Knowledge, Attitude, and Practices Associated with COVID-19 Among School Students in Bharatpur, Chitwan District of Nepal
Background: The virus causing severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) has reached pandemic proportions. Understanding people’s perceptions of the disease will provide tools to improve strategies to limit its transmission. This study aims to assess the knowledge, attitude, and practices (KAP) associated with the disease among high school students.
Methods: Cross-sectional study conducted among secondary level students (grade 8th and 9th) in an urban high-school at Bharatpur, Chitwan, Nepal to assess KAP using a pre-tested questionnaire. Data were analyzed using Epi Info 184.108.40.206.
Results: We collected 101 surveys (response rate 100%). Most of the students were found to be knowledgeable about the timeline of the first outbreak (92.08%), and nearly three-fourths of participants knew about hand-washing for 20 seconds (73.27%). Information about the presence of the disease in Nepal (50.50%), its causative agent (65.53%), and symptoms (57.43%) showed that there is a knowledge gap among participants. Most of the participants were found to have a positive attitude towards the prevention and control of the disease. The majority of the respondents reported using face mask (77.23%) and adopting hand-washing measures (79.21%) as preventive strategies. The majority of the students were highly concerned about the disease.
Conclusion: Secondary level students of Chitwan, Nepal were found to have fair knowledge and understanding of the disease, showed a moderately positive attitude towards preventive measures, and reported appropriate preventive practices against the disease. It is recommended that a similar study with a wider population be conducted to assess KAP of Nepalese people towards SARS-CoV-2.
World Health Organization (WHO). Coronavirus disease 2019 (COVID-19) Situation Report -1. Available from: https://www.who.int/docs/default-source/coronaviruse/situation-reports/20200121-sitrep-1-2019-ncov.pdf?sfvrsn=20a99c10_4. Last updated January 21, 2020; cited Mar 28, 2020.
Poudel U, Subedi D, Pantha S, Dhakal S. Animal coronaviruses and coronavirus disease 2019: Lesson for one health approach. Open Vet J. 2020 Jan 1;10(3):239-251.
World Health Organization (WHO). Naming the coronavirus disease (COVID-19) and the virus that causes it. Available from: https://www.who.int/emergencies/diseases/novel-coronavirus2019/technical-guidance/naming-the-coronavirus-disease-(COVID-2019)-and-thevirus-that-causes-it. Last updated January 21, 2020; cited Mar 28, 2020.
World Health Organization (WHO). Statement on the second meeting of the International Health Regulations (2005) Emergency Committee regarding the outbreak of novel coronavirus (2019-nCoV). Available from: https://www.who.int/news-room/detail/30-01-2020-statement-on-the-second-meeting-of-the-international-health-regulations-(2005)-emergency-committee-regarding-the-outbreak-of-novel-coronavirus-(2019-NCoV). Last updated January 21, 2020; cited Mar 28, 2020.
World Health Organization (WHO). WHO Director-General's opening remarks at the media briefing on COVID-19 – 11. Available from: https://www.who.int/dg/speeches/detail/who-director-general-s-opening-remarks-at-the-media-briefing-on-covid-19---11-march-2020. Last updated January 21, 2020; cited Mar 28, 2020.
World Health Organization (WHO). Coronavirus disease 2019 (COVID-19) Situation Report -67. [Internet]. 2020 [cited 2020 March 28] Available from: https://www.who.int/docs/default-source/coronaviruse/situation-reports/20200327-sitrep-67-covid-19.pdf?sfvrsn=b65f68eb_4. Last updated January 21, 2020; cited Mar 28, 2020.
Dhakal S, Karki S. Early Epidemiological Features of COVID-19 in Nepal and Public Health Response. Front Med (Lausanne). 2020 Aug 11;7:524.
Dhakal S. Nepal ill-prepared for coronavirus outbreak. The Himalayan Times. Available from: https://thehimalayantimes.com/nepal/nepal-ill-prepared-for-coronavirus-outbreak/. Last updated February 26, 2020; cited June 6, 2020.
Ministry of Health and Population (MoHP), Nepal Government. 2020. Health Sector Response to Coronavirus Disease (COVID-19), Site Report 47. Available from: https://drive.google.com/file/d/1lBhdc2EEcbVJ3pyTxhVuazbl7rSCSjOn/view. Last updated February 26, 2020; cited March 28, 2020.
Bastola A, Sah R, Rodriguez-Morales AJ, Lal BK, Jha R, Ojha HC, Shrestha B, Chu DKW, Poon LLM, Costello A, Morita K, Pandey BD. The first 2019 novel coronavirus case in Nepal. Lancet Infect Dis. 2020 Mar;20(3):279-280.
Ministry of Health and Population (MoHP), Nepal Government. 2020. Press Release. 2020. Available from: https://drive.google.com/file/d/18d0wCs_xC4J4mOqLIFIo4TcT6DHorWUc/view. Last updated March 25, 2020; cited March 28, 2020.
World Health Organization (WHO). Coronavirus disease 2019 (COVID-19) pandemic. Available from: https://www.who.int/emergencies/diseases/novel-coronavirus-2019. Last updated September 22, 2020; cited September 20, 2020.
Balkhy HH, Abolfotouh MA, Al-Hathlool RH, Al-Jumah MA. Awareness, attitudes, and practices related to the swine influenza pandemic among the Saudi public. BMC Infect Dis. 2010 Feb 28;10:42.
Sah JK, Chiluwal S, Yadav SK, Jha D. A study on knowledge and preventive practices related to Avian Influenza among Higher Secondary School Students of Rajbiraj Municipality, Nepal. Al Ameen J Med Sci. 2017;10(4):276-280.
Mubeen SM, Kamal S, Kamal S, Balkhi F. Knowledge and awareness regarding spread and prevention of COVID-19 amog the young adults of Karachi. J Pak Med Assoc. 2020 May 1;70(5): S169-74.
Zhong BL, Luo W, Li HM, Zhang QQ, Liu XG, Li WT, Li Y. Knowledge, attitudes, and practices towards COVID-19 among Chinese residents during the rapid rise period of the COVID-19 outbreak: a quick online cross-sectional survey. Int J Biol Sci. 2020 Mar 15;16(10):1745-52.
Singh DR, Sunuwar DR, Karki K, Ghimire S, Shrestha N. Knowledge and Perception Towards Universal Safety Precautions During Early Phase of the COVID-19 Outbreak in Nepal. J Community Health. 2020 May;45(6), 1116–1122.
Gallè F, Sabella EA, Da Molin G, De Giglio O, Caggiano G, Di Onofrio V, Ferracuti S, Montagna MT, Liguori G, Orsi GB, Napoli C. Understanding Knowledge and Behaviors Related to CoViD-19 Epidemic in Italian Undergraduate Students: The EPICO Study. Int J Environ Res Public Health. 2020 May 16;17(10):3481.
Poudel RK, Dengue cases exceed 1,000 in Chitwan. The Kathmandu Post. Available from: https://kathmandupost.com/health/2019/09/08/dengue-cases-exceed-1-000-in-chitwan. Last updated September 8, 2019; cited April 9, 2020.
Dkhar SA, Quansar R, Saleem SM, Khan SM. Knowledge, attitude, and practices related to COVID-19 pandemic among social media users in J&K, India. Indian J Public Health. 2020 Jun 1;64(6):205.
Taghrir MH, Borazjani R, Shiraly R. COVID-19 and Iranian Medical Students; A Survey on Their Related-Knowledge, Preventive Behaviors and Risk Perception. Arch Iran Med. 2020 Apr 1;23(4):249-254.
Azlan AA, Hamzah MR, Sern TJ, Ayub SH, Mohamad E. Public knowledge, attitudes and practices towards COVID-19: A cross-sectional study in Malaysia. PLoS One. 2020 May 21;15(5):e0233668.
Copyright (c) 2020 Deepak Subedi, Suman Bhandari, Asmita Gaire, Milan Kandel, Sanju Subedi, Surendra Karki
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish with this journal agree to the following terms:
- The Author retains copyright in the Work, where the term “Work” shall include all digital objects that may result in subsequent electronic publication or distribution.
- Upon acceptance of the Work, the author shall grant to the Publisher the right of first publication of the Work.
- The Author shall grant to the Publisher and its agents the nonexclusive perpetual right and license to publish, archive, and make accessible the Work in whole or in part in all forms of media now or hereafter known under a Creative Commons Attribution 4.0 International License or its equivalent, which, for the avoidance of doubt, allows others to copy, distribute, and transmit the Work under the following conditions:
- Attribution—other users must attribute the Work in the manner specified by the author as indicated on the journal Web site; with the understanding that the above condition can be waived with permission from the Author and that where the Work or any of its elements is in the public domain under applicable law, that status is in no way affected by the license.
- The Author is able to enter into separate, additional contractual arrangements for the nonexclusive distribution of the journal's published version of the Work (e.g., post it to an institutional repository or publish it in a book), as long as there is provided in the document an acknowledgment of its initial publication in this journal.
- Authors are permitted and encouraged to post online a prepublication manuscript (but not the Publisher’s final formatted PDF version of the Work) in institutional repositories or on their Websites prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work. Any such posting made before acceptance and publication of the Work shall be updated upon publication to include a reference to the Publisher-assigned DOI (Digital Object Identifier) and a link to the online abstract for the final published Work in the Journal.
- Upon Publisher’s request, the Author agrees to furnish promptly to Publisher, at the Author’s own expense, written evidence of the permissions, licenses, and consents for use of third-party material included within the Work, except as determined by Publisher to be covered by the principles of Fair Use.
- The Author represents and warrants that:
- the Work is the Author’s original work;
- the Author has not transferred, and will not transfer, exclusive rights in the Work to any third party;
- the Work is not pending review or under consideration by another publisher;
- the Work has not previously been published;
- the Work contains no misrepresentation or infringement of the Work or property of other authors or third parties; and
- the Work contains no libel, invasion of privacy, or other unlawful matter.
- The Author agrees to indemnify and hold Publisher harmless from the Author’s breach of the representations and warranties contained in Paragraph 6 above, as well as any claim or proceeding relating to Publisher’s use and publication of any content contained in the Work, including third-party content.
Enforcement of copyright
The IJMS takes the protection of copyright very seriously.
If the IJMS discovers that you have used its copyright materials in contravention of the license above, the IJMS may bring legal proceedings against you seeking reparation and an injunction to stop you using those materials. You could also be ordered to pay legal costs.
If you become aware of any use of the IJMS' copyright materials that contravenes or may contravene the license above, please report this by email to email@example.com
If you become aware of any material on the website that you believe infringes your or any other person's copyright, please report this by email to firstname.lastname@example.org