Knowledge, attitude, and practices (KAP) towards COVID-19 among Nepalese residents during the COVID-19 outbreak: An online cross-sectional study

Abstract Background. The objective of this study was to assess the knowledge, attitude and practices of COVID-19 among Nepalese population, as containment of the disease is only possible with the change in behaviours as preventive measures. Methodology. A web-based cross-sectional survey was conducted for a period of two month among Nepalese residents aged ≥ 18 years using a previously validated tool. Unrestricted self-selected, convenient sampling method was adopted to generate a heterogeneous sample. Data were analysed in SPSS version 22 using chi-square/Fisher-exact test, independent t-test, multiple linear regression and binary logistic regression. Results. Out of 766 participants, 78.3% were aged 20–39 years and 58.2% were residents of province 3. One-third of the respondents were students followed by health workers. The rates for correct answer for COVID-19 knowledge questionnaire ranged from 30–99% with health workers and participants with bachelor’s degree having significantly better knowledge. Of the total participants, 71.5% agreed that COVID-19 will be effectively controlled and 80% were assured that Nepal could win the fight against COVID-19. The majority of the participants had not visited any crowded place (93.1%) which was significantly associated with age, marital status, gender, education, occupation, province of residence, and knowledge score of COVID-19 and 92.4% participants wore masks while going out which significantly differed across gender. Conclusion. There is a need to provide education and awareness about COVID-19 to Nepalese people focusing on the areas of knowledge gap so that Nepal can have victory against COVID-19.

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A year of hepatocellular carcinoma at a glance. Demographics, biochemical and radiological characteristics and treatment modalities from a specialized facility of Pakistan

Journal of the Pakistan Medical Association ◽

10.47391/jpma.826 ◽

2021 ◽

pp. 1-6

Author(s):

Laima Alam

Keyword(s):

Hepatocellular Carcinoma ◽

Cross Sectional Study ◽

Treatment Modalities ◽

Fisher Exact Test ◽

Tumour Staging ◽

Chi Square ◽

Cross Sectional ◽

Exact Test ◽

Team Meetings ◽

Contrast Enhanced Ct

Objectives:Relation of demographics of hepatocellular-carcinoma with the aetiology.Tumour characteristics in relation to anti-viral therapy and presence of viral-DNA/RNATreatment modalities offeredMethods: This cross-sectional study enrolled all the patients aged 18-70 years with diagnosed hepatocellular carcinoma either through Triphasic Contrast-Enhanced-CT scan and/or Magnetic Resonance Imaging or biopsy presenting to the Outpatient-Department or multi-disciplinary-team meetings for the year 2019. Demographic variables, biochemical analysis including liver profile and stage of cirrhosis, viral-status, tumour staging and the treatment modalities offered were all noted. ANOVA (normal) and Kruskal-Wallis (non-normal) tests were used to compare quantitative data whereas chi-square-test and fisher-exact-test were used to compare qualitative-data.Results: Out of 195 patients with hepatocellular carcinoma, 76% were males in their fifth to sixth decades of life, 96% had cirrhosis, 94% corresponded to viral hepatocellular-carcinoma (82% Hepatitis-C-Virus, 9% Hepatitis-B-Virus and 3% coinfection), 60% of the cirrhotics landed in Child-Pugh A category with tumour staging BCLC-B being the predominant one (43.6%) and single and multiple bilateral nodules were the commonest lesions encountered. Platelets and Alanine-Transaminase had a significant relation across aetiological groups. Lymph-nodes were the most common extra-hepatic organs for metastasis and the presence of viral PCR had a significant impact on the tumour aggressiveness. Thirty-two percent of the patients were amenable to curative treatment.Conclusion: Viral infection is the main cause of rising prevalence of this tumour in Pakistan. Treatment modalities are expensive and expertise are lacking. A nationwide cancer registry is required for the exact disease burden and tumour behaviour for our population. Continuous....

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Sero-Surveillance of Brucellosis in Cattle of Chitwan District, Nepal

International Journal of Applied Sciences and Biotechnology ◽

10.3126/ijasbt.v4i3.15774 ◽

2016 ◽

Vol 4 (3) ◽

pp. 365-371

Author(s):

Sabita Subedi ◽

Meera Prajapati ◽

Bhojan Dhakal

Keyword(s):

Social Study ◽

Cross Sectional Study ◽

Elisa Test ◽

Fisher Exact Test ◽

Chi Square ◽

Cross Sectional ◽

Exact Test ◽

The Social ◽

Chi Square Test ◽

And Control

A cross sectional study was conducted in Eastern and Western parts of Chitwan district from November 2015 to April, 2016 in two parts, the social study followed by biological to determine and compare the prevalence, distribution of antibodies, and level of awareness of farmers against Brucella abortus in cattle of the two regions of same district. Altogether blood samples of 92 cattle were taken for detection of Brucella antibodies by using RBPT test and the positive samples were further retested by Indirect ELISA test through ID Vet iELISA kit 2016. The samples which showed positive on both tests were confirmed as seropositive. Chi -square test and Fisher Exact test was used to find out the association between various variables. The result showed that 14.13% (13/92) and 10.86% (10/92) sample were positive by RBPT and iELISA test respectively. There was no significant prevalence differences (p>0.05) on location, age group, breed type, and method of service (artificial and natural) used in cattle. Comparing abortion with prevalence of Brucellosis, there was significant differences (p<0.05) in the result of both RBPT and iELISA test. Inferring from this result, there is association between the abortion and occurrence of Brucellosis. The higher significant prevalence differences (p<0.01) was according to the time of abortion where higher seropositivity was obtained in the cattle aborted on 5-7th month of pregnancy and cattle of 3rd parity. The study showed the existence of Brucellosis in Chitwan district with no adoption of any preventive measures against this disease, so here is current need of the strategies for its prevention and control in order to mitigate such overwhelming situation.Int J Appl Sci Biotechnol, Vol 4(3): 365-371

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Perception of disaster preparedness and participation in training are associated with disaster preparedness among health workers

Public Health and Preventive Medicine Archive ◽

10.15562/phpma.v7i1.186 ◽

2019 ◽

Vol 7 (1) ◽

pp. 8

Author(s):

I Made Dwie Pradnya Susila ◽

Pande Putu Januraga ◽

Ni Wayan Arya Utami

Keyword(s):

Disaster Management ◽

Disaster Preparedness ◽

Health Workers ◽

Binary Logistic Regression ◽

Bivariate Analysis ◽

Continuous Training ◽

Cross Sectional Survey ◽

Chi Square ◽

Cross Sectional ◽

Disaster Training

Background and purpose: Disaster preparedness is crucial for health workers in order to provide relief to communities affected by disasters quickly and precisely. However currently there are only few health workers who are prepared to face disasters. This study aims to determine the association between knowledge, perception, participation in training and experience in disaster management with disaster preparedness in health workers.Methods: A cross sectional survey was conducted among health workers at Petang and Abiansemal public health centres (PHCs). Of the six PHCs, four were randomly selected consisting of one PHC in Petang Sub-district and three PHCs in Abiansemal Sub-district. All health workers (271 people) in the four PHCs were selected as respondents. Individual face-to-face interviews were conducted by the first author during April 2018 in the workplaces of each respondent using a pre-tested questionnaire. Data collected consisted of socio-demographic characteristics, knowledge, perceptions, participation in training, experiences in disaster management and disaster preparedness. Questions consisted of three components namely knowledge (12 items), perception (32 items) and disaster preparedness (25 items). Bivariate analysis was conducted with chi square test and multivariate analysis with binary logistic regression to determine the association between knowledge, perception, participation in training and experience in disaster management with disaster preparedness.Results: The results showed that 70.9% of respondents had attended disaster training, 40.6% had good knowledge, 24.7% had participated in disaster management and 49.1% had a high level of disaster preparedness. The variables significantly associated with disaster preparedness were perceptions (AOR=6.40; 95%CI: 3.71-10.99) and participation in disaster training (AOR=2.68; 95%CI: 1.44-4.97).Conclusion: Perception and participation in training are significantly associated with disaster preparedness. Continuous training is needed to increase disaster preparedness among health workers.

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Effectiveness of Syndromic STI Case Management/RH Training in Knowledge and Practice of Auxiliary Health Workers

Journal of Universal College of Medical Sciences ◽

10.3126/jucms.v2i3.11826 ◽

2014 ◽

Vol 2 (3) ◽

pp. 34-37 ◽

Cited By ~ 1

Author(s):

C Adhikari ◽

L Sherchan ◽

SB Thapa ◽

LM Adhikari

Keyword(s):

Case Management ◽

Health Workers ◽

Statistical Tests ◽

Knowledge Score ◽

Cross Sectional Study ◽

Chi Square ◽

Transmitted Infection ◽

Cross Sectional ◽

Sexually Transmitted ◽

Knowledge And Practice

INTRODUCTION: Auxiliary Health Workers (AHWs) are the undergraduate 2nd class health workforce of Nepal. Syndromic Sexually Transmitted Infection Case Management/Reproductive Health (SSCM/RH) training for AHWs is designed to develop knowledge, attitude and skills. The purpose of this study was to examine the effectiveness of the training in knowledge and practice of AHWs. MATERIAL AND METHODS: Achham district from where all AHWs were purposively selected for cross-sectional study. Total number of trained AHWs was 35 and untrained was 19, who were interviewed to fulfill the structured pretested questionnaire that included knowledge inventory and self reported practice.The data collected from29th May to 25th July, 2005. Written consent was taken from respondents after permission taken from Achham DHO. Statistical tests used were mean, median, SD, Mann-Whitney U test, Spearman's rho and chi-square. Values with p < 0.05 was considered significant. RESULTS : All AHWs were male, with mean age of 32.1 years. Regarding knowledge, the scores in all syndromes diagnosis and treatment regimen were significantly different in two groups except in two syndromes. Two practices were found significant. The median knowledge score was 20 (IQR, 16-22) and 16 (IQR, 12-20) in trained and untrained respectively. Similarly, median practice score was found 14 (IQR, 10-16) and 7 (IQR, 6-9) in trained and untrained respectively. In aggregate, both the practice score (U=38.5, p<0.001, two-tailed) and the knowledge score (U=205, p=0.020, two-tailed) of trained group significantly differed from that of untrained. Knowledge and practice score was also found positively and moderately correlated (P=0.616, p<0.001, two-tailed).CONCLUSION: The training was effectivein bringing about changes both in knowledge and practice of AHWs. The higher the knowledge level, the higher the practice level.DOI: http://dx.doi.org/10.3126/jucms.v2i3.11826 Journal of Universal College of Medical Sciences Vol.2(3) 2014: 34-37

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Pap Test Practice and Barriers of Nurses in Bandung, West Java

Jurnal Keperawatan Indonesia ◽

10.7454/jki.v23i1.843 ◽

2020 ◽

Vol 23 (1) ◽

pp. 41-47

Author(s):

Putu Inge Ruth Suantika ◽

Yanti Hermayanti ◽

Titis Kurniawan

Keyword(s):

Pap Smear ◽

Health Workers ◽

Pap Test ◽

Fisher Exact Test ◽

West Java ◽

Chi Square ◽

Cross Sectional ◽

Exact Test ◽

Chi Square Test ◽

Nurses Perceptions

The lack of interest from the public and health workers, such as nurses to carry out a pap test, is one of the triggers of cervical cancer cases. The purpose of this study was to identify the implementation of pap tests and barriers of nurses in Bandung, West Java. This study used a cross-sectional descriptive study design with a sample of 286 married nurses. Data collection was conducted during two months. The analysis was conducted by the Fisher exact test or chi-square test. The results showed that the level of education and religion had a significant relationship with the pap test behavior (p= 0,000; p= 0.031). The most perceived barrier was that respondents felt uncomfortable with the male examiners. So it was recommended to provide female examiners in the ob-gyn section in the hospitals and to improve the nurses' perceptions with pap test. Keywords: barrier, nurse, pap smear, practice Abstrak Perilaku dan hambatan pap smear pada perawat di Kota Bandung, Jawa Barat. Fenomena yang terjadi pada kasus kanker serviks adalah minimnya minat dari masyarakat bahkan petugas kesehatan seperti perawat untuk melakukan pap smear sebagai bentuk pencegahan kanker serviks. Tujuan penelitian ini adalah untuk mengidentifikasi pelaksanaan pap smear serta hambatannya pada perawat di Kota Bandung, Jawa Barat. Penelitian ini menggunakan desain studi deskriptif cross-sectional dengan jumlah sampel 286 perawat yang sudah menikah. Pengumpulan data dilakukan pada Februari hingga Maret 2018. Analisis menggunakan fisher exact test atau chi-square test. Hasil penelitian menunjukkan bahwa tingkat pendidikan dan agama memiliki hubungan yang signifikan dengan perilaku pap smear (p= 0.000; p= 0.0301). Hambatan yang paling dirasakan adalah responden merasa kurang nyaman dengan pemeriksa laki-laki sehingga direkomendasikan untuk penyediaan pemeriksa perempuan pada bagian obgyn di rumah sakit serta memperbaiki persepsi perawat yang salah terhadap pap smear. Kata Kunci: hambatan, pap smear, perawat, perilaku

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Knowledge and Perception of Malaysian Forest Fringe Population towards Zika Infection

Medicine & Health ◽

10.17576/mh.2021.1601.16 ◽

2021 ◽

Vol 16 (1) ◽

pp. 190-206

Author(s):

Chin Mun Wong ◽

Keyword(s):

Risk Perception ◽

Binary Logistic Regression ◽

Knowledge Score ◽

Cross Sectional Study ◽

World Health ◽

Chi Square ◽

Cross Sectional ◽

Poor Knowledge ◽

Validated Questionnaire ◽

Forest Fringe

The World Health Organization (WHO) has declared Zika infection as Public Health Emergency of International Concern in 2016. In this study, we aimed to assess the knowledge and risk perception towards Zika infection among the forest fringe population in Malaysia. A cross-sectional study of with 433 adult respondents in Malaysia completed the assisted-administered validated questionnaire on knowledge and perception to Zika infection. Bidirectional analysis on the person and item abilities were tested using Statistical Package for the Social Sciences (SPSS) and Rasch. The knowledge and perception levels were tested against significant sociodemographic or socioeconomic variables using Pearson’s Chi Square; covariates were then adjusted at multivariate level using binary logistic regression. Both knowledge and perception domains were well-targeted. Complementing results from SPSS and Rasch showed poor knowledge and poor risk perception levels in slightly more than half of the respondents [knowledge score: 50.8% (SPSS), 55.4% (Rasch); perception score: (58.0% (SPSS), 58.2% (Rasch)]. With covariates adjusted, non-bumiputra (non-natives) of higher education level, higher household income and recent jungle visits showed good knowledge level. Adult, menopaused women from Perak state showed better risk perception level towards Zika. Majority of the forest fringe population in Malaysia have poor knowledge and risk perception towards the Zika infection. This questionnaire is a suitable tool to assess knowledge and perception towards Zika infection among the forest fringe populations in Southeast Asia.

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Knowledge of pregnant women about anemia is related with adherence to iron tablets

Majalah Obstetri & Ginekologi ◽

10.20473/mog.v26i12018.26-28 ◽

2018 ◽

Vol 26 (1) ◽

pp. 26

Author(s):

Baksono Winardi ◽

Elga Caecaria Grahardika Andani

Keyword(s):

Pregnant Women ◽

Cross Sectional Study ◽

P Value ◽

Fisher Exact Test ◽

Chi Square ◽

Cross Sectional ◽

Significance Level ◽

Exact Test ◽

Study Population ◽

Almost All

Objectives: to identify association between knowledge of pregnant women about anemia and the adherence to consume iron tablets in BPM Titik Suharti, Surabaya, IndonesiaMaterials and Methods: Observational analysis cross sectional study. Population consisted of 55 trimester pregnant women in BPM Titik Suharti, Surabaya, in March-April 2017. Samples were recruited using consecutive sampling. The number of sample was 35 respondents. Data were analyzed using chi-square test.Results: This research showed that all of the less knowledgeable women on anemia (100.00%) were non-adherent to consume iron tablets, almost all moderately knowledgeable women (92.9%) were adherent, and all of the fully knowledgeable women (100.00%) were adherent. Fisher exact test in significance level of 0.05 revealed p value equal to 0.0001, indicating association between knowledge about anemia and adherence to consume iron tablets at BPM Titik Suharti, Surabaya, Indonesia.Conclusion: There is an association between knowledge of pregnant women about anemia with adherence to iron tablets.

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HUBUNGAN KEBIASAAN MEROKOK DENGAN KEJADIAN HIPERTENSI PADA LANSIA LAKI-LAKI DI DESA BEKKU KECAMATAN AWANGPONE KABUPATEN BONE

PREPOTIF : Jurnal Kesehatan Masyarakat ◽

10.31004/prepotif.v5i2.2254 ◽

2021 ◽

Vol 5 (2) ◽

pp. 898-903

Author(s):

Ruslang Ruslang ◽

Nirmawati Darwis ◽

Tetti Surianti ◽

Riki Rusanda

Keyword(s):

Smoking Habit ◽

Cross Sectional Study ◽

Smoking Habits ◽

Fisher Exact Test ◽

Sectional Study ◽

Elderly Men ◽

Chi Square ◽

Cross Sectional ◽

Exact Test ◽

The Relationship

ABSTRACT The prevalence of hypertension increases in line with the lifestyle of elderly men that harm their own health, namely smoking which without them knowing it can cause hypertension. The purpose of this study was to determine the relationship between smoking habits and the incidence of hypertension in elderly men in Bekku Village, Awangpone District, Bone Regency. The purpose of this study was to determine the relationship between smoking habits and the incidence of hypertension. This type of research is quantitative research with a Cross Sectional Study approach. Data were collected through a questionnaire given to each respondent. The analysis test used a computer program, namely SPSS 21 to assess the frequency statistical data and the Chi-Square test on the bivariate variable obtained the Fisher exact test value, on the smoking habit variable the value of = 0.01 < 0.05, so it can be stated that there is a relationship between Smoking Habits with Hypertension Incidence in Elderly Males in Bekku Village, Awangpone District, Bone Regency. The researcher's suggestion is for elderly men in Bekku Village to reduce their smoking habits so that their hypertension does not continue. Keywords : Hypertension, Smoking, Elderly Male ABSTRAK Prevalensi hipertensi meingkat sejalan dengan gaya hidup lanjut usia laki-laki yang merugikan kesehatan mereka sendiri yakni kebiasaan merokok yang tanpa mereka sadari dapat menyebabkan terjadinya hipertensi. Tujuan penelitian ini untuk mengetahui Hubungan Kebiasaan Merokok Dengan Kejadian Hipertensi Pada Lanjut Usia Laki-Laki Di Desa Bekku Kecamatan Awangpone Kabupaten Bone. Tujuan penelitian ini untuk mengetahui hubungan kebiasaan merokok dengan kejadian hipertensi. Jenis penelitian ini yaitu penelitian kuantitatif dengan pendekatan Cross Sectional Study. Data dikumpulkan melalui kuesioner yang diberikan kepada masing-masing responden. Uji analisis menggunakan program komputer yaitu SPSS 21 untuk menilai data statistik frekuensi dan uji Chi-Square pada pada variabel bivariat diperoleh nilai fisher exact test, pada variabel kebiasaan merokok diperoleh nilai ρ=0,01< α=0,05, sehingga dapat dinyatakan ada hubungan antara Kebiasaan Merokok Dengan Kejadian Hipertensi Pada Lanjut Usia Laki-Laki Di Desa Bekku Kecamatan Awangpone Kabupaten Bone. Adapun saran peniliti yaitu bagi para lanjut usia laki-laki di desa bekku agar kebiasaan merokoknya dikurangi agar penyakit hipertensi yang dideritanya tidak terus berlanjut. Kata Kunci : Hipertensi, Merokok, Lanjut Usia Laki- Laki

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Frequency of Undiagnosed Diabetes Mellitus among Patients with Stroke

Caspian Journal of Neurological Sciences ◽

10.32598/cjns.5.17.81 ◽

2019 ◽

Vol 5 (2) ◽

pp. 81-88

Author(s):

Yaser Moaddabi ◽

◽

Alia Saberi ◽

Hamidreza Hatamian ◽

Babak Bakhshayesh ◽

...

Keyword(s):

Diabetes Mellitus ◽

Binary Logistic Regression ◽

Cross Sectional Study ◽

Undiagnosed Diabetes ◽

Chi Square ◽

Cross Sectional ◽

Family History Of Diabetes ◽

Exact Test ◽

The North ◽

Undiagnosed Diabetes Mellitus

Background: Stroke is one of the common causes of disability and death in the world. Furthermore, diabetes mellitus is among the main risk factors for cerebrovascular events. However, a high percentage of individuals with diabetes mellitus are unaware of their disease. Objectives: To determine the frequency of Undiagnosed Diabetes mellitus (UD) in patients with stroke. Materials & Methods: In a descriptive cross-sectional study, all patients with stroke hospitalized in neurology ward of an academic hospital in the north of Iran were included in the study in 2016. A questionnaire was used to collect data including all demographic, laboratory and clinical factors such as high blood pressure, hypercholesterolemia and stroke type. Finally, the data were analyzed using Chi square, Fisher’s exact test and multinomial binary logistic regression in SPSS V. 21. Results: Most samples were male (53.8%) with a mean age of 69.2±10.1 years. The percentage of the UD was 21.7% based on level of HbA1c. The highest percentage of UD was observed in Subarachnoid Hemorrhage(SAH) (66.7%). The frequency of UD in patients with family history of diabetes mellitus (16.7%) was lower than that in patients without that history (27.7%). There was a significant relationship between UD and cholesterol and triglyceride levels and, in general, dyslipidemia (P<0.05). Conclusion: In this study, a large percentage of patients with stroke suffered UD. Therefore, it is recommended that extensive screening be conducted for diabetes mellitus in the community in order to prevent stroke.

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Assessment of General Populations Knowledge, Attitude, and Perceptions Toward the Coronavirus Disease (COVID-19): A Cross-Sectional Study From Pakistan

Frontiers in Medicine ◽

10.3389/fmed.2021.747819 ◽

2021 ◽

Vol 8 ◽

Author(s):

Saadullah Khattak ◽

Maqbool Khan ◽

Tahir Usman ◽

Johar Ali ◽

Dong-Xing Wu ◽

...

Keyword(s):

General Population ◽

Binary Logistic Regression ◽

Knowledge Score ◽

Cross Sectional Study ◽

P Value ◽

Sectional Study ◽

Chi Square ◽

Cross Sectional ◽

Social Media Platforms ◽

General Populations

Background: Coronavirus disease 2019 (COVID-19) is a global health threat and caused a universal psychosocial impact on the general population. Therefore, the knowledge, attitude, and perceptions (KAPs) of the general population are critical for the development and effective implementation of standard operating procedures (SOP) to contain the contagion and minimize the losses. Therefore, the current study was conducted to understand and evaluate the KAPs of Pakistani populations toward the COVID-19.Methods: An online cross-sectional study was carried out among participants from 1 May to 30 July 2020 in different areas of Pakistan. The respondents of the study were the general population with age ≥ 18 years. The poll URL was posted on several channels after a call for participation. Other social media platforms such as WeChat, WhatsApp, Facebook, Twitter, Instagram, Messenger, and LinkedIn were engaged to maximize general population engagement. The questionnaire included details about sociodemographic, knowledge about COVID-19, perceptions toward universal safety precautions of COVID-19, and beliefs attitude toward the COVID-19. The obtained data were exported into a Microsoft Excel spreadsheet and SPSS software version 21 for windows. The descriptive statistics values were presented in frequencies and percentages. Binary logistic regression, Chi-square test, and one-way ANOVA were applied to analyze the participants' socio-demographic characteristics and variables related to KAPs. P-value < 0.05 was recorded as significant.Results: A total of 1,000 participants were invited of which 734 participated in this study. The response rate was 73.4% (734/1,000). The gender, marital status, education, and residence showed a significant association with the knowledge score. The majority of the study participants were thinking that COVID-19 may be more dangerous in elderly individuals 94.5% (n = 700), and individuals with chronic diseases or severe complications 96.7% (n = 710) (p = 0.00). More than half of the participants 52.5% (n = 385) showed their concern that either they or their family members might get the infection. More than 98% (n = 703), (P-value = 0.00) of the participants held that COVID-19 would be successfully controlled in Pakistan by following the standard SOPs and government guidelines.Conclusion: This study showed that the general population of Pakistan has good awareness and reasonable attitudes and perceptions toward the full features of the COVID-19. The current study suggests that mass-level effective health education programs are necessary for developing countries to improve and limit the gap between KAP toward COVID-19.

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