scholarly journals Knowledge, attitudes and practices towards viral haemorrhagic fevers amongst healthcare workers in urban and rural public healthcare facilities in the N’zérékoré Prefecture, Guinea: a cross-sectional study

2020 ◽  
Author(s):  
Manuel Raab ◽  
Lisa M. Pfadenhauer ◽  
Tamba Jacques Millimouno ◽  
Michael Hoelscher ◽  
Guenter Froeschl

Abstract Introduction: The 2013-2016 Ebola epidemic in West Africa began in Guinea’s Forest region, a region now considered to be at high risk for future epidemics of viral haemorrhagic fevers (VHF). Good knowledge, attitudes and practices towards VHF amongst healthcare workers in such regions are a central pillar of infection prevention and control (IPC). To inform future training in IPC, this study assesses the knowledge, attitudes and practices (KAP) towards VHF amongst healthcare workers in public healthcare facilities in the most populated prefecture in Forest Guinea, and compares results from urban and rural areas. Methods: In June and July 2019, we interviewed 102 healthcare workers in the main urban and rural public healthcare facilities in the N’zérékoré prefecture in Forest Guinea. We used an interviewer-administered questionnaire adapted from validated KAP surveys. Results: The great majority of respondents demonstrated good knowledge and favourable attitudes towards VHF. However, respondents reported some gaps in preventive practices such as VHF suspect case detection. They also reported a shortage of protective medical equipment used in everyday clinical work in both urban and rural healthcare facilities and a lack of training in IPC, especially in rural healthcare facilities. However, whether or not healthcare workers had been trained in IPC did not seem to influence their level of KAP towards VHF. Conclusions: Three years after the end of the Ebola epidemic, our findings suggest that public healthcare facilities in the N’zérékoré prefecture in Forest Guinea still lack essential protective equipment and some practical training in VHF suspect case detection. To minimize the risk of future VHF epidemics and improve management of outbreaks of infectious diseases in the region, current efforts to strengthen the public healthcare system in Guinea should encompass questions of supply and IPC training.

2020 ◽  
Author(s):  
Manuel Raab ◽  
Lisa M. Pfadenhauer ◽  
Tamba Jacques Millimouno ◽  
Michael Hoelscher ◽  
Guenter Froeschl

Abstract Introduction: The 2013-2016 Ebola epidemic in West Africa began in Guinea’s Forest region, a region now considered to be at high risk for future epidemics of viral haemorrhagic fevers (VHF). Good knowledge, attitudes and practices towards VHF amongst healthcare workers in such regions are a central pillar of infection prevention and control (IPC). To inform future training in IPC, this study assesses the knowledge, attitudes and practices (KAP) towards VHF amongst healthcare workers in public healthcare facilities in the most populated prefecture in Forest Guinea, and compares results from urban and rural areas. Methods: In June and July 2019, we interviewed 102 healthcare workers in the main urban and rural public healthcare facilities in the N’zérékoré prefecture in Forest Guinea. We used an interviewer-administered questionnaire adapted from validated KAP surveys. Results: The great majority of respondents demonstrated good knowledge and favourable attitudes towards VHF. However, respondents reported some gaps in preventive practices such as VHF suspect case detection. They also reported a shortage of protective medical equipment used in everyday clinical work in both urban and rural healthcare facilities and a lack of training in IPC, especially in rural healthcare facilities. However, whether or not healthcare workers had been trained in IPC did not seem to influence their level of KAP towards VHF. Conclusions: Three years after the end of the Ebola epidemic, our findings suggest that public healthcare facilities in the N’zérékoré prefecture in Forest Guinea still lack essential protective equipment and some practical training in VHF suspect case detection. To minimize the risk of future VHF epidemics and improve management of outbreaks of infectious diseases in the region, current efforts to strengthen the public healthcare system in Guinea should encompass questions of supply and IPC training.


2019 ◽  
Author(s):  
Manuel Raab ◽  
Lisa M. Pfadenhauer ◽  
Tamba Jacques Millimouno ◽  
Michael Hoelscher ◽  
Guenter Froeschl

Abstract Introduction: The 2013-2016 Ebola epidemic in West Africa began in Guinea’s Forest region, a region now considered to be at high risk for future epidemics of viral haemorrhagic fevers. Good knowledge, attitudes and practices towards viral haemorrhagic fevers amongst healthcare workers in such regions are a central pillar of infection prevention and control. To inform future training in infection prevention and control, this study assesses the knowledge, attitudes and practices (KAP) towards viral haemorrhagic fevers amongst healthcare workers in public healthcare facilities in the most populated prefecture in Forest Guinea, and compares results from urban and rural areas. Methods: In June and July 2019, we interviewed 102 healthcare workers in the main urban and rural public healthcare facilities in the N’zérékoré prefecture in Forest Guinea. We used an interviewer-administered questionnaire adapted from validated KAP surveys. Results: The great majority of respondents demonstrated good knowledge and favourable attitudes towards viral haemorrhagic fevers. However, respondents reported considerable gaps in preventive practices, a shortage of protective medical equipment used in everyday clinical work in both urban and rural healthcare facilities and a lack of training in infection control and prevention, especially in rural healthcare facilities. Conclusions: Three years after the end of the Ebola epidemic, our findings suggest that public healthcare facilities in the N’zérékoré prefecture in Forest Guinea still lack essential protective equipment and adequate training in viral haemorrhagic fever infection prevention and control. Especially rural areas seem to be affected of this lack. To minimize the risk of future viral haemorrhagic fever epidemics and other outbreaks of infectious diseases in the region, current efforts to strengthen the public healthcare system in Guinea should supply enough protective medical equipment and ensure that regular IPC trainings have a positive impact and that preventive practices are followed in everyday clinical work.


2021 ◽  
Author(s):  
najod Alshathri

Abstract Background: Infections acquired in healthcare facilities have become an increasingly challenging issue worldwide. The prevention of infectious diseases is a critical issue since healthcare workers develop acquired infections while providing services to patients. However, infection prevention and control are challenging, especially in healthcare facilities. Thus, this study aimed to determine the level of knowledge, attitudes, and practices among healthcare workers in King Khaled Eye Specialist Hospital (KKESH). Methodology: A cross-sectional survey was conducted at KKESH, total of 285 healthcare workers, including physicians, nurses, optometrists, radiographers, and ophthalmic assistants were investigated. A close-ended, self-administered questionnaire was used to assess knowledge, attitudes, and practices toward infection control prevention measures. Data analysis was performed using SPSS version 20. Chi-squared was computed to identify associations between factors within the knowledge, attitudes, and practices of infection prevention.Results: The study showed that 81% of respondents had good knowledge, 82% had a positive attitude, and only 59% had safe infection prevention practices. Doctors were more knowledgeable than other staff, and nurses showed a high level of positive attitude and safe practices. There was a statistically significant correlation between age, occupation, education, and years of experience with infection prevention practices among healthcare providers (P<0.05). The availability of infection prevention guidelines was associated with excellent knowledge, a positive attitude, and safe practices.Conclusion: The findings of this study revealed that most healthcare workers had adequate knowledge and displayed a positive attitude, but practices toward infection control were not sufficient. Therefore, regular training, that contain educational programs, should be supported to maintain the highest level of practice.


2021 ◽  
Author(s):  
Amina M. Al Marzouqi ◽  
Michael E. Otim ◽  
Heba H. Hijazi ◽  
Leena S. Kehail ◽  
Ramsha A. Kamal

Abstract Objectives: The coronavirus disease-2019 (COVID-19) outbreak is a global health pandemic that continues to have an impact on many aspects of everyday life. This study investigates the Knowledge, Attitudes, and Practices (KAP) related to COVID-19 among healthcare workers in the United Arab Emirates (UAE). Methods: This study uses a cross-sectional study design. The original data were collected using an online questionnaire distributed via a Google Forms link. Participants were healthcare workers currently working in the UAE healthcare facilities and recruited using snowball sampling. The questionnaire collected information on demographic variables and COVID-19-related knowledge, attitudes, and practice.Results: In total, the sample of 107 healthcare workers completed the survey. About 92% of the participants worked in public institutions, 87% were from Dubai, and 673% were female. The majority were aged 31–40 years (34.6%), and 43% were radiographers. 66.4% held bachelor’s degrees and Indian nationalities were (28%) and the Philippinos were (28%). Most (90.7%) participants knew the absence of fever did not mean that the virus could not transmit from an infected person, and 84.1% agreed that wearing general medical masks prevented one from contracting COVID-19. However, only 36.4% strongly believed that wearing a well-fitting face mask was effective. In addition, only 15.9% reported confidently managing patients with symptoms of COVID-19, and 54.2% reported that they were afraid of contracting the virus from patients. Almost half of the participants avoided patients who had symptoms of COVID-19. Conclusion: Overall, healthcare workers’ COVID-19-related knowledge, attitudes, and practices for healthcare workers in UAE healthcare facilities was very high. However, we found gaps in awareness regarding the spread of the pandemic. Our study recommends that providing healthcare workers with education programs and counseling services would help increase their confidence in treating patients with COVID-19.


2021 ◽  
Author(s):  
Amina M. Al Marzouqi ◽  
Michael E. Otim ◽  
Leena S. Kehail ◽  
Ramsha A. Kamal

Abstract Background: Coronavirus disease (COVID-19 Pandemic) is an infectious disease caused by the SARS-CoV-2 virus. It is a global health issue that continues to have an impact on many aspects of everyday life. A new variant, Omicron variant, has just been detected in Southern Africa. Most countries are jittery and unsure what the impact of this new variant will be. This study, undertaken in 2021, investigated the Knowledge, Attitudes, and Practices (KAP) related to the COVID-19 Pandemic among healthcare workers in the United Arab Emirates (UAE).Methods: We used an online questionnaire to collect data using the Google Forms link in this cross-sectional study. The participants included healthcare workers currently working in UAE healthcare facilities using snowball sampling. The questionnaire contained information on demographic variables and COVID-19 Pandemic-related KAP.Results: Among the participants, the majority (90.7%) knew that the absence of fever did not mean there was no chance of transmission from an infected person. Further, 84.1% agreed that wearing general medical face masks helps prevent one from contracting COVID-19 Pandemic. However, only 36.4% strongly believed that wearing a well-fitting face mask was effective. In addition, only 15.9% reported confidently managing patients with symptoms of COVID-19 Pandemic, while 54.2% indicated they were afraid of contracting the virus from patients. Almost half the participants noted that they avoided patients who had symptoms of the COVID-19 Pandemic. Conclusion: Overall, the COVID-19 Pandemic-related KAP for healthcare workers in UAE healthcare facilities was very high. However, we found gaps in awareness regarding the spread of the virus. We recommend providing healthcare workers with education programs and counseling services to help increase their confidence in treating patients with the COVID-19 Pandemic.


2021 ◽  
Vol 9 ◽  
Author(s):  
Daniela Lucía Mendoza Millán ◽  
Fhabián Stevens Carrión-Nessi ◽  
Mario Daniel Mejía Bernard ◽  
María Victoria Marcano-Rojas ◽  
Óscar Daniel Omaña Ávila ◽  
...  

Background: The deterioration of Venezuela's health system in recent years undoubtedly contributes to an increased impact of the COVID-19 pandemic. Understanding healthcare workers' (HCWs) knowledge, attitudes, and practices (KAPs) toward COVID-19 in the early stages of the pandemic could inform their medical training and improve their preparedness.Methods: A online national cross-sectional survey was conducted between May 26th and May 30th, 2020, to assess KAPs among HCWs in Venezuela.Results: A total of 1,441 HCWs from all 24 regions of the country responded to the survey. The mean age of the HCWs was 44 (SD [standard deviation] 14) years; most were women (66.4%). Most HCWs were specialized doctors (48%), followed by nurses (13%) and resident doctors (12.3%). The majority of HCWs had good knowledge (76.3%), obtained information mainly from scientific literature (85.4%); had negative attitudes (53.6%), felt uncomfortable with their work during the current pandemic (59.8%); and reported appropriate practices (76.9%). However, participation in COVID-19 related training was absent in more than half of the HCWs. Positive attitudes were significantly more frequent in frontline workers than in non-frontline workers (p = 0.001). Bioanalysts, students, and doctors were more likely to have good knowledge; participating in training was a predictor for positive attitudes and older age was an appropriate practice predictor.Conclusions: HCWs, knowledge in Venezuela could be improved by strengthening education and training programs. Strategies should focus on reducing fear and improving attitudes toward the care of COVID-19 patients, as well as the promotion of preventive practices.


Vaccines ◽  
2020 ◽  
Vol 8 (3) ◽  
pp. 543
Author(s):  
Gabriella Di Giuseppe ◽  
Concetta P. Pelullo ◽  
Giorgia Della Polla ◽  
Maria Pavia

This cross-sectional study assessed knowledge, attitudes, and practices regarding meningococcal disease and related vaccinations among healthcare workers (HCWs) who provided care to patients with underlying high-risk medical conditions. A total of 411 HCWs returned the survey. Only 35% of the respondents had a good knowledge about the incidence and lethality of meningococcal disease, the most frequent serogroups in Italy and the diseases or conditions that expose patients to a high-risk of severe complications caused by meningococcal disease. Vaccination against meningococcal disease was perceived to be highly effective by 38.4% of participants, very safe by 36.2%, and 82% agreed or strongly agreed that HCWs should promote adherence to recommended vaccinations even in hesitant patients. Moreover, 34.1% recommended meningococcal vaccinations to all eligible patients and the results of the multivariate analysis showed that older HCWs, who work in pediatric/neonatal wards, have good knowledge about meningococcal vaccinations, have a favourable attitude towards vaccinations, and do not need additional information about meningococcal vaccinations, were more likely to recommend meningococcal vaccinations to all eligible patients. Interventions aimed at the enhancement of knowledge and awareness of HCWs who provide care to these patients on the benefits of meningococcal vaccinations are warranted.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Donya L. Francis ◽  
Utoomporn Wongsin ◽  
Shuo-Chen Chien ◽  
Yi-Hsin ( Elsa) Hsu ◽  
Franziska Michaela Lohmeyer ◽  
...  

Abstract Background Healthcare workers are usually the first responders during outbreaks and are instrumental in educating the populace about the prevention of different diseases and illnesses. The aim of this study was to assess the association between healthcare workers’ characteristics and knowledge, attitudes and practices toward Zika virus. Methods This was a cross-sectional study that collected data from healthcare workers at 3 medical facilities using a validated self-administered questionnaire between July 2017 – September 2017. Logistic regression models were used to examine the association between sociodemographic and knowledge, attitudes, and practices. Results A total of 190 healthcare workers were analyzed. Of these, 60, 72.6 and 64.7% had good knowledge, positive attitudes, and good practices toward Zika virus, respectively. Healthcare workers without a formal degree were less likely to have good knowledge of Zika virus (adjusted odds ratio (AOR) = 0:49; 95% confidence interval (CI) = 0.24–0.99) compared to those with a formal degree. Reduced odds for positive attitude towards Zika virus were observed in healthcare workers with low income as compared to those with high income (AOR = 0.31; 95% CI =0.13–0.75). Being younger than 40 years old was associated with poor Zika virus practices (AOR = 0:34; 95% CI = 0.15–0.79). Conclusions Significant association between healthcare workers’ sociodemographic characteristics and Zika virus knowledge, attitudes and practices were observed. Public health interventions that seek to increase Zika virus awareness should aim to train healthcare workers who are younger, without formal degree and those earning low income.


2021 ◽  
Vol 6 (4) ◽  
pp. e004360
Author(s):  
Dumisani MacDonald Hompashe ◽  
Ulf-G Gerdtham ◽  
Carmen S Christian ◽  
Anja Smith ◽  
Ronelle Burger

Introduction Universal Health Coverage is not only about access to health services but also about access to high-quality care, since poor experiences may deter patients from accessing care. Evidence shows that quality of care drives health outcomes, yet little is known about non-clinical dimensions of care, and patients’ experience thereof relative to satisfaction with visits. This paper investigates the role of non-clinical dimensions of care in patient satisfaction. Methods Our study describes the interactions of informed and non-informed patients with primary healthcare workers at 39 public healthcare facilities in two metropolitan centres in two South African provinces. Our analysis included 1357 interactions using standardised patients (for informed patients) and patients’ exit interviews (for non-informed patients). The data were combined for three types of visits: contraception, hypertension and tuberculosis. We describe how satisfaction with care was related to patients’ experiences of non-clinical dimensions. Results We show that when real patients (RPs) reported being satisfied (vs dissatisfied) with a visit, it was associated with a 30% increase in the probability that a patient is greeted at the facilities. Likewise, when the RPs reported being satisfied (vs dissatisfied) with the visit, it was correlated with a 15% increase in the prospect that patients are pleased with healthcare workers’ explanations of health conditions. Conclusion Informed patients are better equipped to assess health-systems responsiveness in healthcare provision. Insights into responsiveness could guide broader efforts aimed at targeted education and empowerment of primary healthcare users to strengthen health systems and shape expectations for appropriate care and conduct.


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