Nurse-Led Intervention on Teachers’ Knowledge and Management of Pupils with Attention Deficit Hyperactivity Disorder in Primary Schools in Abeokuta, Ogun State

The objective of any educational system is to provide education for all learners with diverse needs and abilities to enable them to achieve their potential and subsequently contribute to society. Teachers are in a position to be the first to suspect that a child might have Attention Deficit Hyperactivity Disorder (ADHD) because they are with them for most of the day and they know how normal learners typically behave in classroom situations. One group pre-test post-test quasi-experimental study was employed for this study. The population comprised 42 teachers in the selected schools. Total enumeration was used for the study. A self-structured questionnaire was validated and used to collect data. The Cronbach Alpha reliability coefficient of the construct ranged from 0.741 to 0.808. Data collected were analyzed using descriptive and inferential statistics. The results showed 45.2% participants had low knowledge, 18.1% and 16.7% had moderate and high knowledge respectively at the pre-intervention stage while at the post-intervention stage, 14.3% had low knowledge score while 21.4% and 64.3% had moderate and high knowledge scores respectively. Also, at the pre-intervention stage of this study, it was found that 64.3% participants had a bad management score of ADHD while 35.7% had a good management score of ADHD. The result indicated that there is a non-significant difference in the post intervention knowledge and management of ADHD among the respondents as a p-value of 0.494 was recorded which is much greater than the alpha (α) p-value of 0.05. The study concluded that the role of teachers in the identification and management of ADHD cannot be overlooked. This shows that training and proper education of the teachers will go a long way in the management of attention deficit in the pupils. The study recommended that the management of ADHD should be included in educational programs. Also, there should be follow-up to monitor the progress of the teachers in the management of children with ADHD.

Task shifting in dermatology: Are nurses prepared and willing?

Background: The high burden of skin diseases and the shortage of dermatologists are significant challenges in providing care to millions of people with skin diseases. Task shifting to nurses is a viable option for the delivery of dermatologic care in resource-poor settings. Satisfactory knowledge and a positive attitude are crucial for nurses to undertake the task of managing common skin diseases. This study aimed to investigate the knowledge of registered nurses and their attitude toward common skin conditions. Methods: In this descriptive, cross-sectional study, a total of 187 nurses were included from a nurses training institute by total enumeration sampling. A knowledge questionnaire and five-point Likert type-attitude scale were developed, validated, and employed to collect data. Written informed consent was obtained from the participants after approval from the institute ethics committee. Results: The mean of the knowledge scores were 10.7 ± 2.2. Nearly two thirds (62%) of the subjects demonstrated a low level of knowledge, while the remaining 38% showed a moderate level. There was no participant in the high-knowledge category. A majority of the nurses demonstrated a favorable attitude toward learning and undertaking the task of managing common skin conditions. Conclusion: We observed a low level of knowledge on diagnosing and managing common skin conditions. We recommend incorporating the relevant concepts of common skin conditions in the nursing curriculum with an emphasis on continuing education.

Knowledge of the Farmers about Water Management Practices in Upper Krishna Command Area of Karnataka

The present study was conducted during the year 2018-20 in Upper Krishna command area to ascertain the knowledge of the farmers towards water management practices. The study was conducted in Vijayapura, Yadgir and Raichur districts of UKP Command Area. Two talukas from each district were selected based on highest irrigated area by UKP project. The talukas selected for the study were Sindagi and Indi from Vijayapura district, Surpur and Shahapur from Yadgir district and Deodurga and Lingasugur from Raichur district, respectively. From each taluks four villages had selected and from each selected villages ten samples had randomly selected. Thus, total sample size was 240. With respect to overall knowledge of the farmers about selected water management practices in command area, more than half (51.67 %) of the farmers had high knowledge level about water management practices, followed by medium (30.00 %) and low (18.33 %).

Cross-sectional study to predict subnational levels of health workers’ knowledge about severe malaria treatment in Kenya

ObjectivesThis study applied a Bayesian hierarchical ecological spatial model beyond predictor analysis to test for the best fitting spatial effects model to predict subnational levels of health workers’ knowledge of severe malaria treatment policy, artesunate dosing, and preparation.SettingCounty referral government and major faith-based hospitals across 47 counties in Kenya in 2019.Design and participantsA secondary analysis of cross-sectional survey data from 345 health workers across 89 hospitals with inpatient departments who were randomly selected and interviewed.Outcome measuresThree ordinal outcome variables for severe malaria treatment policy, artesunate dose and preparation were considered, while 12 individual and contextual predictors were included in the spatial models.ResultsA third of the health workers had high knowledge levels on artesunate treatment policy; almost three-quarters had high knowledge levels on artesunate dosing and preparation. The likelihood of having high knowledge on severe malaria treatment policy was lower among nurses relative to clinicians (adjusted OR (aOR)=0.48, 95% CI 0.25 to 0.87), health workers older than 30 years were 61% less likely to have high knowledge about dosing compared with younger health workers (aOR=0.39, 95% CI 0.22 to 0.67), while health workers exposed to artesunate posters had 2.4-fold higher odds of higher knowledge about dosing compared with non-exposed health workers (aOR=2.38, 95% CI 1.22 to 4.74). The best model fitted with spatially structured random effects and spatial variations of the knowledge level across the 47 counties exhibited neighbourhood influence.ConclusionsKnowledge of severe malaria treatment policies is not adequately and optimally available among health workers across Kenya. The factors associated with the health workers’ level of knowledge were cadre, age and exposure to artesunate posters. The spatial maps provided subnational estimates of knowledge levels for focused interventions.

Gambaran Tingkat Latihan Fisik Jemaah Haji sebelum Keberangkatan di Kabupaten Lumajang, Provinsi Jawa Timur, Tahun 2017

Adequate health condition urgently required by pilgrims because pilgrimage process involves a very heavy physical activity. Hajj pilgrims with good physical fitness classified as pilgrims who fulfill health istiţā'ah. Participation of pilgrims in a fitness improvement program could be observed through physical exercise behaviour. This study aimed to describe the level of pilgrims’physical exercise in Lumajang District and analyse the relationship between the characteristics, knowledge, and attitudes of the pilgrims with physical exercise. This research used a quantitative method with a cross sectional design. Primary data collected through a survey from 185 respondents. Data analysis was performed using a statistical test of multiple logistic regression. The results showed that most of the pilgrims (61.8%) had high knowledge of physical exercise. More than 86 % of pilgrims have a supportive attitude towards physical exercise. In conclusion, this study found there was no significant relationship between knowledge and attitudes with physical exercise (p>0.05). Participation in physical exercise of pilgrims showed that 12,9% of pilgrims have a good and very good level of physical exercise. Physical exercise behavior provides an indication of the active participation of pilgrims in hajj health improvement program before departure. It was recommended that the the measurement of the level of physical exercise that took into account the factors of frequency, duration and intensity could be part of the policy on hajj health management in Indonesia.

National attitudes of medical students towards mandating the COVID-19 vaccine and its association with knowledge of the vaccine

Background With the introduction of the novel COVID-19 vaccine, public hesitancy is being experienced with many turning to healthcare professionals for advice. As future physicians, medical students play a critical role in the public’s view of the vaccine. Objectives To determine the attitude of U.S. medical students toward mandating the COVID-19 vaccine to healthcare workers and patients, as well as whether their knowledge of the vaccine plays a role in their view. Methods The authors emailed a survey link to all U.S. medical schools with request to distribute it to their medical students. The survey remained open from 02/09/2021 to 03/15/2021 and included questions to determine the attitude of the medical students toward recommending the COVID-19 vaccine, and general knowledge questions about the vaccine. Chi square, Fisher’s exact test, and linear regression were conducted to determine associations between willingness to recommend the COVID-19 vaccine and general knowledge of the vaccine. Results Among the 1,899 responses from medical students representing 151 U.S. medical schools, 57.82% approved of making the COVID-19 vaccine mandatory to healthcare workers, and 16.27% approved of making it mandatory to patients. Additionally, those who tested most knowledgeable of the vaccine were less likely to approve of making the vaccine mandatory for patients (66.67% vs. 72.70). Those that tested most knowledgeable were also more likely to personally receive the vaccine (72.35% vs 62.99%) as opposed to those that tested the least knowledgeable who were less willing to personally receive the vaccine (4.12% vs 14.17%). Conclusions The data revealed that a slight majority of medical students support a vaccine mandate toward healthcare workers while a minority of medical students support a vaccine mandate toward healthcare workers. Additionally, medical students that had relatively high knowledge of the vaccine correlated with not approving of making the vaccine mandatory for patients. However increased knowledge of the vaccine correlated with increased willingness to personally receive the vaccine.

Effect of Farmer Field School (FFS) on the Knowledge, Attitude, Practices and Profitability of Rice Farmers

Knowledge, Attitude and Practice (KAP) Model explains the individual’s knowledge which affects attitude and consequently changes the actual practices. The study investigated the effect of the Farmer Field School (FFS) on the knowledge, attitude, practices, and profitability of rice farmers in Babatngon, Leyte, Philippines. Ninety-four participants, which included 47 FFS farmers and 47 non-FFS farmers, were randomly chosen. Data were analyzed using descriptive and comparative statistics, cost and return analysis, and multiple regression analysis. Results showed that FFS farmers have a significantly higher level of knowledge than non-FFS farmers in the Palaycheck System (p-value<0.001). Additionally, FFS farmers have a significantly great extent of practice than non-FSS farmers in the Palaycheck System (p-value<0.001). Furthermore, farmers with high knowledge, positive attitude, and the great extent of practice on Palaycheck system gain more profit. Therefore, farmers should acquire more knowledge, a positive attitude, and more practice on production technologies to increase profit. Farmer Field Schools (FFS) and demonstration farms should be established in multi-locations to highlight the benefits of the Palaycheck technology for widespread adoption.

University Students’ Knowledge, Attitude, and Practice (KAP) towards COVID-19 in Malaysia

Covid-19—associated with the human-to-human transmission is recent medical concern which also associated with public health concerns. A cross-sectional online survey was conducted among clinical year veterinary and medical students studying in a university in Malaysia to determine the students’ knowledge, attitude, and practice towards COVID-19. The questionnaire consisted of 4 sections, namely, socio-demographic characteristics (6 items), knowledge (14 items), attitude (10 items), and practice (24 items) towards COVID-19. The collected data were subjected to descriptive statistics, Mann-Whitney U, Kruskal-Wallis H, and Spearman’s correlation analysis. A total of 219 students participated in this study, and they consisted of 52.1% and 47.9% of veterinary and medical students, respectively. The total scores were categorised into poor (<60%), moderate (60-79%), and high (>80%) based on Bloom’s cut off point. Overall, the students acquired high knowledge (80%), moderate attitude (76%) and high practice (86%) against COVID-19. In the attitude section, the veterinary student scored significantly higher than medical students (U=3791, p= .001), and female students scored significantly higher than males (U=3183, p= .001). The analysis revealed a statistically significant association between attitude and practice (P< .05) despite no association between knowledge to attitude and practice variables. Overall, the results indicated that both veterinary and medical students had high knowledge with moderate to high attitudes towards COVID-19. Thus, they were practising good preventive measures in limiting the spread of the disease.

Knowledge, attitude and practice of breastfeeding among mothers in a rural area of Thrissur district

Background: Universalizing early and exclusive breastfeeding is viewed as a major public health intervention to reduce the child mortality. Mothers’ knowledge and attitude towards breastfeeding may influence practices. The study intended to find the level of knowledge, attitude and practice regarding breast feeding, and factors influencing them among mothers.Methods: A cross sectional study was undertaken among all the mothers having a child of age 2 years and below. Data collection was done by interviewing a total of 710 eligible mothers, using a semi–structured validity tested questionnaire. Descriptive statistics was used for analysis.Results: The mothers had high knowledge and attitude, but poor practice levels and there exists a gap between actual and desired breast-feeding practices among them. Study has found that high knowledge and practice of breastfeeding of mothers was significantly associated (p<0.05) with their age, education, religion, socioeconomic status, parity, antenatal class on breast feeding. Positive breastfeeding attitude had significant association (p<0.05) with age, educational level and parity of the mother. A strong correlation was found to exist between knowledge and attitude scores and good correlation between attitude-practice and knowledge-practice scores of the mothers.Conclusions: Poor breastfeeding practice despite high level of knowledge and attitude was exhibited by respondents, emphasizing the need for breastfeeding intervention programs especially during antenatal and early postpartum period. Existing programs supporting breastfeeding at primary care level should be strengthened. For adherence to the correct practice of breast feeding, behavior change communication should be directed towards the family members as well.