scholarly journals Palliative care for people living with HIV/AIDS: Factors influencing healthcare workers’ knowledge, attitude and practice in public health facilities, Abuja, Nigeria

2018 ◽  
Author(s):  
Whenayon Simeon Ajisegiri ◽  
Aisha A. Abubakar ◽  
Abdulrazaq A. Gobir ◽  
Muhammad S. Balogun ◽  
Kabiru Sabitu

AbstractPhysicians, nurses and allied health staff play very vital roles in addressing palliative care (PC) needs of people living with HIV/AIDS (PLWHA). The healthcare professionals’ experiences determine the success of palliative care delivery. There is paucity of data on palliative care for PLWHA. For this reason, we assessed the knowledge, attitude and practice of palliative care for PLWHA and associated factors among health care professionals.We conducted a cross-sectional descriptive study among healthcare workers (HCWs) in public health facilities in the Federal Capital Territory, Nigeria between February and May, 2017. Multistage sampling technique with proportionate-to-size allocation was used to determine facility sample size and HCWs per professional discipline. Data were collected with questionnaires adapted from Palliative Care Quiz for Nursing, Frommelt Attitude toward Care of the Dying and practical questions adapted from PC standard guidelines. Univariate analysis was done to compute frequencies and proportions. Odd’s ratios were calculated to assess the statistical association between variables and P-value ≤ 0.05 was considered significant. Multivariate analysis was conducted on variables that were significant with bivariate analysis. Epi-Info software was used for statistical analyses.The mean age of the 348 participants was 37.5 years (SD: ±8.9) and 201 (57.8%) were female. Thirty-six (10.3%) participants had good knowledge, 344 (98.9%) had favourable attitude and 90 (25.9%) had good practice of PC for PLWHA. Major determinants of good knowledge of PC include being a doctor (aOR = 2.70; 95%CI: 1.28 - 5.56). Determinants of good practice of palliative care include possessing a minimum of a bachelor degree (aOR=2.30; 95%CI : 1.05-5.08) and practicing in a tertiary hospital (aOR=6.67; 95%CI : 3.57-12.5).HCWs had favourable attitude towards PC for PLWHA despite an overall poor knowledge and practice. We recommended quality in-service training and continuous education on palliative care for HCWs.

PLoS ONE ◽  
2021 ◽  
Vol 16 (2) ◽  
pp. e0247459
Author(s):  
Solomon Ahmed Mohammed ◽  
Birhanu Demeke Workneh ◽  
Mesfin Haile kahissay

Background Effective management of the vaccine cold chain system at all levels is one of the crucial factors for maintaining vaccine potency. Vaccines require more complex handling and storage requirements due to increased temperature sensitivity and complicated immunization schedules. This urges adequate knowledge, attitude, and practice. This study assessed the knowledge, attitude, and practice of vaccinators and vaccine handlers’ in public health facilities. Methodology An institutional-based cross-sectional study design was used to assess the knowledge, attitude, and practice of 127 vaccinators and vaccine handlers in public health facilities of Oromia Special Zone, from September 1 to 30, 2019. Data were collected using self-administered questionnaires and a structured observation checklist. Descriptive and inferential statistics were made using the statistical package for social sciences version 20. Variables with a p-value <0.05 were taken as statistically significant. Result The response rate was (96.94%). Sixty-eight (53.5%; 95% CI: 46.5%, 61.4%), 58 (45.7%; 95% CI: 37.8%, 53.5%) and 62 (48.8%: 95% CI; 41.7%, 56.7%) vaccinators and vaccine handlers had satisfactory knowledge, positive attitude and good practice respectively. Receiving training on cold chain management had a statistically significant association with the level of knowledge on cold chain management (AOR = 3.04, 95% CI: 1.04–8.88). Conclusions More than half of vaccinators and vaccine handlers had satisfactory knowledge, while below half of vaccinators and vaccine handlers had a positive attitude and good practice. The determinants of knowledge in cold chain management were receiving training on cold chain management. Providing regular technical support and on the job training on vaccine cold chain management will improve the knowledge, attitude, and practice of vaccinators and vaccine handlers.


2021 ◽  
Author(s):  
Alinoor Mohamed Farah ◽  
Tahir Yousuf Nour ◽  
Muse Obsiye ◽  
Mowlid Aqil Adan ◽  
Omar Moeline Ali ◽  
...  

AbstractOn 13 March 2020, Ethiopia reported the first confirmed case of COVID-19 in Addis Ababa. COVID-19 is likely to overwhelm an already fragile health-care delivery system and reduce the availability of services for endemic health concerns such as malaria and diarrheal diseases.Cross sectional study was conducted on heath care workers in three public health facilities in Somali region to assess knowledge, attitude and practice towards COVID-19. T-test and ANOVA were used to analyze the relationship between the dependent, and independent variables. Spearman’s correlation was used to assess the relationship between mean knowledge and attitude scores.A vast majority of the participants were male (n = 293, 67.5%), with a mean age of 27.6 (SD: 5.3) years. The mean knowledge score was 13.7 (SD: 2.6) and the mean attitude score 10.5 (SD: 4.1). Only 45.2 % (n = 196) of the participants had a good attitude toward COVID-19. There was a negative correlation between knowledge scores, attitude scores (r=-0.295, P<0.001) and practice (r=-0.298, P<0.001).The overall level of knowledge was good. However, the attitude and practice were relatively low. We recommend strategies for enhancing the capacity of healthcare workers to develop positive attitude and practice.


2021 ◽  
Author(s):  
Alinoor Mohamed ◽  
Tahir Yousuf Nour ◽  
Muse Obsiye ◽  
Mowlid Aqil Adan ◽  
Omar Moeline Ali ◽  
...  

BACKGROUND On 13 March 2020, Ethiopia reported the first confirmed case of COVID-19 in Addis Ababa. COVID-19 is likely to overwhelm an already fragile health- care delivery system and reduce the availability of services for endemic health concerns such as malaria and diarrheal diseases. This analysis of data from Somali region of Eastern Ethiopia on health workers knowledge, attitude and practice towards the prevention and control of COVID-19 may be used in planning health education programs about the emerging viral disease. OBJECTIVE This study is aimed to investigate the knowledge, attitude and practice of health workers towards COVID-19 infection METHODS Cross sectional study was conducted on health care workers in three public health facilities in Somali region, Eastern Ethiopia. A questionnaire with 43 questions was shared to the all health workers working at the public health facilities. Knowledge and practice questions were scored as 1 or 0 for correct and incorrect responses, respectively. Whereas, attitude responses were provided with 1, 2, 3, 4 or 5 for “Strongly Agree, “Agree”, “Neutral”, “Disagree” and “Strongly Disagree”, respectively. Mean scores were calculated and used as a cut point to dichotomize the outcome variables. T-test and ANOVA were used to analyze the relationship between the dependent, and independent variables. Spearman’s correlation was used to assess the relationship between mean knowledge and attitude scores. RESULTS Of the 686 HCWs approached, total of 434 HCWs responded (response rate = 63%). A vast majority of the participants were male (n = 293, 67.5%), with a mean age of 27.6 (SD: 5.3) years. The mean knowledge score was 13.7 (SD: 2.6). Almost ninety percent (n = 381) of the participants scored 12 or more and were considered to have sufficient knowledge. The mean attitude score 10.5 (SD: 4.1). Overall, there was poor attitude among HCWs toward COVID-19. Only 45.2 % (n = 196) of the participants had a good attitude toward COVID-19. There was a negative correlation between knowledge scores, attitude scores (r=-0.295, P<0.001) and practice (r=-0.298, P<0.001). CONCLUSIONS The overall level of knowledge was good. However, the attitude and practice were relatively low. We recommend strategies for enhancing the capacity of healthcare workers to develop positive attitude and practice.


2017 ◽  
Vol 07 (01) ◽  
pp. 1-15 ◽  
Author(s):  
Delphine Mbong Wam Iwoi ◽  
Peter Fon Nde ◽  
Euphrasia Yuh ◽  
Emmanuel Tebit Kwenti ◽  
Edouard Katayi Tshimwanga ◽  
...  

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
B A Aina ◽  
A V Ogunbameru

Abstract Background Helminth infections (Intestinal Helminthiasis) have been recognized as an important public health concern, particularly in developing countries. It is however noteworthy that improvement in personal hygiene, sanitation, food handling and food consumption habits could provide effective prevention of transmission of the parasites. The aim of this study was to determine the knowledge, attitude and practice of prevention of helminth infections among first and final professional year students of College of Medicine, University of Lagos and determine the association between the students' levels and their responses. Methods A cross-sectional study was carried out among 485 students with 222 students at first professional level and 263 students in the final year, based on the study population. A standardized questionnaire was used to collect data and the data collected were analyzed using Statistical Package of Social Science (SPSS version 22.0). Results Response rate was 93.4% (453 out of 485). Majority of the respondents 329(72.6%) had good knowledge on the prevention of helminth infections, 384(84.7%) of the respondents had positive attitude towards the prevention of helminth infection and most of the respondents 420(92.7%) had good practice of the preventing helminth infections. The final year students however possessed a significant higher knowledge, better attitude and practice of preventing helminth infections than the first year students (p = 0.000, 0.002 and 0.003 respectively), hereby indicating a significant relationship between students' level and their knowledge, attitude and practice of preventing helminth infections. Conclusions The study revealed that the respondents generally had good knowledge, attitude and practices of the prevention of helminth infections and that there is a significant relationship between these and the students' year or level of study Key messages Knowledge, attitude and practice of the students will affect their provision of public health services on prevention of helminth infections among the general populace when they eventually graduate. Years of training affect the knowledge, attitude and practice of undergraduate students of CMUL in prevention of helminth infections.


2021 ◽  
Vol 10 (1) ◽  
pp. 88-97
Author(s):  
Fatimah ◽  
Taiwo ◽  
Baba ◽  
Aishatu ◽  
Omeiza ◽  
...  

Background: Although much is known about the rapidly spreading COVID-19 disease, a lot of knowledge is still evolving. The knowledge, attitude and practice (KAP) of healthcare workers (HCWs) towards COVID-19 remain key in protecting themselves and in fighting the “war” against the disease. This study assessed the KAP of HCWs in Kano, northern Nigeria. Methodology: A cross-section of different cadre of healthcare workers was recruited online via google forms. Using a link, the participants completed an adapted from a similar study, pre-tested questionnaire on KAP regarding COVID-19. Predictors of KAP were assessed using logistic regression modelling. Results: Among the 651 HCWs invited to participate, 233 respondents responded giving a response rate of 35.8%. Of these, 195 (83.7%) had good knowledge, 183 (78.9%) had a positive attitude and 180 (77.6%) had good practice towards prevention of COVID-19. The odds of having good knowledge were significantly lower among Community Health Officers/Community Health Extension workers (aOR=0.2, 95% CI: 0.1-0.6;p<0.001) and other health workers compared to doctors. Positive attitude was predicted by good knowledge (aOR=4.8, 95% CI:1.7-010.2;p=0.003), being in the fifth decade of life (aOR=5.5, 95% CI: 1.1–29.3, p=0.04), female gender (aOR=3.0, 95% CI: 1.1-8.3;p=0.04), Christian faith (aOR=7.0, 95% CI: 1.3-40.4; p=0.03), and having a bachelors’ or medical degree (aOR=4.6, 95% CI: 1.3-16.5).The only predictor of good practice was good knowledge on COVID-19 (aOR=7.8, 95% CI 2.8-12.4;p<0.001). Conclusion and Global Health Implications: Majority of the HCWs at the study site have good knowledge, attitude and practice regarding COVID-19. Continuous dissemination of information on prevention of spread of COVID-19 to all HCWs will strengthen the health workforce in the fight against it.   Copyright © 2021 Tsiga-Ahmed et al. Published by Global Health and Education Projects, Inc. This is an open-access article distributed under the terms of the Creative Commons Attribution License CC BY 4.0.


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