{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,26]],"date-time":"2026-10-26T01:13:48Z","timestamp":1792977228105,"version":"4.5.0"},"reference-count":38,"publisher":"AOSIS","issue":"1","license":[{"start":{"date-parts":[[2026,1,28]],"date-time":"2026-01-28T00:00:00Z","timestamp":1769558400000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"abstract":"<jats:p>Background:\u00a0Marburg virus disease (MVD) poses an emerging threat to Nigeria, particularly following the 2022 outbreak in neighbouring Ghana. With Nigeria already managing Lassa fever and Mpox outbreaks, assessing healthcare workers\u2019 preparedness at viral haemorrhagic disease reference centres is crucial for effective outbreak response.\nObjectives:\u00a0This study aimed to assess healthcare workers\u2019 knowledge, attitudes and preparedness regarding MVD at Nigeria\u2019s primary viral haemorrhagic fever reference centre.\nMethod:\u00a0A cross-sectional study was conducted at Irrua Specialist Teaching Hospital, from May 2024 to October 2024. Healthcare workers were recruited using simple random sampling and data collected via semi-structured questionnaires. Descriptive and inferential statistics were analysed using Stata 17.\nResults:\u00a0Of the 216 participants, 126 (58.3%) were doctors and 90 (41.7%) were nurses. Doctors demonstrated significantly higher knowledge of MVD symptoms (65.9% vs 46.7%,\u00a0p\u00a0&lt; 0.001) and risk factors, with fever being the most recognised symptom (68.0%). Only 19.1% of doctors and 10.0% of nurses had received formal MVD training. Confidence in hospital preparedness was paradoxically lower among doctors (32.5%) than nurses (65.6%,\u00a0p\u00a0&lt; 0.001). Most participants felt inadequately equipped with personal protective equipment, with only 38.1% of doctors and 48.9% of nurses reporting adequate protection.\nConclusion:\u00a0Significant gaps exist in MVD health literacy and outbreak preparedness among Nigerian healthcare workers at a major viral haemorrhagic disease centre.\nContribution:\u00a0Enhanced training programmes, improved resource allocation and systematic preparedness protocols are urgently needed to strengthen Nigeria\u2019s capacity for MVD outbreak response.<\/jats:p>","DOI":"10.4102\/sajid.v41i1.764","type":"journal-article","created":{"date-parts":[[2026,1,27]],"date-time":"2026-01-27T12:43:49Z","timestamp":1769517829000},"update-policy":"https:\/\/doi.org\/10.4102\/crossmark-policy","source":"Crossref","is-referenced-by-count":1,"title":["Assessment of healthcare worker preparedness and health literacy for Marburg virus disease in Nigeria: A cross-sectional study"],"prefix":"10.4102","volume":"41","author":[{"ORCID":"https:\/\/orcid.org\/0009-0000-5791-301X","authenticated-orcid":false,"given":"Emmanuel O.","family":"Oisakede","sequence":"first","affiliation":[{"id":[{"id":"https:\/\/ror.org\/00v4dac24","id-type":"ROR","asserted-by":"publisher"}],"name":"Leeds Teaching Hospitals NHS Trust"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-7579-8290","authenticated-orcid":false,"given":"Daniel","family":"Asogun","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/03jza6h92","id-type":"ROR","asserted-by":"publisher"}],"name":"University of Abuja Teaching Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5915-2792","authenticated-orcid":false,"given":"Osahon","family":"Otaigbe","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/04em8c151","id-type":"ROR","asserted-by":"publisher"}],"name":"Irrua Specialist Teaching Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-1703-6295","authenticated-orcid":false,"given":"Iziengbe","family":"Iyoriobhe","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/04em8c151","id-type":"ROR","asserted-by":"publisher"}],"name":"Irrua Specialist Teaching Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-4511-0369","authenticated-orcid":false,"given":"Emmanuel O.","family":"Erhieyovwe","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/00he80998","id-type":"ROR","asserted-by":"publisher"}],"name":"Manchester University NHS Foundation Trust"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Airenakho","family":"Emorinken","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/04em8c151","id-type":"ROR","asserted-by":"publisher"}],"name":"Irrua Specialist Teaching Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-0723-3127","authenticated-orcid":false,"suffix":"Nwosu","family":"Martin","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/04em8c151","id-type":"ROR","asserted-by":"publisher"}],"name":"Irrua Specialist Teaching Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-6404-9604","authenticated-orcid":false,"given":"Uyi M.","family":"Osamudiamen","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/01drpwb22","id-type":"ROR","asserted-by":"publisher"}],"name":"University of Chester"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0188-9836","authenticated-orcid":false,"given":"David","family":"Olawade","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/057jrqr44","id-type":"ROR","asserted-by":"publisher"}],"name":"University of East London"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"2580","published-online":{"date-parts":[[2026,1,28]]},"reference":[{"key":"ref0","unstructured":"World Healtha Organization. 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