scholarly journals Knowledge, attitudes and practices regarding antimicrobial use and resistance among communities of Ilala, Kilosa and Kibaha districts of Tanzania

Author(s):  
Calvin Sindato ◽  
Leonard E. G. Mboera ◽  
Bugwesa Z. Katale ◽  
Gasto Frumence ◽  
Sharadhuli Kimera ◽  
...  

Abstract Background Antimicrobial resistance (AMR) represents one of the biggest threats to health globally. This cross-sectional study determined knowledge, attitudes and practices (KAP) regarding antimicrobial use (AMU) and AMR among communities of Ilala, Kilosa and Kibaha in Tanzania. Method A semi-structured questionnaire was used to collect socio-demographic and KAP data through face-to-face interviews. Responses related to the triad of KAP were assigned scores that were aggregated for each participant. Linear regression analysis was conducted to determine predictors of KAP scores. Results The study enrolled 828 participants from the three districts. A total of 816 (98.6%) were aware of antimicrobials, and 808 (99%, n = 816) reported to have used them. Antimicrobials were mainly used to treat cough (68.0%), urinary tract infections (53.4%), diarrhoea (48.5%) and wounds (45.2%). The most frequent sources of antimicrobials were health facility (65.0%, n = 820) and pharmacies/basic drug shops (53.7%). The median AMU knowledge score was 5 (IQR = 4, 7) and that of AMR was 26 (IQR=23, 29). The median AMU attitudes score was 32 (IQR: 29, 35) and that of AMR was 19 (IQR=17, 22). The median AMU practice score was 3 (IQR: 3, 3). The KAP scores were significantly influenced by increased participant’s age (βadj=0.10; 95% CI: 0.05, 0.15) and level of education, being lower among those with primary education (βadj=5.32; 95% CI: 3.27, 7.37) and highest among those with college/university education (βadj=9.85; 95% CI: 6.04, 13.67). Conclusion The study documented a moderate level of KAP regarding AMU and AMR in the study districts. The participant's age and level of education were significantly associated with participant's KAP scores. The observed inadequate knowledge, inappropriate attitude, and practices of AMU and AMR should be considered as alarming problems that require immediate actions including policy formulation and planning of community-based mitigation measures.

2020 ◽  
Author(s):  
Calvin Sindato ◽  
Leonard EG Mboera ◽  
Bugwesa Z Katale ◽  
Gasto Frumence ◽  
Sharadhuli Kimera ◽  
...  

Abstract Background: Antimicrobial resistance (AMR) represents one of the biggest threats to health globally. This cross-sectional study determined knowledge, attitudes and practices (KAP) regarding antimicrobial use (AMU) and AMR among communities of Ilala, Kilosa and Kibaha in Tanzania. Method: A semi-structured questionnaire was used to collect socio-demographic and KAP data through face-to-face interviews. Responses related to the triad of KAP were assigned scores that were aggregated for each participant. Linear regression analysis was conducted to determine predictors of KAP scores. Results: The study enrolled 828 participants from the three districts. A total of 816 (98.6%) were aware of antimicrobials, and 808 (99%, n=816) reported to have used them. Antimicrobials were mainly used to treat cough (68.0%), urinary tract infections (53.4%), diarrhoea (48.5%) and wounds (45.2%). The most frequent sources of antimicrobials were health facility (65.0%, n=820) and pharmacies/basic drug shops (53.7%). The median AMU knowledge score was 5 (IQR=4, 7) and that of AMR was 26 (IQR=23, 29). The median AMU attitudes score was 32 (IQR: 29, 35) and that of AMR was 19 (IQR=17, 22). The median AMU practice score was 3 (IQR: 3, 3). The KAP scores were significantly influenced by increased participant’s age (βadj=0.10; 95% CI: 0.05, 0.15) and level of education, being lower among those with primary education (βadj=5.32; 95% CI: 3.27, 7.37) and highest among those with college/university education (βadj=9.85; 95% CI: 6.04, 13.67). Conclusion: The study documented a moderate level of KAP regarding AMU and AMR in the study districts. The participant's age and level of education were significantly associated with participant's KAP scores. The observed inadequate knowledge, inappropriate attitude, and practices of AMU and AMR should be considered as alarming problems that require immediate actions including policy formulation and planning of community-based mitigation measures.


Author(s):  
Mohammad Asadul Habib ◽  
M. Ashraful Islam ◽  
Lincon Chandra Shill ◽  
Mahamuda Akter ◽  
Shamima Sultana ◽  
...  

Background: Food-borne disease outbreaks remain a major global health problem, and cross-contamination from raw meat is a major cause in developed countries due to inadequate handling. The goal of this study was to assess the poultry shop personnel's knowledge, attitudes, and practices (KAP) in the selected districts of Bangladesh.Methods: 103 poultry shop personnel were involved in this cross-sectional study.Results: A significant association was observed between the poultry shop personnel and the knowledge (p<0.05), attitudes (p<0.05), and practices (p<0.05) of safe meat-handling. The 68.3% of poultry shop personnel had good, 26.9% had moderate, while only 4.8% of poultry shop personnel had poor knowledge about hygiene practices. The 5.8% of poultry shop personnel showed poor, 19.2% showed moderate and 75% of poultry shop personnel showed good attitude towards hygiene practices. But the poultry shop personnel 36.5% had poor, 44.2% had moderate and only 20% showed good practice of hygiene practices. The knowledge, attitude and practice Mean±SD score of poultry shop personnel was 7.38±2.04, 7.87±2.24 and 4.41±2.38 respectively, indicating that poultry shop personnel had good knowledge and attitude but poor practice. We also found that 42% of poultry shops and poultry shop personnel had maintained totally unhygienic workplace, 56% had moderately hygienic, and while only 2% poultry shops and poultry shop personnel had maintained fully hygienic workplace. Further, linear regression analysis revealed that KAP levels have been significantly associated with age, education, and the majority of knowledge, attitudes, and practice related questions (p<0.05).Conclusions: Public health awareness about safe poultry meat handling and hygiene among poultry shop personnel, in general, should be at the front burner.


Author(s):  
Sima Rugarabamu ◽  
Mariam Ibrahim ◽  
Aisha Byanaku

AbstractBackgroundThe COVID-19 pandemic is a global health and societal emergency that requires the adoption of Unprecedented measures to control the rapid spread of the ongoing COVID-19 epidemic. Residents’ adherence to control measures is affected by their knowledge, attitudes, and practices (KAP) towards the disease, therefore. This study was carried out to investigate KAP towards COVID-19 KAP among residents in Tanzania during the April –May 2020 period of the epidemic.MethodsThis was a cross-sectional study that involved a sample of online Tanzanian residents who was recruited randomly by sending an invitation asking to answer my survey”. Survey Monkey tool was used to develop a link and KAP questionnaire for data collection. Participants self-selected themselves when they choose to answer the questionnaire. The questionnaire assessed demographic characteristics of participants, Knowledge, attitude, and practice toward COVID. simple descriptive to complex analyses of multivariate was carried out using SPSS 17.ResultsFour hundred residents completed a survey. The mean age of study participants was 32 years, and majorities were females 216 (54.0%). There were no significant differences in demographic variables (p>0.3). Those who held a bachelor’s degree or above (60.3%) had a more correct score. Overall, (84.4%) of participants had good knowledge which was significantly associated with education level (p=0.001). Nearly all of the participants (96.0%) had confidence that COVID-19 will be eliminated. The majority of the respondents (77%) did not go to a crowded place in recent days. Multiple linear regression analysis showed that male gender, age-group of 16-29 years, and education of secondary or lower were significantly associated with lower knowledge score.ConclusionOur findings revealed good knowledge, optimistic attitudes, and appropriate practices towards COVID-19. Suggesting that a community-based health education program about COVID-19 is helpful and necessary to control the disease.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Alyne Gomes da Vitória ◽  
Jhenifer de Souza Couto Oliveira ◽  
Louise Caroline de Almeida Pereira ◽  
Carolina Perim de Faria ◽  
Jackline Freitas Brilhante de São José

Abstract Background The adoption and evaluation of good practices in food handling in food service are essential to minimizing foodborne diseases. The present study aimed to evaluate food safety knowledge, attitudes, and practices of food handlers in schools in Vitória, Brazil. Methods A cross-sectional study was carried out in the school food services of the municipal network of Vitória-ES. The sample of food handlers was obtained by convenience and comprised food handlers involved with preparation and other kitchen-related activities. The instrument consisted of a structured questionnaire with 36 six questions that included sociodemographic characteristics, knowledge, attitudes, and practices (KAP) related to good practices and food safety. The questionnaire was answered by 172 food handlers. Pearson correlation test, T-test, Tukey’s test and multiple linear regression analysis were conducted. Data entry and analysis were done using SPSS v.20 software. Results Most of the participants were female (96.5%, n = 166), were 40 to 49 years old (44.8%, n = 78), attended high school (57.9%, n = 99), had up to 5 years of experience in the role (39.5%, n = 68). Some of them had participated at least 4 times in training (74.4%, n = 128) of which the most recent session had occurred within 3 months (52.0%, n = 44). The lowest score was obtained for knowledge (7.1 ± 1.22). All the models presented significant results for the F-test. This result show good model fit and results ranging from 1.5 to 2.5 on the Durbin Watson test of residual autocorrelation. The linear regression analysis allowed us to identify that the knowledge score increased with experience, but it was significant only for those who had spent up to 10 years in the role. The knowledge score was associated with experience and training time. Attitudes were significantly related to the schooling and training time. The increase in the classification of practices is shown only through a classification of attitudes. Conclusions Although the food handlers’ knowledge level in general was considered as sufficient, it was inferior to their scores for attitudes and practices regarding certain food safety concepts. Food safety training is ongoing in these units and covers the main aspects that favour the transformation of knowledge into appropriate attitudes and practices.


Antibiotics ◽  
2021 ◽  
Vol 10 (2) ◽  
pp. 137
Author(s):  
Budh Siltrakool ◽  
Ilhem Berrou ◽  
David Griffiths ◽  
Saleh Alghamdi

Thailand spends $203 million on antibiotics every year, and patients can still access antimicrobials over the counter without a prescription. Community pharmacy plays a pivotal role in improving access and ensuring the appropriate use of antimicrobials. However, little is known about current practices in this setting. This study aims to assess Thai community pharmacists’ knowledge, attitudes and practices (KAP) regarding antimicrobials’ use and resistance. A cross-sectional study was conducted in Bangkok and Chonburi province in 2017 using an online self-administered questionnaire. The questionnaire was completed by 372 community pharmacists (71.4% response rate). The most commonly encountered infections in the community were upper and lower respiratory tract infections. The most commonly dispensed antimicrobials were broad-spectrum antibiotics including aminopenicillins and fluoroquinolones. Thai pharmacists have a good knowledge, attitude, and practice regarding antimicrobials’ use and resistance. They dispense anti-microbials in line with local guidelines, although international guidelines may not indicate anti-biotics for viral self-limiting infections. While community pharmacy in Thailand could be the most accessible healthcare resource for patients, inappropriate provision of antimicrobials for self-limiting viral infections by pharmacists will increase antimicrobial resistance. This highlights the need for updated guidance and improved pharmacists’ training.


2021 ◽  
Vol 9 (1) ◽  
pp. 35-35
Author(s):  
Ata Mahmoodpoor ◽  
Sarvin Sanaie ◽  
Fatemeh Momen ◽  
Mohammad Ata Pourmoghaddam ◽  
Seied Hadi Saghaleini

Introduction: In recent years, there has been a growing concern about the lack of adequate nutrition Knowledge among nurses. Nutrition training in the medical curriculum and for healthcare professionals is contradictory, inadequate, and weak. Nurses are one of the most reliable sources of nutritional information for patients; and yet, little research has been done so far on nurses’ information regarding their important role in nutritional care. Our study is designed to assess the current level of Knowledge, attitudes, and practices of nurses in intensive care units (ICUs). Methods: A four-part questionnaire was used in this study. This descriptive cross-sectional study was conducted from July 2019 to July 2020. The sample size consisted of 110 nurses based on the statistical data obtained from the nursing offices of two hospitals of Tabriz University of medical science including all the nurses working in the ICUs. Thereafter, all questionnaires were re-collected and data were finally analyzed. Results: Results showed that from 110 nurses which were included in this study, 73.6% had high Knowledge, 45.5% had moderate practices, and 58.2% had a positive attitude about nutritional support. Age and level of education had a significant correlation with their knowledge (P=0.005 and P=0.001, respectively). Nursing attitude had a significant correlation with age and the level of education (P=0.03 and P=0.003). And also, nursing practice had a significant relationship with age, work experience in the ICU, and the level of education (P=0.001, P=0.001 and P=0.004, P<0.05). Conclusion: Nurses surveyed in this study had a high knowledge, moderate practice and a positive attitude regarding nutritional care in patients admitted to the ICU.


2021 ◽  
Author(s):  
Md. Abul Kalam Azad ◽  
Muhammad Zakaria ◽  
Tania Nachrin ◽  
Madhab Chandra Das ◽  
Feng Cheng ◽  
...  

Abstract Background: Considering more than 720,000 Rohingya into Bangladesh, unplanned pregnancy, and serious complications of pregnancy among refugees, this study aims to explore the knowledge, attitude, and practice (KAP) of family planning (FP) and associated factors among the Rohingya women living in the refugee camps in Cox’s Bazar, Bangladesh. Methods: Four hundred Rohingya women were investigated, and data were collected using a structured questionnaire, which included socio-demographic characteristics, awareness of contraceptive methods, knowledge, attitudes and practices on FP. Linear regression analysis was performed to identify the predictors of outcome variables. Results: Of the Rohingya refugee women, 60% were unaware that there is no physical harm in adopting a permanent method of birth control. Half of them lack proper knowledge of whether a girl was eligible for marriage before the age of 18. More than two-thirds think family planning methods should not be used without the husband’s permission. Besides, 40% were ashamed and afraid to discuss family planning matters with their husbands, considering it as a sin. Of them, 58% had the opinion that a couple should continue bearing children until a son is born. Linear regression analyses demonstrated that Racidong in Myanmar as the region of residence, being professional, number of children, physician/nurse being the source of FP knowledge, having FP interventions in the camp, participating in a FP program, visiting a health facility, and talking with a health care provider on FP were significantly associated with Rohingya women’s better KAP of FP. Conclusions: The study showed that Rohingya refugee women are a marginalized population in family planning and the comprehensive FP-KAP capability was low. Contraceptives among the Rohingyas are unpopular, mainly due to a lack of education and family planning awareness. In addition, family planning initiatives among Rohingya refugees were limited by some traditional cultural and religious beliefs. Therefore, strengthening FP interventions and increasing the accessibility to essential health services and education are indispensable in order to improve maternal health among refugees.


2020 ◽  
Author(s):  
Huiming Gao ◽  
Rujun Hu ◽  
Ling Yin ◽  
Xiaoli Yuan ◽  
Hao Tang ◽  
...  

Abstract Background: Coronavirus disease (COVID-19) has become a pandemic. The knowledge, attitudes, and practices (KAP) of the public play a major role in the prevention and control of infectious diseases. The objective of the present study was to evaluate the KAP of the Chinese public and to assess potential influencing factors related to practices.Methods: A cross-sectional online survey was conducted in China in February 2020 via a self-designed questionnaire comprising 33 questions assessing KAP.Results: For the 2,136 respondents from 30 provinces or municipalities in China, the accurate response rate for the knowledge section ranged from 72.7% to 99.5%, and the average was 91.2%. Regarding attitude section, the percentage of positive attitudes (“strongly agree” and “agree”) ranged from 94.7% to 99.7%, and the average value was 98.0%. The good practices (“always” and “often”) results ranged from 76.1% to 99.5%, and the average value was 96.8%. The independent samples t-test revealed that gender and ethnic differences had no effect on knowledge, attitude or behaviour (P>0.05). However, knowledge was associated with age (t=4.842, p<0.001), marital status (t=-5.323, p<0.001), education level (t=8.441, p<0.001), occupation (t=-10.858, p<0.001), and place of residence (t=7.929, p<0.001). Similarly, attitude was associated with marital status (t=-2.383, p=0.017), education level (t=2.106, p=0.035), occupation (t=-4.834, p<0.001), and place of residence (t=4.242, p<0.001). The multiple linear regression analysis results showed that the factors influencing practices were knowledge (t=-3.281, p=0.001), attitude (t=18.756, p<0.001), occupation (t=-3.860, p<0.001), education level (t=3.136, p=0.002), and place of residence (t=3.257, p=0.001).Conclusions: The Chinese public exhibited a good level of knowledge of COVID-19, a positive attitude, and high adherence to good practices. COVID-19-related knowledge, attitudes and practices were affected by age, marital status, education level, occupation, and place of residence to varying degrees. In addition, practices were affected by knowledge and attitudes towards COVID-19.


2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Huiming Gao ◽  
Rujun Hu ◽  
Ling Yin ◽  
Xiaoli Yuan ◽  
Hao Tang ◽  
...  

Abstract Background Coronavirus disease (COVID-19) has become a pandemic. The knowledge, attitudes, and practices (KAP) of the public play a major role in the prevention and control of infectious diseases. The objective of the present study was to evaluate the KAP of the Chinese public and to assess potential influencing factors related to practices. Methods A cross-sectional online survey was conducted in China in February 2020 via a self-designed questionnaire comprising 33 questions assessing KAP. Results For the 2136 respondents from 30 provinces or municipalities in China, the accurate response rate for the knowledge section ranged from 72.7 to 99.5%, and the average was 91.2%. Regarding attitude section, the percentage of positive attitudes (“strongly agree” and “agree”) ranged from 94.7 to 99.7%, and the average value was 98.0%. The good practices (“always” and “often”) results ranged from 76.1 to 99.5%, and the average value was 96.8%. The independent samples t-test revealed that gender and ethnic differences had no effect on knowledge, attitude or behaviour (P > 0.05). However, knowledge was associated with age (t = 4.842, p < 0.001), marital status (t = − 5.323, p < 0.001), education level (t = 8.441, p < 0.001), occupation (t = − 10.858, p < 0.001), and place of residence (t = 7.929, p < 0.001). Similarly, attitude was associated with marital status (t = − 2.383, p = 0.017), education level (t = 2.106, p = 0.035), occupation (t = − 4.834, p < 0.001), and place of residence (t = 4.242, p < 0.001). The multiple linear regression analysis results showed that the factors influencing practices were knowledge (t = − 3.281, p = 0.001), attitude (t = 18.756, p < 0.001), occupation (t = − 3.860, p < 0.001), education level (t = 3.136, p = 0.002), and place of residence (t = 3.257, p = 0.001). Conclusions The Chinese public exhibited a good level of knowledge of COVID-19, a positive attitude, and high adherence to good practices. COVID-19-related knowledge, attitudes and practices were affected by age, marital status, education level, occupation, and place of residence to varying degrees. In addition, practices were affected by knowledge and attitudes towards COVID-19.


Sign in / Sign up

Export Citation Format

Share Document