Parents’ awareness and practice of COVID-19 health protocols: Basis for glocalized IEC material development

Authors

DOI:

https://doi.org/10.61251/ijoep.v2i3.278

Keywords:

COVID19, glocalization, IEC material, Design Thinking, pandemic preparedness

Abstract

The COVID-19 pandemic emphasized the critical role of parents in ensuring accurate health information and consistent preventive practices at home. This study assessed parents’ awareness of key COVID-19 facts and the extent to which they adhered to recommended health protocols, serving as the basis for developing a glocalized information, education, and communication (IEC) material. Using a design research approach guided by Stanford University’s Design Thinking Model, the study surveyed 1,200 parents in Aklan, Philippines, and consulted experts in IEC development. Results showed that parents were generally aware of COVID-19 health facts (M=3.03) and exhibited a moderate level of protocol adherence (M=3.15). Awareness was lowest for vaccination-related information, influenced by past vaccine controversies and inconsistent public communication. A strong positive correlation (r=0.807, p<0.001) indicated that higher awareness was associated with better adherence. Based on these findings, a culturally contextualized trifold pamphlet integrating local language, familiar visuals, and community-relevant guidelines was developed and evaluated. Parents and experts rated the material as highly acceptable (M=3.71), citing its clarity, cultural fit, and practical usefulness. While the IEC resource shows promise for supporting community health education, further studies are needed to determine its long-term influence on behavior and pandemic preparedness.

Author Biographies

Raphael Kevin Nagal, National Research Council of the Philippines, Division I, Philippines

Dr. Raphael Kevin I. Nagal, USRN, PHRN, LPT, is a nurse–educator, researcher, and curriculum developer graduated with highest distinction and as a DOST-scholar in PhD in Science Education (Biology), a Master of Arts in Education major in Physical Science, and a Bachelor of Science in Nursing (Cum Laude). He is a licensed nurse in both the Philippines and the United States, a licensed professional teacher, and an experienced EFL/ESL instructor who has trained students for IELTS and TOEFL in both classroom and individualized settings. His multidisciplinary background spans nursing practice, psychiatric care, higher education instruction, public-school leadership, online pedagogy, and advanced statistical consulting. He is a certified author and editor of the National Library of the Philippines and has authored several books in Science, Nursing and English--some are published by Amazon. As an associate member of the highest governing research institute in the Philippines, National Research Council of the Philippines (NRCP), he has authored peer-reviewed papers and patented inventions in science education, sexuality education, environmental studies, robotics and health research. His research interests include technology-enhanced learning, health behavior, curriculum development, nursing competence, and evidence-based educational innovation utilizing quantitative and qualitative methodologies.

Mary June Ningal, Madalag Elementary School, District of Madalag, Philippines

Mrs. Mary June N. Ningal, LPT is a dedicated Filipino educator and currently serves as a Master Teacher I under the Department of Education in Aklan. With a strong academic foundation that includes a Bachelor’s degree in Elementary Education and a Master of Arts in Education, she has built more than two decades of professional experience marked by commitment to quality instruction, learner development, and community engagement. Her dedication to research is reflected in her locally published study, “Socio-Politico and Cultural-Ecotourism Assessment of the White Rocks of Likitnon, Ma. Cristina, Madalag, Aklan,” featured in Sabwag: Journal on Multidisciplinary Research and Development. Combining instructional expertise, leadership, and continuous professional growth, she remains a valued contributor to the advancement of basic education in her district. 

Joanna Grace Invina, Aklan State University, College of Nursing, Philippines

Joanna Grace T. Invina, RN, MAN is a dedicated nurse and clinical instructor with six years of professional experience in both clinical practice and nursing education. Holding both a Bachelor’s and a Master’s degree in Nursing, she has built strong expertise in health assessment, disaster nursing, patient-centered care, and clinical teaching, supported by certifications in Basic Life Support (BLS) and Standard First Aid (SFA). Beyond her instructional work, Joanna is actively engaged in research and development at Aklan State University, where she contributes to locally funded research and extension services and serves as a mentor-adviser for undergraduate nursing research, guiding students in evidence-based practice and scholarly writing. Demonstrating innovation in the health sciences, she has also patented robotic inventions for health applications, reflecting her commitment to advancing healthcare through technology. Passionate about shaping future nursing professionals, Joanna integrates clinical expertise, research leadership, and educational innovation to strengthen both community health and nursing education.

References

Airhihenbuwa, C., Iwelunmor, J., Munodawafa, D., Ford, C., Oni, T., Agyemang, C., Mota, C., Ikuomola, O., Simbayi, L., Fallah, M., Qian, Z., Makinwa, B., Niang, C., & Okosun, I. (2020). Culture matters in communicating the global response to COVID-19. Preventing Chronic Disease, 17. https://doi.org/10.5888/pcd17.200245

Akutsu, K., Goto, A., Abo-Rass, F., & Yokoyama, H. (2025). Evaluating the effectiveness of parent training pamphlets: An intervention study among parents at child health checkups. Journal of Primary Care & Community Health, 16, 21501319251317340. https://doi.org/10.1177/21501319251317340

Biswas, S., Hense, S., Kodali, P. B., & Thankappan, K. R. (2023). Quality of COVID-19 information, education and communication materials in India: A content analysis. Health Education Journal, 82(4), 390–402. https://doi.org/10.1177/00178969231160952

Buhat, C. a. H. (2021). The Impact of Adherence to Minimum Health Standards in the Philippines during the COVID-19 pandemic. The Lancet Regional Health - Western Pacific, 14, 100248. https://doi.org/10.1016/j.lanwpc.2021.100248

Dam, R. F. (2025, October 7). The 5 stages in the design thinking process. The Interaction Design Foundation. https://www.interaction-design.org/literature/article/5-stages-in-the-design-thinking-process

Durski, K. N., Singaravelu, S., Naidoo, D., Djingarey, M. H., Fall, I. S., Yahaya, A. A., Aylward, B., Osterholm, M., & Formenty, P. (2020). Design thinking during a health emergency: building a national data collection and reporting system. BMC Public Health, 20(1). https://doi.org/10.1186/s12889-020-10006-x

Elahi, E., & Morato, J. (2023). Graphical contents and health websites readability. IEEE Access, 11, 140934–140942. https://doi.org/10.1109/access.2023.3341493

Garbin, A. J. Í., Chiba, E. K., Garbin, C. a. S., Chiba, F. Y., Moimaz, S. a. S., & Saliba, T. A. (2023c). Systematic review: Impact of parental decision on paediatric COVID‐19 vaccination. Child Care Health and Development, 49(5), 787–799. https://doi.org/10.1111/cch.13124

Gautam, V., S, D., Rustagi, N., Mittal, A., Patel, M., Shafi, S., Thirunavukkarasu, P., & Raghav, P. (2020). Health literacy, preventive COVID 19 behaviour and adherence to chronic disease treatment during lockdown among patients registered at primary health facility in urban Jodhpur, Rajasthan. Diabetes & Metabolic Syndrome Clinical Research & Reviews, 15(1), 205–211. https://doi.org/10.1016/j.dsx.2020.12.023

Halstead, S. B., Katzelnick, L. C., Russell, P. K., Markoff, L., Aguiar, M., Dans, L. R., & Dans, A. L. (2020). Ethics of a partially effective dengue vaccine: Lessons from the Philippines. Vaccine, 38(35), 5572–5576. https://doi.org/10.1016/j.vaccine.2020.06.079

He, S., Chen, Y., Xia, Y., Li, Y., Liang, H., & Yu, L. (2024). Visual Harmony: Text-Visual interplay in circular infographics. arXiv (Cornell University). https://doi.org/10.48550/arxiv.2402.05798

Hou, R., Traverson, L., Chabrol, F., Gautier, L., De Araújo Oliveira, S. R., David, P., Lucet, J., Zinszer, K., & Ridde, V. (2023). Communication and Information Strategies Implemented by Four Hospitals in Brazil, Canada, and France to Deal with COVID-19 Healthcare-Associated Infections. Health Systems & Reform, 9(2). https://doi.org/10.1080/23288604.2023.2223812

Karl, J. A., Fischer, R., Druică, E., Musso, F., & Stan, A. (2022). Testing the effectiveness of the health belief model in predicting preventive behavior during the COVID-19 pandemic: the case of Romania and Italy. Frontiers in Psychology, 12. https://doi.org/10.3389/fpsyg.2021.627575

Khasanah, N., Sriyana, J., Prasetyo, A., Hamid, A., Istiqomah, N., Momon, M., Supriadi, A., Yanto, P., Pranaka, R. N., & Rinawati, H. S. (2024). Optimizing health protocol compliance through supply chain management in Surabaya’s COVID-19 response. Uncertain Supply Chain Management, 13(4), 625–636. https://doi.org/10.5267/j.uscm.2024.11.003

Lee, M., Kang, B., & You, M. (2021). Knowledge, attitudes, and practices (KAP) toward COVID-19: a cross-sectional study in South Korea. BMC Public Health, 21(1). https://doi.org/10.1186/s12889-021-10285-y

Nagal, R. K. (2020). GLocalized Experiential Learning infused resource package in earth and life science. JPAIR Multidisciplinary Research, 40(1), 153–180. https://doi.org/10.7719/jpair.v40i1.777

Nagal, R. K. I. (2021). Operation Galugad: ELT-infused glocalized module on experiential learning. K to 12 Issues and Trends Explored (K.I.T.E.) Journal, 1(3). https://www.researchgate.net/publication/390142989_Operation_Galugad_ELT-infused_glocalized_module_on_experiential_learning

Nagal, R. K., Lariosa, D., Agustin, J., Invina, J. G., Teston, M. E., & Estanislao, B. J. F. (2025). Parental awareness and health protocol practices on HFMD among caregivers of grades 1–3 pupils in Aklan: a correlational study. Annals of Innovation in Medicine, 3(4). https://doi.org/10.59652/1yxy4c21

Nagal, R. K., & Paris, P. E. (2025). Gender-Based Teaching-Learning Classroom Dynamics in Human Sexuality Education. EIKI Journal of Effective Teaching Methods, 3(1). https://doi.org/10.59652/jetm.v3i1.447

Phelps, A., Rodriguez-Hernandez, Y., Murphy, S. T., & Valente, T. W. (2022). A culturally tailored narrative decreased resistance to COVID-19 vaccination among Latinas. American Journal of Health Promotion, 37(3), 381–385. https://doi.org/10.1177/08901171221129538

Raut, A., Samad, A., Verma, J., & Kshirsagar, P. (2023). Acceptance, hesitancy and refusal towards COVID-19 vaccination. Clinical Epidemiology and Global Health, 21, 101283. https://doi.org/10.1016/j.cegh.2023.101283

Rehman, R., Jawed, S., Ali, R., Noreen, K., Baig, M., & Baig, J. (2021). COVID-19 pandemic awareness, attitudes, and practices among the Pakistani general public. Frontiers in Public Health, 9. https://doi.org/10.3389/fpubh.2021.588537

Tamang, N., Rai, P., Dhungana, S., Sherchan, B., Shah, B., Pyakurel, P., & Rai, S. (2020). COVID-19: a National Survey on perceived level of knowledge, attitude and practice among frontline healthcare Workers in Nepal. BMC Public Health, 20(1). https://doi.org/10.1186/s12889-020-10025-8

Tripathi, R., Alqahtani, S. S., Albarraq, A. A., Meraya, A. M., Tripathi, P., Banji, D., Alshahrani, S., Ahsan, W., & Alnakhli, F. M. (2020). Awareness and preparedness of COVID-19 outbreak among healthcare workers and other residents of South-West Saudi Arabia: A Cross-Sectional survey. Frontiers in Public Health, 8. https://doi.org/10.3389/fpubh.2020.00482

Turpin, M., Weilbach, L., & Kruger, S. (2023). Reaping Research Skills from the Rigorous Application of Design Thinking. European Conference on Research Methodology for Business and Management Studies. https://doi.org/10.34190/ecrm.22.1.1561.

Villanueva, V. (2022, June 24). Aklan PHO gives updates on COVID-19, other diseases. Philippine Information Agency. https://mirror.pia.gov.ph/news/2022/06/24/aklan-pho-gives-updates-on-covid-19-other-diseases

World Health Organization. (2021). WHO COVID-19 dashboard: Philippines. https://covid19.who.int/region/wpro/country/ph

Yen, W., & Liu, L. (2021). Crafting Compliance Regime under COVID‐19: Using Taiwan’s Quarantine Policy as a Case Study. Global Policy, 12(4), 562–567. https://doi.org/10.1111/1758-5899.12967

Zakiah, Z., & Suyati, S. (2021). Overview Knowledge and attitudes of parents in the application of protocol health in children during the COVID-19 pandemic. Journal for Quality in Public Health, 5(1), 344–347. https://doi.org/10.30994/jqph.v5i1.279

Zhang, W., & Velez, D. (2022). Effects of COVID-19 on physical activity and its relationship with mental health in a US community sample: cross-sectional, convenience sampling–based online survey. JMIR Formative Research, 6(4), e32387. https://doi.org/10.2196/32387

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Published

2025-12-06

How to Cite

Nagal, R. K., Ningal, M. J., & Invina, J. G. (2025). Parents’ awareness and practice of COVID-19 health protocols: Basis for glocalized IEC material development. Indonesian Journal of Education and Pedagogy, 2(3), 137–150. https://doi.org/10.61251/ijoep.v2i3.278

Issue

Vol. 2 No. 3 (2025): December

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Articles

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Copyright (c) 2025 Raphael Kevin Nagal, Mary June Ningal, Joanna Grace Invina

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