Universal Use of Face Masks and Related Challenges During COVID-19 in Developing Countries

BACKGROUND: Governments have imposed physical and social distancing measures together with hand hygiene to contain COVID-19. However, maintaining the recommended social distancing less likely applicable in developing countries where the majority of the people depend on daily income. Countries like Ethiopia imposed universal use of face masks as an additional measure. AIM: This study aims to review and present the advantage and challenges of imposing universal use of face masks in the community and to forward possible recommendations. METHODS: The study was synthesized using a narrative literature review approach involving COVID-19 databases, published literature on COVID-19, and relevant news. RESULTS: The first confirmed case of COVID-19 in Ethiopia was reported on March 13, 2020. Consequently, the government has taken swift actions including social distancing and strict hygienic measures to contain its transmission. However, new cases have started to increase with local transmission. Hence, the country imposed additional measures including universal use of face masks at public places. The universal use of masks requires a sufficient supply of masks with affordable costs. Moreover, awareness of the proper use of face masks and its disposal is another challenge affecting its effectiveness against corona virus infection. CONCLUSION: Universal use of face masks can contribute to the containment of the virus in the community if adequately available and properly used and managed after use. Encouraging local production with clear guidance, demonstration, and awareness creation helps to improve the accessibility and effectiveness of face masks particularly among the vulnerable population.