Acta Scientific Neurology (ASNE) (ISSN: 2582-1121)

Research Article Volume 3 Issue 11

Knowledge, Attitude, and Practices Towards Covid-19 in Nepal: A Cross-sectional Study

Pooja Prakash1, Ayush Chandra2, Nabina Shanrma3 and Avinash Chandra4*

1Gandaki Medical College Teaching Hospital and Research Centre, Tribhuvan University, Pokhara Nepal
2Tianjin Medical University, China
3Laurentian University, Ontario, Canada
4KIST Medical College and Teaching Hospital, Kathmandu, Nepal

*Corresponding Author: Avinash Chandra, Lecturer, Department of Internal Medicine, KIST Medical College and Teaching Hospital, Kathmandu, Nepal.

Received: September 25, 2020; Published: October 22, 2020



Background: The recently surfaced infectious disease SARS-CoV-2 caused by novel corona virus was first reported in Wuhan, China in December 2019. Despite the entire endeavor, it has rapidly infected nearly 200 countries and millions of deaths while many more is counting. In Nepal, the first case had appeared in late January 2020. Till now the lack of knowledge and lack of safe practices are main reason of the spread the pandemic world-wide. Our study aims to assess the Nepalese’s knowledge, attitude regarding COVID-19 and its preventive practices.

Methods: A cross-sectional survey was conducted from March 28th to April 8th, 2020. A total of 114 Nepalese residents were selected using convenience sampling method. An anonymous, self-administered questionnaires (SAQ) containing 16 knowledge questions and 3-point Likert scale to acknowledge attitude and practices regarding COVID-19 was used for data collection. Chi-square test as Bivariate analysis and Linear regression models as multivariate analysis were used to assess association between KAP.

Results: The mean knowledge score was 10.20 ± 2.06 (range 0 - 16), indicating moderate level of Knowledge. Majority of participants were well aware about symptoms (91.2%), route of transmission (80.7%), however less of them had correct concept regarding preventive measures and control measures. Similarly mean attitude score (4.72 ± 1.37, range: 2 - 6) and mean practice score (4.34 ± 1.401, range: 0 - 6) showed positive, optimistic attitude and good practices. Subjects with adequate level of knowledge score had more good practices.

Conclusion: Our study showed that knowledge towards COVID-19 was average with good practices and positive attitude among Nepalese. Utility of considerable knowledge, positive attitude and good practices may aid to control the pandemic.

Keywords: Attitude; COVID-19; Knowledge; Pandemic; Practices



  1. Dong X., et al. “Eleven faces of coronavirus Disease 2019”. EAACI (2020).
  2. Rolling updates on coronavirus disease (COVID-19). World Health Organization (2020).
  3. Purcell LN and Charles AG. “An Invited Commentary on “World Health Organization declares global emergency: A review of the 2019 novel Coronavirus (COVID- 19). Emergency or new reality?” International Journal of Surgery 76 (2020): 128-29.
  4. Infection prevention and control (IPC) for COVID-19 Virus. World Health Organization (2020).
  5. Mackenzie JS and Smith DW. “COVID-19: a novel zoonotic disease caused by a coronavirus from China: what we know and what we don’t”. Microbiology Australia (2020).
  6. Khachfe HH., et al. “An Epidemiological Study on COVID-19: A Rapidly Spreading Disease”. Cureus3 (2020): e7313.
  7. Zhong BL., et al. “Knowledge, attitude and practices towards COVID-19 among Chinese residents during the rapid rise period of the COVID-19 outbreak: a quick online cross sectional survey”. International Journal of Biological Sciences 10 (2020): 1745-1752.
  8. Who Coronavirus disease (COVID-19) outbreak situation (2020).
  9. Nepal confirms first case of deadly corona virus. The Economic times. World news (2020).
  10. Bastola A., et al. “The first 2019 novel coronavirus case in Nepal”. Lancet Infection Disease3 (2020): 279-280.
  11. Shrestha R., et al. “Nepal’s First Case of COVID-19 and public health response”. Journal of Travel Medicine 3 (2020): 1-2.
  12. Nepal confirms 15th coid-19 as national tally crosses 4,000. The Kathmandu post. National (2020).
  13. COVID-19 news and information. Government of Nepal Ministry of Health and Population Department of Health Services Epidemiology and Disease Control Division (2020).
  14. COVID-19 (Coronavirus disease 2019).
  15. Huang C., et al. “Clinical features of patients infected with 2019 novel corona virus in Wuhan, China”. Lancet 10223 (2020): 497-506.
  16. Hussain A., et al. “Knowledge, attitudes, and practices towards COVID-19 among Nepalese Residents: A quick online cross-sectional survey”. AJMS3 (2020): 6-10.
  17. "Coronavirus Disease 2019 (COVID-19) Symptoms". Centers for Disease Control and Prevention.
  18. Van Doremalen N., et al. “Aerosol and Surface Stability of SARS-CoV-2 as Compared with SARS-CoV-1”. The New England Journal of Medicine 382 (2020): 1564-67.
  19. Coronavirus disease 2019 (COVID-19): situation summary. Centers for disease control and prevention (2020).
  20. Omer S., et al. “Preventive measures and management of COID-19 in pregnancy”. Crossref 36.6 (2020).
  21. Wang L., et al. “Chinese expert consensus on the perinatal and neonatal management for the prevention and control of the 2019 novel coronavirus infection”. Annals of Translational Medicine 3 (2020).
  22. Asim M., et al. “COVID-19 Pandemic: Public Health Implications in Nepal”. Nepal Journals Online 1 (2020): 817-820.
  23. Sapkota K., et al. “Strategies for prevention and control of COVID-19 in Nepal”. JPAHS1 (2020): 85-88.
  24. Al-Hanawi MK., et al. “Knowledge, Attitude and Practice Toward COVID-19 Among the Public in the Kingdom of Saudi Arabia: A Cross-Sectional Study”. fpubh (2020).
  25. Azlan AA., et al. “Public knowledge, attitudes and practices towards COVID-19: A cross-sectional study in Malaysia”. PLoS ONE5 (2020): e0233668.
  26. Person B., et al. “Fear and stigma: the epidemic within the SARS outbreak”. Emergency Infection Disease 2 (2004): 358-363.
  27. Sundarajan DP., et al. “Knowledge, attitude, awareness and practice towards COVID-19 pandemic in Indian citizens during the national lockdown period: a quick online cross sectional study”. International Journal of Pharmaceutical Research (2020).
  28. Geldsetzer P. “Knowledge and perceptions of COVID-19 among the general public in the United States and the United Kingdom: A cross-sectional online survey”. Annuals in Medicine4/7 (2020).
  29. Roy D., et al. “Study of knowledge, attitude, anxiety and perceived mental healthcare need in Indian population during COVID-19 pandemic”. Asian Journal of Psychiatry51 (2020): 102083.
  30. Podder D., et al. “Community perception and risk reduction practices toward malaria and dengue: a mixed-method study in slums of Chetla, Kolkata”. Indian Journal of Public Health 63 (2019): 178.
  31. Cochran’s Sample Size Formula.
  32. Coronavirus disease (COVID-19) advice for the public. In WHO Guide. World Health Organization (2020).
  33. Q&A on coronaviruses (COVID-19). In: World Health Organization (2020).
  34. Tork HMM and Mersal FA. “Middle east respiratory syndrome-corona virus: knowledge and attitude of Quassim University students, KSA”. Global Advanced Research Journal of Medicine and Medical Sciences4 (2018): 090-097.
  35. Asaad AM., et al. “Knowledge and attitudes towards middle east respiratory syndrome coronavirus (MERS-Cov) among health care workers in south-western Saudi Arabia”. Eastern Mediterranean Health Journal (2019): 25.
  36. Government of Nepal Ministry of Health and Population Department of Health Services Epidemiology and Disease Control Division (2020).
  37. Singh DR., et al. “Knowledge and perception towards Universal safety precautions during early phase of the COID-19 outbreak in Nepal”. Journal of Community Health (2020).
  38. Sarraf DP., et al. “Public’s Knowledge and Beliefs towards Universal Safety Precautions during COVID-19 Pandemic in Nepal: A web-based Cross-Sectional Study”. Journal of Drug Delivery and Therapeutics 10 (2020).
  39. Alzoubi H., et al. “COVID-19 - Knowledge, Attitude and Practice among Medical and Non-Medical University Students in Jordan”. Journal of Pure Applied Microbiology1 (2020): 17-24.
  40. Goni MD., et al. “Assessment of Knowledge, Attitude and Practice towards Prevention of Respiratory Tract Infections among Hajj and Umrah Pilgrims from Malaysia in 2018”. International Journal of Environmental Research and Public Health 22 (2019): 4569.
  41. Nemati M., et al. “Assessment of Iranian Nurses’ Knowledge and Anxiety Toward COVID-19 During the Current Outbreak in Iran”. Archives of Clinical Infectious Diseases (2020).
  42. Qualls N., et al. “Community Mitigation Guidelines to Prevent Pandemic Influenza - United States”. MMWR Recommendations and Reports 1 (2017): 1-34.
  43. Giao H and An PL. “Knowledge and attitude toward COVID-19 among healthcare workers at district 2 Hospital, Ho Chi Minh City”. Asian Pacific Journal of Tropical Medicine (2020).
  44. Bhagavathula AS., et al. “Novel coronavirus (COVID-19) knowledge and perceptions: A Survey of Healthcare workers”. medrxiv (2020).
  45. Khan MU., et al. “Knowledge and attitude of healthcare workers about middle east respiratory syndrome in multispecialty hospitals of Qassim, Saudi Arabia”. BMC Public Health 14 (2014): 1281.


Citation: Avinash Chandra., et al. “Knowledge, Attitude, and Practices Towards Covid-19 in Nepal: A Cross-sectional Study". Acta Scientific Neurology 3.11 (2020): 68-79.


Acceptance rate32%
Acceptance to publication20-30 days

Indexed In

News and Events

  • Certification for Review
    Acta Scientific certifies the Editors/reviewers for their review done towards the assigned articles of the respective journals.
  • Submission Timeline for Upcoming Issue
    The last date for submission of articles for regular Issues is May 30, 2024.
  • Publication Certificate
    Authors will be issued a "Publication Certificate" as a mark of appreciation for publishing their work.
  • Best Article of the Issue
    The Editors will elect one Best Article after each issue release. The authors of this article will be provided with a certificate of "Best Article of the Issue"
  • Welcoming Article Submission
    Acta Scientific delightfully welcomes active researchers for submission of articles towards the upcoming issue of respective journals.

Contact US