Availability, satisfaction and use of personal protective equipment among healthcare workers: A cross-sectional assessment of low- and middle-income countries

Azza Sarfraz, Aga Khan University
Zouina Sarfraz, Fatima Jinnah Medical University, Lahore, Pakistan
Ammar Anwer, Mayo Hospital, Lahore, Pakistan
Muzna Sarfraz, CMH Medical College, Lahore, Pakistan
Javaria Siddiq, Mayo Hospital, Lahore, Pakistan

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Objective: To assess the discrepancy among and within low- and middle-income countries (LMICs) regarding PPE availability, use, and satisfaction.
Methods: The study population consisted of healthcare workers from LMICs who partook in the questionnaire survey from March 1, 2020, until April 15, 2020.
Results: In the bivariate analysis, gender (p = 0.05), HCWs (p < 0.01), and of care (p < 0.01) were associated with the public or private sector (p < 0.05). Using multivariate analysis, PPE factors were associated with the health sector (p < 0.05). The multivariate logistic regression model determined a Pearson's χ2 of 706.736 (d.f. = 726, p = -0.689) and a c-statistic of 0.592, indicating a good model.
Conclusion: In LMICs, huge discrepancies are present in PPE provision to HCWs, especially among the public healthcare sectors. Efforts at national and international protective levels ought to be addressed to protect frontline HCWs at higher risk of contracting COVID-19.