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Real-Time Impact of COVID-19 on Clinical Care and Treatment of Patients with Tuberculosis: A Multicenter Cross-Sectional Study in Addis Ababa, Ethiopia Cover

Real-Time Impact of COVID-19 on Clinical Care and Treatment of Patients with Tuberculosis: A Multicenter Cross-Sectional Study in Addis Ababa, Ethiopia

Open Access
|Nov 2021

Figures & Tables

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Figure 1

Schematic presentation of sampling procedure.

Table 1

Sociodemographic characteristics of participants, Addis Ababa, Ethiopia.

VARIABLECATEGORYFREQUENCY%
SexMale10248.1%
Female11051.9%
Health center nameAddis raey3516.5%
Akaki157.1%
Kebena167.5%
Goro3114.6%
Addisu gebya146.6%
Kazanchis104.7%
Alembank146.6%
T/haymanot146.6%
Woreda 023315.6%
Woreda 133014.2%
Age18–346430.2%
35–549745.8%
≥555124.1%
Marital statusSingle5927.8%
Married9544.8%
Widowed2511.8%
Divorced219.9%
Separated125.7%
Level of educationNo formal education, cannot read or write2813.2%
No formal education, can read or write4119.3%
Primary education5726.9%
Secondary education4420.8%
Diploma and above4219.8%
ReligionOrthodox12759.9%
Muslim5124.1%
Protestant219.9%
Catholic83.8%
Others52.4%
OccupationStudent136.1%
Daily laborer4219.8%
Merchant3817.9%
Governmental employee3617.0%
Private/NGO employee2913.7%
Farmer20.9%
Unemployed5224.5%
Family sizeOne4621.7%
Two5425.5%
≥ three11252.8%
Average monthly income≤1000 Eth. Birr167.5%
1001–3000 Eth. Birr4923.1%
3001–10000 Eth. Birr11252.8%
>10000 Eth. Birr3516.5%

[i] NB: NGO- Non-governmental organization; Eth. Birr-Ethiopian Birr.

Table 2

Respondents’ awareness on COVID-19 preventive measures, Addis Ababa, Ethiopia.

VARIABLECATEGORYFREQUENCY%
Stay at homeDisagree5224.5%
Agree16075.5%
Maintain physical distancingDisagree7234.0%
Agree14066.0%
Avoid close contactDisagree7033.0%
Agree14267.0%
Cover mouth and nose with a facemaskDisagree219.9%
Agree19190.1%
Frequent handwashing with soapDisagree3617.0%
Agree17683.0%
Avoid touching of eyes, nose and mouthDisagree4722.2%
Agree16577.8%
Avoid mass gatheringDisagree7836.8%
Agree13463.2%
Restrict movementDisagree8841.5%
Agree12458.5%
Use disinfectantsDisagree3617.0%
Agree17683.0%
Table 3

Participants’ financial burden of COVID-19 preventive measures, Addis Ababa, Ethiopia.

VARIABLECATEGORYFREQUENCY%
Stay at homeNo212100.0%
Yes00.0%
Cover mouth and nose with facemaskNo10549.5%
Yes10750.5%
Wash hands with soap frequentlyNo16276.4%
Yes5023.6%
Use disinfectants as asppropriateNo10650.0%
Yes10650.0%
Table 4

Participants’ response on health care facility and service delivery during COVID-19, Addis Ababa, Ethiopia.

VARIABLECATEGORYFREQUENCY%
Visits the facility during high COVID-19 timeNo00.0%
Yes212100.0%
Treated differentlyYes17381.6%
No3918.4%
Unusual procedures were in placeYes13175.7%
No4224.3%
Unusual procedure (if any)COVID-19 creening6247.3%
COVID-19 PCR6952.7%
COVID-19 chest CT00.0%
Others00.0%
Obliged to change the health center because of COVID-19Yes62.8%
No20697.2%
Denied healthcare servicesYes3315.6%
No17984.4%
Obtained polite and respectful servicesYes21199.5%
No10.5%
Listened well and got satisfactory answers to queriesYes21199.5%
No10.5%
Gained considerable attention regarding individual needsYes20898.1%
No41.9%
Physically assaulted by providersYes10.5%
No21199.5%
Received prompt action for your health conditions or comorbiditiesYes12860.4%
No8449.6%

[i] NB: PCR- polymerase chain reaction; CT- computed tomography; COVID-19- coronavirus disease 2019.

Table 5

Response of study participants on health care facility and service delivery during COVID-19, Addis Ababa, Ethiopia.

VARIABLECATEGORYFREQUENCY%
Providers give health education on COVID-19Agree20898.1%
Disagree41.9%
Health center provides COVID-19 screeningAgree13362.7%
Disagree7937.3%
Providers wear gloves during caregivingAgree21199.5%
Disagree10.5%
Providers wear mask during caregivingAgree21199.5%
Disagree10.5%
Health center has water at entry for handwashingAgree20395.8%
Disagree94.2%
Health center has soap at entry for handwashingAgree20295.3%
Disagree104.7%
Health center has sanitizer at entry for hand cleaningAgree8037.7%
Disagree13262.3%
Table 6

Response of study participants on medications and follow-up during COVID-19, Addis Ababa, Ethiopia.

VARIABLECATEGORYFREQUENCY%
Accessed pharmacy readilyYes19993.9%
No136.1%
Ordered with drugs and suppliesYes212100.0%
No00.0%
Missed appointments or visitsYes4018.9%
No17281.1%
Obtained follow-up laboratory testsYes17180.7%
No4119.3%
Obtained follow-up counseling on medication or health statusYes17582.5%
No3717.5%
Table 7

Bivariate and multivariate logistic regression analysis of appointments for refill during COVID-19, Addis Ababa, Ethiopia.

MISSED APPOINTMENTSODDS RATIO
VARIABLESCATEGORYNOYESCOR (CI)AOR (CI)P VALUE
Fear of COVID-19No45 (26.2%)1 (2.5%)11
Yes127 (73.8%)39 (97.5%)40.93 (13.575–123.437)4.25 (1.710–25.446)0.013*
Transport disruptionNo87 (50.6%)4 (10.0%)11
Yes85 (49.4%)36 (90.0%)9.21 (3.143–27.000)8.88 (1.618–48.761)0.012*
Partial lockdownNo68 (39.5%)1 (2.5%)11
Yes104 (60.5%)39 (97.5%)47.73 (16.896–134.815)6.56 (1.300–33.131)0.023*
Reduced income to travelNo53 (30.8%)1 (2.5%)11
Yes119 (69.2%)39 (97.5%)50.53 (11.725–217.789)10.26 (1.552–67.882)0.016*
Unable to access maskNo81 (47.1%)2 (5.0%)11
Yes91 (52.9%)38 (95.0%)145.80 (0.283–491.13)11.15 (2.164–57.437)0.004*
Staff seem uncomfortableNo120 (69.8%)21 (52.5%)11
Yes52 (30.2%)19 (47.5%)36.00 (12.972–99.909)5.69 (1.174–27.602)0.031*
Table 8

Bivariate and multivariate logistic regression analysis of follow-up tests during COVID-19, Addis Ababa, Ethiopia.

FOLLOW-UP TESTODDS RATIO
VARIABLESCATEGORYNOYESCOR (CI)AOR (CI)P VALUE
Age18–347 (17.1%)57 (33.3%)11
35–548 (19.5%)89 (52.1%)1.56 (0.433–5.635)3.28 (0.483–22.327)0.224
≥5526 (63.4%)25 (14.6%)0.07 (0.025–0.203)0.14 (0.022–0.836)0.031*
PartialNo1 (2.4%)68 (39.8%)11
LockdownYes40 (97.6%)103 (60.2%)0.03 (0.010–0.067)0.16 (0.028–0.903)0.038*
Transport disruptionNo5 (12.2%)86 (50.3%)11
Yes36 (87.8%)85 (49.7%)0.14 (0.051–0.367)0.18 (0.043–0.800)0.024*
Fear of COVID-19No2 (4.9%)44 (25.7%)11
Yes39 (95.1%)127 (74.3%)0.03 (0.011–0.085)0.12 (0.019–0.779)0.026*
Unable to access maskNo3 (7.3%)80 (46.8%)11
Yes38 (92.7%)91 (53.2%)0.01 (0.003–0.0270.06 (0.009–0.374)0.003*
Denied health servicesNo15 (36.6%)159 (93.0%)11
Yes26 (63.4%)12 (7.0%)0.04 (0.018–0.103)0.11 (0.020–0.641)0.014*

[i] * Statistically significant at p-value < 0.05, COR = crude odds ratio at 95% confidence interval; AOR = adjusted odds ratio at 95% confidence interval.

Table 9

Bivariate and multivariate logistic regression analysis of counseling during the COVID-19 pandemic, Addis Ababa, Ethiopia.

COUNSELING DONEODDS RATIO
VARIABLECATEGORYNOYESCOR (CI)AOR (CI)P VALUE
Age18–343 (8.1%)59 (33.7%)11
35–545 (13.5%)89 (50.9%)0.90 (0.208–3.931)0.33 (0.022–4.805)0.414
≥5529 (78.4%)27 (15.4%)0.05 (0.013–0.169)0.06 (0.005–0.905)0.042*
Partial lockdownNo1 (2.7%)68 (38.9%)11
Yes36 (97.3%)107 (61.1%)0.03 (0.009–0.073)0.03 (0.001–0.772)0.034*
Fear of COVID-19No1 (2.7%)45 (25.7%)11
Yes36 (97.3%)130 (74.3%)0.02 (0.006–0.071)0.03 (0.002–0.532)0.017*
StigmaNo14 (37.8%)173 (98.9%)11
Yes23 (62.2%)2 (1.1%)0.01 (0.002–0.033)0.01 (0.000–0.115)0.002*

[i] * Statistically significant at p-value < 0.05, COR = crude odds ratio at 95% confidence interval; AOR = adjusted odds ratio at 95% confidence interval.

DOI: https://doi.org/10.5334/aogh.3481 | Journal eISSN: 2214-9996
Language: English
Published on: Nov 15, 2021
Published by: Ubiquity Press
In partnership with: Paradigm Publishing Services
Publication frequency: 1 issue per year

© 2021 Dagmawi Chilot, Yimtubezinash Woldeamanuel, Tsegahun Manyazewal, published by Ubiquity Press
This work is licensed under the Creative Commons Attribution 4.0 License.