scholarly journals Maternal Knowledge, Attitudes and Practices towards Prevention and Management of Child Diarrhoea in Urban and Rural Maseru, Lesotho

Author(s):  
A. I. Adeleke ◽  
T. Mhlaba

Aim: To compare the knowledge, attitudes and practices of mothers in the prevention and management of child diarrhoea, in rural and urban settings of Maseru. Methodology: This cross-sectional study was carried out in the Domiciliary (Urban) and Tlali (Rural) Health centres in Maseru, within the period of February to May, 2017. Data was collected from 458 mothers/caregivers, with 299 (65%) and 159 (35%) from urban and rural settings respectively. Scores were assigned for the level of knowledge, attitudes, and practices. STATA 14.1 was applied to determine the strengths of associations between categories of the maternal characteristics and the outcome variables. Results: Aggregation of participants’ knowledge, attitudes, and practices response reveal a statistical significant association with residence. The maternal age range of 30-39 years, P = .03, and mothers with three (3) children, P = .02 were significantly associated with the knowledge of prevention and management of diarrhoea in the rural area. In the urban area, mothers with tertiary education, P = .04, employed, P = .001, unemployed, P = .004, and all categories of monthly income were significantly associated with the knowledge of prevention and management of diarrhoea. For the urban setting, an association between mothers’ attitudes and monthly income between M500 – M1399, P = .05 was observed. The practices of mothers/caregivers in the prevention and management of diarrhoea showed no significant differences in the light of the socio-demographic variables in both settings. Conclusion: The study revealed low level of maternal knowledge, attitudes and practices in prevention and management of child diarrhea in the rural and urban settings, hence the need to strengthen the existing health education messages on both settings.

Epidemiologia ◽  
2020 ◽  
Vol 2 (1) ◽  
pp. 1-13
Author(s):  
Md. Siddikur Rahman ◽  
Ajlina Karamehic-Muratovic ◽  
Miftahuzzannat Amrin ◽  
Arman Hossain Chowdhury ◽  
Md. Selim Mondol ◽  
...  

As other nations around the world, Bangladesh is facing enormous challenges with the novel coronavirus (COVID-19) epidemic. To design a prevention and control strategy for this new infectious disease, it is essential to first understand people’s knowledge, attitudes, and practices (KAP) regarding COVID-19. This study sought to determine KAP among rural and urban residents as well as predictors of preventive practices associated with COVID-19 in Bangladesh. A social media-based (Facebook) cross-sectional survey was conducted to explore these variables among Bangladeshi adults. Of 1520 respondents who completed the questionnaire, low level of good or sufficient knowledge of COVID-19 (70.8%) and practices associated with COVID-19 (73.8%) were found. Despite the low level of knowledge and practices, respondents’ attitude (78.9%) towards COVID-19 was relatively high. Results suggest that compared to urban, rural residents are at a particularly high risk of COVID-19 because they were found to have significantly lower knowledge (p = 0.001) and practice levels (p = 0.002) than were urban residents. Multivariable logistic regression analysis identified gender, education, knowledge of COVID-19 transmission, signs and symptoms, and sources of information as factors significantly associated with preventive practices against COVID-19. Further attention and effort should be directed toward increasing both knowledge and practices targeting the general population in Bangladesh, particularly the rural and less educated residents. Findings from this study provide baseline data that can be used to promote integrated awareness of and effective health education programs about COVID-19 prevention and control strategies in Bangladesh, and similar COVID-19 endemic countries.


2019 ◽  
Author(s):  
Pugie Tawanda Chimberengwa ◽  
Mergan Naidoo

AbstractBackgroundHypertension is a significant contributor to cardiovascular and renal diseases. In poor communities there is lack of awareness, poor treatment and control. However, it can be controlled by lifestyle modifications. The aim of this study was to determine knowledge, attitudes and practices with regards to hypertension in a rural disadvantaged community in Matebeleland South province of Zimbabwe.MethodsWe conducted a descriptive cross-sectional survey. A pre-tested and validated interviewer administered questionnaire was used to collect demographic, awareness, treatment and control data among consenting hypertensive patients.Results304 respondents were enrolled into the study, their mean age was 59 years and 65.4% were females. Adding salt on the table (59.8%) was a risk factor. There were strong community beliefs in managing hypertension with herbs (50.7%) and use of traditional medicines (14.5%). Knowledge on hypertension was poor with 43.8% of hypertensive patients having had a discussion with a health worker on hypertension and 64.8% believing the main case of hypertension is stress while 85.9% stated palpitations as a symptom of hypertension. Defaulter rate was high at 30.9% with 25% of those on medication not knowing whether their blood pressure control status. Odds ratio for good knowledge for secondary and tertiary education were 3.68 (95%CI: 1.61-8.41) and 7.52 (95%CI: 2.76-20.46) respectively compared to no formal education. Those that believed in herbal medicines and those that used traditional medicines were 53% (95%CI: 0.29-0.76) and 68% (95%CI: 0.29-0.76) less likely to have good knowledge compared to those who did not believe and use traditional medicines respectively.ConclusionLack of education and poor socio-economic backgrounds were associated with poor knowledge on hypertension. Shortages of medication, poor health funding and weak health education platforms contributed to reduced awareness and control of hypertension in the community. Thus, community hypertension awareness, treatment and control needed to be upscaled.


2020 ◽  
Author(s):  
HAUSHIKU KEMBA ◽  
Nkwenika Tshifhiwa ◽  
Nkosi Vusumuzi

Abstract Background: Knowing the residents' knowledge, attitude, and practices to air pollution is necessary for developing interventions specific to that population. Air pollution remains a neglected environmental concern in Windhoek, Namibia and people’s perceptions about air pollution and health have not been documented. This study investigated the knowledge, attitudes and practices of tertiary students to air pollution in Windhoek. Methods: Students from five tertiary institutions in Windhoek were included in cross sectional study. A previously validated questionnaire was used to collect data from the study participants. Frequency and a corresponding percentage were reported for categorical data, whereas the association between knowledge of air pollution and perceptions was evaluated using the Chi-square test. Kruskal Wallis rank test was used to assess the statistical difference in knowledge, attitudes and practices. Data analysis was performed using STATA 15 and evaluated at a 5% level of significance Results: More than half (59.4%) of the respondents thought that air pollution was a major problem, while over 90% knew that air pollution could negatively impact health. The media was found to be the main source of information for respondents (91.1%). Despite having the knowledge, less than a third (27%) of the respondents regularly took action out of concern of air pollution. There was a statistically significant association between knowledge, attitudes, and practices to air pollution (all P < 0.05). Conclusions: Air pollution interventions targeting tertiary students should be aimed at informing them on ways in which they could contribute individually and collectively to reducing air pollution and its negative effects.


BMJ Open ◽  
2021 ◽  
Vol 11 (7) ◽  
pp. e049494
Author(s):  
Josiah Brown Wilson ◽  
Andreas Deckert ◽  
Rupal Shah ◽  
Nicholas Kyei ◽  
Lauretta Copeland Dahn ◽  
...  

ObjectivesTo examine the knowledge, attitudes and practices (KAP) of COVID-19 of rural and urban residents in Liberia to inform the development of local social and behaviour change communication strategies.DesignCross-sectional, mixed-mode (online and telephone) survey using non-probability sampling.SettingAll 15 counties in Liberia with a focus on Maryland County.ParticipantsFrom 28 May to 28 June 2020, data were collected from a total of 431 adults aged 18 years and older (telephone 288 (66.8%); online 143 (33.2%)) out of a total of 741 contacts.Main outcome measuresKAP scores. Frequencies and proportions were calculated, followed by univariate and multivariable analyses to examine the association between KAP scores and the sociodemographic variables.ResultsAround 69% of the online survey respondents were younger than 35 years of age, compared with 56% in the telephone interviews. The majority (87%) of online respondents had completed tertiary education, compared with 77% of the telephone respondents. Male participants, on average, achieved higher knowledge (52%) and attitude scores (72%), in contrast to females (49% and 67%, respectively). Radio (71%) was the most cited source for COVID-19 information, followed by social media (63%). After controlling for sociodemographic variables, adaptive regression modelling revealed that survey mode achieved 100% importance for predicting knowledge and practice levels with regard to COVID-19.ConclusionsThe survey population demonstrated moderate COVID-19 knowledge, with significant differences between survey mode and educational level. Correct knowledge of COVID-19 was associated with appropriate practices in Maryland County. Generalisation of survey findings must be drawn carefully owing to the limitations of the sampling methods. Yet, given the differences in knowledge gaps between survey modes, sex, education, occupation and place of residence, it is recommended that information is tailored to different audiences.


2016 ◽  
Vol 62 (3) ◽  
pp. 346-349
Author(s):  
Nădăşan Valentin ◽  
Sîmpetrean Andreea ◽  
Tarcea Monica ◽  
Abram Zoltan

AbstractObjective: The purpose of the study was to assess the knowledge, attitudes, and behavior regarding dietary fats among mothers in Romania.Material and methods: A sample of 305 mothers from Romania were included in a cross-sectional observational study. The online questionnaire addressed their knowledge, attitudes, and practices regarding the dietary fats used in their children’s diet. The frequencies and proportions of the collected variables were calculated based on respondents’ answers.Results: While almost all the respondents (94.8%) believed that mothers are supposed to know the difference between saturated and unsaturated fats, only less than half of them (39.7%) stated that they know the difference. As far as the types of margarine, although more than half of the respondents (64.7%) believed that mothers should be able to discriminate between the hydrogenated and interesterified margarine, only 11.5% claimed that they are able to discern between them. The actual ability to identify foods rich in saturated fats varied in a great degree from item to item. More common dietary fats such as sunflower oil, corn oil, and lard, were more frequently identified than less common dietary fats such as coconut oil and palm oil. Only 16.4% of the mothers were able to correctly differentiate hydrogenated from interesterified margarine. The most frequently used spreadable fat used in the children’s diet was butter and the most frequently used cooking fats were sunflower oil, olive oil, and butter.Conclusion: The results of this study might be informative in the development of maternal nutrition education programs.


2021 ◽  
Vol 5 (Supplement_2) ◽  
pp. 654-654
Author(s):  
Joel Komakech ◽  
Hasina Rakotomanana ◽  
Christine Walters ◽  
Deana Hildebrand ◽  
Barbara Stoecker

Abstract Objectives Research on the effectiveness of maternal social support to improve knowledge, attitudes, and practices about the consumption of healthy diets is limited in Uganda. Our study examined the association between maternal social support and knowledge, attitudes, and practices of fruit and vegetable consumption among South Sudanese refugee mothers in post-emergency settlements in the West Nile region, in Uganda. Methods This cross-sectional study included 379 refugee mothers (15–49 years). Principal component analysis was used to determine scores for maternal knowledge, attitudes, and practices of fruit and vegetable consumption. The Medical Outcomes Study (MOS) Social Support Index was used to determine maternal social support scores. A mean score &gt; 4 was considered optimal social support. Associations between maternal social support and knowledge, attitudes, and practices of fruit and vegetable consumption were determined by logistic regression, adjusted for confounders. Statistical significance was set at p &lt; 0.05. Results The mean maternal age was 27.8 ± 5.0. Although 62.3% of mothers had optimal social support scores, 37.7% did not have anyone to rely on for day-to-day support. Even though mothers with optimal social support were more likely to have more knowledge about fruit and vegetable consumption (AOR = 2.05 [1.32 – 3.19], p = 0.003), there was not a significant association between maternal social support and fruit and vegetable consumption (AOR = 0.75 [0.46 – 1.23], p = 0.242). Furthermore, mothers with optimal social support were less likely to be positive towards fruit and vegetable consumption (AOR = 0.13 [0.02 – 0.73], p = 0.023). Conclusions Social support interventions have the potential to improve maternal knowledge on fruit and vegetable consumption among mothers in post-emergency areas. A mixed-methods longitudinal study may further determine why social support is associated with increased knowledge but not with more positive attitudes about fruit and vegetable consumption. Funding Sources Esther Winterfeldt Summer Research Fellowship; The Nestlé Foundation.


2019 ◽  
Author(s):  
HAUSHIKU KEMBA ◽  
Tshifhiwa Nkwenika ◽  
Vusumusi Nkosi

Abstract Background: Knowing the residents' knowledge, attitude, and practices to air pollution is necessary for developing interventions specific to that population. Air pollution remains a neglected environmental concern in Windhoek, Namibia and people’s perceptions about air pollution and health have not been documented. This study investigated the knowledge, attitudes and practices of tertiary students to air pollution in Windhoek. Methods: Students from five tertiary institutions in Windhoek, Namibia were included in cross sectional study. A previously validated structured questionnaire; designed to collect information on knowledge, attitudes, and practices regarding air pollution was used to collect data from 321 randomly selected study participants.Results: More than half (59.4%) of the study participants thought that air pollution was a major problem, while over 90% knew that air pollution could negatively impact health. The media was found to be the main source of information for study participants (91.1%). Despite having the knowledge, less than a third (27%) of the respondents regularly took action out of concern of air pollution. There was a statistically significant association between knowledge, attitudes, and practices to air pollution (all P < 0.05). Conclusions: Air pollution interventions targeting tertiary students should be aimed at informing them on ways in which they could contribute individually and collectively to reducing air pollution and its negative effects.


2020 ◽  
Author(s):  
KOSMAS HAUSHIKU KEMBA ◽  
Nkwenika Tshifhiwa ◽  
Nkosi Vusumuzi

Abstract Background: Knowing the residents' knowledge, attitude, and practices to air pollution is necessary for developing interventions specific to that population. Air pollution remains a neglected environmental concern in Windhoek, Namibia and people’s perceptions about air pollution and health have not been documented. This study investigated the knowledge, attitudes and practices of tertiary students to air pollution in Windhoek. Methods: Students from five tertiary institutions in Windhoek were included in cross sectional study. A previously validated questionnaire was used to collect data from the study participants. Frequency and a corresponding percentage were reported for categorical data, whereas the association between knowledge of air pollution and perceptions was evaluated using the Chi-square test. Kruskal Wallis rank test was used to assess the statistical difference in knowledge, attitudes and practices. Data analysis was performed using STATA 15 and evaluated at a 5% level of significance Results: More than half (59.4%) of the respondents thought that air pollution was a major problem, while over 90% knew that air pollution could negatively impact health. The media was found to be the main source of information for respondents (91.1%). Despite having the knowledge, less than a third (27%) of the respondents regularly took action out of concern of air pollution. There was a statistically significant association between knowledge, attitudes, and practices to air pollution (all P < 0.05). Conclusions: Air pollution interventions targeting tertiary students should be aimed at informing them on ways in which they could contribute individually and collectively to reducing air pollution and its negative effects.


2021 ◽  
Vol 1 (12) ◽  
pp. e0000104
Author(s):  
Method Kazaura ◽  
Switbert Rwechungura Kamazima

Almost 10 million of the global population was infected with tuberculosis (TB) in 2017. Tanzania is among countries with high incidence of TB. Although control measures of TB are multi factorial, it is important to understand the individual’s knowledge, attitudes and practices (KAP) in order to control TB infection. We conducted a cross-sectional study in northeast Tanzania; recruited and interviewed 1519 adults from two districts, one rural and another urban. We scored each participant using several questions for each construct of KAP. A study participant scoring at least 60% of the possible maximum scores was considered as having a good knowledge, positive attitude or good practices. And herein, a participant having positive TB attitude would mean they acknowledge TB exist, recognizes its impact on health and would seek or advise TB-infected individuals to seek the correct remedies. We applied multiple linear regression analysis to assess independent individual-level factors related to TB on KAP scores in the rural and urban populations. Overall, less than half (44%) of the study participants had good overall knowledge about TB infection and significantly more urban than rural adult population had good overall knowledge (p<0.001). Almost one in ten, (11%) of all study participants had positive attitudes towards TB infection. More urban study participants, (16%) had positive attitudes than their rural counterparts, 6%). Almost nine in ten (89%) of all study participants had good practices towards TB prevention and control; significantly more adults in urban, (97%) than the rural populations (56%) (p<0.01). Predictors of KAP scores were individual’s education and main source of income. Adults in rural and urban northeast Tanzania have poor knowledge, attitudes and practices for TB infection and prevention. Strategies focusing on health education are important for control of TB, especially among rural communities.


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