scholarly journals Knowledge, Attitudes, and Practices about Trachoma in Rural Communities of Tigray Region, Northern Ethiopia: Implications for Prevention and Control

2020 ◽  
Vol 2020 ◽  
pp. 1-8
Author(s):  
Hailay Gebretnsae ◽  
Nega Mamo ◽  
Tesfay Teklemariam ◽  
Kiros Fenta ◽  
Tesfay Gebrehiwet ◽  
...  

Background. Trachoma is a neglected tropical disease which is the leading infectious cause of blindness in the world. Trachoma is one of the major health problems in Tigray Region, Northern Ethiopia. However, knowledge, attitudes, and practices about trachoma are not yet studied in depth. The objective of the study was to assess knowledge, attitudes, and practices on trachoma and its associated factors among rural communities in two districts of Tigay Region, Northern Ethiopia. Methods. A cross-sectional study was conducted in two districts of Tigray Region, Northern Ethiopia, from May 7–24, 2017. Data were collected on paper based, were entered into Epi Info version 3.5.1, and then exported to SPSS version 21 for analysis. Logistic regression analysis was done to identify factors associated with knowledge, attitudes, and practices. Results. In this study, a total of 194 respondents were included. The overall level of good knowledge, attitudes, and practices on trachoma was 51%, 49.5%, and 35.6%, respectively. Having ever received health education was significantly associated with good knowledge (adjusted odds ratio (AOR) = 4.10; 95% confidence interval (CI): 1.91–8.79) and attitudes (AOR = 2.10; 95% CI: 1.02–4.25). Moreover, good knowledge was associated with good practices on trachoma prevention and control (AOR = 2.86; 95% CI: 1.46–5.62). Conclusion. Our study implies that areas with high burden of trachoma need to improve communities’ knowledge, attitudes, and practices towards trachoma prevention and control in order to eliminate trachoma as a public health problem. Therefore, health education focused on SAFE strategy should be provided to increase knowledge and changing attitudes that contribute for good practices towards trachoma prevention and control among communities.

2020 ◽  
Vol 46 (2) ◽  
pp. 73-82
Author(s):  
Shah Md. Mahfuzur Rahman ◽  
A Akter ◽  
KF Mostari ◽  
S Ferdousi ◽  
IJ Ummon ◽  
...  

Background: Cornonavirus disease (COVID-19) has been declared pandemic by the World Health Organization on the 11th March 2020. The knowledge, attitudes and practices of the population towards the COVID-19, play an integral role in determining community’s readiness to engage themselves in government measures including behavioural change in prevention and control of the disease. Objectives: The study was aimed to determine the knowledge levels, attitudes and practices towards the COVID-19 among the Bangladeshi population. Methods: A cross sectional study was conducted among 1549 adult population across Bangladesh including Dhaka city and rural areas during March-April 2020. Data were collected using a structured and pretested questionnaire through online, self-administered and face to face interview. The study instrument consisted of 7 items on socio-demographic characteristics, 12 items on knowledge, 4 items on attitudes and 5 items on practices related to COVID-19. Independent sample t-tests, chi-square tests, one-way analysis of variance (ANOVA) and binary logistic regression were performed to assess the attitudes and practices in relation to knowledge. Results: Of the total 1549 study population, 1249 were interviewed online, 194 were self-administered and 106 were through face to face interview. The lowest level of knowledge prevailed among the above 50 years’ age group regarding the disease, which was higher among female (p=0.03), and more among the respondents having education level below graduation (p=0.000; OR=1.6, χ2=17.6). Of the total respondents, 73.5% having negative attitude towards use of face mask, though 69.8% having the appropriate knowledge on mode of transmission of the virus (p=0.000). Though, 51.6% of the study population, having adequate knowledge, but only 52.1% using face mask (p>0.05) and 51.8% practicing hand washing (p>0.05). More than 70.0% respondents having knowledge on social distancing, but only 50.0% was practicing it. Male respondents had 1.5 times more knowledge about the social distancing than the female counterpart (p=0.000). Conclusion: Public awareness campaign should be enhanced critically focusing the target audience covering the knowledge gaps, motivation for appropriate practices and further improvement of attitudes towards prevention and control of COVID-19 in Bangladesh thus suggested. Bangladesh Med Res Counc Bull 2020; 46(2): 73-82


2019 ◽  
Author(s):  
Weldegerima Gebremedhin Hagos ◽  
Kindie Fentahun Muchie ◽  
Goyitom Gebremedhn Gebru ◽  
Gebreamlak Gebremariam Mezgebe ◽  
Kebede Ambaye Reda ◽  
...  

Abstract Background: Rabies has a worldwide distribution in continental regions of Africa, Asia and the Latin America. Globally, the case fatality rate is 100% once a clinical sign is developed. Poor public awareness towards rabies is one of the major obstacles in any prevention and control scheme of the diseases. The study aimed to assess knowledge, attitude and practice (KAP) about rabies and associated factors among household heads in Mekelle city, Northern Ethiopia, 2016. Methods: A community based cross-sectional study was conducted from October to November 2016 with a total of 633 study participants. Data were collected using a pretested structured questionnaire and entered to EPI-Info 3.5.4 and coded, cleaned and analyzed using SPSS version 20 software. Bi variable and multivariable analysis was done to identify factors associated with knowledge, attitude and practice about rabies. Variables having p< 0.05 was considered as statistically significant at 95%CI. Results: Of 633 study participants, 357 (56.4%) were females and 239 (37.8%) were 18-35 years old. Among the study participants, 56.1% (95%CI=52.2, 59.9), 56.2% (95%CI=52.4, 60.1) and 61.3% (95%CI=57.5, 65.1) had good level of knowledge, attitude and practice on the prevention and control of rabies respectively. Being female (AOR=1.50, 95%CI=1.05, 2.13), dog owner (AOR=1.68, 95%CI=1.17, 2.41) and participants who had training on rabies (AOR=2.22, 95%CI=1.53, 3.21) were found to have good knowledge. Married participants (AOR=2.19, 95%CI=1.16, 4.16), participants who owned dog (AOR=2.64, 95%CI=1.80, 3.86) and those encountered dog bite (AOR=2.24, 95%CI=1.23, 4.10) were found to have positive attitude towards rabies. Similarly, dog ownership (AOR=11.85, 95%CI=7.16, 19.6) was found to be associated with good practice. Conclusion: This study showed that more than half of the respondents had good knowledge, attitude and practice about the prevention and control of rabies. Key words: Attitude, Knowledge, Practice, House hold, Rabies


2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Tigist Engda

Abstract Background Nosocomial infection, also called a hospital-acquired infection, is an infection acquired during admitting patients in health care facilities. Nosocomial infection can be prevented and controlled by giving training to those responsible. This study aimed to assess the contribution of the medical education system on the knowledge, attitudes, and practices of the graduate students of health sciences about the prevention and control of nosocomial infection in the College of Medicine and Health Sciences at the University of Gondar in the Academic Year of 2018. Method An institution-based cross-sectional study was conducted among all graduate health science students posted in the different departments at the University of Gondar in the College of Medicine and Health Sciences from February to June 2018. A total of 422 study participants were included. Data were analyzed using SPSS version 20. Results Out of a total of 422 respondents, only 40% have taken training for infection prevention; out of which 39% had taken the training for a year ago. Moreover, only 35.5% have good knowledge of nosocomial infections as a result of the training; and only 32.5% have good understanding of the practical training given on prevention and control. Only 36% have good attitude towards its prevention and control. Conclusion The result shows that only a few of the respondents have taken the infection prevention training. Yet, a smaller proportion of them had good knowledge, attitude, and practice on nosocomial infections. Hence, the Medical Education System should give more attention to the training of the nosocomial infection control by developing different strategies to prepare the students on these issues before they start their clinical attachment.


Epidemiologia ◽  
2020 ◽  
Vol 2 (1) ◽  
pp. 1-13
Author(s):  
Md. Siddikur Rahman ◽  
Ajlina Karamehic-Muratovic ◽  
Miftahuzzannat Amrin ◽  
Arman Hossain Chowdhury ◽  
Md. Selim Mondol ◽  
...  

As other nations around the world, Bangladesh is facing enormous challenges with the novel coronavirus (COVID-19) epidemic. To design a prevention and control strategy for this new infectious disease, it is essential to first understand people’s knowledge, attitudes, and practices (KAP) regarding COVID-19. This study sought to determine KAP among rural and urban residents as well as predictors of preventive practices associated with COVID-19 in Bangladesh. A social media-based (Facebook) cross-sectional survey was conducted to explore these variables among Bangladeshi adults. Of 1520 respondents who completed the questionnaire, low level of good or sufficient knowledge of COVID-19 (70.8%) and practices associated with COVID-19 (73.8%) were found. Despite the low level of knowledge and practices, respondents’ attitude (78.9%) towards COVID-19 was relatively high. Results suggest that compared to urban, rural residents are at a particularly high risk of COVID-19 because they were found to have significantly lower knowledge (p = 0.001) and practice levels (p = 0.002) than were urban residents. Multivariable logistic regression analysis identified gender, education, knowledge of COVID-19 transmission, signs and symptoms, and sources of information as factors significantly associated with preventive practices against COVID-19. Further attention and effort should be directed toward increasing both knowledge and practices targeting the general population in Bangladesh, particularly the rural and less educated residents. Findings from this study provide baseline data that can be used to promote integrated awareness of and effective health education programs about COVID-19 prevention and control strategies in Bangladesh, and similar COVID-19 endemic countries.


2021 ◽  
Vol 2021 ◽  
pp. 1-8
Author(s):  
Stephen Dajaan Dubik ◽  
Kingsley E. Amegah ◽  
Alhassan S. Adam

Background. The COVID-19 pandemic has brought about significant challenges to Ghana’s education system, leading to the closure of schools for months. On 31 May 2020, the government of Ghana took a bold decision based on expert advice to reopen schools for final-year students amid the COVID-19 pandemic. However, data for students’ knowledge, attitudes, and practices towards COVID-19 are limited. We sought to investigate students’ level of knowledge, attitudes, and practices towards COVID-19 at Tamale Technical Institute, Ghana. Methods. A cross-sectional study was conducted among 175 final-year students from June to August 2020. A validated questionnaire adapted from previous studies was distributed to the students in their various classes by the researchers. Data were analysed using descriptive statistics, analysis of variance, and multivariate logistic regression. All analyses were significant at a p value of less than 0.05. Results. The mean age of the study participants was 21.1 years (SD = 2.67), with more males (72.0%) than females participating in the study. The majority (69.7%) of the students trust traditional media sources, i.e., television and radio to receive COVID-19-related information. Awareness about COVID-19 was high (98.3%), and in total, 62.9% (n = 110) had good knowledge, 58.3% (n = 102) had positive attitudes, and 54.9% (n = 96) had good practices towards COVID-19. Factors associated with knowledge were receiving education on COVID-19 (AOR = 0.23; 95% CI: 0.01, 0.55) and mother level of education (AOR = 0.13; 95% CI: 0.02, 0.66). Positive attitudes towards COVID-19 were 63% less likely among students who did not receive education on COVID-19 (AOR = 0.37; 95% CI: 0.15, 0.90). Students who received education on COVID-19 exhibited good practice towards COVID-19 than students who did not receive education on COVID-19 (p = 0.014). Conclusion. Final-year students of Tamale Technical Institute possess good knowledge, attitudes, and practices toward COVID-19. Our findings demonstrate the significant role of health education in improving students’ knowledge, attitudes, and practices towards COVID-19. We recommend continuous and targeted health education to mitigate the widespread misconceptions about COVID-19 through the use of traditional media such as television and radio.


2021 ◽  
Author(s):  
Olukemi Aromolaran

Abstract Background: Lassa fever (LF) is a haemorrhagic illness caused by Lassa virus. The primary reservoir of the virus is the multimammate rat, Mastomys natalensis. More than 3,000 laboratory-confirmed cases of Lassa fever and over 800 deaths have been recorded in Nigeria. This could be attributed to poor rat control and poor sanitation especially in the rural communities where the rats are often found. Increasing awareness and health education about LF have been advocated for its prevention and control. This study investigated the level of awareness, knowledge and prevention practices related to LF among residents in rural communities within Iwo and Ayedire Local Government Areas, Osun State, southwest Nigeria sequel to an awareness campaign. Methods: Structured questionnaire was administered within rural communities in Iwo and Ayedire and 675 participants responded for the survey by a random sampling technique. Descriptive statistics, Chi-square test of association (p = < 0.05) and logistic regressions were used to determine associations between demographic variables, level of knowledge and prevention practices. Results: The average age range was 25-39 years, 365 (54.07%) were male, 270 (40%) were married, 199 (29.48%) had up to secondary school education and 536 (79.41%) have heard about LF before. Respondents in Iwo town were more aware of LF than respondent from Ayedire. Only 3 (0.44%) had good knowledge of the transmission and symptoms of the disease and 304 (45.04%) do not have effective means of preventing rats into their homes. About 296 (43.85%) will go to a hospital if symptoms occur, while 118 (17.48%) will do self-medication. Forty-four (6.52%) were aware of good prevention practices. Logistic regression analysis showed that respondents aged 25–39 years were significantly more aware of Lassa fever than other age groups. Educated and married respondents showed significant relationship with good prevention practices than those without education and were not married. Conclusions: Although, the awareness of LF among the respondents was high, only very few had good knowledge of the transmission and symptoms of the disease. Therefore, it is important for the people to be well informed about the disease and good prevention practices in order to curtail the spread.


2021 ◽  
Vol 17 (2) ◽  
pp. 136-144
Author(s):  
Radha Paudel ◽  
Sarita Shrestha ◽  
Laxmi Gurung

Background: COVID-19 has become a global health threat and the disease burden is expected to increase more. Nurses are the front lines of COVID management. Because this work requires close personal exposure to patients with COVID-19, nurses are at high risk of infection, contributing to further spread. Nurses’ knowledge, attitudes, and practices can influence the prevention and control of pandemic. Thus, the aim of the study was to assess knowledge, attitude, and practice regarding the prevention and control of COVID-19 among nurses.   Methods: Descriptive cross-sectional study design was carried out among 141 nurses from the central hospital, Kathmandu. A purposive sampling technique was used and the data collection date was June 5 to July 20, 2020. A self-administered semi-structured questionnaire was used. The data were analyzed using descriptive statistics.   Results: The study showed that 60.3% of the participants had good knowledge, 53.2% of them had acceptable practice and a cent percent (100%) of them had a positive attitude on the preventive and control measures against COVID-19. More than 3/4th (75.8%) of them were agreed to handle the COVID-19 outbreak confidently in their healthcare setup. Although, 85.8% of participants were worried that they and their family members will probably get infected with COVID-19 while working in the hospital. However, 39% of them were feeling isolated by their community, and relatives due to their profession.   Conclusions: Nurses have good knowledge, a positive attitude, and acceptable practice about prevention and control of COVID-19. However, the level of some knowledge and practice was still lower than that expected.      Keywords: Attitude; COVID; Knowledge; nurses; prevention and control; practice    


2019 ◽  
Author(s):  
Weldegerima Gebremedhin Hagos ◽  
Kindie Fentahun Muchie ◽  
Goyitom Gebremedhn Gebru ◽  
Gebreamlak Gebremariam Mezgebe ◽  
Kebede Ambaye Reda ◽  
...  

Abstract Background: Rabies has a worldwide distribution in continental regions of Africa, Asia and the Latin America. Globally, the case fatality rate is 100% once a clinical sign is developed. Poor public awareness towards rabies is one of the major obstacles in any prevention and control scheme of the diseases. The aim of this study was to assess knowledge, attitude and practice (KAP) about rabies and associated factors among household heads in Mekelle city, Northern Ethiopia, 2016. Methods: A community based cross sectional study was conducted from October to November 2016 with a total of 633 study participants. Data were collected using a pre-tested structured questionnaire in Enderta district, Tigray regional state, Ethiopia. Data was entered to EPI-Info 3.5.4 and coded, cleaned and analyzed using SPSS version 20 software. Bivariable and multivariable analysis was done to identify factors associated with knowledge, attitude and practice about rabies. Variables having p< 0.05 was considered as statistically significant at 95%CI. Results: Of 633 study participants, 357 (56.4%) were females and 239 (37.8%) were 18-35 years old. Among the study participants, 56.1% (95%CI=52.2, 59.9), 56.2% (95%CI=52.4, 60.1) and 61.3% (95%CI=57.5, 65.1) had good level of knowledge, attitude and practice on the prevention and control of rabies respectively. Being female (AOR=1.50, 95%CI=1.05, 2.13), dog owner (AOR=1.68, 95%CI=1.17, 2.41) and participants who had training on rabies (AOR=2.22, 95%CI=1.53, 3.21) were found to have good knowledge. Married participants (AOR=2.19, 95%CI=1.16, 4.16), participants who owned dog (AOR=2.64, 95%CI=1.80, 3.86) and those encountered dog bite (AOR=2.24, 95%CI=1.23, 4.10) were found to have positive attitude towards rabies. Similarly dog ownership (AOR=11.85, 95%CI=7.16, 19.6) was found to be associated with good practice. Conclusion: This study showed that more than half of the respondents had good knowledge, attitude and practice about the prevention and control of rabies. Key words: Attitude, Knowledge, Practice, House hold, Rabies


2019 ◽  
Author(s):  
Pugie Tawanda Chimberengwa ◽  
Mergan Naidoo

AbstractBackgroundHypertension is a significant contributor to cardiovascular and renal diseases. In poor communities there is lack of awareness, poor treatment and control. However, it can be controlled by lifestyle modifications. The aim of this study was to determine knowledge, attitudes and practices with regards to hypertension in a rural disadvantaged community in Matebeleland South province of Zimbabwe.MethodsWe conducted a descriptive cross-sectional survey. A pre-tested and validated interviewer administered questionnaire was used to collect demographic, awareness, treatment and control data among consenting hypertensive patients.Results304 respondents were enrolled into the study, their mean age was 59 years and 65.4% were females. Adding salt on the table (59.8%) was a risk factor. There were strong community beliefs in managing hypertension with herbs (50.7%) and use of traditional medicines (14.5%). Knowledge on hypertension was poor with 43.8% of hypertensive patients having had a discussion with a health worker on hypertension and 64.8% believing the main case of hypertension is stress while 85.9% stated palpitations as a symptom of hypertension. Defaulter rate was high at 30.9% with 25% of those on medication not knowing whether their blood pressure control status. Odds ratio for good knowledge for secondary and tertiary education were 3.68 (95%CI: 1.61-8.41) and 7.52 (95%CI: 2.76-20.46) respectively compared to no formal education. Those that believed in herbal medicines and those that used traditional medicines were 53% (95%CI: 0.29-0.76) and 68% (95%CI: 0.29-0.76) less likely to have good knowledge compared to those who did not believe and use traditional medicines respectively.ConclusionLack of education and poor socio-economic backgrounds were associated with poor knowledge on hypertension. Shortages of medication, poor health funding and weak health education platforms contributed to reduced awareness and control of hypertension in the community. Thus, community hypertension awareness, treatment and control needed to be upscaled.


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