Attitudes, Perceptions, and Preparedness for Viral Hemorrhagic Fever Outbreaks Among Medical Students in Uganda.

Abstract

<ns3:p>Introduction Uganda remains at high risk for outbreaks of viral haemorrhagic fevers (VHF), particularly Ebola and Marburg diseases. Medical students, as future healthcare workers, are at risk of occupational exposure during outbreaks, yet little is known about their attitudes, perceptions, and preparedness. This study assessed medical students’ attitudes, perceptions, and preparedness for Ebola and Marburg virus diseases in Uganda. Methods We conducted a cross-sectional survey among medical students in Uganda from March to October 2023. Stratified random sampling was used. Data were collected using a structured interviewer-administered questionnaire. Descriptive statistics were used to summarize the data in STATA 16. Results 637 medical students participated, with a mean age of 24.1 ± 2.9 years; 65.5% were male. Most demonstrated positive attitudes toward Ebola and Marburg, including support for survivor reintegration and vaccination. However, fewer than half perceived themselves to be personally at risk of infection. Preparedness gaps were notable; most students lacked clinical experience managing VHF cases, and confidence in disease management was low. Participation in continuing medical education on Ebola and Marburg was also limited. Conclusion Medical students generally exhibited positive attitudes and perceptions toward Ebola and Marburg virus disease; however, gaps in preparedness persisted.</ns3:p>