Knowledge and Practices Related to Hand, Foot and Mouth Disease Among Childcare Workers in Abuja, FCT

Hand, foot and mouth disease (HFMD) caused by enteroviruses, particularly Enterovirus A71 and Coxsackievirus A16, is an emerging paediatric infection increasingly reported in Nigerian urban centres. Childcare workers in Abuja play a critical role in outbreak containment through early recognition and hygiene practices. This study assesses knowledge, attitudes, and infection prevention practices related to HFMD among childcare workers in registered creches and nursery schools in the Abuja Municipal Area Council, FCT, North Central Nigeria. A descriptive cross-sectional survey will recruit 280 childcare workers through purposive sampling. A validated, semi-structured questionnaire will collect data on HFMD recognition, transmission knowledge, handwashing practices, surface disinfection routines, and outbreak reporting behaviour. Knowledge will be scored and classified as adequate or inadequate, with logistic regression identifying predictors. Existing literature on HFMD awareness in Nigeria is sparse, and national surveillance data largely undercount HFMD burden due to diagnostic limitations. This study will provide the first structured assessment of HFMD awareness among Abuja's childcare workforce, offering practical recommendations for training curricula and infection prevention protocols in early childhood settings. Findings will be shared with the FCT Primary Health Care Board and the Child Development Department to strengthen school health guidelines for HFMD prevention. Keywords: hand foot mouth disease, enteroviruses, childcare workers, Abuja, knowledge