Knowledge, Attitudes, and Practices Regarding Marburg Virus Disease Among Healthcare Workers in Dilla University Teaching Hospital, Ethiopia: A Cross-Sectional Study.
5 affiliations
- 1Department of Nursing College of Medicine and Health Sciences Dilla University Dilla Ethiopia du.edu.et.
- 2Department of Midwifery College of Medicine and Health Sciences Dilla University Dilla Ethiopia du.edu.et.
- 3Department of Psychiatry College of Medicine and Health Sciences Dilla University Dilla Ethiopia du.edu.et.
- 4Department of Medical Laboratory Science College of Health Science Oda Bultum University Chiro Ethiopia obu.edu.et.
- 5School of Medicine College of Medicine and Health Sciences Dilla University Dilla Ethiopia du.edu.et.
Abstract
Background
Healthcare workers are a first contact for patients with infectious diseases and may be at occupational risk during hemorrhagic fever outbreaks. The Marburg virus disease (MVD) outbreak in southern Ethiopia, ongoing during data collection in December 2025, highlighted the need to assess healthcare workers' knowledge, attitudes, and practices regarding MVD. Therefore, this study assessed knowledge, attitudes, and practices and examined factors associated with practice among healthcare work.Methods
A cross-sectional study of 238 healthcare workers at Dilla University Teaching Hospital was conducted from December 1 to December 22, 2025. Descriptive statistics, frequencies, and percentages summarized participant characteristics and KAP responses. Binary logistic regression examined factors associated with good practice. Variables with p value ≤ 0.25 in bivariable analysis were included in the multivariable model. Adjusted odds ratios (AORs) with 95% confidence intervals (CIs) were calculated, and significance was set at p < 0.05.Results
About 51.7%, 57.1%, and 55.0% of participants had good knowledge, positive attitudes, and good practice toward MVD, respectively, based on study-specific cutoffs. Most identified direct contact with blood and body fluids as an MVD transmission route (92.0%). However, gaps were observed regarding environmental risk factors and MVD distribution and origin. Most recognized reporting suspected cases (91.2%), avoiding contact with infected individuals or their possessions (91.2%), and using personal protective equipment (87.8%). In multivariable analysis, modification of working habits from concern about acquiring MVD (AOR = 2.19, 95% CI: 1.21-3.99) and good MVD knowledge (AOR = 1.96, 95% CI: 1.13-3.39) were positively associated with good practice.Conclusion
Findings indicate gaps in MVD-related knowledge and infection prevention among healthcare workers at Dilla University Teaching Hospital. Targeted competency-based training, simulation, IPC resources, and facility-level preparedness systems are warranted to strengthen readiness for MVD and other viral hemorrhagic fever events.
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BibTeX
@article{demeke2026knowledge,
title = {{Knowledge, Attitudes, and Practices Regarding Marburg Virus Disease Among Healthcare Workers in Dilla University Teaching Hospital, Ethiopia: A Cross-Sectional Study.}},
author = {Abel Desalegn Demeke and Takla Tamir and Mesfin Abebe and Migbaru Endawoke and Atirsaw Shimekaw Goshu and Samuel Jigso Dube and Endris Seid Amede and Wondimagegn Wolde Eba and Aboma Tsegaye Molatu and Alemayehu Yeshiwas and Mequanint Ayehu Akele and Alem Bayable},
journal = {The Canadian journal of infectious diseases \& medical microbiology = Journal canadien des maladies infectieuses et de la microbiologie medicale},
year = {2026},
month = oct,
doi = {10.1155/cjid/7912748},
url = {https://europepmc.org/article/MED/42928865},
note = {CC BY},
}
RIS
TY - JOUR
TI - Knowledge, Attitudes, and Practices Regarding Marburg Virus Disease Among Healthcare Workers in Dilla University Teaching Hospital, Ethiopia: A Cross-Sectional Study.
AU - Abel Desalegn Demeke
AU - Takla Tamir
AU - Mesfin Abebe
AU - Migbaru Endawoke
AU - Atirsaw Shimekaw Goshu
AU - Samuel Jigso Dube
AU - Endris Seid Amede
AU - Wondimagegn Wolde Eba
AU - Aboma Tsegaye Molatu
AU - Alemayehu Yeshiwas
AU - Mequanint Ayehu Akele
AU - Alem Bayable
PY - 2026
DA - 2026/10/25
JO - The Canadian journal of infectious diseases & medical microbiology = Journal canadien des maladies infectieuses et de la microbiologie medicale
DO - 10.1155/cjid/7912748
UR - https://europepmc.org/article/MED/42928865
AB - Background Healthcare workers are a first contact for patients with infectious diseases and may be at occupational risk during hemorrhagic fever outbreaks. The Marburg virus disease (MVD) outbreak in southern Ethiopia, ongoing during data collection in December 2025, highlighted the need to assess healthcare workers' knowledge, attitudes, and practices regarding MVD. Therefore, this study assessed knowledge, attitudes, and practices and examined factors associated with practice among healthcare work.Methods A cross-sectional study of 238 healthcare workers at Dilla University Teaching Hospital was conducted from December 1 to December 22, 2025. Descriptive statistics, frequencies, and percentages summarized participant characteristics and KAP responses. Binary logistic regression examined factors associated with good practice. Variables with p value ≤ 0.25 in bivariable analysis were included in the multivariable model. Adjusted odds ratios (AORs) with 95% confidence intervals (CIs) were calculated, and significance was set at p < 0.05.Results About 51.7%, 57.1%, and 55.0% of participants had good knowledge, positive attitudes, and good practice toward MVD, respectively, based on study-specific cutoffs. Most identified direct contact with blood and body fluids as an MVD transmission route (92.0%). However, gaps were observed regarding environmental risk factors and MVD distribution and origin. Most recognized reporting suspected cases (91.2%), avoiding contact with infected individuals or their possessions (91.2%), and using personal protective equipment (87.8%). In multivariable analysis, modification of working habits from concern about acquiring MVD (AOR = 2.19, 95% CI: 1.21-3.99) and good MVD knowledge (AOR = 1.96, 95% CI: 1.13-3.39) were positively associated with good practice.Conclusion Findings indicate gaps in MVD-related knowledge and infection prevention among healthcare workers at Dilla University Teaching Hospital. Targeted competency-based training, simulation, IPC resources, and facility-level preparedness systems are warranted to strengthen readiness for MVD and other viral hemorrhagic fever events.
SN - 1712-9532
SN - 1918-1493
ER -