{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,19]],"date-time":"2026-03-19T01:37:00Z","timestamp":1773884220881,"version":"3.50.1"},"reference-count":14,"publisher":"MDPI AG","issue":"3","license":[{"start":{"date-parts":[[2021,1,26]],"date-time":"2021-01-26T00:00:00Z","timestamp":1611619200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>We assessed adherence to government recommendations implemented shortly after the introduction of COVID-19 in Mozambique in March 2020, through two online cross-sectional surveys in April and June 2020. We quantified adherence to preventive measures by a composite score comprising of five measures: physical distancing, face mask use, hand hygiene, cough hygiene, and avoidance of touching the face. 3770 and 1115 persons participated in the first and second round respectively. Wearing face masks, regular handwashing and cough hygiene all reached compliance rates of over 90% while physical distancing and avoiding to touch the face reached a compliance rate of 80\u201390%. A multivariable model investigating factors associated with adherence found that being older, more educated, and belonging to the healthcare sector increased the odds for higher adherence. Private workers and retired people, respondents receiving COVID-19 information through social media, and those who reported flu-like symptoms were less likely to adhere. 6% of respondents reported flu-like symptoms which aligned with the WHO clinical definition of COVID-19, suggesting low level community transmission. In conclusion, most respondents in this online survey in Mozambique complied well with strategies to prevent COVID-19. Whether the good preventive behaviour explains the low grade COVID-19 transmission requires further study.<\/jats:p>","DOI":"10.3390\/ijerph18031091","type":"journal-article","created":{"date-parts":[[2021,1,26]],"date-time":"2021-01-26T12:03:57Z","timestamp":1611662637000},"page":"1091","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":38,"title":["Adherence to COVID-19 Preventive Measures in Mozambique: Two Consecutive Online Surveys"],"prefix":"10.3390","volume":"18","author":[{"given":"Ant\u00f3nio","family":"J\u00fanior","sequence":"first","affiliation":[{"name":"Direc\u00e7\u00e3o de Pesquisa em Sa\u00fade e Bem-Estar, Instituto Nacional de Sa\u00fade, 1120 Maputo, Mozambique"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Janeth","family":"Dula","sequence":"additional","affiliation":[{"name":"Direc\u00e7\u00e3o de Pesquisa em Sa\u00fade e Bem-Estar, Instituto Nacional de Sa\u00fade, 1120 Maputo, Mozambique"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9430-7465","authenticated-orcid":false,"given":"S\u00e9rgio","family":"Mahumane","sequence":"additional","affiliation":[{"name":"Direc\u00e7\u00e3o de Pesquisa em Sa\u00fade e Bem-Estar, Instituto Nacional de Sa\u00fade, 1120 Maputo, Mozambique"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1122-5382","authenticated-orcid":false,"given":"Olivier","family":"Koole","sequence":"additional","affiliation":[{"name":"International Center for AIDS Care and Treatment Programs (ICAP) at Columbia University, 1101 Maputo, Mozambique"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S\u00f3nia","family":"Enosse","sequence":"additional","affiliation":[{"name":"Direc\u00e7\u00e3o de Pesquisa em Sa\u00fade e Bem-Estar, Instituto Nacional de Sa\u00fade, 1120 Maputo, Mozambique"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3544-1239","authenticated-orcid":false,"given":"Joseph Nelson Siewe","family":"Fodjo","sequence":"additional","affiliation":[{"name":"Global Health Institute, University of Antwerp, 2000 Antwerp, Belgium"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1919-1340","authenticated-orcid":false,"given":"Robert","family":"Colebunders","sequence":"additional","affiliation":[{"name":"Global Health Institute, University of Antwerp, 2000 Antwerp, Belgium"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2021,1,26]]},"reference":[{"key":"ref_1","unstructured":"World Health Organisation (2020, October 21). WHO Director-General\u2019s Opening Remarks at the Media brieFing on COVID-19\u201411 March 2020. Available online: https:\/\/www.who.int\/dg\/speeches\/detail\/who-director-general-s-opening-remarks-at-the-media-briefing-on-covid-19---11-march-2020."},{"key":"ref_2","unstructured":"World Health Organisation (2020, October 21). Strengthening Preparedness for COVID-19 in Cities and Urban Settings. Available online: https:\/\/www.who.int\/publications\/i\/item\/strengthening-preparedness-for-covid-19-in-cities-and-urban-settings."},{"key":"ref_3","unstructured":"Presid\u00eancia da Rep\u00fablica (2020, October 21). Decreto Presidencial n\u00ba 11\/2020 de Mar\u00e7o, Declara o Estado de Emerg\u00eancia, por Raz\u00f5es de Calamidade P\u00fablica, em todo o territ\u00f3rio nacional, Available online: https:\/\/www.mic.gov.mz\/por\/covid-192\/."},{"key":"ref_4","unstructured":"(2020, October 21). Presid\u00eancia da Rep\u00fablica; Decreto Presidencial n\u00ba 79\/2020 de 4 de Setembro de 2020, Available online: http:\/\/www.ts.gov.mz\/images\/Decreto_n._792020_de_4_de_Setembro_-_Declara_a_situac%C3%A3o_da_calamidade_P%C3%BAblica_e_Activa_o_Alerta_Vermelho_compressed.pdfpdf."},{"key":"ref_5","unstructured":"Ministry of Health Mozambique (2020, October 21). Bolet\u00edm Di\u00e1rio 2020, N\u00ba 2078, 11 October, Available online: https:\/\/covid19.ins.gov.mz\/wp-content\/uploads\/2020\/10\/Boletim-Diario-208.pdf."},{"key":"ref_6","unstructured":"National Insitute of Health Mozambique (2020, November 29). Sero-Prevalence Survey Maputo City\u2014Preliminary Results Presented on 31\/08\/2020, Available online: https:\/\/covid19.ins.gov.mz\/wp-content\/uploads\/2020\/08\/Inque%CC%81rito-SE-SARS-CoV-2_Cidade-de-Maputo_resultados_31Ago2020.pdf."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"e1","DOI":"10.1016\/j.jinf.2020.07.015","article-title":"Mass masking as a way to contain COVID-19 and exit lockdown in low- and middle-income countries","volume":"81","author":"Pengpid","year":"2020","journal-title":"J. Infect."},{"key":"ref_8","doi-asserted-by":"crossref","unstructured":"Ahmed, M.A.M., Siewe Fodjo, J.N., Gele, A.A., Farah, A.A., Osman, S., Guled, I.A., Ali, A.M., and Colebunders, R. (2020). COVID-19 in Somalia: Adherence to Preventive Measures and Evolution of the Disease Burden. Pathogens, 9.","DOI":"10.3390\/pathogens9090735"},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"e10038","DOI":"10.7717\/peerj.10038","article-title":"Perception and practices during the COVID-19 pandemic in an urban community in Nigeria: A cross-sectional study","volume":"8","author":"Ilesanmi","year":"2020","journal-title":"PeerJ"},{"key":"ref_10","unstructured":"World Health Organisation (2020, October 21). Public Health Surveillance for COVID-19: Interim Guidance. Available online: https:\/\/www.who.int\/publications-detail-redirect\/who-2019-nCoV-surveillanceguidance-2020.7."},{"key":"ref_11","unstructured":"National Insitute of Health Mozambique (2020, November 29). Sero-Prevalence Survey Tete Province\u2014Preliminary Results Presented on 24 September 2020, Available online: https:\/\/covid19.ins.gov.mz\/wp-content\/uploads\/2020\/09\/Inque%CC%81rito-SE-SARS-CoV-2_Cidade-de-Tete_resultados.pdf."},{"key":"ref_12","unstructured":"National Insitute of Health Mozambique (2020, November 29). Sero-Prevalence Survey Nampula Province\u2014Preliminary Results Presented on 1 July 2020, Available online: https:\/\/covid19.ins.gov.mz\/wp-content\/uploads\/2020\/08\/Inquerito-SARS-CoV-2-PEMBA_-RESULTADOS-PRELIMINARES_FINAL_2_27.07.2020.pdf."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"676","DOI":"10.1038\/s41591-020-0843-2","article-title":"Respiratory virus shedding in exhaled breath and efficacy of face masks","volume":"26","author":"Leung","year":"2020","journal-title":"Nat. Med."},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"2195","DOI":"10.1093\/cid\/ciaa593","article-title":"Importance of face masks for COVID-19\u2014A call for effective public education","volume":"71","author":"Tso","year":"2020","journal-title":"Clin. Infect. Dis."}],"container-title":["International Journal of Environmental Research and Public Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/1660-4601\/18\/3\/1091\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,11]],"date-time":"2025-10-11T05:15:38Z","timestamp":1760159738000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/1660-4601\/18\/3\/1091"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,1,26]]},"references-count":14,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2021,2]]}},"alternative-id":["ijerph18031091"],"URL":"https:\/\/doi.org\/10.3390\/ijerph18031091","relation":{},"ISSN":["1660-4601"],"issn-type":[{"value":"1660-4601","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,1,26]]}}}