recent years, including formative qualitative research on attitudes towards net care and repair, no data are available on how the durability of a net is influenced by behaviour of net maintenance, care and repair, and whether behavioural change interventions (BCC) could substantially impact on the average useful life of the net.

METHODS

The study used an intervention-control design with before-after assessment through repeated cross-sectional household surveys with two-stage cluster sampling following Nasarawa State's December 2010 mass campaign. All campaign nets were 100-denier polyester, long-lasting insecticidal nets (LLIN). Baseline, midline, and endline surveys occurred at one-year intervals, in March 2012, March 2013, and April 2014, respectively. Outcome measures were the proportion of confirmed campaign nets with observed repairs, and the proportion in serviceable condition, measured with proportionate hole index (pHI) and according to WHO guidelines.

RESULTS

For all respondents, exposure to BCC messages was strongly correlated with increased positive attitude towards care and repair, and increases in attitude were positively correlated with observed net repairs, and with the proportion of nets in serviceable condition. In a multivariate regression model, positive care and repair attitude (OR 6.17 p = 0.001) and level of exposure (1 source: OR 4.00 p = 0.000; 3 sources: OR 9.34 p = 0.000) remained the most significant predictors of net condition, controlling for background and environmental factors. Nets that were tied up had 2.70 higher odds of being in serviceable condition (p = 0.001), while repairs made to nets were not sufficient to improve their pHI category. Estimated median net lifespan was approximately one full year longer for nets in households with a positive compared to a negative attitude.

CONCLUSION

Exposure to multiple channels of a comprehensive BCC intervention was associated with improved attitude scores, and with improved net condition at endline. It is possible for BCC interventions to change both attitudes and behaviours, and to have an important effect on overall median net lifespan. Care and repair messages are easily incorporated into existing malaria BCC platforms, and will help contribute to improved net condition, providing, in principle, more protection from malaria.

Impairment of primary expulsion of Echinostoma revolutum in mice concurrently infected with Schistosoma mansoni

The spontaneous expulsion of low-level Echinostoma revolutum infections was markedly impaired in mice harbouring 4-week-old Schistosoma mansoni infections at the time of infection with the echinostome.

Suppression of Babesia microti infection in mice concurrently infected with Schistosoma mansoni

Blood cell panasitaemias of Babesai microti and associated haematological changes were studied in mice concurrently infected with Schistosoma mansoni and in controls with no schistosome infections. In comparison to the controls B. microti parasit-aemias were suppressed markedly in mice harbouring 6 and 8 weeks old patent S. mansoni infections at the time of infection with B. microti. The suppression was accompanied by an alleviation/annulment of the B. microti induced reductions in haemoglobin and haematocrit levels and in its erythropoetic stimulation. The suppressive effect of patent S. mansoni infections on B. microti is suggested to be at least partly attributable to non-specific immunological factors although the altered erythrocyte kinetic state induced by the schistosoma infection in combination with the preference of B. microti for mature (old) erythrocytes might also play a role in the suppression. In mice harbouring 2 weeks old prepatent S. mansoni infections B. microti was not suppressed.