Trends in the population knowledge, attitudes and practices toward COVID-19 in the Buea municipality two months after the onset of the pandemic in Cameroon

INTRODUCTION: two months into the COVID-19 pandemic in Cameroon, we assess the trend in the knowledge, attitude and practices of the population with the progression of the disease and the implementation of preventive methods put in place by the government of Cameroon and health partners organizations in response to the pandemic. METHODS: this was a cross-sectional study conducted in selected health areas in the Buea municipality. A questionnaire was administered at the onset and two months later to collect data on the participants´ knowledge, attitude and practices towards COVID-19. The data were analyzed in SPSS version 25. RESULTS: a total of 480 and 680 participants were sampled at onset and two months later respectively. Of the 26 indicators of knowledge assessed, 22 (84.61%) showed significant increase (p<0.05) with the most significant changes observed with the symptoms, mode of transmission and prevention of the disease. The overall proportion of people with correct knowledge moved from 9.1% at onset to 41.4% two months after. Only 1.5% of participants had poor knowledge of the pandemic two months after against 14.2% at the onset. There was a significant (p<0.05) positive change in the population perception, attitude and practices toward COVID-19 two months after the onset of the pandemic. CONCLUSION: the population knowledge, attitude and practices on COVID-19 showed a positive trend two months after the onset of the pandemic. The implementation of government and health stakeholder preventive measures together with the incidence of the pandemic in Cameroon probably had a positive impact on the positive trend observed. There is a need for continuous sensitization to completely fill the knowledge gap of the population on COVID-19.