Background. Public markets were exempted from the restrictive regulations instituted to limit the rapid spread of the COVID-19 pandemic in the Democratic Republic of the Congo (DRC). In the early stage of the pandemic, we assessed people’s knowledge, attitudes, and behavior on public markets towards COVID-19. Methods . We conducted a cross-sectional study from 16 to 29 April 2020 among sellers and customers frequenting the food sections of ten public markets in three large cities (Kolwezi, Likasi, and Lubumbashi) and one small town (Lwambo) of the former Katanga province. We administered a questionnaire on knowledge (about clinical characteristics, transmission and prevention) and on attitudes in relation to COVID-19. We also observed prevailing practices (hand-washing and mask-wearing). Results : Of the 347 included participants (83% women, 83% sellers), most had low socioeconomic status and a low level of education. Only 30% of participants had correct knowledge of COVID-19. The majority of the respondents (88%) showed no confidence in the government’s ability to manage the upcoming pandemic crisis. Nearly all respondents (98%) were concerned about the associated increase in food insecurity. Preventive practices were rarely in place. Conclusion : For an effective implementation of measures to prevent the spread of COVID-19 in Africa, appropriate health education programs to improve knowledge and attitudes are warranted among the population frequenting public markets.
【저자키워드】 SARS-CoV-2, Africa, Population health, Prevention and control, mass education, Democratic Republic of Congo, 【초록키워드】 COVID-19, pandemic, Clinical characteristics, knowledge, cross-sectional, food insecurity, COVID-19 pandemic, Transmission, Spread, Health, implementation, women, questionnaire, early stage, Regulation, measure, participant, Administered, Public, Prevent, effective, limit, spread of COVID-19, IMPROVE, Result, conducted, majority, increase in, public market, 【제목키워드】 COVID-19, Attitude, Public, former,