scholarly journals PATIENTS’ KNOWLEDGE, ATTITUDES, AND PRACTICES ON UNCOMPLICATED MALARIA MANAGEMENT IN PLATEAU STATE, NORTH-CENTRAL NIGERIA

Author(s):  
NANLOH S JIMAM ◽  
NAHLAH E ISMAIL

Objectives: This study aimed to assess patients’ knowledge, attitudes, and practices (KAP) on uncomplicated malaria management in primary health-care (PHC) facilities of Plateau state, Nigeria. Methods: A validated self-reported scale known as patients’ KAP instrument for uncomplicated malaria with Cronbach’s alpha reliability of 0.74 was administered to 956 patients that consented to participate in the study across 24 PHC facilities in the state between May and July 2017. The collated data were analyzed using Microsoft Excel and IBM Statistical Package for the Social Sciences (SPSS®) version 23 software. Results: There were more female participants (53.5%) compared to the males (46.5%), and majority (33.4%) within the age range of 28 and 37 years with 26.5% falling within the age range of 18–27 years and children of <18 years of age constituted 13.8% of the study population. About 42.1% of the respondents were married, and many either had secondary (37.3%) or primary (30.0%) education as their highest qualifications. With overall mean (±standard deviation [SD]) attitudes’ score of 34.55 (±7.20), majority (50.8%) were categorized as having average positive attitudes toward disease and its management, and many of them (55.2%) also had good knowledge (mean [±SD] score=4.59 [±1.44]) and practices (67.1%) (mean [±SD] score=14.98 [±3.44]) on the disease and its management. Conclusion: The study indicated respondents’ knowledge and practices on uncomplicated malaria as good, while their attitudes toward the disease and its management were average.

2020 ◽  
Vol 34 (4) ◽  
pp. 329-344 ◽  
Author(s):  
Nanloh Samuel Jimam ◽  
Nahlah Elkudssiah Ismail

PurposeThis study determined factors that influenced patients' knowledge, attitudes and practices (KAP) regarding uncomplicated malaria in primary healthcare (PHC) facilities of Plateau state, Nigeria.Design/methodology/approachThe data of 956 patients treated for uncomplicated malaria in PHC facilities of Plateau state were used for the study. Inferential statistical analyses were conducted to identify factors that influenced patients' KAP on the disease and its management.FindingsThe study revealed age (p < 0.001), level of education (p = 0.012), attitudes (p = 0.007) and practices (p < 0.001) as significant predictors of knowledge outcomes on uncomplicated malaria, while their attitudes towards the disease and its management was predicted by their gender (p = 0.011), occupation (p = 0.049), monthly income (p = 0.018), knowledge (p < 0.001) and practices (p < 0.001). Furthermore, their practices were significantly predicted by monthly incomes (p = 0.043), knowledge (p < 0.001), attitudes (p < 0.001) and number of anti-malarial and adjunct drugs administered to them (p = 0.041).Originality/valueThe study revealed a mixed influence of patients' characteristics on their KAP outcomes. This calls for appropriate intervention measures towards achieving the desired patients' therapeutic outcomes.


Healthcare ◽  
2021 ◽  
Vol 9 (6) ◽  
pp. 772
Author(s):  
Yi-Man Teng ◽  
Kun-Shan Wu ◽  
Wen-Cheng Wang ◽  
Dan Xu

During the pandemic, quarantine hotel workers face a higher risk of infection while they host quarantine guests from overseas. This study’s aim is to gain an understanding of the knowledge, attitudes, and practices (KAP) of quarantine hotel workers in China. A total of 170 participants took part in a cross-sectional survey to assess the KAP of quarantine hotel workers in China, during the COVID-19 pandemic. The chi-square test, independent t-test, one-way analysis of variance (ANOVA), descriptive analysis, and binary logistic regression were used to examine the sociodemographic factors associated with KAP levels during the COVID-19 pandemic. The results show that 62.41% have good knowledge, 94.7% have a positive attitude towards COVID-19, but only 78.2% have good practices. Most quarantine hotel workers (95.3%) are confident that COVID-19 will be successfully controlled and that China is handling the COVID-19 crisis well (98.8%). Most quarantine hotel workers are also taking personal precautions, such as avoiding crowds (80.6%) and wearing facemasks (97.6%). The results evidence that quarantine hotel workers in China have acquired the necessary knowledge, positive attitudes and proactive practices in response to the COVID-19 pandemic. The results of this study can provide a reference for quarantine hotel workers and their targeted education and intervention.


Author(s):  
Vianey Argüelles-Nava ◽  
María Alvarez-Bañuelos ◽  
Daniel Córdoba-Suárez ◽  
Clara Sampieri ◽  
María Ortiz-León ◽  
...  

To assess the knowledge, attitudes, and practices about the Zika virus in both students and workers at the University of Veracruz, an online survey was conducted. The participants were divided into two groups: one according to sex, the other according to whether they were workers or students. Their answers were classified into knowledge, attitudes, and practices and they were rated as low, medium, and high. The results showed that knowledge about Zika prevailing among the university population is considered as medium in 79.4% of the study population. Most respondents know that the mosquito spreads the Zika virus (98.8%) and the clinical characteristics, while sexual transmission by the virus is little known (36.85%). Both the univariate analysis (OR (CI5) 0.227 (0.070–0.735), p = 0.013] and multivariate analysis (OR (CI95) 0.234 (0.071–778), p = 0.018] showed that belonging to the health sciences area is related to having a greater knowledge about Zika. Despite the existing knowledge, a low level of prevention practices prevails in the whole community (55%). A medium level of knowledge about Zika prevailed, while proper implementation of preventive measures for Zika is low, despite the fact that the state of Veracruz—the place where the University is located—is an endemic area.


2020 ◽  
pp. 1357633X2092682
Author(s):  
Sarina Yaghobian ◽  
Robin Ohannessian ◽  
Thomas Iampetro ◽  
Isabelle Riom ◽  
Nathalie Salles ◽  
...  

Introduction Telemedicine is a remote medical practice that is progressively expanding in France. In 2018, regulatory changes authorised telemedicine to become part of daily clinical practice. Telemedicine education and training (ET), however, has not been widespread, despite its integration in the medical curriculum since 2009. The objective of this study was to examine the self-perceived knowledge, attitudes and practices (KAP) and ET of telemedicine ET from medical students and residents in France. Methods A national survey was distributed online (15 December 2018 to 3 March 2019) to approximately 135,000 medical students and residents in medical schools ( n = 38). The survey consisted of a total of 24 binary and Likert-scale questions covering telemedicine ET and KAP. Results In total, 3,312 medical students and residents completed the survey. Synchronous video consultation was the most well-known telemedicine activity (86.9%); asynchronous tele-expertise was the least recognised (40.3%). Most respondents (84.8%) stated they were not familiar with telemedicine regulations. The relevance of telemedicine for improving access to care was acknowledged by 82.8% of students and residents; 14% of respondents stated they had previously practised telemedicine during their studies; 14.5% stated they had received telemedicine ET; however, 97.9% stated they were not sufficiently trained. Discussion This is the first national scale study on telemedecine ET by medical students and residents, to date. Despite positive attitudes, participants were found to have limited telemedicine ET, knowledge and practices. The demand for telemedicine ET is increasing. Such studies that incorporate the perspectives of medical students and residents may strengthen the implementation of telemedicine ET in the future.


2021 ◽  
Vol 3 (2) ◽  
pp. 68-73
Author(s):  
A. M. Hoque ◽  
S. Buckus ◽  
M. Hoque ◽  
A. B. M. Mahbub Alam ◽  
M. E. Hoque ◽  
...  

There is no proven specific treatment or adequate vaccination roll out against COVID-19 infection in South Africa. Optimal infection control measures encompass primary intervention to minimize the spread of COVID-19. Public knowledge, attitude, and practices of dealing with this highly infectious respiratory disease play a vital role in limiting the spread of the infection. Aim was to identify knowledge, attitudes, and practices gaps on COVID-19 pandemic for possible health education intervention. The objectives were to determine the knowledge, attitude and practices of out-patients attending a primary health care facility. A cross-sectional descriptive survey was conducted. The Student’s t-test and ANOVA test were carried out to determine the different mean scores for knowledge, attitudes and practices. Pearson’s correlation test was conducted to determine the relationship between knowledge, attitudes, and practices scores. Binary logistic regression was undertaken to determine the predictor of good knowledge, positive attitude, and preventive practices. A total of 345 out-patient attendees participated of which 51% were male. Over half (52%) of respondents were evaluated as having good knowledge, 59% as having positive attitudes and almost all (95%) were practicing prevention of COVID-19. The knowledge of the respondent was correlated with preventive practices (r=.173, p<0.05). Multiple regression showed that respondents in the age groups 35-44 years and 45-54 years were 2.8 times and 5.7 times more likely to have good knowledge respectively. Non-smokers were 79% less likely to have good knowledge (OR=.219, p<0.05). Respondents with no comorbidity were 50% less likely to have good knowledge (OR=.503, p <0.05), when compared to those having co-morbidities. Respondents with the highest level of education was found to be positive predictor of positive attitudes (OR =7.3, p <0.05). Primary Health Care users have poor knowledge, negative attitudes but practiced properly for the prevention of the transmission of COVID-19. Mass education is required to educate communities to improve knowledge and attitudes on COVID-19 epidemic in SA.


2015 ◽  
Vol 04 (02) ◽  
pp. 065-067 ◽  
Author(s):  
Shailee Fotedar ◽  
Vinay Bhardwaj ◽  
Kavita Manchanda ◽  
Vikas Fotedar ◽  
Avishek De Sarkar ◽  
...  

Abstract Aim: The aim was to assess the knowledge, attitude and practices among undergraduate dental students about oral cancer. Materials and Methods: A cross-sectional questionnaire study was conducted among undergraduate dental students between the 3rd and 5th years in H.P Government Dental College, Shimla. The questionnaire consisted of 15 questions, five each on knowledge, attitudes and practices. The data were analyzed by Statistical Package for the Social Sciences (SPSS Inc., version 16 for Windows, Chicago, IL, USA). Results: The response rate of the study was 90.6%. There were 23 (21.5%) males and 84 (78.5%) females in the study. There was a predominance of females (78.5%). The average knowledge percentage for the entire population is 81.9% (excellent knowledge). Tobacco and alcohol were correctly identified by 63.5% of the subjects. Squamous cell carcinoma was described as the most common type of oral cancer by 105 (98.3%) of the students. 60.7% of the subjects strongly disagreed that their knowledge regarding the prevention and detection of oral cancer is current and adequate, and 99% agreed that there is a need for additional training/information regarding oral cancer. About 92.5% of the subjects used to educate their subjects about the harmful effects of tobacco and alcohol. Conclusion: The study implies that the knowledge, especially about the etiological factors of oral cancer needs to be reinforced throughout the undergraduate dental courses so that they can use the same in educating and motivating the masses to adapt healthy lifestyles.


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


2021 ◽  
Author(s):  
Joan Mabinty Koroma ◽  
Yuji Wang ◽  
Xiang Guo ◽  
Xiaoqing Zhang ◽  
Jone Jama Kpanda Ngobeh ◽  
...  

Abstract BackgroundChildren under-5 are the most vulnerable to malaria infection and they suffer serious complications. Sierra Leone is one of the countries with the highest malaria burden in the world. This study aimed to assess the knowledge, attitudes and practices (KAPs) towards malaria control and prevention among caregivers of children under-5 in the Western Area of Sierra Leone.MethodsA cross-sectional survey was conducted among caregivers of children under-5 visiting the out-patient department of six selected hospitals/community health centers. Data were collected via questionnaire interview with 350 caregivers. Further statistical analyses were performed primarily Spearman’s rank test for inferring the correlations among KAPs, univariate and multivariate logistic regression for demonstration the association between KAPs and socio-demographic characteristics.ResultsWomen made up 97.1% of respondents with the majority being young mothers-including 33 single student moms. 46.3% among respondents were unemployed and 27.1% had no educational background. Only 1.4% received malaria related information from the internet/social media. This KAPs survey indicated that misconception of cause, transmission and clinical symptoms of malaria; unawareness of lethality and severity; inappropriate behaviors in prevention and treatment such as self-medicating were still in existence in caregivers. But a positive correlation in knowledge-attitudes (rs = 0.13, P < 0.05) and attitudes-practices (rs = 0.45, P < 0.001) were revealed. The caregivers being a mother and having at least secondary education were demonstrated associated with positive attitudes and practices. Meanwhile, more urban-based caregivers (79.8%) followed a complete malaria treatment course of ACTs than the rural (63.3%), but in view of ITNs use, more rural-based caregivers presented positive attitudes (85.3%) and practices (70.1%) than the urban (69.9%, 52.0%). The student moms might know more but do less. ConclusionsIn order to better protect children under-5 against lethal malaria, their caregivers, especially young mothers, need strong support to reduce misconceptions, inappropriate behaviors, and provide increased vigilance. It is important to develop an efficient communication channel to disseminate information regarding malaria, especially strengthening community-based media infrastructure, including internet/social media. A increase in education and employment opportunities for women, as well as setting up community-based malaria counselling services, is urgently needed.


2020 ◽  
Author(s):  
Md. Saiful Islam ◽  
Md. Galib Ishraq Emran ◽  
Md. Estiar Rahman ◽  
Rajon Banik ◽  
Md. Tajuddin Sikder ◽  
...  

Background: The emergent COVID-19 has impacted unprecedentedly to all classes of people. Slum-dwellers' knowledge, attitudes and practices (KAP) towards COVID-19 are currently poorly understood. To investigate the KAP towards COVID-19 among slum dwellers resided in Dhaka City, Bangladesh. Methods: A cross-sectional offline survey was carried out enrolling 406 slum dwellers (53.2% male; mean age=44.9 years [SD=12.1]; age range=18-85 years) between August and September, 2020. The face to face interview was conducted to collect data from 6 selected slum areas in Dhaka City using convenience sampling. The questionnaire consisted of informed consent along with questions concerning observational checklists, socio-demographics, and KAP. Results: A sizeable minority were observed without wearing face masks during the survey periods (18.2%) and a vast portion (97.5%) without any hand protection. The mean scores of KAP were 6.1plus-or-minus sign2.6 (out of 17), 12.3plus-or-minus sign1.7 (out of 14), and 9.8plus-or-minus sign1.6 (out of 12), respectively. Moreover, the KAP were strongly and positively correlated with each other. Conclusions: The findings revealed that the majority of slum dwellers in Bangladesh have limited knowledge of COVID-19. Poor practices (i.e., face mask and hand protection) were directly observed during the survey. The findings suggest the immediate implementation of health education programs and adequate interventions.


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