scholarly journals Physicians as viral hepatitis advocates: empowerment through education

2021 ◽  
Vol 8 (6) ◽  
pp. 819
Author(s):  
Aayushi Rastogi ◽  
Sabin Syed ◽  
Ekta Gupta ◽  
Akanksha Bansal ◽  
Mohit Varshney ◽  
...  

Background: Viral hepatitis is the most serious infections due to its asymptomatic nature for a long period and complications like liver cirrhosis and hepato cellular carcinoma. Also, available literatures suggest low vaccination status, poor to moderate knowledge about prevention and management of viral hepatitis. Moving forward, physicians can act as advocates in disseminating the correct knowledge about prevention and transmission of viral hepatitis. With this background one-day training program for physicians was conceptualised under project PRAKASH to educate and empower them about prevention and management of viral hepatitis.Methods: A pre-post study design was undertaken among the physicians who registered themselves for hepatitis induction program. An online link to the knowledge, attitude and practice (KAP) questionnaire consisted of 59 questions of knowledge (35 questions), attitude (12 questions) and practice (12 questions) along with demographic variables was shared with the registered participants. Same knowledge questions were asked during post-test. Paired-t-test and Independent samples t-test were used in analysis using statistical package for the social sciences (SPSS) v-21. Level of significance was taken at p<0.05.Results: A total of 204 clinicians were trained over five training and pre-post was available for 170 participants. The mean knowledge, attitude and practice scores were found to be 25.11±4.85, 50.17±6.86, 20.18±3.90 out of total score of 35, 60 and 24 respectively. Post knowledge score had increased significantly when compared with pre-score. Pre-knowledge score was found significant with experience level.Conclusions: Overall, study observed significant improvement of knowledge among physicians which can be attributable to training program and this program can be up scaled and help in empowering the physicians on various health-related topics across the country.

PLoS ONE ◽  
2021 ◽  
Vol 16 (6) ◽  
pp. e0253539
Author(s):  
Aayushi Rastogi ◽  
Sapna Chauhan ◽  
Archana Ramalingam ◽  
Madhavi Verma ◽  
Seena Babu ◽  
...  

Background Lack of awareness about viral hepatitis (VH) potentially predisposes the healthcare workers (HCWs) to a higher risk of infection and may in turn increase the risk of transmission of the infection to their families and in the community. Thus, combating VH, requires adequate and updated training to the HCWs. With this objective, Project PRAKASH designed a meticulously planned training program, aimed to assess the effect of a one-day training on VH among in-service nurses. Methods and material The content and schedule of scientific sessions of the training program were decided by subject experts to improve knowledge, attitude and practice(KAP) related to VH among in-service nurses. A 54-item questionnaire divided into four domains: Transmission and Risk Factors; Prevention; Treatment; Pathophysiology and Disease Progression were used to assess the KAP related to VH. The questionnaire consisted of four sections: demographic details, knowledge(30-items), attitude(12-items) and practice(12-itmes) with a total score of 30, 60 and 24 respectively in each section. The pre-post knowledge assessment was done and impact assessment survey was undertaken among the participants who completed six months post-training period. Paired-t-test was used to assess the effect of training on knowledge using SPSSv-22. Results A total of 5253 HCWs were trained through 32 one-day trainings, however data for 4474 HCWs was included in final pre-post knowledge analysis after removing the missing/incomplete data. Mean age of participants was 33.7±8.4 with median experience of 8(IQR: 3–13). Mean improvement in knowledge score was found to be significant (p<0.001) with mean knowledge score of 19.3±4.4 in pre-test and 25.7±3.9 in the post-test out of 30. Impact assessment survey suggested change in attitude and practice of HCWs. Conclusion The one-day training programs helped the in-service nurses to enhance their knowledge related to viral hepatitis. The study provided a roadmap to combating viral hepatitis through health education among HCWs about viral hepatitis.


Author(s):  
Pranav Keshan ◽  
Sapna Chauhan ◽  
Sabin Syed ◽  
Aayushi Rastogi ◽  
Akanksha Bansal

Aims: The aim of the study was to assess the current Knowledge, Attitude and Practice (KAP) of laboratory technicians about viral hepatitis and to assess the effect of one day training on knowledge levels of the participants. Study Design: Pre-post design. Place and Duration of Study: Institute of Liver and Biliary Sciences New Delhi and October 2018 to September 2019. Methodology: A one-day training program titled “Hepatitis Induction Program” on viral hepatitis for laboratory technicians was conducted. The participants were provided theoretical as well as demonstrative and hands-on training about diagnostic management and prevention of viral hepatitis among laboratory technicians. An online link for KAP and Pre-post knowledge assessment questionnaire consisting 49 (KAP) questions was shared with all registered participants. Same knowledge questionnaire consisting 25 questions was shared with the participants after training. One mark was allotted for each correct response. The data was analysed using IBM-SPSS version-21. Independent samples t-test was used to assess the mean knowledge score across various demographic factors and the paired t-test was used to assess the improvement in knowledge post training. Pearson correlation coefficient was used to establish relationship between KAP score. The statistical significance was considered at 0.05. Results: A total of 151 laboratory technicians were trained in 5 one day trainings and data for KAP and pre-post assessment data was available for all 151 participants. Correlation coefficient between knowledge, attitude and practice score stated a positive correlation between knowledge and attitude (r=0.36 P<0.001), knowledge and practice (r=0.192, P<0.001), attitude and practice (r=0.425, P<0.001). Also, Mean difference between pre and post knowledge score was 3.12 which was statistically significant (P<0.001).There was no significant association observed between pre-post knowledge score and demographic characteristics. Conclusion: The study was able to reflect the significant effect of one-day training regarding diagnostic management and prevention of viral hepatitis on knowledge level of the laboratory workers. The present training program can also be up scaled and help in educating the lab technicians on various health-related topics across the country as authors have found lack of studies or training programs of this kind for the laboratory workers.


Author(s):  
Aayushi Rastogi ◽  
Sabin Syed ◽  
Tarika Sharma ◽  
Sarita Ahwal ◽  
Karthik Ponnappan T. ◽  
...  

Background: The aim of the study was to assess the effect of the training program on knowledge, attitude and practice (KAP) related to prevention and management of COVID-19.Methods: A pre-post study was conducted among healthcare workers (HCWs) attending ten-days online training program from 29 April to 30 November, 2020. A 37-item questionnaire assessing knowledge (26-items), attitude (6-items) and practice (5-itmes) was administered to the participants before and after the training program. Total score of knowledge, attitude and practice (KAP) was 27, 12 and 20 respectively. Paired t test was used to assess the effect of training on KAP. Association of pre-training KAP with demographic variables was performed using SPSSv-22.Results: A total of 1428 HCWs were trained across 25 states through nine trainings; however, the data was analysed for only 1167 HCWs (response rate: 82%). Mean age of participants was 30.96±6.62 years and 77.29% were females. Mean KAP scores in pre-training were found to be 17.46±3.24 out of 27, 9.94±1.56 out of 12 and 19.01±1.76 out of 20 respectively which significantly increased to 21.28±3.65, 10.35±1.48 and 19.37±1.49 after attending training program. Pre-knowledge score was found to be associated with age, years of experience, geographical location, type of facility, presence of COVID-19 related facilities in the place of working.Conclusions: Comprehensively designed training program enhanced the knowledge about prevention and management of COVID-19 in HCWs and also motivated them to maintain an optimistic attitude and good practices while managing the patients.


2018 ◽  
Vol 17 (1) ◽  
pp. 31-40
Author(s):  
Joni Hendri ◽  
Mara Ipa ◽  
Aryo Ginanjar ◽  
Yuneu Yuliasih ◽  
Endang Puji Astuti

ABSTRACT The filariasis mass drug administration (MDA) program is one of the strategies to eliminate lymphatic filariasis. First round coverage in Kuningan Regency was 85.4%, but only 50% of sub-districts have reached the target. The aim of this research was to determine the improvement of knowledge, attitude, and practice (KAP) of health cadres through intervention to increase the filariasis MDA coverage in Kuningan Regency. A quasi-experimental research was conducted in Cibeureum and Cibingbin Sub-District of Kuningan Regency using pretest-posttest design from May to October 2016. Selected subjects of this research were 32 health cadres who were given intervention in the form of workshop utilizing leaflets, handbooks, and video. The difference is treatment group was taught about filariasis related materials by an expert but the control group was not. Data were analyzed with paired t-test. The result showed that there was a significant difference between pre-test and post-test in terms of KAP in both groups with p-value of 0,000, but there was no difference in value between the two groups. Thus, the study concluded that training on cadres with a filariasis expert could be an effective strategy as to increase MDA coverage. Keywords: Intervention, filariasis MDA, knowledge, cadre   ABSTRAK Pemberian Obat Massal Pencegahan (POMP) merupakan salah satu strategi eliminasi filariasis di Indonesia. Hasil cakupan POMP putaran pertama di Kabupaten Kuningan mencapai 85,4% dari total target penduduk, namun hanya 50% kecamatan yang mencapainya. Tujuan penelitian ini adalah untuk mengetahui peningkatan pengetahuan, sikap dan perilaku kader setelah dilakukan intervensi dalam rangka meningkatkan cakupan pengobatan filariasis di Kabupaten Kuningan. Penelitian dilakukan di Kecamatan Cibeureum dan Cibingbin, Kabupaten Kuningan pada bulan Mei - Oktober tahun 2016 dengan eksperimen semu menggunakan desain  pretest-posttest control group. Sampel penelitian adalah 32 kader yang diberi intervensi berupa pelatihan dengan media cetak  dan video. Perbedaan antara kelompok intervensi dengan kontrol adalah bahwa kelompok intervensi diajarkan materi terkait filariasis oleh seorang ahli dan kelompok kontrol tidak diberikan pelatihan. Data dianalisis menggunakan paired t-test. Hasil penelitian menunjukkan adanya perbedaan pada skor nilai pretest-posttest pengetahuan, sikap, dan perilaku pada masing-masing kedua kelompok dengan hubungan bermakna (p-value 0,000), tetapi tidak terdapat perbedaan nilai pretest-posttest antara kelompok intervensi dan kontrol. Hal ini berarti tidak ada perbedaan yang signifikan antara kelompok intervensi dan kontrol. Kesimpulannya bahwa pelatihan pada kader menggunakan media cetak dan video dengan narasumber pakar filariasis merupakan salah satu strategi efektif untuk meningkatkan cakupan pengobatan POMP filariasis. Kata kunci: Intervensi, POMP, pengetahuan, kader


2017 ◽  
Vol 5 (9) ◽  
pp. 132-144
Author(s):  
Ibrahim Emaeldin ◽  
Fatima Fadul Ali ◽  
Mohamed Osman Elamin ◽  
Elfatih Aburass

The use of insecticide leads to considerable health hazards for people, due to direct contact during application, contamination of food or drinking water. The effects of the dispersal and negligent handling of insecticide are a significant global health problem. WHO, estimated that one million unintentional acute insecticide poisonings occurred worldwide annually. It was expected that 735,000 cases of specific chronic effects and 37,000 unspecific health effects such as forms of cancer would occur annually. This emphasizes the role of awareness as a core element in protection of handlers. The study was conducted as a quasi-experimental design in BahrI locality among Malaria Control workers  to assess the effect of health education on knowledge attitude and practice among Malaria Control Workers towards Chemical Insecticide Handling during the period of 2014- 2016 . A sample size of 80-targeted workers was taken by total Coverage due to the limited number of workers. Data was collected by questionnaire, observation, interviews and Reports and records. The methods used in intervention includes; training of trainers, lectures on insecticides hazard for human being and environment safe insecticides handling,   posters to explain the lectures , pamphlets about safe handling of insecticides and about insecticides poisoning and first aid of insecticides Poisoning  and videos to reinforce  the lectures. In addition use a comprehensive questionnaire pre and post to evaluate the effect of health education. Data collected was analyzed manually and by computer using SPSS program. The results revealed that knowledge of workers about the hazards of insecticides to human health increased from 80% in pre-test to 100% after the intervention. The results also showed there is an improvement of the positive attitude towards the prevention of insecticides hazards from 92% to 100% after intervention due to health education intervention. Health education intervention increases the positive behavior of workers regards eat, drinking and smoking while handling insecticides to 100% of Malaria Control Workers in post- test believe that insecticides enter to body through inhalation while in the pre- test percentage was85%, 90% of Workers in post- test believes that insecticides enter to body through eating and drinking during work, while in the pre- test percentage was 70% and 100% of Workers in post-test  believe that the insecticides enter to body through Skin while in the pre- test the percentage was 65 %.that was due to health education intervention The study concluded that health education had a remarkable improvement in knowledge attitude and practice among Malaria Control Workers and all those who were handling insecticides. The study recommended that extensive health education programs, training, required to improve the knowledge, attitudes and practices of all workers about Chemical Insecticide Handling in Bahri Locality. Further studies are needed to determine protective measures.


2020 ◽  
Author(s):  
Sahebjan Torkian ◽  
Firoozeh Mostafavi ◽  
Asiyeh Pirzadeh

Abstract Background:Pre-marriage counseling coupled with enriching the couple's relationships skills can lead to better relationships. New approaches and programs are being developed today to improve youth skills. Mobile app education is one of the new educational models in this field. The purpose of this study was to determine the effectiveness of mobile app intervention on knowledge, attitude and practice of youth for healthy marriage.Methods: This quasi-experimental study was conducted in 2019 on 88 young people (44 couples) who were selected by convenience sampling from youth referred to the premarital counseling center of Falavarjan city (Isfahan). At first, the pre-marriage skills training and counseling app was designed and produced, then this app was installed on the intervention group's cellphone. Data were collected using questionnaire based on the content of the app and its validity and reliability were confirmed. Data were analyzed using SPSS (20) and paired t-test and independent t-test were applied. Results:The mean (SD) of couples' age was 21.11 (5.06) years. The results showed that after installation of educational consulting app in the intervention group, the mean score of knowledge (P = 0.001), attitude (P = 0.001), and practice (P = 0.001) after intervention were significantly higher than before the intervention. Conclusion: The results of the study showed that using mobile-based educational and counseling app increases couples' knowledge, attitude and practice in pre-marital education. Therefore, it is recommended that this type of education (mobile app) be used to promote pre-marriage education classes.


2018 ◽  
Vol 9 (5) ◽  
pp. 184
Author(s):  
Satyajeet K. Pawar ◽  
Rajvardhan R. Patil ◽  
R. V. Shinde ◽  
G. S. Karande

Background: Hospital infection is one of the leading cause of public health related issue throughout the world. Hand hygiene is one of the leading measure used to prevent cross-transmission and thus to reduce health care associated infections.Aims & Objectives: To assess knowledge, attitude and practice about hand hygiene in nursing staff in medicine ICU in a tertiary health care centre.Methodology: Total 48 medicine ICU nursing staff were given open ended questionnaire on knowledge, attitude and practice of hand hygiene. Score were given for correct option and data was filled and analyzed in MS Excel softwareResults: Compliance in knowledge (62 %) and attitude (81 %) for hand hygiene was good. Performance in practice of hand hygiene was 54 % which was comparatively lower.Conclusion: Compliance of hand hygiene practice was lower compared to knowledge and attitude and needs to be addressed in the form of continued medical education. 


Author(s):  
Mohammad Khajeh ◽  
Milad Bazghaleh ◽  
Yaser Tabarraie ◽  
Reza Mohammadpourhodki ◽  
Mohsen Koushan

AbstractBackgroundThe purpose of this study was to compare the effect of the two training methods: educational workshop and electronic package on the knowledge, attitude and practice of nurses in intensive care units (ICUs).Materials and MethodsIn this experimental study, 64 nurses working in ICU at Imam Hossein and Bahar Hospitals in 2017 in Shahroud were randomly selected into two groups of training: workshops and educational package. At first, knowledge, attitude and performance of the two groups were measured and then 2 weeks after the post-test training. Data were analyzed by Fisher exact, Wilcoxon, independent t-test, Mann–Whitney test with a significance level ≤0.05.ResultsA significant difference was found between knowledge score in the workshop (10.40 ± 1.41) and educational package (11.25 ± 0.95) (p=0.007). However, No significant difference was found between the nurses attitude in the workshop group (28.59 ± 2.74) and the trained by educational package (28.25 ± 2.85) (p=0.617). Also, no significant difference was found between the mean practice scores in two groups (p=0/143).ConclusionThe results of this study indicated that the educational package was more effective than the workshop on improving the level of knowledge of nurses about physical restriction, but both methods increased the attitude and practice of nurses.


Author(s):  
Muhammad Sajid Hamid Akash ◽  
Kanwal Rehman ◽  
Komal Jabeen ◽  
Fareeha Fiayyaz ◽  
Shakila Sabir ◽  
...  

Abstract Objective: To compare the knowledge, attitude and practice regarding diabetes mellitus among diabetics and non-diabetics. Methods: The cross-sectional study was conducted at the Government College University, Faisalabad, Pakistan, from December 2017 to April 2018, and comprised subjects recruited randomly from different cities of Punjab, Pakistan. Data was collected using a predesigned structured questionnaire regarding socio-demographic characteristics, general knowledge about diabetes, perception regarding indication, risk factors, diagnosis, and complications, and practices followed for treatment and management of diabetes. Results: Of the 2,000 subjects, 972(48.6%) had family history of diabetes, 1338(66.9%) were living in urban areas, 1068(53.4%) were university graduates, 804(40.2%) were employed and 1152(57.6%) belonged to socio-economically balanced families. Composite knowledge score was significantly associated with age and socio-economic status (p<0.05). A highly significant association was observed regarding family history (p<0.001), level of education (p<0.0001) and occupation (p<0.001) with composite knowledge score. Conclusion: The knowledge level about diabetes was seen to be average. Key Words: Complications of diabetes mellitus, Diabetes knowledge, Management of diabetes mellitus, Pakistani population, Questionnaire. Continuous...


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