All 465 (100%) HCWs responded. Fifty-nine percent (95% CI 54-64%) scored "good practice", 55% reported consistently washing their hands, and 57% wore masks most of the time. Of the 265 who wore a mask most of the time, only 74 (28%) wore the mask correctly, and 106 (40%) did not wear a mask during their interview. Working in Freetown (PR = 0.6; 95% CI, 0.4-0.7) and having a high perception that COVID-19 can be severe (PR = 0.6; 95% CI, 0.4-0.8) were associated with poor COVID-19 preventive pract...