scholarly journals Temporal analysis of water, sanitation, and hygiene data from knowledge, attitudes, and practices surveys in the protracted humanitarian crisis in Myanmar

2020 ◽  
Vol 10 (4) ◽  
pp. 806-817
Author(s):  
Marta Domini ◽  
Sunny Guidotti ◽  
Daniele Lantagne

Abstract Knowledge, attitudes, and practices (KAP) surveys are commonly conducted by humanitarian actors at project baseline and endline. We hypothesized summarized KAP data could inform water, sanitation, and hygiene (WASH) programming and strategies. In conflict-affected Myanmar, the WASH Cluster collated KAP documents from 2011 to 2016. After developing a methodology for KAP temporal analysis, we reviewed provided documents against inclusion criteria; extracted and categorized data; created a WASH activities and emergency events timeline; completed temporal analysis; and triangulated and summarized results. Sixteen documents met inclusion criteria assessing WASH data at the national level (19%), in Rakhine (56%) or Kachin State (25%). Twenty-five WASH metrics were extracted and categorized. We found WASH knowledge and attitudes (e.g. handwashing knowledge) increased over time; practices (e.g. handwashing) also increased, but at a lower rate and less consistently; and increases were related to WASH programming. Using this methodology, we identified gaps (safe water storage, risk of children's feces, focus on vulnerable populations), barriers (cultural and religious beliefs), and programmatic recommendations (continue hygiene promotion, focusing on closing gaps, and improve waste collection systems) in Myanmar. Additionally, to enable temporal analysis and improve WASH programming, we recommend WASH Clusters standardize KAP data collection tools and analysis in the future.

2019 ◽  
Vol 2 (1) ◽  
pp. 40
Author(s):  
Abdul Samad Hiola ◽  
Dian Puspaningrum

AbstrackInformation on farmers' knowledge about land conservation practices in limited agroforestry is a barrier to the application of agroforestry. Land conservation practices and their adaptation by farmers in Modelidu Village by exploring their knowledge, attitudes, and perceptions in agroforestry. The purpose of this study was to determine the knowledge, attitudes and practices of land conservation in agroforestry of Ilengi.The results showed the level of knowledge and attitudes of respondents in Modelidu Village regarding the application of land conservation in agroforestry were in the low category (43% and 46%) to moderate (37% and 34%). So that the impact on practice is in the low category (66%) to moderate (28%). While the educational factors and attitudes of farmers influence the practice of applying land conservation in agroforestry of ilengi.  RingkasanInformasi pengetahuan yang terbatas tentang praktik konservasi lahan di agroforestri ilengi menjadi penghalang bagi penerapan agroforestri secara luas. Praktek konservasi lahan dan adaptasinya oleh  petani di Desa Modelidu dengan mengeksplorasi pengetahuan, sikap, dan persepsi mereka di agroforestri  ilengi. Tujuan penelitian ini untuk mengetahui pengetahuan, sikap dan praktek konservasi lahan di agroforestri  ilengi.Hasil penelitian menunjukan tingkat pengetahuan dan sikap sebagian besar petani responden di Desa Modelidu mengenai penerapan konservasi lahan di agroforestri  ilengi  berada  pada  kategori  buruk (43% dan 46%)  sampai dengan   sedang (37% dan 34%).  Sehingga berdampak pada praktik   berada pada kategori buruk (66%) sampai dengan sedang (28%).  Sedangkan faktor tingkat pendidikan dan sikap petani responden yang  mempengaruhi  praktik  penerapan konservasi lahan di agroforestri  ilengi.


2018 ◽  
Vol 8 (3) ◽  
pp. 533-545 ◽  
Author(s):  
Mitsuaki Hirai ◽  
Andrea Kelsey ◽  
Kay Mattson ◽  
Aidan A. Cronin ◽  
Supriya Mukerji ◽  
...  

Abstract In 2012, the Government of Indonesia and UNICEF launched a project within eastern provinces of Indonesia to scale up and strengthen a national hygiene and sanitation program called ‘Sanitasi Total Berbasis Masyarakat’. A formative study prior to the project was conducted to characterize sanitation and hygiene knowledge, attitudes, and practices (KAP) among 1,700 households in six rural Indonesian districts in 2014. Separate multivariate analyses for toilet ownership (outcome 1) and improved sanitation (outcome 2) were conducted with generalized linear models to assess the association between potential determinants and sanitation outcomes. Respondents who agreed that most people do not have a toilet in their community were associated with lower levels of toilet ownership compared to respondents who disagreed with the statement (p < 0.001). The perception that building a toilet is expensive was also associated with reduced toilet ownership in contrast to respondents without this perception (p < 0.001). Embarrassment and convenience were associated with ownership of improved sanitation versus those with shared or unimproved toilets. The study suggests that social norms play an important role in changing sanitation behaviors. Future research should aim to clarify the extent to which norms and other psychosocial factors can be used to influence sanitation practices.


Author(s):  
Anna P. K. Shilunga ◽  
Hans J. Amukugo ◽  
Kabwebwe H. Mitonga

Background: Water, sanitation and hygiene played a significant role in schools by reducing water and sanitation related diseases; subsequently improving the health and learning performance of school-aged children. However, ppeople’s knowledge and attitudes on sanitation and hygiene determine the actual practice towards it. This study aimed at assessing and describing the knowledge, attitudes and practices of primary school learners towards sanitation and hygiene.Methods: A quantitative, descriptive design was used. A questionnaire was used to collect data among 450 learners in 10 selected primary schools in Ohangwena region. The study population was grade five, six and seven primary school learners. A three staged probability sampling method was employed. Statistical analysis was done using the Statistical Package for Social Sciences version 23.Results: The result indicated that younger learners in lower school grades, has poorer knowledge, attitudes and practices towards hygiene and sanitation than older learners irrespective of their gender, school circuits or location. This is a logical conclusion because, as learners become older, they become more aware and take precautions about hygiene and sanitation issues.Conclusions: Younger learners in lower school grades, has poorer knowledge, attitudes and practices towards hygiene and sanitation irrespective of their gender, school circuits or location. The older learners become more aware, and cautious about hygiene and sanitation issues comparing to younger learners. The practice and knowledge of sanitation and hygiene are implicated by the reality of the conditions of the sanitation facilities available to them. 


2019 ◽  
Vol 14 ◽  
pp. 3104-3113
Author(s):  
Whatmore Chikwature ◽  
Emilia Chikwature

The research was carried out to investigate the causes of low sanitation and hygiene coverage in Mutare rural ward 15 in Manicaland province, Zimbabwe. The study aimed at establishing factors contributing to low sanitation and hygiene coverage as well as determining the knowledge, attitudes and practices of the community members on sanitation and hygiene. The study was carried out in Mutare rural Ward 15. The community members and programme implementers were selected as study elements. Information was gathered using focus group discussion, interviews and observations. Data collected was presented quantitatively using tables and also qualitatively, providing facts. The stratified and purposive probability sampling was used to draw out household members in the study population. Other subjects in the research included 2 sanitation and hygiene programme implementers, one from Ministry of Health & Child Care and Mutare rural Ward 15 Councilor respectively. The research findings revealed that, low sanitation and hygiene was due to, the community’s negative attitude towards sanitation and hygiene programs, their cultural values, inadequate resources, lack of supervision, as well as the type of soil. This study concluded that knowledge, attitudes and practices of the community, inadequate supervision and resources as well as the type of soil contributed to low sanitation and hygiene coverage. The research therefore recommended that, the community be adequately educated and be provided with enough resources so as to increase coverage in sanitation and hygiene


2020 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Walter Salas-Zapata ◽  
Jaiberth Antonio Cardona-Arias

PurposeThe objective of this study was to analyze knowledge, attitudes and practices (KAP) on the sustainability in two populations of university students.Design/methodology/approachA cross-sectional analytical study with university students.FindingsThe scale employed showed remarkable psychometric properties of reproducibility and validity. Besides, KAP levels were found to be related in the studied population, with higher levels of knowledge and attitudes than those of practice. Knowledge was found to be related to educational cycle and age, attitudes with sex and age and practices with age.Originality/valueThis is one of the few studies in the field of KAP related to sustainability and environmental issues in using a validated psychometric scale. As a consequence, this study also offers methodological details necessary to make comparisons with similar populations in other countries.


2019 ◽  
Author(s):  
Andrit Lourens ◽  
Peter Hodkinson ◽  
Romy Parker

Abstract Background: Acute pain is frequently encountered in the prehospital setting, and therefore, is known to be a fundamental aspect of quality emergency care. Research has shown a positive association between pain management practices and health care providers’ knowledge of, and attitudes towards pain. This study aimed to describe the knowledge, attitudes, and practices of emergency care providers in relation to acute pain assessment and management in the prehospital setting, in the Western Cape, South Africa. Methods: A web-based descriptive cross-sectional survey was conducted among emergency care providers of all qualifications, using a face-validated Knowledge, Attitudes and Practices of Pain survey. Results: A hundred (n=100) respondents, with a mean age of 34.74 (SD 8.13) years and mean of 10.02 (SD 6.47) years of experience participated. Most respondents were male (69%), employed in the public/government sector (93%) as operational emergency care providers (85%) with 54% (n=54) of respondents having attended medical education on pain assessment and management in the last two years. The overall mean percentage of correct answers for knowledge and attitudes regarding pain among emergency care providers was 58.01% (SD 15.66) with gaps identified in various aspects of pain and pain management including: basic knowledge of pain physiology; pain assessment; indicators of severe pain; pharmacological and non-pharmacological pain management; culture and spiritual influences; and pain expression. Practitioners with a higher qualification, more years’ experience and those who did not attend medical education on pain, achieved higher overall scores. Pain scores were not assigned to patients’ as self-reported while overall, limited pain relief was provided. Conclusion: Our results suggest that there is suboptimal knowledge and attitudes regarding pain among most levels of emergency care qualifications. Pain education is essential, it should occur regularly, and specific educational initiatives aimed at addressing pain knowledge and attitudes have been indicated. Future work should focus on the additional description of the gaps in pain knowledge and attitudes among emergency care providers and exploring the decline over time. Description of barriers to and enablers of pain care in the South African prehospital setting is imperative. Organisational culture should endorse and monitor prehospital pain care.


2021 ◽  
Vol 9 ◽  
Author(s):  
Nur Sufiza Ahmad ◽  
Ernieda Hatah ◽  
Mohamad Ridha Jalil ◽  
Mohd Makmor-Bakry

Background: Medicine price transparency refers to the practice of making prices available to consumers for them to identify, compare, and select the medicine that provides the desired value. This study aimed to evaluate consumer knowledge, attitudes, and practices regarding Malaysia's medicine price transparency initiative, as well as factors that may influence related good consumer practices in private healthcare settings.Methods: A cross-sectional, self-administered survey was conducted between May and July 2019 among consumers attending private healthcare institutions in Malaysia. The self-developed and validated survey consisted of four sections on the following: respondents' demographics, and 28 close-ended and graded Likert scale answer options on knowledge, attitudes, and practices toward medicine price transparency. Factors influencing good consumer practices toward the transparency initiative were modeled using binary logistic regression.Results: A total of 679 respondents were part of the study. The mean age of respondents was 38 ± 13.3, with the majority (n = 420, 61.9%) being female. The respondents' mean score of knowledge and attitudes toward the price transparency initiative was 5.6 ± 1.5 of the total score of 8 and 31.9 ± 4.0 of the total score of 40, respectively. The respondents had the lowest score in the practice of price transparency, with a mean score of 31.5 ± 5.6 of the total score of 60. Male gender, Chinese ethnicity, high score on knowledge and attitudes, and high expenses on medicines influenced respondents' good practices of medicine price transparency.Conclusion: Respondents had good knowledge and attitudes, but their usage and implementation of the medicine price transparency initiative was still inadequate. A number of factors influence this inadequacy, including gender, race, consumers' out-of-pocket spending on medication, and knowledge of and attitudes toward price transparency practices. Consumer-driven market price control would be impossible to achieve without the good consumer practices of medicine price transparency.


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