Knowledge, risk perceptions, and behaviors related to the COVID-19 pandemic in Malawi

JethroBanda; AlbertDube; SarahBrumfield; AbenaAmoah; Amelia Crampin ORCID logo; Georges Reniers ORCID logo; StephaneHelleringer; (2021) Knowledge, risk perceptions, and behaviors related to the COVID-19 pandemic in Malawi. Demographic Research, 44. pp. 459-480. DOI: 10.4054/demres.2021.44.20
Copy

BACKGROUND Behavioral changes are needed to limit the spread and mitigate the impact of the COVID-19 pandemic. OBJECTIVE We measured knowledge and behaviors related to COVID-19 during the early stages of the pandemic in Malawi (Southeast Africa). METHODS Using lists of phone numbers collected prior to the COVID-19 pandemic, we contacted a sample of adults by mobile phone in the six weeks after the first confirmed cases of COVID-19 were recorded in the country. We interviewed 619 respondents (79.5% response rate). RESULTS Approximately half of respondents perceived no risk or only limited risk that they would become infected with the novel coronavirus. Contrary to projections from epidemiological models, a large percentage of respondents (72.2%) expected to be severely ill if they became infected. Increased hand washing and avoiding crowds were the most frequently reported strategies used to prevent spreading SARS-CoV-2. The adoption of other protective behaviors (e.g., face masks) was limited. Respondents in urban areas had more accurate knowledge of disease patterns and had adopted more protective behaviors than rural respondents. CONCLUSIONS In the first weeks of the pandemic, the adoption of preventive behaviors remained limited in Malawi, possibly due to low perceived risk of infection among a large fraction of the population. Additional information campaigns are needed to address misperceptions about the risk of infection with SARS-CoV-2 and the likelihood of severe illness due to COVID-19. CONTRIBUTION This study provides early data on behavioral responses to the COVID-19 pandemic in a low-income country.



picture_as_pdf
2021 - Banda et al - Demographic Research - COVID Malawi .pdf
subject
Published Version
Available under Creative Commons: NC-ND 3.0

View Download

Explore Further

Read more research from the creator(s):

Find work associated with the faculties and division(s):

Find work associated with the research centre(s):

Find work from this publication: