scholarly journals Knowledge and preventive practices against Lassa fever among heads of households in Abakaliki metropolis, Southeast Nigeria: A cross-sectional study

2020 ◽  
Vol 29 (2) ◽  
pp. 73-80 ◽  
Author(s):  
Edmund Ndudi Ossai ◽  
Ogah Emeka Onwe ◽  
Nnaemeka Philips Okeagu ◽  
Amarachi Laura Ugwuoru ◽  
Thankgod Kelechi Eze ◽  
...  

Background: Lassa fever is associated with high morbidity and mortality. Objectives: This study aimed to determine the knowledge and preventive measures against Lassa fever among heads of households in Abakaliki metropolis, Southeast Nigeria. Methods: This was a descriptive cross-sectional study. A four-stage sampling design was used to select 420 respondents from Abakaliki metropolis. A good knowledge of Lassa fever was determined by the proportion of respondents scoring ⩾50% in 15 variables. Good preventive practices against Lassa fever were determined by the proportion of respondents obtaining a score of ⩾50% in 12 variables. Results: The mean age of respondents was 34.1±9.4 years, and the majority (56.5%) were males. Major sources of information included television (66.4%) and radio (64.3%). A minority (11.0%) consume rats at present, while 86.7% knew that rats could transmit Lassa fever to humans. The majority (60.0%) had a good knowledge of Lassa fever, while 66.4% demonstrated good preventive practices. A predictor of good knowledge included being a consumer of rats, (adjusted odds ratio (AOR)=2.3; 95% confidence interval (CI) 1.1–4.9). Predictors of good preventive practices included being in a low socio-economic class (AOR=2.1; 95% CI 1.3–3.6) and having a good knowledge of Lassa fever (AOR=10.2; 95% CI: 6.2–10.6). Conclusions: The majority of respondents had a good knowledge of Lassa fever and demonstrated good preventive practices against it. A good knowledge of Lassa fever was associated with good preventive practices. There is need for a good understanding of Lassa fever among the population, as this will improve preventive practices. Health workers have an important role to play in disseminating information concerning Lassa fever.

Author(s):  
Hope Inegbenosun ◽  
Clement Chinedu Azodo ◽  
John Chukudi Anionye ◽  
Collins Usunobun Inegbenosun ◽  
Obinna Chukwunwike Njoku

Background: The coronavirus disease (COVID-19) infection rate and mortality among Nigerian health care workers appear to be on the increase. Aside from health workers, it has caused millions of infections and deaths worldwide.  This study determined the level of knowledge, attitude, and practices of nursing and midwifery students towards COVID-19 in a North-Eastern Nigerian state.Methods: A total of 156 respondents were involved in this institutional-based cross-sectional study, conducted after the lockdown period. A total of 17 questions were used to assess the KAP with knowledge appraised with 12 questions, attitudes with 2 questions, and practices with 3 questions.Results: The majority of the students (53.80%) possessed a good level of knowledge regarding COVID-19, while 40.4% had fair knowledge regarding COVID-19 with only 5.80% having poor knowledge of COVID-19. The mean knowledge of COVID-19 in this study was 9.40±1.353 with an overall 78% correct answer rate. A vast majority of the respondent (82.7% and 98.1%) had strong confidence in Nigeria and believed that the pandemic will soon be over, respectively. Only a few avoided large gatherings of people (30.8%) with the vast majority reporting to have worn a mask when going out (84.6%) and washing their hands with running water and soap frequently as recommended (73.1%). In multiple logistic regression analyses, the COVID-19 knowledge score (OR: 0.39-0.40, 95%CI: 0.26 – 0.62, P<0.05) was significantly associated with a lower likelihood of negative preventive practices towards COVID-19.Conclusions: The participants in this study showed good knowledge, positive attitudes, and good practices toward COVID-19. There is still a need to strategize and implement periodic educational interventions and training on infection control practices among healthcare workers including students. 


2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Linda Abou-Abbas ◽  
Zeina Nasser ◽  
Youssef Fares ◽  
Mohammad Chahrour ◽  
Rana El Haidari ◽  
...  

Abstract Background As the Coronavirus disease 2019 (COVID-19) pandemic continues to evolve, physicians must be equipped with adequate knowledge, skills on the prevention measures, and confidence in diagnosing and treating COVID-19 patients. Therefore, it is of great interest to assess the knowledge and practices of Physicians to identify existing gaps and improve occupational safety and viral surveillance. Methods A cross-sectional study was conducted in Lebanon between 28th March and 11th April 2020. Data was collected through an online survey that included information on socio-demographic characteristics, knowledge, practice, physicians fear towards COVID-19 as well as their perceptions regarding actions/policies implemented by the Ministry of Public Health (MOPH) and their health care facilities. Multivariable logistic regression analyses were carried out to identify the factors associated with good knowledge of COVID-19 and good practice toward its prevention. Adjusted odds ratio and their 95% confidence intervals were reported. Results Our survey revealed that the majority of Lebanese physicians had good knowledge about the disease (89.5%) while approximately half of the respondents adopted good preventive practices (49.7%). The odds of having good knowledge was 2.16 times higher among physicians aged 40 and above (adjusted OR = 2.16 with a 95% confidence interval (CI) of 1.08 to 4.34) compared to their counterparts aged less than 40 years old. Our results also showed that the odds of good practice was 2 times higher among frontline compared to the second line workers (adjusted OR = 2.01 with 95% CI of 1.21 to 3.34). Physicians with an experience of 10 years and above were 3.35 times more likely to have good practice compared to their counterparts (adjusted OR = 3.35 with 95% CI of 1.60 to 7.02). Finally, participants with good knowledge of COVID-19 were 2.04 times more likely to have a good practice (OR = 2.04 with 95% CI of 1.01 to 4.12). Conclusion Lebanese physicians revealed a good level of knowledge; however, they had limited comprehension of the precautionary measures that protect them from this virus. Our findings have important implications for the development of strategies suitable for improving the level of practice among physicians and enhance prevention programs.


Author(s):  
José Tuells ◽  
Cecilia M. Egoavil ◽  
Isabel Morales-Moreno ◽  
Elena Fortes-Montoya ◽  
Carlos Salazar-García ◽  
...  

Health professionals are the most influential and main sources of information about vaccines for the general population, as they are regarded as role models by patients and society. The objective of the present study was to determine the knowledge and attitudes of a group of university Nursing students about vaccines, as well as their sources of information and their education needs. A cross-sectional study was performed through a questionnaire (55 items) provided to Nursing students at two Spanish universities. A total of 1122 students participated in the study. The mean score obtained for knowledge about vaccines was 44.6 ± 4.3, and for attitudes towards vaccines, it was 37.2 ± 3.9. Hepatitis B (94.7%) and the Flu (89%) are the two main vaccines they should receive as health workers. The main source of information was the family environment (65.6%). Most of them considered that post-graduate education about vaccines should be provided by academic entities (universities, 62.7%). Among the health professionals, Nurses (85.5%) must be better educated and trained on the subject of vaccines. It is therefore necessary to delve into and complete the nurses’ training on vaccines, to educate them about the risks at the individual level, and their decisive role as promoters of the vaccination strategy for the general population. Universities must become the leaders in vaccine education and training.


2021 ◽  
Vol 9 ◽  
Author(s):  
Courtney Byrd-Williams ◽  
Mollie Ewing ◽  
E. Lee Rosenthal ◽  
Julie Ann St. John ◽  
Paige Menking ◽  
...  

The COVID-19 pandemic has required the professional healthcare workforce not only to adjust methods of delivering care safely but also act as a trusted sources of information during a time of uncertainty and rapid research and discovery. The Community Health Worker COVID-19 Impact Survey is a cross-sectional study developed to better understand the impact of COVID-19 on this sector of the healthcare workforce, including training needs of those working through the pandemic. The survey was distributed in Texas, New Mexico, and Arizona. This study focuses on Texas, and the data presented (n = 693) is a sub-set of qualitative data from the larger survey. Results of the content analysis described in this paper are intended to inform current COVID-19-related CHW training curriculum, in addition to future infectious disease prevention and preparedness response trainings.


Author(s):  
Ameneh Marzban ◽  
Vahid Rahmanian ◽  
Azam Namdar ◽  
Marzieh Zamani

Introduction: Health information seeking and knowledge acquisition play an important role in the management of chronic diseases such as hypertension. The purpose of this study was to determine the information sources used by hypertensive patients in self-management of patients referred to Jahrom... health centers. Methods: This cross-sectional study was performed on 396 hypertensive patients who were selected by cluster sampling from six urban-rural health centers of Jahrom City in 2016. Data gathering tool was a 17-question researcher-made questionnaire that was used after validation and reliability. Data were analyzed using descriptive statistics and chi-square test by SPSS version 16 software. Results: 61.40% (243 patients) of patients with hypertension had information about their disease after developing hypertention. Most of their information sources were physicians and health workers 60.02% (236 people), family and friends 31.12% (122 people) and other patients 25.8% (101 people) and mass media 24.51% respectively. 96 people). 35.4% (n = 86) of patients admitted that this acquisition of knowledge has decreased their referrals to specialized levels  The most important reasons for not obtaining information in 35.29% (140 people) were difficulty and lack of access to information resources. Conclusion: The results of this study showed a relatively high and good knowledge of the patients after the disease. The most frequently used sources of information were physicians and health workers. Therefore, it is imperative that health professionals use effective ways of transmitting information to these people.


2018 ◽  
Vol 2 (4) ◽  
pp. 654-662
Author(s):  
Yanuarita Tursinawati ◽  
Wijayanti Fuad

Abstrak Pengetahuan, sikap dan tindakan yang baik oleh tenaga kesehatan seperti dokter dalam upaya strategi pencegahan thalassemia sangat diperlukan, karena dokter yang berperan sebagai penyampai informasi kepada masyarakat. Penelitian ini bertujuan untuk mengetahui tingkat pengetahuan, sikap dan tindakan mahasiswa kedokteran tentang pencegahan thalassemia. Penelitian dengan pendekatan cross sectional study ini melibatkan 96 mahasiswa angkatan tahun I s.d IV, di Fakultas Kedokteran, Universitas Muhammadiyah Semarang antara bulan April-Juni 2018. Analisis pengetahuan, sikap, tindakan terhadap thalasemia menggunakan kuesioner. Skor tiap angkatan dibandingkan dengan uji Kruskal wallis, hubungan antara skor sikap, tindakan dengan pengetahuan diuji dengan regresi linier sederhana. Sebanyak 42,7 % mahasiswa memiliki pengetahuan yang baik, mayoritas memiliki sikap yang positif (72,9%), tindakan yang baik (91,7%). Sebagian besar (70,8%) memiliki rencana untuk memeriksakan status karier thalassemia, namun lebih memilih menunda pemeriksaan sampai saat akan menikah (58,3%). Terdapat hubungan yang signifikan (P=0,023) antara sikap dengan pengetahuan dan antara tindakan dengan pengetahuan (p=0,039). Mahasiswa memiliki pengetahuan, sikap dan tindakan yang baik tentang pencegahan thalassemia serta tingkat pengetahuan mempengaruhi sikap dan tindakan mahasiswa.   Abstract Adequate knowledge, attitudes and practice by health workers such as doctors in thalassemia prevention strategies are needed, because doctors as informers to the public. This study aims to determine knowledge, attitudes and practice of medical students about thalassemia. This study was a cross sectional study involving 96 students from grade year I to IV, at the Faculty of Medicine, University of Muhammadiyah Semarang between April-June 2018. Analysis of knowledge, attitudes, practice against thalassemia used a questionnaire. The score of each grade was compared using Kruskal Wallis, relationship between attitude, practice with knowledge was analyzed with simple linear regression. A total of 42.7% of students had good knowledge, the majority had a positive attitude (72.9%), good practice (91.7%). Most (70.8%) had plans to check thalassemia career status, but prefered to postpone until get married (58.3%). There was a significant relationship (p = 0.023) between attitudes with knowledge and between practice with knowledge (p = 0.039). Students have good knowledge, attitudes and practice and level of knowledge influences their attitudes and practice.  


Author(s):  
Sofia Pappa ◽  
Joshua Barnett ◽  
Ines Berges ◽  
Nikolaos Sakkas

The burden of the COVID-19 pandemic on health systems and the physical and mental health of healthcare workers (HCWs) has been substantial. This cross-sectional study aims to assess the effects of COVID-19 on the psychological wellbeing of mental health workers who provide care to a vulnerable patient population that have been particularly affected during this crisis. A total of 387 HCWs from across a large urban mental health service completed a self-administered questionnaire consisting of socio-demographic, lifestyle and work-based information and validated psychometric scales. Depression and anxiety were measured using the Patient Health Questionnaire (PHQ-9) and the Generalized Anxiety Disorder Scale (GAD-7), respectively; sleep problems with the Athens Insomnia Scale (AIS); burnout with the Maslach Burnout Inventory (MBI); and resilience with the Resilience Scale-14 (RS-14). Multivariable logistic regression analysis was performed to determine potential mediating factors. Prevalence of burnout was notable, with 52% recording moderate/severe in Emotional Exhaustion, 19.5% moderate/severe in Depersonalisation, and 55.5% low/moderate Personal Accomplishment. Over half of all respondents (52%) experienced sleep problems; the presence of depressive symptoms was a significant predictor of insomnia. An increase in potentially harmful lifestyle changes, such as smoking, alcohol consumption and overeating was also observed. However, high Resilience was reported by 70% of the samples and the importance of this is highlighted. Female gender was associated with increased levels of depression and emotional exhaustion while those with a history of mental health conditions were most at risk of affective symptoms, insomnia, and burnout. Overall, our study revealed considerable levels of psychological distress and maladaptive coping strategies but also resilience and satisfaction with organizational support provided. Findings can inform tailored interventions in order to mitigate vulnerability and prevent long-term psychological sequelae.


Author(s):  
Katarzyna Kwiatkowska ◽  
Katarzyna Kosińska-Kaczyńska ◽  
Izabela Walasik ◽  
Agnieszka Osińska ◽  
Iwona Szymusik

Background: No specific physical activity guidelines are available for women in multiple pregnancy. Aim of the study was to assess the knowledge and experience of women regarding physical activity during their latest twin pregnancy. Methods: A cross-sectional study including women after a twin delivery was conducted in Poland. A questionnaire was distributed in 2018 via web pages and Facebook groups designed for pregnant women. Results: 652 women filled out the questionnaire completely. Only 25% of women performed any physical exercises during twin gestation. The frequency of preterm delivery was similar in physically active and non-active participants. 35% of the respondents claimed to have gained information on proper activity from obstetricians during antenatal counselling while 11% claimed to be unable to identify the reliable sources of information. 7% of women admitted to feel discriminated by social opinion on exercising during a twin pregnancy. Conclusions: The population of women with a twin gestation is not sufficiently physically active and is often discouraged from performing exercises during gestation. Therefore, it is crucial to inform obstetricians to recommend active lifestyle during a twin gestation and to provide reliable information on physical activity to pregnant women. Further research on this topic is necessary in order for obstetric providers to counsel women on appropriate exercise with a twin pregnancy.


BMJ Open ◽  
2021 ◽  
Vol 11 (7) ◽  
pp. e046638
Author(s):  
Sk Masum Billah ◽  
Abdullah Nurus Salam Khan ◽  
S M Rokonuzzaman ◽  
Nafisa Lira Huq ◽  
Marufa Aziz Khan ◽  
...  

Study objectiveTo evaluate the competency of trained health workers in detecting and managing hypertensive disorders of pregnancy during routine antenatal check-ups (ANCs) at primary care facilities in Bangladesh.Study design and settingsCross-sectional study; conducted in 26 primary care facilities.Outcome measuresAccurate diagnosis of the hypertensive disorders of pregnancy.MethodIn total 1560 ANC consultations provided by primary health workers, known as Family Welfare Visitors (FWVs), were observed using a structured checklist between October 2017 and February 2018. All consultations were reassessed by study physicians for validation.ResultOf the ‘true’ cases of gestational hypertension (n=32), pre-eclampsia (n=29) and severe pre-eclampsia (n=16), only 3%, 7% and 25%, respectively, were correctly diagnosed by FWVs. Per cent agreement for the diagnosed cases of any hypertensive disorders of pregnancy was 9% and kappa statistics was 0.50 (p value 0.0125). For identification of any hypertensive disorders by FWVs, sensitivity and positive predictive values were 14% and 50%, respectively. There was a moderate positive correlation between the blood pressure measurements taken by FWVs and study physicians. Only 27% of those who had ‘some protein’ in urine were correctly identified by FWVs. Women diagnosed with any of the hypertensive disorders of pregnancy by FWVs were more likely to be counselled on at least one danger sign of pre-eclampsia (severe headache, blurring of vision and upper abdominal pain) than those without any such diagnosis (41% vs 19%, p value 0.008). All four cases of severe pre-eclampsia diagnosed by FWVs were given a loading dose of intramuscular magnesium sulphate and three among them were referred to a higher facility.ConclusionThe FWVs should be appropriately trained on risk assessment of pregnant women with particular emphasis on accurately assessing the diagnostic criteria of hypertensive disorders of pregnancy and its management.


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