scholarly journals Screening for Tuberculosis in Migrants: A Survey by the Global Tuberculosis Network

Antibiotics ◽  
2021 ◽  
Vol 10 (11) ◽  
pp. 1355
Author(s):  
Lia D’Ambrosio ◽  
Rosella Centis ◽  
Claudia C. Dobler ◽  
Simon Tiberi ◽  
Alberto Matteelli ◽  
...  

Tuberculosis (TB) does not respect borders, and migration confounds global TB control and elimination. Systematic screening of immigrants from TB high burden settings and—to a lesser degree TB infection (TBI)—is recommended in most countries with a low incidence of TB. The aim of the study was to evaluate the views of a diverse group of international health professionals on TB management among migrants. Participants expressed their level of agreement using a six-point Likert scale with different statements in an online survey available in English, French, Mandarin, Spanish, Portuguese and Russian. The survey consisted of eight sections, covering TB and TBI screening and treatment in migrants. A total of 1055 respondents from 80 countries and territories participated between November 2019 and April 2020. The largest professional groups were pulmonologists (16.8%), other clinicians (30.4%), and nurses (11.8%). Participants generally supported infection control and TB surveillance established practices (administrative interventions, personal protection, etc.), while they disagreed on how to diagnose and manage both TB and TBI, particularly on which TBI regimens to use and when patients should be hospitalised. The results of this first knowledge, attitude and practice study on TB screening and treatment in migrants will inform public health policy and educational resources.

MedPharmRes ◽  
2021 ◽  
Vol 5 (4) ◽  
pp. 5-11
Author(s):  
Quynh Diem Le ◽  
Nghi Hue To ◽  
Thuy Thi Thu Nguyen

Introduction: The rapid increase of infected cases and fatalities during the COVID-19 pandemic has created a huge health crisis to the world and Vietnam in particular. Health professionals were put under massive pressure in preventing pandemic. This study was conducted to assess the knowledge, attitude and practice (KAP) during the COVID-19 disease through an online survey as well as related infection control practices among pharmacy students in the University of Medicine and Pharmacy at Ho Chi Minh City (UMP). Methods: The cross-sectional study was conducted based on the data obtained from an online questionnaire. Correlation analysis was performed using statistical tests and linear regression model for practice. The total study sample, chosen based on the inclusion and exclusion criteria was taken from pharmacy students in UMP during the study period. Results: A scale of KAP towards COVID-19 was developed with 43 questions and received 1,089 responses. We acknowledged that the awareness and practice of these students were at a good level (with a mean score of 8.37±0.77 and 8.46±1.33, respectively) and the attitude was optimistic with a mean score of 6.22±0.68. Related factors to practice included gender (p=0.005), year of study (p=0.013); to knowledge included the time spent in university (p=0.040); to attitude included social distancing (p=0.024). Multivariable regression analysis showed that practice is related with male gender (β=-0.254; p=0.001), the first 3 school years (β = 0.173; p=0.020), knowledge score (β =0.154; p=0.003). Conclusions: Based on a constructive scale, the study noted students' knowledge-attitude-practice towards COVID-19 at a good level. School year and knowledge scores positively affected practice scores, while male students had a negative effect.


2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Adedapo Olufemi Bashorun ◽  
Christopher Linda ◽  
Semeeh Omoleke ◽  
Lindsay Kendall ◽  
Simon D. Donkor ◽  
...  

Abstract Background Early diagnosis and treatment of tuberculosis (TB) are the mainstay of global and national TB control efforts. However, the gap between expected and reported cases persists for various reasons attributable to the TB services and care-seeking sides of the TB care cascade. Understanding individual and collective perspectives of knowledge, attitudes, beliefs and other social circumstances around TB can inform an evidence-based approach in engaging communities and enhance their participation in TB case detection and treatment. Methods The study was conducted during the Gambian survey of TB prevalence. This was a nationwide cross-sectional multistage cluster survey with 43,100 participants aged ≥15 years in 80 clusters. The study sample, a random selection of 10% of the survey population within each cluster responded to a semi-structured questionnaire administered by trained fieldworkers to assess the knowledge, attitudes and practice of the participants towards TB. Overall knowledge, attitude and practice scores were dichotomised using the computed mean scores and analysed using descriptive, univariable and multivariable logistic regression. Results All targeted participants (4309) were interviewed. Majority were females 2553 (59.2%), married 2614 (60.7%), had some form of education 2457 (57%), and were unemployed 2368 (55%). Although 3617 (83.9%) of the participants had heard about TB, only 2883 (66.9%) were considered to have good knowledge of TB. Overall 3320 (77%) had unfavourable attitudes towards TB, including 1896 (44%) who indicated a preference for staying away from persons with TB rather than helping them. However, 3607(83.7%) appeared to have the appropriate health-seeking behaviours with regard to TB as 4157 (96.5%) of them were willing to go to the health facility if they had symptoms suggestive of TB. Conclusions About 3 in 10 Gambians had poor knowledge on TB, and significant stigma towards TB and persons with TB persists. Interventions to improve TB knowledge and address stigma are required as part of efforts to reduce the burden of undiagnosed TB in the country.


2020 ◽  
Vol 10 (3) ◽  
pp. 25-28
Author(s):  
Ashish Kumar Bhattarai ◽  
Prabin Kumar Karki

Background: Medical education is one of the toughest education systems where the stu­dents are under intense physical and mental pressure especially during the exam time. They have information of different drugs that can cope with their medical conditions and also aware of different cognitive enhancers. Self-medication results in wastage of resource, ad­verse effects, drug dependence and increase chances of resistance of pathogens. Hence, this study was undertaken to determine the knowledge, attitude and practice of irrational drug use among the medical students during the exam time. Methods: This was descriptive cross-sectional using semi-structured questionnaire in the one of the medical school located inside Kathmandu Valley. A total of 90 students participated in the study. The data was analyzed with SPSS version 20, by using descriptive statistics. Results: Among the total respondents,20 (17.7%) were practicing self-medication during the exam time. Of the participants who practiced the self-medication, most common drug used was NDAIDs. Most of the respondents 87(96.7%) were aware of the possible adverse consequences. About 75(83.3%) participants thought the self-medication practice during the exam time is acceptable while 15(16.7%) regarded this as unacceptable. Conclusions: Although low incidence of self-medication was found among students during exam time, the false prerogative of being medical students can lead to meager practice and awful con­sequences.


Author(s):  
Suleiman I. Sharif ◽  
Manal Al Sharawy ◽  
Dalia Makrem ◽  
Esraa Qasim ◽  
Dania Shemi

Background: The present study was undertaken to evaluate the knowledge, attitude and practice of drivers of the cautious driving while taken prescription and OTC drugs.Methods: A cross sectional questionnaire was developed, pre-validated and distributed to 150 drivers who showed willingness to participate in the study. The survey included questions on driving habits, number of accidents, and number of accidents due to sleep or medication use.Results: All drivers approached answered the questionnaire producing a 100% response rate with male: female ration being 1.2: 1. Slightly more than half (78, 52 and 80, 53.3%) the responders were within 17-28 years of age and with a university degree respectively. More than 50% of respondents follow driving regulations and more than two thirds (112, 74.4%) use seat built again the majority (133, 88.7%) never had traffic accidents. Use of medications as a cause of accidents was reported by only 4 (2.7%) drivers.Conclusions: Regardless of the low incidence of medication use related accidents, authorities are advised to develop new regulations with respect to driving under the influence of medications or when suffering diseases that affect driving ability.


2020 ◽  
Vol 5 ◽  
pp. 117-120
Author(s):  
Vikas Talreja ◽  
Purvish Parikh ◽  
Mukesh Nagar ◽  
Satyapal Kataria

Objectives: Molecular oncology (GO) is a discipline that focuses on the diagnosis, staging, prognosis, and management of cancer with the help of molecular genetics. Increasing understanding of the molecular changes that drive tumor progression has transformed the treatment of this disease. The main goal of this study was to describe the current situation in India regarding the knowledge, attitude, and practice of molecular oncology through an online survey of oncologists. Material and Methods: A descriptive survey was sent to several hospitals by means of E-mails and social media. Results: Between December 2019 and February 2020, 74 responses were collected. All of the respondents were interested in the accreditation of the reports and authorizing agency accrediting them. About 68.9% of the practicing oncologist did not have any provision of molecular oncology tumor board. 82.4% of the oncologists reviewed with the molecular pathologist for discussion of the molecular reports. On the contrary, 58.1% of the oncologist never received any information from the reporting team about the patient clinical details, follow-up, or changes in the reports ever. About 79.7% of the prescribing oncologist were interested in remuneration in any form for prescribing such tests. About 27% of the oncologist were not aware of any accreditation agency available in India for molecular oncology reports. Conclusion: From the nationwide survey, we conclude that there is an increasing perception of the need for training in molecular oncology. This survey reflects a reality, in which specific needs are perceived.


2021 ◽  
Vol 4 (1SP) ◽  
pp. 21
Author(s):  
Ray Wagiu Basrowi ◽  
Tonny Sundjaya ◽  
Deni Krisnamurti ◽  
Bertri Maulidya Masita

Background: The rapid ageing population among older adults from 2020 to 2040 has led to an emerging focus as this group begins to experience ageing and has a higher risk of having chronic illness of non-communicable diseases. Therefore, it is important to provide General Practitioners (GPs) with adequate knowledge and attitude of healthy ageing to ensure the quality of health service among older adults.Objectives: To identify the perspective of general practitioners including the knowledge, attitude and practice towards adult health and nutrition to support healthy ageing in Indonesia.Methods: An online survey was conducted among 100 general practitioners registered at the Indonesian Medical Council (KKI) and domiciled in the Greater Jakarta area and outside the Jabodetabek area. The sample recruitment process was carried out using the Alomedika online application. All data were analyzed using SPSS software.Results: Almost all (92%) of respondents who took this survey had a supportive attitude in providing additional nutrition to adults to support healthy ageing. About 76% of the respondents did so by recommending milk. However, in terms of knowledge, around 67% of the respondents showed inadequate results, especially about physiological changes that occurred in adults. There is no statistically significant difference between respondents’ demographic characteristics and all perspectives measured in this study (i.e., knowledge, attitude and practice)Conclusions: The study indicates that it is important to educate general practitioners about the healthy aging process in order to maintain general practitioners' attitudes and behavior in health services to support the success of achieving healthy aging in Indonesia.


Author(s):  
Alak Paul ◽  
Dwaipayan Sikdar ◽  
Mohammad Mosharraf Hossain ◽  
Md Robed Amin ◽  
Farah Deeba ◽  
...  

AbstractThe current novel coronavirus (nCoV) outbreak, COVID-19, was first reported in December 2019 in Wuhan, China has spread all over the world causing startling loss of lives, stalling the global economy and disrupting the social life. One of the challenges to contain the COVID-19 is making people adopt personal hygiene, social distancing and self-quarantine practices which are all related to knowledge, attitude and practice (KAP) of the people in respective countries. Bangladesh, the most densely populated countries with a fast-growing economy and moderate literacy rate, has shown many hiccups in its efforts to implement COVID-19 policies. Understanding KAP may give the policy makers to make informed decisions. Hence, this study aimed to make a quick assessment of KAP of people in relation to COVID-19 in Bangladesh. An online survey using a pre-tested questionnaire conducted in late March 2020 attained 1837 responses across Bangladesh. However, 1589 completed responses were included in statistical analysis to calculate KAP scores, their interrelations with socio-demographic variables. The overall KAP is poor with only 10% of the respondents showed good knowledge with parallel attitudes and practices. Socio-demographic factors have strong bearings on the KAP scores. Significantly higher KAP score is evident in female over male respondents, among aged (45 years and above) over younger respondents and among retired and homemakers above students and public service holders. The study indicated a panic fuelled by poor understanding of COVID-19 associated facts and the need for the government to ensure more granular and targeted awareness campaigns in a transparent and factual manner to gain public confidence and arrest more meaningful public participation in mitigation measures. The study provides a baseline of KAP among people in Bangladesh on COVID-19.


2020 ◽  
Vol 18 (2) ◽  
pp. 293-300 ◽  
Author(s):  
Prabina Ghimire ◽  
Samriddh Dhungel ◽  
Anil Pokhrel

Background: The emergence of SARS-CoV 2 pandemic is the greatest public health concern of the century. Healthcare workers are the front liners of pandemic management. Their knowledge, attitudes and practices can influence the outcome of pandemic. The study aims to determine the knowledge, attitude and practices among healthcare workers.Methods: Knowledge, attitude and practice related questionnaire based online survey through Google forms was conducted from Healthcare workers, following ethical approval from NHRC (ERB protocol registration number: 297/2020 P). Online forms were disseminated via Facebook, Instagram, Whatsapp, Viber and personal messaging. Responses containing anonymized data was collected analyzed in using SPSS-version 26, (Year: 2019). The results were interpreted in terms of percentage response, knowledge score, and practice and discussed on the possible solutions in improving the infection prevention and control practice.Results: 473 HCWs responded to the questionnaire, out of which 426 responses met inclusion criteria which is 90% of the total responses. The mean score for knowledge was 3.20 + 1.15 out of maximum seven; with 45.7% correct answers. 70.4 % (300) participants felt that Nepal will be unable to contain the pandemic, 64 % of the total employed participants felt that there was inadequate institutional preparedness to protect HCWs from exposure. 91% participants reported practicing hand hygiene after every patient encounter; whereas 31.7% (77) and 22.1% (59) participants did not know how to check sealing of the N95 masks and use personal protective equipment’s respectively.Conclusions: The survey findings showed deficiencies in knowledge and appropriate practice among the HCWs, in prevention of SARS-CoV-2 transmission. Attitudes towards COVID19 were a mix of both positive and negative viewpoints. Even in health care workers with access to internet, there is significant gap in universal infection prevention and control practices required for self-protection and limiting untoward transmission. Keywords: Attitude and practice; COVID-19; healthcare workers; infection prevention and control; knowledge, Nepal; SARS CoV 2


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Amal Abdelrahim Osman Mohamed ◽  
Eilaf Ali Mohamed Elhassan ◽  
Abdelrahim Osman Mohamed ◽  
Awab Aldow Mohammed ◽  
Hassan Alshaikh edris ◽  
...  

Abstract Background The Novel Corona virus SARS-CoV-2 emerged to affect the human population in 2019 causing COVID-19 pandemic. The only preventive measures available are social distancing, hand washing and face masks. This study aims to assess the knowledge, attitude and practice of the Sudanese people towards COVID-19. Methods An online cross-sectional study targeting adult Sudanese people was conducted in April 2020. The study used a self-administered questionnaire containing 18 knowledge questions, 5 questions for attitude and six questions for practices. Social media such as Facebook and WhatsApp were utilized to disseminate the questionnaire. The total number of eligible questionnaires available for analysis by the end of the period was 987. Results The mean (±SD) age of respondents was 30.13 (±9.84) years with males representing 55.4%. The majority were university and higher education levels (95.2%), residing in Khartoum (71.7%). The mean (±SD) knowledge score of the participants was 15.33 (± 2.24) and was found to be associated with education level and age groups (p-value = 0.022, P value =0.010) respectively. The mean (±SD) attitude score was 04.15 (± 0.97) and was significantly associated with older groups and better-educated participants (p-value =0.001, p-value = 0.048) respectively. The practices related to COVID-19 preventive measures mean (±SD) was 02.58 (± 1.73) with a significant difference between age groups and area of residence. Conclusions This study showed that the participants had good knowledge and satisfactory attitude that was not similarly expressed into practice. Efforts are needed in health education and law enforcement to improve the practices among all groups with special emphasis on younger and less educated males.


2021 ◽  
Vol 29 (4) ◽  
pp. 2853-2868
Author(s):  
Zur Batrisyia Mohd Zubir ◽  
Nor Yasmin Abd Rahaman ◽  
Rukman Awang Hamat ◽  
Hayati Kadir Shahar

Covid-19—associated with the human-to-human transmission is recent medical concern which also associated with public health concerns. A cross-sectional online survey was conducted among clinical year veterinary and medical students studying in a university in Malaysia to determine the students’ knowledge, attitude, and practice towards COVID-19. The questionnaire consisted of 4 sections, namely, socio-demographic characteristics (6 items), knowledge (14 items), attitude (10 items), and practice (24 items) towards COVID-19. The collected data were subjected to descriptive statistics, Mann-Whitney U, Kruskal-Wallis H, and Spearman’s correlation analysis. A total of 219 students participated in this study, and they consisted of 52.1% and 47.9% of veterinary and medical students, respectively. The total scores were categorised into poor (<60%), moderate (60-79%), and high (>80%) based on Bloom’s cut off point. Overall, the students acquired high knowledge (80%), moderate attitude (76%) and high practice (86%) against COVID-19. In the attitude section, the veterinary student scored significantly higher than medical students (U=3791, p= .001), and female students scored significantly higher than males (U=3183, p= .001). The analysis revealed a statistically significant association between attitude and practice (P< .05) despite no association between knowledge to attitude and practice variables. Overall, the results indicated that both veterinary and medical students had high knowledge with moderate to high attitudes towards COVID-19. Thus, they were practising good preventive measures in limiting the spread of the disease.


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