Factors affecting willingness to comply with public health measures during the pandemic among sub-Sahara Africans

Obinna Nwaeze, Raymond Langsi, Uchechukwu L. Osuagwu, Richard Oloruntoba, Godwin O. Ovenseri-Ogbomo, Emmanuel K. Abu, G. Timothy Chikasirimobi, Deborah Donald Charwe, Bernadine Ekpenyong, Khathutshelo P. Mashige, Piwuna Christopher Goson, Tanko Ishaya, Kingsley Agho

Research output: Contribution to journalArticlepeer-review

4 Citations (Scopus)


Background: The unprecedented outbreak of coronavirus disease (COVID-19) drastically spread worldwide, resulting in extraordinary measures put in place in various countries including Sub Saharan Africa (SSA) countries. Objective: To assess the factors associated with compliance with the public health measures imposed by various SSA countries. Method: Cross sectional study using self-administered surveys distributed on social media platforms between April 18th and May 16th, 2020, corresponding with the mandatory lockdown period in most SSA countries. Multivariate analysis examined the associated factors. Results: The prevalence of hand hygiene, quarantine, self isolation practices, wearing of face mask and attending large gatherings during COVID-19 were 94%, 39%, 31%, 64% and 14%, respectively. In multivariate models, older age 49+ years: adjusted OR 2.13, 95%CI 1.22,3.71), females (OR 1.41,95%CI 1.03,1.93), Central African countries (OR 3.73,95%CI 2.02,6.87) were associated with wearing face mask. Living alone (aOR 1.52,95%CI 1.04,2.24) during the lockdown was associated with avoiding large gatherings including religious events. Female respondents (aOR 1.61, 95%CI 1.30, 2.00), married (aOR 1.71,95%CI 1.33,2.21) and unemployed (aOR 1.62,95%CI 1.25,2.09) SSAs were more likely to practice self-quarantine measures. Conclusion: The low prevalence of mitigation practices suggest the need for targeted education campaign programs to sensitise the population.

Original languageEnglish
Pages (from-to)1629-1639
Number of pages11
JournalAfrican Health Sciences
Issue number4
Publication statusPublished - 14 Dec 2021


  • Eastern Africa
  • Facemask
  • Handwashing
  • Lockdown
  • Mitigation
  • Nigeria
  • Pandemic
  • Self-isolation
  • South Africa
  • Survey monkey
  • West Africa


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