scholarly journals KNOWLEDGE, ATTITUDE, AND HEALTHCARE-SEEKING BEHAVIOR AMONG FAMILIES OF CHILDREN WITH TUBERCULOSIS

2020 ◽  
Vol 6 (4) ◽  
pp. 127-135
Author(s):  
Muhammad Reza Saputra ◽  
Windy Rakhmawati ◽  
Sri Hendrawati ◽  
Fanny Adistie
Keyword(s):  
Care Facility ◽  
Signs And Symptoms ◽  
World Health ◽  
Good Knowledge ◽  
Early Screening ◽  
Healthcare Seeking ◽  
Attitude And Practice ◽  
Seeking Behavior ◽  
Healthcare Seeking Behavior ◽  
Knowledge Attitude And Practice

Background: Poor family healthcare-seeking behavior may cause delays in pediatric tuberculosis management. Knowledge and attitude are among the basic factors that influence in the family healthcare-seeking behavior.Objective: This study aimed to explore the knowledge, attitude, and healthcare-seeking behavior among families of children with tuberculosis.Methods: This was a cross-sectional descriptive quantitative study using accidental sampling method. Eighty-three families of children with tuberculosis were recruited. World Health Organization's Knowledge, Attitude and Practice Survey guideline was used to develop the questionnaires used in this study. Data were analyzed using descriptive statistics.Results: Results showed that 51.8% of the families had good knowledge and 53% had a positive attitude while 74.7% of the families did not do early screening, 67.5% preferred hospital for examinations, and 51.8% directly visited a health care facility when the child showed signs and symptoms of tuberculosis. In these families, 77.1% delayed taking the child for treatment for < 1 month, and the reason for the delay in 100% of these families was because they did not know that their children had signs and symptoms of tuberculosis.Conclusion: In conclusion, more than half of the families in this study already had good knowledge, attitude, and practice in accessing healthcare services although poor screening practice was still seen in most families. Thus, nurses have opportunities to provide appropriate health-related education to achieve the desired behavioral change.

scholarly journals Knowledge and Healthcare Seeking Behavior of Tuberculosis Patients attending Gimbi General Hospital, West Ethiopia

1970 ◽  
Vol 28 (5) ◽  
Author(s):  
Asmamaw Abayneh Badane ◽  
Mohammed Gebre Dedefo ◽  
Edao Sado Genamo ◽  
Nigatu Addisu Bekele
Keyword(s):  
General Hospital ◽  
Treatment Phase ◽  
Signs And Symptoms ◽  
Good Knowledge ◽  
Cross Sectional ◽  
Poor Knowledge ◽  
Tuberculosis Patients ◽  
Healthcare Seeking ◽  
Seeking Behavior ◽  
Healthcare Seeking Behavior

BACKGROUND: Tuberculosis (TB) now ranks alongside HIV (Human Immunodeficiency Virus) as a leading cause of death worldwide. Globally, 9.6 million people were estimated to have fallen ill with TB in 2014. The aim of this study is to assess the knowledge and healthcare seeking behaviour of tuberculosis patents in Gimbi General Hospital, West Ethiopia.METHODS: A cross sectional study was conducted among tuberculosis patients from March 8 to April 30, 2015. The data collection method was face-to-face interview through structuredstandard questionnaire. To identify the factors associated with knowledge about TB and healthcare seeking behavior, backward logistic regression analysis was used.RESULTS: Of the 138 TB patients, 85(61.6%) had good knowledge about TB while 53(38.4%) had poor knowledge about TB. On multivariable logistic analysis, poor knowledge about TB was more likely to occur among TB patients in intensive treatment phase (Adjusted odds ratio (AOR)=4.1, 95% CI= 1.7-9.6, p=0.001).CONCLUSION: TB patients had good knowledge on signs and symptoms of TB, transmission of TB and healthcare seeking behaviour of TB, but their knowledge on the cause of TB, treatment of TB and prevention of TB were not adequate. This study also revealed that the health careseeking behaviour of TB patients were good. 

scholarly journals Mothers’ Perception and Healthcare Seeking Behavior of Pneumonia Children in Rural Bangladesh

2014 ◽  
Vol 2014 ◽  
pp. 1-8 ◽  
Author(s):  
Farzana Ferdous ◽  
Fahmida Dil Farzana ◽  
Shahnawaz Ahmed ◽  
Sumon Kumar Das ◽  
Mohammad Abdul Malek ◽  
...  
Keyword(s):  
Cold Water ◽  
Group Discussion ◽  
Signs And Symptoms ◽  
Healthcare Facility ◽  
Dust Particles ◽  
Childhood Pneumonia ◽  
Healthcare Seeking ◽  
Rural Bangladesh ◽  
Seeking Behavior ◽  
Healthcare Seeking Behavior

We describe mothers’ perception about signs and symptoms, causes of the illness, and healthcare seeking behaviors related to pneumonia and express the major modifiable barriers to seeking timely treatment when their under-5 children had pneumonia in rural Bangladesh. Using focus group discussion, we understood mothers’ perception and healthcare seeking behavior of childhood pneumonia. Although mothers described pneumonia as a serious life threatening disease in young children but most of the mothers (n=24) could not diagnose whether their child had pneumonia or not. Environmental factors such as dust particles, spread from coughing mother, and drinking cold water or playing with water were perceived as the causes for pneumonia. Three common barriers noted were as follows: illness was not perceived as serious enough or distance from healthcare facility or lack of money at household for seeking treatment outside. Most of the rural mothers did not have knowledge about severity of childhood pneumonia.

scholarly journals Can a Multitiered Copayment System Affect People’s Healthcare-seeking Behavior? A Case Study of Wenzhou, China

2021 ◽  
Author(s):  
Lizheng Ge ◽  
Yunyun Huang ◽  
Tingke Xu ◽  
Qianru Zhao ◽  
Chun Chen ◽  
...  
Keyword(s):  
Medical Care ◽  
Healthcare System ◽  
Tertiary Care ◽  
Care Facility ◽  
Healthcare Services ◽  
Health Seeking ◽  
Medical Care System ◽  
Healthcare Seeking ◽  
Seeking Behavior ◽  
Healthcare Seeking Behavior

Abstract Background. Facilitating the primary health care (PHC) system and maintaining people’s reasonable health-seeking behavior are key to establishing a sustainable healthcare system. China has employed a multitiered copayment system to incentivize the public to utilize PHC services through its hierarchical medical care system; however, most people still prefer visiting tertiary care hospitals. Methods. This preliminary study was conducted in 2016 on 1831 individuals from four regions of Wenzhou in Zhejiang Province to explore the effect and influencing factors of the multitiered copayment system that drives their primary healthcare-seeking behavior. We question whether a quality gap in healthcare services influences the minimal effect of the multitiered copayment system, which existing literature has considered as an important factor in the lack of reform in the Chinese healthcare system. We discuss the effect of the policy following the current situation in which there exists a large gap and further consider the hypothetical situation of a reduced gap in the future. Result. The results indicate that the initial effects of the multitiered copayment system was limited. However, they become more pronounced after the equalization of the quality of healthcare services. Moreover, the main determinants in people’s selection of PHC institutions changed from age and needs variables (self-rated health status) to age and enabling variables (distance to a medical care facility). Conclusion. This study confirms that changes in the quality gap in healthcare services influence the multitiered copayment system. Hence, reducing this gap can help to achieve the intended outcome of the tiered healthcare insurance schedule.

scholarly journals Child Caregiver’s healthcare seeking behavior and its determinants for common childhood illnesses in Addis Ababa, Ethiopia: a community-based study

2021 ◽  
Vol 47 (1) ◽  
Author(s):  
Martha Bellete ◽  
Moges Muluneh Boke ◽  
Melaku Kindie Yenit
Keyword(s):  
Health Care ◽  
Addis Ababa ◽  
Care Facility ◽  
Childhood Illness ◽  
Community Based ◽  
Perceived Severity ◽  
Healthcare Seeking ◽  
Childhood Illnesses ◽  
Seeking Behavior ◽  
Healthcare Seeking Behavior

Abstract Background Appropriate healthcare-seeking behavior and access to the health care facility is key to improving health service utilization. Although the accessibility of comprehensive childhood disease intervention services in Ethiopia has been modified at the community level, the use of such health care services has remained limited. Therefore, this study aimed to assess the healthcare-seeking behavior of common childhood illness and its determinants. Methods A community-based cross-sectional study design was used. A multi-stage sampling method was used to recruit eight hundred and thirty-four study participants. A pre-tested and standardized questionnaire was used to collect data. The collected data were visually checked for incompleteness and entered into the statistical software Epi-info version 7 and exported to SPSS version 20 software for descriptive and bi-variable analysis. To identify variables associated with the healthcare-seeking behavior. Logistic regression analysis was performed. Adjusted odds ratios with a 95% confidence interval were used to see the strength of association, and variables with P-values of < 0.05 were considered statistically significant. Results The proportion of health care seeking behavior of care-givers for childhood illness was 69.5% (95% CI, 66.4, 72.4%). The education level of caregiver (AOR: 1.61, 95% CI: 1.01–2.60), knowledge of childhood illness (AOR: 2.02, 95% CI: 1.46–2.79), cough (AOR: 1.94, 95% CI: 1.39–2.71) and diarrhea (AOR: 2.09, 95% CI: 1.46–2.99) as main symptoms of illness and perceived severity of illness (AOR:3.12, 95% CI: 2.22–4.40) were significantly associated with healthcare-seeking behaviors of caregivers. Conclusion Low healthcare-seeking behavior was observed for childhood illnesses. Educational level, knowledge of childhood illness, cough, and diarrhea as primary symptoms of illness, and perceived severity of caregiver illness were significant associated with healthcare-seeking behavior. Therefore, interventions that strengthen the caregiver’s awareness of childhood illness and danger signs need to be considered. Besides, addressing the identified associated variables to healthcare-seeking behavior is critically important to curb the problem.

scholarly journals COVID-19 Impact on Medical Practice in Sub-Saharan Africa; The Need to Guard Against Medical Negligence: A Case Report in a Health Care Facility in Kumasi, Ghana

2021 ◽  
Vol 14 ◽  
pp. 2632010X2110253
Author(s):  
Paul Poku Sampene Ossei ◽  
William Gilbert Ayibor ◽  
John Taylor ◽  
Lawrence Agyemang ◽  
Kwabena Owusu Aninkora ◽  
...  
Keyword(s):  
Laboratory Tests ◽  
Respiratory Infections ◽  
Care Facility ◽  
Health Care Facility ◽  
Signs And Symptoms ◽  
Sub Saharan Africa ◽  
World Health ◽  
African Countries ◽  
Diagnostic Dilemma ◽  
Negative Results

With the novel coronavirus disease 2019 (COVID-19) still in pandemic mode, according to the World Health Organization (WHO), the African continent has experienced continued growth in the total tally. According to the Africa Centers for Disease Control and Prevention (CDC), the virus has spread to almost all 54 recognized African countries. Figures from the CDC indicate that the highly affected countries include South Africa, Egypt, Nigeria, Algeria, Morocco, and Ghana (with more than 55 000 cases and 400 deaths as of the time of writing). The WHO and the United Nations have projected the ongoing pandemic could push medical practitioners toward high rates of clinical misdiagnosis. So far, the coronavirus pandemic has been more devastating and life-threatening than the usual seasonal flu. As of the time of writing, here is presently no proven vaccine or treatment for the disease, with the vaccines still under development; hence, a timely and accurate diagnosis could prove critical. Patients can also receive supportive care earlier if they are diagnosed early. Considering the fact that the coronavirus infection mimics the signs and symptoms of normal flu and other respiratory infections, a problem now emerges, where these symptoms are treated as manifestations of the deadly virus. This has caused a diagnostic dilemma in the absence of laboratory tests with new cases adding to the pool daily. In Ghana, many patients on suspicion of flu-like symptoms are sometimes denied the care so deserved due to the stigma associated with the disease, often in cases where laboratory tests are absent. This study is a postmortem report of a client who died while on admission at a private medical facility. It was an unconfirmed case of COVID-19, and the client was left unattended to and died, having spent 8 days on the ward. His test report was not done initially, but the diagnosis was purely based on suspicion. Nasopharyngeal swabs conducted on the fifth day of admission proved negative. Results became available on the day of the client’s demise. Postmortem findings established the actual cause of death, and it was not COVID-19 related.

scholarly journals Healthcare-Seeking Behavior among Chinese Older Adults: Patterns and Predictive Factors

2021 ◽  
Vol 18 (6) ◽  
pp. 2969
Author(s):  
Yanbing Zeng ◽  
Yuanyuan Wan ◽  
Zhipeng Yuan ◽  
Ya Fang
Keyword(s):  
Older Adults ◽  
Predictive Factors ◽  
Medical Insurance ◽  
Utilization Rate ◽  
Heckman Selection Model ◽  
Healthcare Seeking ◽  
Inpatient Services ◽  
Medical Institutions ◽  
Seeking Behavior ◽  
Healthcare Seeking Behavior

This study aimed to investigate the patterns and predictive factors of healthcare-seeking behavior among older Chinese adults. A sample of 10,914 participants aged ≥60 years from the 2011, 2013 and 2015 China Health and Retirement Longitudinal Study (CHARLS) was included. The bivariate analyses and Heckman selection model was used to identify predictors of healthcare-seeking behavior. Results shows that the utilization rate of outpatient services increased from 21.61% in 2011 to 32.41% in 2015, and that of inpatient services increased from 12.44% to 17.68%. In 2015, 71.93% and 92.18% chose public medical institutions for outpatient and inpatient services, 57.63% and 17.00% chose primary medical institutions. The individuals who were female, were younger, lived in urban, central or western regions, had medical insurance, had poor self-rated health and exhibited activity of daily living (ADL) impairment were more inclined to outpatient and inpatient services. Transportation, medical expenses, the out-of-pocket ratio and the urgency of the disease were associated with provider selection. The universal medical insurance schemes improved health service utilization for the elderly population but had little impact on the choice of medical institutions. The older adults preferred public institutions to private institutions, preferred primary institutions for outpatient care, and higher-level hospitals for hospitalization.

scholarly journals Knowledge, attitude and practice of health care workers on measuring adult vitamin D level, diagnosis of deficiency, and management of consequent health conditions in three ecologies of Ethiopia: a cross-sectional study

BMC Nutrition ◽  
2020 ◽  
Vol 6 (1) ◽  
Author(s):  
Wubegzier Mekonnen ◽  
Yeweyenhareg Feleke ◽  
Yakob Desalegn ◽  
Getahun Tarekegne ◽  
Biruk Lambisso ◽  
...  
Keyword(s):  
Health Care ◽  
Vitamin D ◽  
Health Care Workers ◽  
Positive Attitude ◽  
Good Practice ◽  
Good Knowledge ◽  
Vitamin D Status ◽  
Attitude And Practice ◽  
Care Workers ◽  
Knowledge Attitude And Practice

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.

A STUDY ON KNOWLEDGE ATTITUDE AND PRACTICE REGARDING ANIMAL BITE AMONG GENERALAND SLUM POPULATION IN KOLKATA

2021 ◽  
pp. 8-10
Author(s):  
Niraj Kumar Singh ◽  
Ayan Ghosh ◽  
Debrashi Jana
Keyword(s):  
Infected Animal ◽  
World Health ◽  
Wound Management ◽  
Good Knowledge ◽  
Community Based ◽  
Services Utilization ◽  
Know How ◽  
Research Questions ◽  
Health Organization ◽  
Knowledge Attitude And Practice

INTRODUCTION: India is the second largest contributor to Rabies mortality in the world. According to a recent report of World Health Organization (WHO), approximately 55,000 human deaths are reported every year worldwide due to rabies, with an overwhelming majority of 32,000 cases reported in Asia of which 20,000 occur in India. AIMS: The general awareness about the rabies in general population, awareness of people about anti rabies vaccines and health services utilization. MATERIAL AND METHOD: The study was an observational, questionnaire-based study. For the purpose of this thesis, a descriptive co relational analytical survey was used, in which a qualitative approach was undertaken to determine the answers of mentioned research questions. st st The study was slum to the general people. The expected duration of the study was approximately six months between 1 January 2019 to 30 Dec 2019. RESULTAND DISCUSSION:We found that 77(51.3%) patients answered that on being bitten from an infected animal, both people and animals can get rabies, 46(30.7%) patients answered that on several sorts of contact with an infected animal (e.g. bite, lick, scratch) people and animals can get rabies and 27(18.0%) patients don't know how can people and animals get rabies. It was found that 113(75.3%) patients had answered that the person who is infected with rabies gets crazy/mad/dangerous, 10(6.7%) patients had answered that the person who is infected with rabies of some can get better/get treatment/do not die and 27(18.0%) patients had answered they don't know about the outcome of the treatment. It was found that 60(40.0%) patients had answered rabies treatable, 63(42.0%) patients had answered no and 27(18.0%) patients had answered do not know. We found that 145(96.7%) patients preferred to take Anti-rabies vaccine. 75(50.0%) patients answered yes, these vaccines available free of cost in govt. hospitals, 82.0% of the study populations were found to have heard about rabies; Most of them had good knowledge regarding rst-aid measures. Our ndings indicate that the urban community has good knowledge about rabies but unfortunately, they are unaware about rabies fatality. Hence, there is need to create awareness regarding wound management and post-exposure immunization. CONCLUSION:The knowledge, attitude and practices with respect to prevention and treatment of rabies were found adequate amongst the urban population. Thus, community based health education may be increased in these areas to create awareness regarding rabies.

scholarly journals Assessment of knowledge, attitude and practice about menstruation and menstrual hygiene among secondary high school girls in Ogbomoso, Oyo state, Nigeria

2017 ◽  
Vol 6 (5) ◽  
pp. 1726 ◽  
Author(s):  
Funmito Omolola Fehintola ◽  
Akintunde Olusegun Fehintola ◽  
Ayodele Olatayo Aremu ◽  
Ajibola Idowu ◽  
Olumuyiwa A Ogunlaja ◽  
...  
Keyword(s):  
Secondary School ◽  
Female Adolescent ◽  
Good Knowledge ◽  
School Students ◽  
Cross Sectional ◽  
Menstrual Hygiene ◽  
Attitude And Practice ◽  
Hygienic Practice ◽  
School Girls ◽  
Knowledge Attitude And Practice

Background: Menstruation has more profound effect on quality of education than other aspect of puberty because it involves a learning component as well as elements affected by the school environment and infrastructure. It is, therefore, imperative to assess the knowledge, attitude, and practice of Secondary School girls in Ogbomoso on the subject of menstruation and menstrual hygiene.Methods: It was a cross-sectional study carried out between June and August 2016. A total of 447 eligible female adolescent secondary school students were selected by multistage sampling technique. A semi-structured facilitated self- administered questionnaire was used.Results: Majority (96.4%) of the adolescents have heard about menstruation before menarche while 55.9% had good knowledge of menstruation and menstrual hygiene. Despite the high level of knowledge, about 64% of the respondents describe their response to their first menses as scary, discomforting or emotionally disturbing. Also, only 25% of the respondents had good menstrual hygiene practice. Factors that were significantly associated with good knowledge of menstruation and menstrual hygiene in this study were older adolescent age (15-19 years) (χ2=47.68, P<0.0001); adolescents whose mothers have greater than secondary school education (χ2=42.52, P<0.0001); and those living with their parents (χ2=123.9 ,P=0.001)  while only living with parents significantly influenced good practices.Conclusions: The study concluded that majority of the adolescents do not observe good hygienic practice during menstruation despite relatively good knowledge of menstruation and menstrual hygiene. Efforts have to be put into ensuring that adolescents are well educated on the meaning of menstruation, the importance of good hygienic practice both in schools and at home. 

scholarly journals Knowledge, Attitude and Practice of Eyelid Surgeries among Surgeons in Nigeria

2019 ◽  
pp. 1-8
Author(s):  
C. S. Ejimadu ◽  
B. Fieba ◽  
A. A. Onua
Keyword(s):  
Demographic Data ◽  
General Meeting ◽  
Good Knowledge ◽  
Professional Status ◽  
Scientific Conference ◽  
Subspecialty Training ◽  
Medical Practitioners ◽  
Private Service ◽  
Attitude And Practice ◽  
Knowledge Attitude And Practice

Aim: To determine the level of knowledge, attitude and practice of eyelid surgeries among surgeons in Nigeria. Methods: A self-administered questionnaires about their knowledge, attitude and practice of eyelid surgeries were given to 135 medical practitioners attending the 49th Annual General Meeting and Scientific Conference of the International College of Surgeons (Nigeria National Section) held in Port Harcourt from 16th to 20th June 2015.  Questions asked tested the Knowledge, Attitude and Practice of the medical practitioners on matters related to eyelid surgeries. Study participants’ knowledge, attitude and practice were graded as Good for scores of 75% and above, Fair for 50-74% score and Poor for scores less than 50%.  Respondents’ demographic data, responses and corresponding scores were entered into computer software-Scientific Package for Social Sciences (SPSS) version 20 and analysed. Results: There were 135 responders, out of which 121 (89.62%) were male while 14 (10.38%) were females. They were aged between 21-70 years with a mean value of 51.6 +/- 8.6 years, range = 40 years and mean = 50 years. Specialist surgeons with college fellowship accounted for 84.4% while specialist surgeons in training (college membership) accounted for 15.6%. Most of the responders (73.3%) were in public service while 9% were in the private service and 17.7% were in both public and private service. Sixty seven per cent of responders had good knowledge of eyelid surgeries, 22.2% had fair knowledge while 11.1% had poor knowledge. Majority (73.3%) had poor attitude while only 26.7% had good attitude to eyelid surgeries. Responders with poor practice of lid surgeries accounted for 77.8%, fair practice were 13.4% while only 8.8% had good eyelid surgery practice. Conclusion: Most of our responders were experienced surgeons as shown by their ages, educational and professional status. Though majority of them had good knowledge of eyelid surgeries their attitude and practice of it were poor in spite of their experience in the field of surgery. This could be due to the paucity of oculoplastic surgeons in Nigeria. Measures should therefore be taking to improve on subspecialty training especially in oculoplastic surgery and collaborations should be encouraged amongst surgeons involved in facial surgeries.

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