Onchocerciasis in Osse, Ondo State, Nigeria: Effectiveness of Motivational Strategies in Sustaining Compliance with Community Ivermectin Therapy

2002 ◽  
Vol 21 (2) ◽  
pp. 177-189
Author(s):  
O. U. Manafa ◽  
T. S. Awolola ◽  
A. N. Isamah

A study in human Onchocerciasis was undertaken in four endemic communities in Ondo State, Nigeria. In-depth interviews were conducted on peoples' knowledge, attitudes, and practices regarding Onchocerciasis aetiology, treatment, prevention, and symptoms. These were complemented by key informant interviews and focus group discussions. Based on this information, an educational program was set up which included the training of selected villagers (motivators) and community intervention organized by these motivators. Evaluation used a control group where intervention was focused on other health problems in the area. Onchocerciasis education took place only with the intervention group. At the start of the project, peoples' knowledge about Onchocerciasis, its cause, treatment, prevention, and symptoms were varied and only a small proportion could link the bite of the blackfly to Onchocerciasis. The educational intervention achieved a high level of participant satisfaction which was expressed in continuous attendance at workshops and keeping appointments with motivators. The intervention helped to bring a significant improvement in the knowledge, attitudes, and practices (KAP) of the respondents. The knowledge of Onchocerciasis aetiology increased to 79.8 percent, 71.5 percent, and 74 percent from 48.5 percent, 48.7 percent, 34 percent, and 45 percent pre-intervention in the four study areas used. The project demonstrated that a community-based health education can be effective in Onchocerciasis control.

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Tria Astika Endah Permatasari ◽  
Fauza Rizqiya ◽  
Walliyana Kusumaningati ◽  
Inne Indraaryani Suryaalamsah ◽  
Zahrofa Hermiwahyoeni

Abstract Background Almost one-third of children under 5 years old in Indonesia suffer from stunting. Stunting can be prevented optimally during pregnancy as the initial phase of the first 1000 days of life. This study aims to determine the effect of nutrition and reproductive health education of pregnant women in Bogor Regency, Indonesia. Methods A quasi-experimental study was conducted among 194 pregnant women from August to November 2019. The pregnant women were randomly selected from four different villages in Bogor Regency. The intervention group (n = 97) received 2 h of nutrition and reproductive health education in small groups (four or five mothers per group) every 2 weeks for 3 consecutive months. This interactive education was given by facilitators using techniques such as lectures, role-playing, simulation, and games. The control group (n = 97) received regular health care services. A structured questionnaire was applied to collect data consisting of maternal characteristics, nutritional and reproductive health knowledge, attitudes, and practices in the intervention and control groups. Data were analysed using t-test and chi-square analysis. Results Pregnant women in the intervention group indicated a significant increase in knowledge, attitudes, and practices regarding nutrition and reproductive health after receiving education. The pre-test and post-test mean scores in the intervention group were 55.1 and 83.1 for overall knowledge, 40.2 and 49.0 for attitudes, and 36.2 and 40.2 for practices, respectively. In the control group, there was no significant difference between the pre-test and post-test mean scores for these three variables. There was a significant difference (P < 0.001) in the post-test mean between the intervention group and the control group, but the difference was not significant (P > 0.05) in the pre-test. Conclusion Providing nutrition and reproductive health education through small groups with interactive methods improves the knowledge, attitudes, and practices of pregnant women. This intervention has the potential to be replicated and developed for large-scale implementation by optimising collaboration between government, non-governmental organizations, and maternal and child health service providers.


2021 ◽  
Vol 17 (1) ◽  
pp. 13-24
Author(s):  
Demsa Simbolon ◽  
Beatrix Soi ◽  
Ina Debora Ratu Ludji ◽  
Mareta Bakale Bakoil

Background: From pregnancy, until the child is two years old, it is a prone period for stunting due to inadequate nutritional care at the family level. Mothers' ability in parenting and child health will affect their nutritional status and health, especially mothers who have stunted children. This study aimed to determine the effectiveness of specific nutrition assistance (SNA) through empowering cadres to change the behavior (knowledge, attitudes, practices) of mothers who have stunted children aged 6-24 months.Method: The research used a quasi-experiment with pre-post design with a control group. The research was conducted in Bengkulu Utara (BU) District and Timur Tengah Selatan (TTS) District. The intervention group received SNA for six months (June-November 2019) by Posyandu cadres and health workers. The control group received standard services from the Health Center or the Posyandu. Whilst, the intervention group received nutrition and health counseling during home visits. Mothers' knowledge, attitudes, and practices in parenting and child health nutrition were measured as dependent variables. Sample of 120 mothers with stunted children aged 6-24 months. Data analysis used independent t-test and dependent t-test.Results: The SNA was effective in increasing the knowledge, attitudes, and practices of mothers. The increased knowledge, attitudes, and practices were higher in the intervention group both in BU District (116%) and TTS District (26.33%). In BU District, there was an increase in knowledge (116%), attitude (40%), and practices (20.07%), likewise in TTS District; there was an increase in knowledge (26.33%), attitudes (42.5%), and practices (22.15%) which are significantly different from the increase in the practices of the control group. SNA needs to be carried out continuously to increase mothers' ability in parenting and child health. Therefore, that stunted children can catch up with their height growth. 


2020 ◽  
Author(s):  
Tria Astika Endah Permatasari ◽  
Fauza Rizqiya ◽  
Walliyana Kusumaningati ◽  
Inne Indraaryani Suryaalamsah ◽  
Zahrofa Hermiwahyoeni

Abstract Background: Almost one-third of children under five suffer from stunting in Indonesia. Stunting can be prevented optimally since the period of pregnancy as the initial phase of the first 1000 days of life. This study aims to determine the effect of nutrition education and reproductive health on pregnant women in Bogor Regency, Indonesia.Methods: A quasi-experimental study was conducted among 194 pregnant women from August to November 2019. The pregnant women were randomly selected from two different villages that were the stunting locus in Bogor Regency. The intervention group (n=97) received two hours of nutrition and reproductive health education in small groups (4-5 mothers per group) every two weeks for three consecutive months. This interactive education had been given by a facilitator using some techniques such as role-playing, lectures, simulation, and games. The control group (n=97) were to obtain regular health care services. A structured questionnaire was applied to collect data consisting of maternal characteristics, nutritional and reproductive health knowledge, attitudes, and practices in the intervention and control groups. Data were analyzed using t-test and chi-square analysis.Results: Pregnant women in the intervention group indicate a significant increase in knowledge, attitudes, and practices regarding nutrition and health reproductive after being given an education. The pretest and posttest mean scores in the intervention group were 55.1 and 83.1; 40.2 and 49.0; and 36.2 and 40.2, for the overall mother's knowledge, attitudes, and practices, respectively. Whereas in the control group, there was no significance between the pretest and posttest mean for these three variables. There was a significant difference (p<0.05) in the posttest mean between the intervention group and the control group, but the difference was not significant (p>0.05) at the pretest.Conclusion: Providing nutrition and reproductive health education through small groups with interactive methods improves the knowledge, attitudes, and practices of pregnant women. This intervention has the potential to be replicated and developed into large-scale implementation by optimizing collaboration between government, non-governmental organizations, and maternal and child health service providers.


2020 ◽  
Author(s):  
Isaac Akhénaton Manga ◽  
Aissatou Gaye ◽  
Aliou Dia Kouevidjin ◽  
Ekoue ◽  
Maria Rosa Dos Reis ◽  
...  

Abstract Background MOSKI KIT® is a fun tool designed to interest children for prevention and management of malaria. This study was carried out with the objective to assess the short- and long-term impacts of this tool on the knowledge, attitudes and practices of school children, and on the transmission of the knowledge received at the household level as well. Method The study took place in elementary schools in the city center (with relatively low endemicity) and in the Niayes area (at high risk of anopheline and malaria) in the Dakar region of Senegal. The various schools chosen for our study were divided into an intervention group and a control group. The intervention schools were also divided into two subgroups, a full package subgroup and another partial package. We conducted three surveys there, a first before exposure to the MOSKI KIT®, a second a week later and a third a year later. In the control schools, we only carried out one at the same time as the last in the intervention schools. We carried out two household surveys (a week and a year after exposure) for the intervention schools, against one for the control schools.Results Before sensitization, the proportion of school children with a grade above or equal to the average was 50% for the complete package subgroup (CPS) and 53% for the partial package subgroup (PPS). A week later, these proportions were 69% and 71% respectively for the complete and PPSs. A year later, they were 99.4% for the CPS, 98.1% for the PPS and 99.5% for the control group; The number of children who spoke to their parents about malaria was greater in intervention schools than that of control schools. They were 46.63% and 32.58% respectively in intervention and control schools.Conclusion The MOSKI KIT, has enabled an increase of the knowledge of school children about malaria in the short term and favored its retention in the long term. However, its impact was not felt on their attitudes and practices.


2021 ◽  
Vol 20 (1) ◽  
Author(s):  
Isaac Akhénaton Manga ◽  
Aïssatou Gaye ◽  
Aliou Dia ◽  
Ekoue Kouevidjin ◽  
Maria Rosa Dos Reis ◽  
...  

Abstract Background MOSKI KIT® is a fun tool designed to interest children for prevention and management of malaria. This study was carried out with the objective to assess the short- and long-term impacts of this tool on the knowledge, attitudes, and practices of school children, and on the transmission of the knowledge received at the household level as well. Method The study took place in elementary schools in the city centre (with relatively low endemicity) and in the Niayes area (at high risk of anopheline and malaria) in the Dakar region of Senegal. The various schools chosen for this study were divided into an intervention group and a control group. The intervention schools were also divided into two subgroups, a full package subgroup and another partial package. During this study three surveys were conducted, the first one before exposure to the MOSKI KIT®, the second one a week later and the third a year later. For the control schools only one survey was conducted and at the same time than the third for the intervention schools. Two household surveys (a week and a year after exposure) were also conducted for the intervention schools against one for the control schools. Results Before sensitization, the proportion of school children with a grade above or equal to the average was 50% for the complete package subgroup (CPS) and 53% for the partial package subgroup (PPS). A week later, these proportions were 69% and 71%, respectively for the complete and PPSs. A year later, they were 99.4% for the CPS, 98.1% for the PPS and 99.5% for the control group; The number of children who spoke to their parents about malaria was greater in intervention schools than that of control schools. They were 46.63% and 32.58%, respectively in intervention and control schools. Conclusion The MOSKI KIT, has enabled an increase of the knowledge of school children about malaria in the short term and favoured its retention in the long term. However, its impact was not felt on their attitudes and practices.


2020 ◽  
Vol 8 (E) ◽  
pp. 228-235
Author(s):  
Nurhaedar Jafar ◽  
Nurzakiah Hasan ◽  
Veni Hadju ◽  
Ridwan M. Thaha ◽  
Andi I. Arundhana

BACKGROUND: Studies linking the association of nutrition knowledge, attitudes, and practices (KAP) with healthy behavior have been well established. However, the method to effectively deliver nutrition education to a particular population, especially middle-income population, was less studied. AIM: This study aimed to examine the effects of school-based nutrition using the self-determination theory (SDT) on nutrition KAP of the senior secondary schoolteacher with metabolic syndrome risk. METHODS: This study was a non-randomized pre-post intervention study conducted in eight senior secondary schools in Makassar City. The intervention group received a balanced nutrition package either delivered through modules, balance sheet (calendar), or physical activity poster for 4 months. The control group received a pamphlet that has been developed by the Ministry of Health of the Republic of Indonesia. RESULTS: A total of 123 respondents (63 respondents) intervention and (60 respondent) control group completed post-test and were included in the analysis. There were increase knowledge, attitude, and practice in both groups, but increasing in the intervention group was a significant relationship compared to the control group (knowledge p < 0.001 and practice = 0.007).s CONCLUSIONS: Delivering nutrition education using SDT concept can potentially improve the knowledge and practices of the teachers about balanced nutrition. The government may adopt the SDT approach when designing the nutrition education program with specific targets.


Insects ◽  
2022 ◽  
Vol 13 (1) ◽  
pp. 71
Author(s):  
Muhammad Shafique ◽  
Muhammad Mukhtar ◽  
Chitlada Areesantichai ◽  
Usaneya Perngparn

Dengue is a mosquito-borne, viral disease that has emerged as a global health concern in recent years. In the absence of specific antiviral treatment and vaccines, prevention remains the key strategy for dengue control. Therefore, innovative and community-driven approaches are required to improve the vector control practices. This study applied and evaluated the positive deviance (PD) approach on dengue prevention and control in selected slums of Islamabad during June–October 2020. The two most dengue-affected slums, the Faisal colony and France colony, were purposively selected as intervention and control groups, respectively. A total of 112 participants (56 for the intervention and 56 for the control group) participated in the study. The intervention group was exposed for two months to locally identified role model behaviors through weekly interactive sessions, dengue sketch competitions, and role plays. Another two months enabled the community to practice these behaviors without any external support in order to explore the intervention’s sustainability. Three surveys were conducted: before the intervention, after two months, and after four months, to assess any changes in the knowledge, attitudes, and practices of participating communities. Results found that the PD intervention had a significant positive impact on dengue knowledge, attitudes, and practices in the intervention group. PD could offer an empowering and efficient community engagement tool for future dengue prevention and control, both in Pakistan and more globally.


2019 ◽  
Vol 27 (4) ◽  
pp. 242-250
Author(s):  
Karimeh AL-Nuaimi ◽  
Reem Ali ◽  
Fatima Hatem Ali

Background Counselling, education and support from health professionals is key to increasing breastfeeding practices. Aim To evaluate the effectiveness of a breastfeeding educational workshop on Jordanian nurses' and midwives' knowledge, attitudes and practices towards breastfeeding. Methods A convenience sample of 82 nurses and midwives were recruited and randomly assigned into intervention and control groups. A pre-test was conducted for both groups and a post-test was conducted 2 weeks after the intervention for both groups. Findings The results showed significantly higher mean and standard deviation in the intervention group (M=11.73; SD=2.6), compared to the control group (M=8.38; SD=2.59) after conducting the workshop (P<0.001), indicating that the workshop was beneficial in improving knowledge and practice towards the importance of breastfeeding. Conclusion The 2-hour educational workshop increased health professionals' knowledge and this may lead to improvements in practice and better breastfeeding outcomes.


2021 ◽  
Vol 12 ◽  
pp. 204062232110052
Author(s):  
Jeremy Chambord ◽  
Lionel Couzi ◽  
Pierre Merville ◽  
Karine Moreau ◽  
Fabien Xuereb ◽  
...  

Aims: To assess the effect of a pharmacist-led intervention, using Barrows cards method, during the first year after renal transplantation, on patient knowledge about their treatment, medication adherence and exposure to treatment in a French cohort. Methods: We conducted a before-and-after comparative study between two groups of patients: those who benefited from a complementary pharmacist-led intervention [intervention group (IG), n = 44] versus those who did not [control group (CG), n = 48]. The pharmacist-led intervention consisted of a behavioral and educational interview at the first visit (visit 1). The intervention was assessed 4 months later at the second visit (visit 2), using the following endpoints: treatment knowledge, medication adherence [proportion of days covered (PDC) by immunosuppressive therapy] and tacrolimus exposure. Results: At visit 2, IG patients achieved a significantly higher knowledge score than CG patients (83.3% versus 72.2%, p = 0.001). We did not find any differences in treatment exposure or medication adherence; however, the intervention tended to reduce the proportion of non-adherent patients with low knowledge scores. Using the PDC by immunosuppressive therapy, we identified 10 non-adherent patients (10.9%) at visit 1 and six at visit 2. Conclusions: Our intervention showed a positive effect on patient knowledge about their treatment. However, our results did not show any improvement in overall medication adherence, which was likely to be because of the initially high level of adherence in our study population. Nevertheless, the intervention appears to have improved adherence in non-adherent patients with low knowledge scores.


Author(s):  
Cynthia Uchechukwu Ejike ◽  
Akinola Stephen Oluwole ◽  
Olaitan Olamide Omitola ◽  
Adedotun Ayodeji Bayegun ◽  
Islamiat Yetunde Shoneye ◽  
...  

Abstract Background We redesigned the Schisto and Ladders health educational board game and evaluated its potential to encourage compliance to school-based mass drug administration with praziquantel. Methods Two hundred and seventy-five children from six schools who rejected praziquantel treatment were divided into intervention and control groups. Before the intervention, preassessment interviews were conducted on their knowledge about praziquantel treatment and schistosomiasis. The Schisto and Ladders version 2 game as an intervention, and the Snakes and Ladders game as a control, were played for 6 mo. Postassessment interviews, including focus group discussions, were conducted. Results At preassessment, 0/98 (0.0%) children in the intervention group had heard of praziquantel compared with 2/177 (1.1%) in the control group. Similarly, 0/98 (0.0%) children in the intervention group did not know that praziquantel does not kill compared with 4/177 (2.3%) in the control group. The postassessment showed that 53/78 (67.9%) in the intervention group were aware of praziquantel compared with 2/177 (1.1%) in the control group (p=0.000). Similarly, 53 (69.7%) in the intervention group knew about the safety of praziquantel compared with 0/177 (0.0%) in the control group (p=0.000). Sixty-four children (65.3%) from the intervention group sought praziquantel treatment after the trial. Conclusions Schisto and Ladders version 2 is a useful sensitisation tool with which to encourage compliance to praziquantel treatment in schools.


Sign in / Sign up

Export Citation Format

Share Document