Assessing the progress of primary Measures to Prevent COVID-19 Transmission at the Gates of a Tertiary Hospital in Addis Ababa


  • Tigest Abebaw Tikur Anbesa specialized hospital
  • Yodit Abraham
  • Abera Kumie
  • Dessalew Mekonnen
  • Abel Tenaw
  • Natan Wondwossen
  • Natnael Habtamu


Covid-19, Tikur Anbessa Specialized Hospital, physical distancing, respiratory hygiene, hand hygiene



Background: COVID-19 is a major global threat. The only significant way to impact its magnitude is by applying preventative measures such as proper physical distancing, hand hygiene and respiratory hygiene practices.

Objective: To assess the status of measures to prevent COVID-19 transmission by patients, attendants and health care workers at the gates of Tikur Anbessa Specialized Hospital.

Methods: An institutional based cross-sectional study was conducted on all patients, attendants, health care workers and support staff entering the premises of Tikur Anbessa Specialized Hospital between 7:45 to 9:30 am via three gates from June 22 to August 30, 2020. A systematic random sampling method was employed to select 20 participants from each gate to observe twice weekly the status of individual behavior on hand and respiratory hygiene and physical distancing.

Results: Overall, 1000 individuals were involved in the study. From this 568 (56.8%) were men. The majority 79.6 (79.6%) were in the age group of 18 to 50. Altogether, the practices of proper hand hygiene, proper physical distancing and proper utilization face mask were 10.7%, 77.3% and 86.9%, respectively, over the period of 10 weeks.


Conclusion: There was an overall good practice of social distancing and mask usage. On the contrary, hand hygiene practice was remarkably low. Enforcement issues and shortage of infrastructures were key challenges observed in this study


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