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SG-APSIC1011: Factors associated with improved knowledge of COVID-19 prevention and control following a training of healthcare workers in Vietnam

Published online by Cambridge University Press:  16 March 2023

Hoang Nguyen
Affiliation:
The Partnership for Health Advancement in Vietnam, Beth Israel Deaconess Medical Center, Hanoi, Vietnam
Tran Minh Dien
Affiliation:
Vietnam National Children’s Hospital, Hanoi, Vietnam
Le Thi Anh Thu
Affiliation:
Ho Chi Minh City Infection Control Society, Ho Chi Minh City, Vietnam
Le Kien Ngai
Affiliation:
Vietnam National Children’s Hospital, Hanoi, Vietnam
Pham Thanh Thuy
Affiliation:
The Partnership for Health Advancement in Vietnam, Beth Israel Deaconess Medical Center, Hanoi, Vietnam
Do Minh Loan
Affiliation:
Vietnam National Children’s Hospital, Hanoi, Vietnam
Ta Anh Tuan
Affiliation:
Vietnam National Children’s Hospital, Hanoi, Vietnam
Do Thien Hai
Affiliation:
Vietnam National Children’s Hospital, Hanoi, Vietnam
Phan Huu Phuc
Affiliation:
Vietnam National Children’s Hospital, Hanoi, Vietnam
Tran Huu Luyen
Affiliation:
Thua Thien Hue Society of Infection Control, Thua Thien Hue, Vietnam
Huynh Minh Tuan
Affiliation:
Ho Chi Minh City Infection Control Society, Ho Chi Minh City, Vietnam
Le Thi Thanh Thuy
Affiliation:
Ho Chi Minh City Infection Control Society, Ho Chi Minh City, Vietnam
Nguyen Thi Thanh Ha
Affiliation:
Ho Chi Minh City Infection Control Society, Ho Chi Minh City, Vietnam
Bui Nghia Thinh
Affiliation:
Thu Duc District Hospital, Ho Chi Minh City, Vietnam
Do Quoc Huy
Affiliation:
People’s Hospital 115, Ho Chi Minh City, Vietnam
Todd M Pollack
Affiliation:
The Partnership for Health Advancement in Vietnam, Beth Israel Deaconess Medical Center, Hanoi, Vietnam

Abstract

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Objectives: SARS-CoV-2 is a novel and highly infectious virus. An effective response requires rapid training of healthcare workers (HCWs). We measured the change in knowledge related to COVID-19 and associated factors before and after training of HCWs in Vietnam. Methods: A quasi-experimental design was used to evaluate HCW knowledge related to prevention and control of SARS-CoV-2 before and after attending a 2-day training-of-trainers course. Between June and September 2020, 963 HCWs from 194 hospitals in 21 provinces received the training. HCW knowledge was assessed using a 20-item questionnaire consisting of multiple-choice questions at the beginning and closing of the training course. A participant received 1 point for each correct answer. He or she was considered to have improved knowledge the posttest score was higher than the pretest score with a score ≥15 on the posttest. We applied the McNemar test and logistic regression model to test the level of association between demographic factors and change in knowledge of COVID-19. Results: Overall, 100% of HCWs completed both the pretest and posttest. At baseline, only 14.7% scored ≥15. Following the training, 78.4% scored ≥15 and 64.3% had improved knowledge according to the predetermined definition. Questions related to the order of PPE donning and doffing and respiratory specimen collection procedures were identified as having the greatest improvement (44.6% and 60.7%, respectively). Being female (OR, 1.5; 95% CI, 1.1–2.0), having a postgraduate degree (OR, 2.5; 95% CI, 1.4–4.4), working in a nonmanager position (OR, 1.5; 95% CI, 1.1–2.1), previous contact with a COVID-19 patient (OR, 1.5; 95% CI, 1.1–2.0), and working in northern Vietnam (OR, 2.0; 95% CI, 1.4–2.6), were associated with greater knowledge improvement. Conclusions: Most HCWs demonstrated improved knowledge of COVID-19 prevention and control after attending the training. Particular groups may benefit from additional training: those who are male, leaders and managers, those who hold an undergraduate degree, and those who work in the southern provinces.

Type
Emerging and re-emerging infectious diseases in the healthcare setting
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
© The Author(s), 2023. Published by Cambridge University Press on behalf of The Society for Healthcare Epidemiology of America