scholarly journals Knowledge, Attitude and Practice Towards Kangaroo Mother Care Among Postnatal Women in Ethiopia: Systematic Review and Meta-Analysis Author

Author(s):  
Natnael Atnafu Gebeyehu ◽  
Kelemu Abebe Gelaw ◽  
Gedion Asnake Azeze ◽  
Biruk Adie Admass ◽  
Eyasu Alem Lake ◽  
...  

Abstract Background: Kangaroo mother care could be a key procedure to decrease neonatal mortality and morbidity of preterm and low-birth-weight neonates. However, in Ethiopia, preterm birth and low-birth-weight neonatal death still exist. This study aimed to determine the pooled prevalence of knowledge, Attitude, and practice of kangaroo mother care among postnatal women in Ethiopia.Methods: PubMed, Web of Science, Google Scholar, EMBASE, manual search, and Ethiopian University online library were searched. The data were extracted by using Microsoft excel and analyzed by STATA version 11 statistical software. The Publication bias was checked by funnel and more objectively through Egger's test and Begg’s test with P < 0.05 considered being a potential publication for bias. I2 was used to check for the presence of heterogeneity of the studies. Overall estimated analysis was done. Subgroup analysis was done by region, study setting, publications, gestational age, birth weight, and the component of kangaroo care. Sensitivity analysis was conducted to see the effect of a single study on the pooled estimation.Results: A total of 5 studies with 1,232 respondents for knowledge, five studies with 1,232 respondents for attitude, and 16 studies with 12,475 respondents for practice were used to estimate the pooled level of good knowledge, positive attitude, and poor practice of kangaroo mother care among postnatal women. The pooled estimate of good knowledge, positive attitude and poor practice of kangaroo mother care was found to be 64.62% (95% CI: 47.15%-82.09%; I2 = 97.8%), 61.55 % (49.73-73.38%; I2 =94.8%) and 45.7% (95%CI: 37.297-54.092%; I2 = 98.5%) respectively.Conclusion: Findings showed significant gaps in kangaroo mother care-related knowledge, attitude, and practice compared with reported results of developed countries of the demographic health survey. Therefore, it is better to have periodic training and counseling on kangaroo mother care for postnatal women.

2020 ◽  
Vol 2 (2) ◽  
Author(s):  
Subash Bhattarai ◽  
Merina Gyawali ◽  
Subash Sapkota ◽  
Dipesh Karki ◽  
Sudip Lamsal

Background: Hepatitis B vaccine is the single most effective and safest strategy for the prevention of the disease among health care workers (HCW), trainees and medical students. There is scanty information on knowledge, attitude and practice (KAP) regarding Hepatitis B vaccination among medical students who are likely to get exposed in the future as they start practicing. This study was undertaken to understand the knowledge, attitude and practice of hepatitis B vaccination among clinical medical students of Manipal College of Medical sciences at Pokhara, Nepal.Methods: Two hundred and four medical students were enrolled for an observational, cross-sectional study at Manipal College of Medical sciences at Pokhara, Nepal after obtaining ethical clearance from Institutional Review Committee. Answers to pre-tested questionnaire were collected. Knowledge, attitude and practice regarding Hepatitis B vaccination were studied. Results: All participants demonstrated good knowledge and positive attitude towards Hepatitis B infection and vaccination. However majority had poor practice towards it. Only 47.1% were completely vaccinated. The most common reason for non vaccination was that many thought they will vaccinate in internship or when they start practicing.Conclusion: Despite good knowledge and positive attitude towards Hepatitis B infection and vaccination, low rates of vaccination and poor practice was observed among HCW indicating the necessity of encouragement for vaccination and proper practices among them. All medical students should be immunized against Hepatitis B during their medical school. Regular Hepatitis B vaccination, educational and awareness programs must be conducted in coordination and with active participation of the medical students.Keywords: Attitude; Hepatitis B; knowledge; Medical students; Practice; Vaccination


BMC Nutrition ◽  
2020 ◽  
Vol 6 (1) ◽  
Author(s):  
Wubegzier Mekonnen ◽  
Yeweyenhareg Feleke ◽  
Yakob Desalegn ◽  
Getahun Tarekegne ◽  
Biruk Lambisso ◽  
...  

Abstract Background Vitamin D is essential for health and its shortage exacerbates overall mortality. Health care workers (HCWs) need to educate on its uses and sources although studies indicate their low level of practice. The main aim of this study is therefore to assess the knowledge, attitude and practice of measuring adult vitamin D status, diagnosis of deficiency and managing health consequences among HCWs in Ethiopia. Methods This study was conducted in three ecologies covering lowland, midland and highland districts. A total of 405 health care workers with different levels were interviewed. Tablets were used for data collection to archiving in a cloud server. Data were exported to Stata version 14 software for cleaning and analysis. Rates were computed and the Chi-square test was used to compare differences between the two groups. Binary logistic regression was used to measure the strength, direction and significance of the association between different covariates and the practice of HCWs. Result The level of knowledge, positive attitude and good practice in measuring adult vitamin D status, diagnosis of deficiency and managing health consequences among HCWs was 210 (51.8%), 261(63.5%) and 195(47.4%) respectively. The odds of good practice in the provision of adult vitamin D service were AOR = 6.87: 95% CI (3.57, 13.21) and AOR = 2.20: 95% CI (1.23, 3.92) times higher among HCWs in Addis Ababa and highlands compared with those working in lowlands. Good practice among clinicians was AOR = 4.26: 95% CI (1.48, 12.25) times higher compared with those working in leadership positions. The likelihood was AOR = 1.96: 95% CI (1.19, 3.23) times higher among those with good knowledge compared with those with poor knowledge. Besides, good practice in adult vitamin D service provision was AOR = 2.30: 95% CI (1.40, 3.78) times higher among those with positive attitude compared with those who had negative attitude. Conclusions A little over half of HCWs have good knowledge and close to two-thirds of them have positive attitude while less than half of them have good practice on adult vitamin D deficiency. Besides, HCWs’ residential ecology, clinical position, knowledge and attitude is associated with good practice on adult vitamin D. It is essential to provide rigorous and continuous training for HCWs focusing on their deployment ecology.


2020 ◽  
Vol 5 (2) ◽  
pp. 230
Author(s):  
Maria Anjelina Bria ◽  
Karlina Sumiari Tangkas ◽  
Desak Ketut Sugiartini

Premature and LBW in Indonesiais diminishing but is still quite high at 52% per 100 live births. In RSUD Buleleng in the last year of 2015 there were 275 LBW, handling can be done one of them is by doing.Kangaroo Mother Care is skin contact immediately the baby to the mother, which can inprove infant survival, especially that experienced LBW (Low Birth Weight) or premature. This method actually mimic animal marsupial kangaroo where baby kangaroo born normally stored in the mother’s pouch to prevent cold (hypothermia). The purpose of this study was to Postpartum Mothers Knowledge About Kangaroo Mother Care in NICU Room RSUD Buleleng. Method: this reseaerch is using desceriptive. Collecting data using purposive sampling with a sampler size of 35 people. Result: of the research I have done one 43 respondents mostly have good knowledge of as many as 23 (39%) and small portion  have less knowledge as much as 9 respondents (14%). Conclution: based on the data analysis has beeen carried out the research So it can be councluded that the majority of respondents already have a good knowledge of the Kangaroo Mother Care as many as 23 (39%)  .   Keywords: Knowledge, Puerperal women, Kangaroo Mother Care.


Author(s):  
Ujjwal Pattnayak ◽  
Samir Kumar Ray ◽  
Kishore P. Madhwani ◽  
Jitendra Kumar Singh

Background: : Accredited Social Health Activist (ASHA) is a trained female community health activist. ASHAs are local women trained to act as facilitator and promoters of health care in their communities. ASHA is trained to work as an interface between the community and the public health system. ASHA play an important role in newborn care to reduce their morbidity and mortality.Methods: Data were collected from ASHAs working in Shibbur area of Howrah District, west Bengal. The study sample consisted of 70 ASHAs working in the Shibpur area that fulfilled the inclusion criteria. A predesigned pretested questionnaire of ASHA was used to collect data in the study.Results: The mean age of ASHAs was 35.74 years. Only 32 (45.71%) had received middle level (class VIII) education. Only 45.71 % of ASHAs had good knowledge and practice regarding hypothermia and its complication and the procedure of providing warmth the baby after delivery. Only 57.1% of ASHA had good knowledge regarding counseling and problem solving on breast feeding. Only 38.57% had good knowledge and practices on identification and basic skill on management of Low Birth Weight (LBW) having birth weight of <2.5kg and pre-term baby (<37 weeks of gestation).Conclusions: In the present study, we found that Knowledge, Attitude and Practice of ASHAs were inadequate in some aspects of newborn care. This gap of knowledge should be taken seriously during training procedures so that effective knowledge and essential skill for newborn care can be imparted. During recruitment of ASHAs higher literally status should be given preferences.


1969 ◽  
Vol 4 (2) ◽  
pp. 567-569
Author(s):  
ZIA UR REHMAN ◽  
IMRANULLAH ◽  
KASHIF UR REHMAN KHALIL ◽  
HARIS ZIA ◽  
LAILA ZIA ◽  
...  

BACKGROUND: Large number of children dies in the developing countries due to diarrheal diseasesand malnutrition. Thus everyday thousands of children die of diarrhea and water related diseases;therefore this study was carried to highlight diarrhea problem and thus contribute effectively to preventmortality and morbidity.OBJECTIVES: To assess knowledge, attitude and practice on control of diarrheal diseases amongmothers of District Nowshera.MATERIAL AND METHODS: A cross-sectional study was carried in March-July 2012, in which 600mothers of District Nowshera were assessed regarding knowledge, attitude and practice on control ofdiarrheal diseases by means of structured questionnaire having both open and close ended questions.RESULTS: The results showed that approximately 75% mothers had good knowledge, 82% hadpositive attitude and 80% practices various control & management measures; 60% mothers hadknowledge about sugar salt solution; 70% has positive attitude and 55% practices effective methods,74% mothers had good knowledge of oral rehydration salt, 85% has positive attitude and 80% practiceseffective methods.CONCLUSIONS: It was concluded that knowledge of mothers regarding control of diarrheal diseasesis appreciative, attitude is also quite satisfactory and practice of mothers is influenced by joint familysystem. Besides these, the main factors responsible for the positive attitude of mothers regarding controlof diarrheal diseases are fair monthly income, proper food preservation, small family size andvaccination status. Education of mothers regarding importance of hygiene status, breast feeding, hazardsof bottle feeding, the adequate use of ORS, and health education materials plays a significant roleregarding control of diarrheal diseases.KEY WORDS: Knowledge, Attitude, Practice, Diarrhea, Mothers, Children, Oral RehydrationSalt,Weaning, Breast Feeding, Nowshera.


2021 ◽  
Vol 10 (1) ◽  
pp. 88-97
Author(s):  
Fatimah ◽  
Taiwo ◽  
Baba ◽  
Aishatu ◽  
Omeiza ◽  
...  

Background: Although much is known about the rapidly spreading COVID-19 disease, a lot of knowledge is still evolving. The knowledge, attitude and practice (KAP) of healthcare workers (HCWs) towards COVID-19 remain key in protecting themselves and in fighting the “war” against the disease. This study assessed the KAP of HCWs in Kano, northern Nigeria. Methodology: A cross-section of different cadre of healthcare workers was recruited online via google forms. Using a link, the participants completed an adapted from a similar study, pre-tested questionnaire on KAP regarding COVID-19. Predictors of KAP were assessed using logistic regression modelling. Results: Among the 651 HCWs invited to participate, 233 respondents responded giving a response rate of 35.8%. Of these, 195 (83.7%) had good knowledge, 183 (78.9%) had a positive attitude and 180 (77.6%) had good practice towards prevention of COVID-19. The odds of having good knowledge were significantly lower among Community Health Officers/Community Health Extension workers (aOR=0.2, 95% CI: 0.1-0.6;p<0.001) and other health workers compared to doctors. Positive attitude was predicted by good knowledge (aOR=4.8, 95% CI:1.7-010.2;p=0.003), being in the fifth decade of life (aOR=5.5, 95% CI: 1.1–29.3, p=0.04), female gender (aOR=3.0, 95% CI: 1.1-8.3;p=0.04), Christian faith (aOR=7.0, 95% CI: 1.3-40.4; p=0.03), and having a bachelors’ or medical degree (aOR=4.6, 95% CI: 1.3-16.5).The only predictor of good practice was good knowledge on COVID-19 (aOR=7.8, 95% CI 2.8-12.4;p<0.001). Conclusion and Global Health Implications: Majority of the HCWs at the study site have good knowledge, attitude and practice regarding COVID-19. Continuous dissemination of information on prevention of spread of COVID-19 to all HCWs will strengthen the health workforce in the fight against it.   Copyright © 2021 Tsiga-Ahmed et al. Published by Global Health and Education Projects, Inc. This is an open-access article distributed under the terms of the Creative Commons Attribution License CC BY 4.0.


2021 ◽  
Vol 17 (2) ◽  
pp. 136-144
Author(s):  
Radha Paudel ◽  
Sarita Shrestha ◽  
Laxmi Gurung

Background: COVID-19 has become a global health threat and the disease burden is expected to increase more. Nurses are the front lines of COVID management. Because this work requires close personal exposure to patients with COVID-19, nurses are at high risk of infection, contributing to further spread. Nurses’ knowledge, attitudes, and practices can influence the prevention and control of pandemic. Thus, the aim of the study was to assess knowledge, attitude, and practice regarding the prevention and control of COVID-19 among nurses.   Methods: Descriptive cross-sectional study design was carried out among 141 nurses from the central hospital, Kathmandu. A purposive sampling technique was used and the data collection date was June 5 to July 20, 2020. A self-administered semi-structured questionnaire was used. The data were analyzed using descriptive statistics.   Results: The study showed that 60.3% of the participants had good knowledge, 53.2% of them had acceptable practice and a cent percent (100%) of them had a positive attitude on the preventive and control measures against COVID-19. More than 3/4th (75.8%) of them were agreed to handle the COVID-19 outbreak confidently in their healthcare setup. Although, 85.8% of participants were worried that they and their family members will probably get infected with COVID-19 while working in the hospital. However, 39% of them were feeling isolated by their community, and relatives due to their profession.   Conclusions: Nurses have good knowledge, a positive attitude, and acceptable practice about prevention and control of COVID-19. However, the level of some knowledge and practice was still lower than that expected.      Keywords: Attitude; COVID; Knowledge; nurses; prevention and control; practice    


Author(s):  
Devanshi Chowdhary ◽  
Ankita Sharma ◽  
L. Gopichandran

Background: According to WHO, the prevention and control of an epidemic and pandemic constitutes following preventive measures like hand washing, cough etiquette and dissemination of knowledge among other measures. In context to COVID-19, these measures have been proved to be very effective rendering various countries to be free of COVID-19. The knowledge, attitude and practice studies play an important role in assessing the societal readiness to accept behavioural changes, moreover they also determine baseline information to assess the actions to be taken to change the attitude and increase the knowledge of the people regarding the situation. Thus this study was undertaken to assess the knowledge, attitude and practice of the common public in India.Methods: A cross sectional survey was done among the attenders of patients visiting the cardiac/CTVS OPD during the month of June to July.  A total of 200 patients attendants were enrolled in the study. Due to COVID-19 restrictions only 10 patients per day were enrolled. After obtaining informed consent an online questionnaire was sent to their mobile phones via electronic media and participants were requested to fill the questionnaire while waiting for the doctor’s visit. The knowledge, attitude and practice of the participants were assessed by a validated KAP survey questionnaire.Results: The participants had a good knowledge score. The mean knowledge score (minimum, maximum) among the population was 7.7±1.7 (0, 11) though the participants had a poor practice score of 2.3±1.01 (0, 4). The participants had a positive attitude regarding the preventive practices regarding COVID-19 and also a positive attitude towards health care workers. The mean attitude score was 21.3±3.5 (5, 25). A significant positive correlation (r=0.263) was found between knowledge and practice scores. A significant association was also found in between the age with attitude and practice scores, and also in between qualification with knowledge and total KAP score.Conclusions: The present study concludes that people have good knowledge regarding the various aspects of COVID-19, also there was positive correlation of knowledge with practice. Hence it is important to disseminate right knowledge regarding the pandemic COVID-19 so that general public performs the appropriate practices in order to keep themselves and their near ones safe. This study reflects the awareness of general public in the difficult time, as well as their helping attitude towards healthcare professionals in form of providing accommodation etc. Community awareness, participation and preparedness are key factors in achieving a good health for all. 


2020 ◽  
Vol 5 (04) ◽  
pp. 102-106
Author(s):  
Shinitha PV

Ahara plays an important role in the maintenance of health and cure of diseases. Various dietetic preparations are explained in Ayurveda under Pathya Kalpana. Among this Pathya Kalpana, Peya is most commonly used preparation. No much study is undergone on this topic. Peya is beneficial in healthy and diseased. Peya is Satmya to people living in southern parts of India. So medicines can be administered by adding it with Peya. In classics, there are various diseases in which Peya have been recommended. On administering Oushada Siddha Peya in these conditions Peya does its action as well as exhibits the properties of Dravyas with which it is processed. It cures disease and at the same time nourishes Dhathus. A KAP survey was conducted as a part of study among the Ayurvedic practitioners. Majority of practitioners were found to administer classical Peya Yogas. Utility of Peya have been extended to other diseases, which are not mentioned in classical ayurvedic text books. This proves that Peya can be administered depending on the condition of patient as well as stage of disease. It was observed from the study that 78.0% practitioners had good knowledge regarding Peya and more than 50.0% had positive attitude towards this treatment modality. But only 46.0% practitioners adopted Oushada Siddha Peya in their practice.


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