Primary schools' readiness for SARS-CoV-2 preventive measures in Maputo City, Mozambique: a cross-sectional study.

Background: To reduce the spread and transmission of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), schools implemented a series of non-pharmacological interventions such as handwashing stations and cleaning protocols. A baseline assessment of the available interventions and readiness scores for SARS-CoV-2 prevention was conducted in primary schools in Maputo City, Mozambique.

Methods: A cross-sectional study was conducted between August and October 2023. Data were collected using a semi-structured questionnaire that assessed the availability of preventive measures. Readiness scores were calculated, based on the relative frequency of available preventive measures against SARS-CoV-2, recommended by the government. Schools with readiness scores of 100% were considered ready.

Results: Of the enrolled schools, 60.6% (66/109) were from the public sector. The median readiness score for preventive measures against SARS-CoV-2 implemented in schools was 70%. Water was the most frequent available measure, with 98.2% (107/109). Ash/soap for handwashing (47.7% [52/109]) and functioning thermometers (31.2% [34/109]) were the least available measures. Private schools showed significantly higher readiness scores compared with public schools (p<0.001).

Conclusions: Private compared with public schools had higher readiness scores for preventive measures against SARS-CoV-2 in Maputo City, Mozambique. These findings suggest a need for targeted interventions to improve readiness in public schools.