scholarly journals Knowledge, Attitudes and Practices Regarding HIV Amongst Women of Childbearing Age in the NYANGA Province, Gabon

Author(s):  
Augustin Mouinga-Ondémé ◽  
Sydney Maghendji-Nzondo ◽  
Julie Buekens ◽  
Jéordy-Dimitri Engone-Ondo ◽  
Roméo Karl Imboumy-Limoukou ◽  
...  

Abstract Background: The seroprevalence of HIV in Gabon is 4.1%. This rate varies among its nine provinces and is estimated at 4.2% in the province of Nyanga. This variance is believed to be the result of a lack of information and beliefs regarding HIV transmission and prevention. There are currently scarce epidemiological data from this region of Gabon. We assessed the knowledge, attitudes and practices of women of childbearing age from Nyanga province towards HIV.Methods: A 13-day cross-sectional descriptive study of 631 women aged 15 to 49 years was conducted within the five departments of the province to assess their knowledge and attitudes about HIV, with particular emphasis on mother-to-child HIV transmission (MTCT). Household recruitment of participants was conducted and information was collected by means of a questionnaire. Correct answers were considered as indicating a basic knowledge of the topic assessed.Results: Around 90% of women (570/631) were of childbearing age but not pregnant during the survey, with a mean age of 28 years. Also, 10% (61/631) were pregnant. Among surveyed women, 99.2% had heard of HIV/AIDS and 81.8% knew at least one screening site for HIV. More than 83.6% knew that MTCT could occur during pregnancy, and 76.5% knew about transmission during breastfeeding. In addition, 86.5% knew that HIV couldn’t be transmitted through sharing food with an infected person. Similarly, 68.8% answered that HIV transmission cannot occur through mosquito bites. However, 45.8% of women said that HIV could be transmitted by witchcraft. For 81.6% of participants, HIV could be prevented by having a single monogamous sexual partner and protected sex. Seventy percent of the women were aware of antiretroviral therapy. More than 80% of the participants indicated that they had been screened overall, and 77.3% said that they had been offered HIV screening services during antenatal visits.Conclusions: Almost all women of childbearing age in Nyanga had heard of HIV, yet about half of them had poor knowledge of its modes of transmission. It is therefore imperative to carry out awareness campaigns in conjunction with HIV testing services to better understand the current prevalence of HIV infection in the region.

2017 ◽  
Vol 18 (5) ◽  
pp. 232-241 ◽  
Author(s):  
Yasir Shafiq ◽  
Asif Raza Khowaja ◽  
Mohammad Tahir Yousafzai ◽  
Syed Asad Ali ◽  
Anita Zaidi ◽  
...  

Backgound: A higher incidence of neonatal tetanus implies failure of the vaccination program in Pakistan. Objectives: The objective of this study was to assess knowledge, attitudes and practices related to tetanus toxoid (TT) vaccine in women of childbearing age. Methods: We performed a cross-sectional survey in peri-urban Karachi, Pakistan, among women of childbearing age, stratified into three mutually exclusive groups as: married pregnant; married non-pregnant; and unmarried. Descriptive and inferential analyses were performed to estimate vaccine coverage and knowledge attributes. Results: A total of 450 women participated, of which the largest proportion were married and non-pregnant (n = 185/450, 41%). Over 50% of women (n = 258/450) had not received TT vaccine. Most unmarried women (n = 139, 97%) were unvaccinated. Non-vaccination predictors included: women aged <25 years without any formal education (adjusted odds ratio [OR], 2.1; 95% confidence interval [CI], 1.0–4.4), lack of knowledge about free vaccination (adjusted OR, 4.0; 95% CI, 1.64–10.20), poor knowledge of tetanus disease/vaccination (adjusted OR, 4.6; 95%, 2.2–9.6), living with extended family (adjusted OR, 2.0; 95% CI, 1.04–3.96); family non-supporting vaccination (adjusted OR, 5.7; 95% CI, 2.3–13.9); and husband/other family member deciding upon issues related to women’s health (adjusted OR, 2.9; 95% CI, 1.3–6.6). Conclusion: Low coverage of TT vaccine is largely influenced by poor knowledge, family structure and family decision-making in the local communities of Pakistan.


2012 ◽  
pp. 72-79
Author(s):  
That Toan Ton ◽  
Xuan Chuong Tran

Objectives: Man who have sex with man (MSM) group is a high risk group of HIV infection. There are very rare studies about HIV infection in this group. Aims: Study knowledge, attitudes and practices (KAP) toward HIV prevention in MSM in Khanh Hoa province in 2010. Methods: A cross-sectional study among MSM over 16 years aged living in Khanh Hoa in which data were collected from June 2010 to June 2011. Results: Knowledge: Most of MSM have good knowledge about the ways of HIV transmission in which 47.5% have right answers to 14-15 questions about HIV prevention. Attitudes: 98.5% MSM are ready to do voluntary tests for HIV. 61.5% MSM did not discuss to male partners about HIV or STDs. Practices: 99.1% have used condom but 67.5% did not use condoms in the last contact with female partners. Only 19.6% MSM have received consultations about HIV. Conclusions: Most of MSM have good knowledge about the ways of HIV transmission. 98.5% MSM are ready to do voluntary tests for HIV. 99.1% have used condom. Only 19.6% MSM have received consultations about HIV.


2021 ◽  
pp. 227-231
Author(s):  
Kouengoua Kouengoua Armelle Prudence ◽  
Nankam Chimi Roland ◽  
Oyetola Wilfried Délé ◽  
Njayou Ngapagna Arouna ◽  
Alambedji Rianatou Bada ◽  
...  

Background and Aim: Shepherds are in constant contact with animals, and they are potential hosts for the transmission of zoonoses. This study aimed to assess the perceptions of shepherds in Cameroon's West region regarding zoonotic diseases. Materials and Methods: A cross-sectional study was conducted from August to October 2017, on 218 shepherds. The data were collected using semi-structured interviewer-administered questionnaires. The participants were assessed on their knowledge, attitudes, and practices that might expose them to bovine zoonose transmission, and the data were analyzed with R, version 2.13.0. Descriptive statistics were generated, and the association between socio-demographic characteristics and knowledge was explored using the Chi-square test. Results: Out of the 218 herdsmen, (205/218) 94% did not have any education, and (195/218) 89.5% did not know the definition of zoonosis. There was a correlation between the level of education and knowledge of the definition of zoonosis: About (162/218) 74.6% cited tuberculosis as a zoonosis, (62/218) 28.4% said the main modes of transmission were by ingestion of contaminated milk, and (66/218) 30.3% by consumption of contaminated meat. Abortions during the third trimester of gestation, combined with the presence of hygroma, were described by (130/218) 59.6% of the participants as brucellosis symptoms. In terms of practices and attitudes, (187/218) 85.8% and (50.14/218) 23.0% of the participants confirmed that they consumed raw milk and raw meat, respectively. Almost all (214/218) 98.1% interviewees stated that blood consumption is forbidden. In case of suspicion of disease, (204/218) 93.6% maintained that they treated sick animals without a veterinary prescription, and (209/218) 95.9% left the carcasses in the wild. After contact with animals, (181/218) 83.3% washed their hands. Finally, (192/218) 88.3% would like to be informed about zoonoses. Conclusion: The level of knowledge about zoonotic diseases was low; a high percentage of shepherds followed inadequate hygiene practices and expressed concern about zoonoses. As a result, they are at risk of exposure to pathogens. It would be in the interest of public health to develop training programs for shepherds and livestock owners to mitigate zoonotic risks.


PLoS ONE ◽  
2020 ◽  
Vol 15 (12) ◽  
pp. e0244350
Author(s):  
Asuka Hatabu ◽  
Xinhua Mao ◽  
Yi Zhou ◽  
Norihito Kawashita ◽  
Zheng Wen ◽  
...  

The coronavirus disease (COVID-19) pandemic has greatly altered peoples’ daily lives, and it continues spreading as a crucial concern globally. Knowledge, attitudes, and practices (KAP) toward COVID-19 are related to individuals’ adherence to government measures. This study evaluated KAP toward COVID-19 among university students in Japan between May 22 and July 16, 2020, via an online questionnaire, and it further investigated the associated determining KAP factors. Among the eligible respondents (n = 362), 52.8% were female, 79.0% were undergraduate students, 32.9% were students whose major university subjects were biology-related, 35.4% were from the capital region, and 83.7% were Japanese. The overall KAP of university students in Japan was high. All respondents (100%) showed they possessed knowledge on avoiding enclosed spaces, crowded areas, and close situations. Most respondents showed a moderate or higher frequency of washing their hands or wearing masks (both at 96.4%). In addition, 68.5% of respondents showed a positive attitude toward early drug administration. In the logistic regressions, gender, major subjects, education level, nationality, residence, and psychological factors (private self-consciousness and extroversion) were associated with knowledge or attitudes toward COVD-19 (p < 0.05). In the logistic and multiple linear regressions, capital regions, high basic knowledge, high information acquisition, correct information explanations contributed positively to preventative action (p < 0.05). Non-capital regions, male gender, non-bio-backgrounds, high public self-consciousness, high advanced knowledge, incorrect information explanations, and high extroversion contributed negatively to self-restraint (p < 0.05). Moreover, self-restraint was decreasing over time. These findings clarify the Japanese university students’ KAP and the related factors in the early period of the COVID-19 pandemic, and they may help university managers, experts, and policymakers control the future spread of COVID-19 and other emerging infections.


2020 ◽  
Vol 41 (S1) ◽  
pp. s342-s342
Author(s):  
Golam Dostogir Harun ◽  
Romel Haider ◽  
Imdadul Haque ◽  
Alauddin Chowdhury ◽  
Saiful Islam

Background: Antibiotics play a vital role in reducing the morbidity and mortality associated with common infectious among children aged <5 years. Objective: We assessed the parental knowledge, attitudes, and practices regarding antibiotic use among a low-income urban population in Bangladesh. Methods: A cross-sectional study was conducted among the parents of 516 low-income urban children aged <5 years in Bangladesh from February 2018 to April 2019. A semi-structured questionnaire was developed and administrated to explore parental knowledge, attitudes, and practice regarding antibiotic use. A logistic regression analysis and Spearman rank-order correlation was used to compare and evaluate possible associations regarding parental KAP on antibiotic use. Results: The mean age of the participants was 26.65 years (SD, 6.38) and average monthly income was US$195.00. Most respondents (437 of 516) were women. One-third of the participants had no formal education, and 64% had only 5 years of education. We categorized the knowledge, attitudes, and practice regarding antibiotic use into 3 categories: poor, moderate, and good. More than half (52%) of these parents had poor knowledge of antibiotic use, and 32% had moderate knowledge of antibiotic use. Overall, 55% of parental attitudes were moderate and 70% of antibiotic practices were moderate. However, only 16% respondents had good knowledge, 14% had good attitudes, and 14% had good practices regarding antibiotic use for their children. The study revealed that 41% of parents thought that their child could be treated with antibiotics without advice from a qualified doctor, and 71% of parents thought that a child with flu-like symptoms got better faster if antibiotics were used. Also, 54% thought that the antibiotics could be stopped as soon as the symptoms disappeared. In this study, only 40% of parents completed the full dose of antibiotics. Monthly family income (P = .005), father’s profession (P = .003), and parents’ education were significantly associated with antibiotic use to treat the child. Conclusions: Most participants’ knowledge, attitude, and practices regarding rational antibiotic usage was very poor. Awareness campaigns and implementation of education on how to purchase, use, and sell antibiotics is crucial to optimum the use of antibiotics in Bangladesh.Funding: NoneDisclosures: None


Author(s):  
Hidayatulfathi Othman ◽  
Zul-'Izzat Ikhwan Zaini ◽  
Norhafizah Karim ◽  
Nor Azimah Abd Rashid ◽  
Muhammad Badrul Hisham Abas ◽  
...  

Background: Dengue fever is endemic in Malaysia and continues to be a public health concern. Selangor was the top hit and there is a paucity of information on knowledge, attitudes, and practices (KAP) of Bandar Baru Bangi residents regarding dengue infection. Therefore, the objective of this study is to describe dengue related knowledge, attitudes and practices (KAP) of residents of Bandar Baru Bangi.Methods: A cross-sectional questionnaire survey of 152 residents from Section 3 and Section 8, Bandar Baru Bangi attending the dengue awareness events was conducted. The information on socio-demographic characteristics of the participants and their knowledge, attitude and practice on dengue fever was collected using a structured questionnaire.Results: The results showed that the residents only 52% had sufficient knowledge about the dengue vectors, signs, symptoms, and modes of transmission. However, approximately all the respondents considered dengue as serious but preventable disease to which they are vulnerable to. Television/radio was the predominant sources of information about dengue fever. Knowledge on dengue is associated with prevention practice. But the self-efficacy has a significant impact between the owner and tenant house (p=0.010, p<0.05). Female has higher self-efficacy compare to male.Conclusions: As conclusion, findings suggest that despite the residents of Bandar Baru Bangi have moderate knowledge level about dengue fever nevertheless; they still adopted the preventive measures suggested by the guidelines from Ministry of Health. Therefore, health program planners and practitioners need to identify why the dengue fever still rampant among the population.


Antibiotics ◽  
2022 ◽  
Vol 11 (1) ◽  
pp. 80
Author(s):  
Md. Abul Kalam ◽  
Md. Sahidur Rahman ◽  
Md. Abdul Alim ◽  
Shahanaj Shano ◽  
Sharmin Afrose ◽  
...  

Current evidence indicates that more than half of all antimicrobials are used in the animal food-producing sector, which is considered a significant risk factor for the development, spread, and existence of antimicrobial resistance (AMR) pathogens in animals, humans, and the environment. Among other factors, clinical etiology and the level of knowledge, attitudes, and practices (KAP) of veterinarians are thought to be responsible for inappropriate prescriptions in the animal-source protein production sector in lower-resource settings like Bangladesh. We performed this cross-sectional study to assess factors associated with veterinarians’ antimicrobial prescription behavior and their KAP on antimicrobial use (AMU) and AMR in Bangladesh. Exploratory and multivariate logistic models were used to describe an association between knowledge, attitudes, and practices of AMU and AMR and demographic characteristics of veterinarians. The results demonstrated that when selecting an antimicrobial, there was no to minimal influence of culture and susceptibility tests and patients’ AMU history but moderate to high influence of the farmer’s economic condition and drug instructions among the veterinarians. The results also demonstrated that more than half of the veterinarians had correct KAP regarding AMU and AMR, while the rest had moderate or lower levels of KAP. The factor score analysis revealed that age, level of education, years of experience, gender, and previous training on AMU and AMR were the key influencing factors in their level of KAP. Adjusted logistic regression analysis showed that respondents’ age, current workplace, and previous training on AMU and AMR had a positive association with increased KAP. Considering the results, it is imperative to include AMR issues on vet curricula, and to provide post-education training, awareness campaigns, easy access to, and dissemination of AMR resources. Increasing the veterinary services to the outreach areas of the country and motivating veterinarians to follow the national AMR guidelines could be some other potential solutions to tackle the over-prescriptions of antimicrobials.


2021 ◽  
Vol 14 (1) ◽  
Author(s):  
Jean Claude Dejon-Agobé ◽  
Jeannot Fréjus Zinsou ◽  
Yabo Josiane Honkpehedji ◽  
Jean Ronald Edoa ◽  
Bayodé Roméo Adegbité ◽  
...  

Abstract Background Control of schistosomiasis remains a priority in endemic areas. Local epidemiological data are necessary for a tailored control programme, including data on population behaviour in relation to the disease. The objective of this study was to assess schistosomiasis-related knowledge, attitudes and practices in the general population of Lambaréné, a small city in Gabon, in order to optimise the design and implementation of a local control programme that is tailored to need. Methods The study was cross-sectional in nature. Eligible adults and children living in the study area who volunteered (with informed consent) to participate in the study were interviewed using standardised questionnaires, one of which was a simplified version of the primary questionnaire for participants aged 6–13 years. Data on the participants’ knowledge, attitudes and practices that enhance the risk for contracting schistosomiasis were collected. Results A total of 602 participants were included. The mean (± standard deviation) age was 21.2 (± 15.0) years, the female:male gender ratio was 1.6 and 289 (48%) participants completed the simplified version the questionnaire. Of the 602 participants, 554 (92%) reported past or current contact with freshwater, 218 (36%) reported a history of a diagnosis of schistosomiasis and 193 (32%) reported past intake of praziquantel medication. The overall levels of knowledge and adequate attitudes toward schistosomiasis among young adults and adults were 68 and 73%, respectively. The proportion of participants pursuing risk-enhancing practices (REP) was 60% among the whole study population. Location was significantly associated with differences in knowledge and REP levels. A history of confirmed schistosomiasis and larger family size were significantly associated with an increase in good knowledge and REP levels. However, the indication of freshwater-associated activities was only associated with a significant increase in the REP level. Conclusions The results of this survey reveal a high level of population exposure to schistosomiasis, which is in line with known prevalence of schistosomiasis in Lambaréné and its surroundings. The local population has a reasonable level of knowledge of and adequate attitudes toward schistosomiasis but the level of REP is high, particularly in areas where piped water is absent. In terms of interventions, improving hygiene should have the highest priority, but in a context where provision of safe water is difficult to achieve, the effectiveness of praziquantel treatment and the education of at-risk populations on the need for protective behaviours should be a prominent feature of any local control programme. Graphical abstract


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