Research Article | | Peer-Reviewed

Assessment of Frontline Health Workers’ Capacity for Mpox Case Identification in Emergency Departments of Benin

Received: 15 November 2025     Accepted: 5 December 2025     Published: 29 December 2025
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Abstract

Introduction. Monkeypox (MPOX) was declared a Public Health Emergency of International Concern (PHEIC) in 2022. In Benin, early identification of suspected cases by Frontline Health Workers (FHWs) in Emergency Departments (ED) is vital to stopping the chain of transmission and preventing community and nosocomial spread. This study aimed to assess the capacity of FHWs to identify Mpox in three strategic hospital facilities in Benin. Methods. We conducted a cross-sectional descriptive study with a qualitative component from February to May 2025 in three hospitals (Oueme Plateau Departmental Hospital Center, Zou Departmental Hospital Center, and Save Zone Hospital). A total of 43 FHWs (physicians, nurses, midwives, nursing assistants) were selected using a non-probability purposive sampling technique. Data on knowledge, attitudes, and practices (KAP) were collected via semi-structured interviews and analyzed using descriptive statistics. Institutional Standard Operating Procedures (SOPs) were assessed via document review. Results. The majority of participants were nurses (34.9%), with an average emergency department seniority of 4.1 years. Overall, 83.7% of staff demonstrated "good" theoretical knowledge for identifying suspected cases. However, only 65.1% explicitly identified sexual transmission as a route of infection, with a notable disparity between physicians (90%) and nursing assistants (37.5%). While risk perception was high (93.0%), only 55.8% trusted the hospital's isolation capacity, and 58.1% reported constant Personal Protective Equipment (PPE) availability. Discrepancies were found in institutional preparedness, with one hospital lacking updated SOPs. Conclusion. Frontline healthcare workers have a high theoretical ability to identify MPOX, but operational capacity is hindered by logistical challenges and gaps in knowledge regarding sexual transmission among non-medical staff. Limitations include the small sample size.

Published in World Journal of Public Health (Volume 10, Issue 4)
DOI 10.11648/j.wjph.20251004.25
Page(s) 580-585
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2025. Published by Science Publishing Group

Keywords

MPOX, frontline Healthcare Workers, Emergency Department, Benin

References
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  • APA Style

    Romeo, P. S. G., Rose, M., Colette, A., Jennifer, O., Badirou, A. (2025). Assessment of Frontline Health Workers’ Capacity for Mpox Case Identification in Emergency Departments of Benin. World Journal of Public Health, 10(4), 580-585. https://doi.org/10.11648/j.wjph.20251004.25

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    ACS Style

    Romeo, P. S. G.; Rose, M.; Colette, A.; Jennifer, O.; Badirou, A. Assessment of Frontline Health Workers’ Capacity for Mpox Case Identification in Emergency Departments of Benin. World J. Public Health 2025, 10(4), 580-585. doi: 10.11648/j.wjph.20251004.25

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    AMA Style

    Romeo PSG, Rose M, Colette A, Jennifer O, Badirou A. Assessment of Frontline Health Workers’ Capacity for Mpox Case Identification in Emergency Departments of Benin. World J Public Health. 2025;10(4):580-585. doi: 10.11648/j.wjph.20251004.25

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  • @article{10.11648/j.wjph.20251004.25,
      author = {Padonou Sètondji Geraud Romeo and Mikponhoue Rose and Azandjeme Colette and Olofindji Jennifer and Aguemon Badirou},
      title = {Assessment of Frontline Health Workers’ Capacity for Mpox Case Identification in Emergency Departments of Benin},
      journal = {World Journal of Public Health},
      volume = {10},
      number = {4},
      pages = {580-585},
      doi = {10.11648/j.wjph.20251004.25},
      url = {https://doi.org/10.11648/j.wjph.20251004.25},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.wjph.20251004.25},
      abstract = {Introduction. Monkeypox (MPOX) was declared a Public Health Emergency of International Concern (PHEIC) in 2022. In Benin, early identification of suspected cases by Frontline Health Workers (FHWs) in Emergency Departments (ED) is vital to stopping the chain of transmission and preventing community and nosocomial spread. This study aimed to assess the capacity of FHWs to identify Mpox in three strategic hospital facilities in Benin. Methods. We conducted a cross-sectional descriptive study with a qualitative component from February to May 2025 in three hospitals (Oueme Plateau Departmental Hospital Center, Zou Departmental Hospital Center, and Save Zone Hospital). A total of 43 FHWs (physicians, nurses, midwives, nursing assistants) were selected using a non-probability purposive sampling technique. Data on knowledge, attitudes, and practices (KAP) were collected via semi-structured interviews and analyzed using descriptive statistics. Institutional Standard Operating Procedures (SOPs) were assessed via document review. Results. The majority of participants were nurses (34.9%), with an average emergency department seniority of 4.1 years. Overall, 83.7% of staff demonstrated "good" theoretical knowledge for identifying suspected cases. However, only 65.1% explicitly identified sexual transmission as a route of infection, with a notable disparity between physicians (90%) and nursing assistants (37.5%). While risk perception was high (93.0%), only 55.8% trusted the hospital's isolation capacity, and 58.1% reported constant Personal Protective Equipment (PPE) availability. Discrepancies were found in institutional preparedness, with one hospital lacking updated SOPs. Conclusion. Frontline healthcare workers have a high theoretical ability to identify MPOX, but operational capacity is hindered by logistical challenges and gaps in knowledge regarding sexual transmission among non-medical staff. Limitations include the small sample size.},
     year = {2025}
    }
    

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  • TY  - JOUR
    T1  - Assessment of Frontline Health Workers’ Capacity for Mpox Case Identification in Emergency Departments of Benin
    AU  - Padonou Sètondji Geraud Romeo
    AU  - Mikponhoue Rose
    AU  - Azandjeme Colette
    AU  - Olofindji Jennifer
    AU  - Aguemon Badirou
    Y1  - 2025/12/29
    PY  - 2025
    N1  - https://doi.org/10.11648/j.wjph.20251004.25
    DO  - 10.11648/j.wjph.20251004.25
    T2  - World Journal of Public Health
    JF  - World Journal of Public Health
    JO  - World Journal of Public Health
    SP  - 580
    EP  - 585
    PB  - Science Publishing Group
    SN  - 2637-6059
    UR  - https://doi.org/10.11648/j.wjph.20251004.25
    AB  - Introduction. Monkeypox (MPOX) was declared a Public Health Emergency of International Concern (PHEIC) in 2022. In Benin, early identification of suspected cases by Frontline Health Workers (FHWs) in Emergency Departments (ED) is vital to stopping the chain of transmission and preventing community and nosocomial spread. This study aimed to assess the capacity of FHWs to identify Mpox in three strategic hospital facilities in Benin. Methods. We conducted a cross-sectional descriptive study with a qualitative component from February to May 2025 in three hospitals (Oueme Plateau Departmental Hospital Center, Zou Departmental Hospital Center, and Save Zone Hospital). A total of 43 FHWs (physicians, nurses, midwives, nursing assistants) were selected using a non-probability purposive sampling technique. Data on knowledge, attitudes, and practices (KAP) were collected via semi-structured interviews and analyzed using descriptive statistics. Institutional Standard Operating Procedures (SOPs) were assessed via document review. Results. The majority of participants were nurses (34.9%), with an average emergency department seniority of 4.1 years. Overall, 83.7% of staff demonstrated "good" theoretical knowledge for identifying suspected cases. However, only 65.1% explicitly identified sexual transmission as a route of infection, with a notable disparity between physicians (90%) and nursing assistants (37.5%). While risk perception was high (93.0%), only 55.8% trusted the hospital's isolation capacity, and 58.1% reported constant Personal Protective Equipment (PPE) availability. Discrepancies were found in institutional preparedness, with one hospital lacking updated SOPs. Conclusion. Frontline healthcare workers have a high theoretical ability to identify MPOX, but operational capacity is hindered by logistical challenges and gaps in knowledge regarding sexual transmission among non-medical staff. Limitations include the small sample size.
    VL  - 10
    IS  - 4
    ER  - 

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