Adherence towards COVID-19 mitigation measures and its associated factors among Gondar City residents: A community-based cross-sectional study in Northwest Ethiopia
Authors: Azene Zelalem Nigussie , Merid Mehari Woldemariam , Muluneh Atalay Goshu , Geberu Demiss Mulatu , Kassa Getahun Molla , Yenit Melaku Kindie , Tilahun Sewbesew Yitayih , Gelaye Kassahun Alemu , Mekonnen Habtamu Sewunet , Azagew Abere Woretaw , Wubneh Chalachew Adugna , Belay Getaneh Mulualem , Asmamaw Nega Tezera , Agegnehu Chilot Desta , Azale Telake , Tamiru Animut Tagele , Rade Bayew Kelkay , Taye Eden Bishaw , Taddese Asefa Adimasu , Andualem Zewudu , Dagne Henok , Gashaye Kiros Terefe , Kabito Gebisa Guyasa , Mekonnen Tesfaye Hambisa , Daba Sintayehu , Azanaw Jember , Adane Tsegaye , Alemayeyu Mekuriaw 
Published: December 2020

Background
Considering its pandemicity and absence of effective treatment, authorities across the globe have designed various mitigation strategies to combat the spread of COVID-19. Although adherence towards preventive measures is the only means to tackle the virus, reluctance to do so has been reported to be a major problem everywhere. Thus, this study aimed to assess the community’s adherence towards COVID-19 mitigation strategies and its associated factors among Gondar City residents, Northwest Ethiopia.

Methods
A community-based cross-sectional study was employed among 635 respondents from April 20–27, 2020. Cluster sampling technique was used to select the study participants. Data were collected using an interviewer-administered structured questionnaire. Epi-Data version 4.6 and STATA version 14 were used for data entry and analysis, respectively. Binary logistic regressions (Bivariable and multivariable) were performed to identify statistically significant variables. Adjusted odds ratio with 95% CI was used to declare statistically significant variables on the basis of p < 0.05 in the multivariable logistic regression model.

Results
The overall prevalence of good adherence towards COVID-19 mitigation measures was 51.04% (95%CI: 47.11, 54.96). Female respondents [AOR: 2.39; 95%CI (1.66, 3.45)], receiving adequate information about COVID-19 [AOR: 1.58; 95%CI (1.03, 2.43)], and favorable attitude towards COVID-19 preventive measures were significantly associated with good adherence towards COVID-19 mitigation measures. Whereas, those respondents who had high risk perception of COVID-19 were less likely to adhere towards COVID-19 mitigation measures [AOR: 0.61; 95% CI (0.41, 0.92)].

Conclusions
The findings have indicated that nearly half of the study participants had poor adherence towards COVID-19 mitigation measures. Sex, level of information exposure, attitude towards COVID-19 preventive measures, and risk perception of COVID-19 were factors which significantly influenced the adherence of the community towards COVID-19 mitigation measures. Therefore, it is crucial to track adherence responses towards the COVID-19 preventive measures, scale up the community’s awareness of COVID-19 prevention and mitigation strategies through appropriate information outlets, mainstream media, and rely on updating information from TV, radio, and health care workers about COVID-19.