1
|
Ramadan A, Aboeldahab H, Bashir MN, Belal MM, Wageeh A, Atia A, Elbanna M, Alhejazi TJ, Abouzid M, Atef H, Khalid E, Elaziz OAA, Eldeeb MI, Kamel Omar DO, Refaey N, Setouhi A, Ak M. Evaluating knowledge, attitude, and physical activity levels related to cardiovascular disease in Egyptian adults with and without cardiovascular disease: a community-based cross-sectional study. BMC Public Health 2024; 24:1107. [PMID: 38649883 PMCID: PMC11036560 DOI: 10.1186/s12889-024-18553-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/13/2024] [Accepted: 04/08/2024] [Indexed: 04/25/2024] Open
Abstract
BACKGROUND Cardiovascular disease (CVD) represents a significant health challenge in Egypt, yet there exists limited understanding regarding the knowledge, attitudes, and physical activity levels associated with CVD. These factors play a pivotal role in developing effective prevention and management strategies. Hence, this cross-sectional study aimed to evaluate Egyptian adults' knowledge, attitudes, and physical activity (KAP) levels. METHODS Data were collected using a previously validated questionnaire encompassing demographic characteristics, CVD knowledge (including risk factors and symptoms), attitudes toward CVD, and self-reported physical activity levels. The survey was distributed among social media channels, and trained researchers administered the questionnaire via face-to-face interviews with adult patients with and without CVD admitted to Cairo University Hospital clinics. RESULTS The study involved 591 participants, of whom 21.7% had CVD. Overall, participants exhibited poor knowledge regarding CVD, with a mean score of 21 ± 7 out of 40, equivalent to 52.5%. Attitudes toward CVD were moderate, with a mean score of 66.38 ± 8.7 out of 85, approximately 78%. Physical activity levels per week were also moderate, averaging 1188 MET-min with a range of 1121-18,761. Subgroup analysis revealed that individuals with CVD had lower average knowledge, attitude, and physical activity levels than those without CVD. Working in the healthcare field was a predictor of higher knowledge score (standard error (SE) 5.89, 95% confidence interval (CI) 4.61 to 7.17, P < 0.001), while those with CVD and smokers were predictors of lower attitude score (SE -4.08, 95% CI -6.43 to -1.73, P < 0.001) and (SE -2.54, 95% CI -4.69 to -0.40, P = 0.02), respectively. CONCLUSION The study findings highlight a significant disparity in knowledge, attitudes, and physical activity levels related to CVD in Egypt. Targeted interventions aimed at improving awareness, fostering positive attitudes, and promoting physical activity among individuals at risk for CVD are crucial for effective prevention and management.
Collapse
Affiliation(s)
- Alaa Ramadan
- Faculty of Medicine, South Valley University, Qena, Egypt
| | - Heba Aboeldahab
- Biomedical Informatics and Medical Statistics Department, Medical Research Institute, Alexandria University, Alexandria, Egypt
| | | | | | - Ahmed Wageeh
- Faculty of Medicine, Menoufia University, Menoufia, Egypt
| | - Ahmed Atia
- Faculty of Medicine, Cairo University, Cairo, Egypt
| | | | | | - Mohamed Abouzid
- Department of Physical Pharmacy and Pharmacokinetics, Faculty of Pharmacy, Poznan University of Medical Sciences, Poznan, Poland
- Doctoral School, Poznan University of Medical Sciences, Poznan, Poland
| | - Hady Atef
- School of Allied Health Professions, Keele University, Staffordshire, UK
- Faculty of Physical Therapy, Cairo University, Cairo, Egypt
| | - Esraa Khalid
- Faculty of Medicine, Misr University of Sciences and Technology, Cairo, Egypt
| | | | | | - Doha Omar Kamel Omar
- Faculty of Medicine, Cairo University, Cairo, Egypt
- Cornwall Partnership NHS Foundation Trust, Bodmin, UK
| | - Neveen Refaey
- Department of Women's Health, Faculty of Physical Therapy, Cairo University, Cairo, Egypt
| | - Amr Setouhi
- Cardiovascular Medicine, Minia University, Minya, Egypt
| | - Mohammed Ak
- Internal Medicine, Faculty of Medicine, Qena University Hospital, Qena, Egypt
| |
Collapse
|
2
|
Xie DS, Xie XH, Yang LH, Li N, Zhang X, Xie YT, Yang W, Ning YJ, Xie J, Cheng XJ, Duan SJ, Wang SW, Hao LH, Shi P. Development and validation of a nomogram to predict medication risk based on a knowledge, attitude and practice ( KAP) survey of residents in Shanxi Province, China. Front Pharmacol 2024; 15:1302274. [PMID: 38711987 PMCID: PMC11070833 DOI: 10.3389/fphar.2024.1302274] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/26/2023] [Accepted: 03/28/2024] [Indexed: 05/08/2024] Open
Abstract
Objective Unsafe medication practices and medication errors are a major cause of harm in healthcare systems around the world. This study aimed to explore the factors that influence the risk of medication and provide medication risk evaluation model for adults in Shanxi province, China. Methods The data was obtained from the provincial questionnaire from May to December 2022, relying on the random distribution of questionnaires and online questionnaires by four hospitals in Shanxi Province. Multiple linear regression analysis was used to explore the factors affecting the KAP score of residents. Univariate and multivariate logistic regression was used to determine the independent risk factors, and the nomogram was verified by receiver operating characteristic curve, calibration and decision curve analysis. Results A total of 3,388 questionnaires were collected, including 3,272 valid questionnaires. The average scores of drugs KAP were 63.2 ± 23.04, 33.05 ± 9.60, 23.67 ± 6.75 and 33.16 ± 10.87, respectively. On the evaluation criteria of the questionnaire, knowledge was scored "fair", attitude and practice were scored "good". Sex, monthly income, place of residence, insurance status, education level, and employment were regarded as independent risk factors for medication and a nomogram was established by them. Conclusion Males, low-income, and low-educated people are important factors affecting the risk of medication. The application of the model can help residents understand the risk of their own medication behavior and reduce the harm of medication.
Collapse
Affiliation(s)
- Da-shuai Xie
- Department of Pharmacy, Yuncheng Central Hospital Affiliated to Shanxi Medical University, Yuncheng, China
| | - Xue-hu Xie
- National Drug Clinical Trial Institution, Shanxi Province Hospital of Traditional Chinese Medicine, Taiyuan, China
| | - Li-hua Yang
- Department of Pharmacy, Jincheng People’s Hospital, Jincheng, China
| | - Na Li
- Department of Gynecologic, Yuncheng Central Hospital Affiliated to Shanxi Medical University, Yuncheng, China
| | - Xiao Zhang
- Department of Pharmacy, Yuncheng Central Hospital Affiliated to Shanxi Medical University, Yuncheng, China
| | - Yi-tong Xie
- Department of Pharmacy, Yuncheng Central Hospital Affiliated to Shanxi Medical University, Yuncheng, China
| | - Wei Yang
- Department of Pharmacy, Yuncheng Central Hospital Affiliated to Shanxi Medical University, Yuncheng, China
| | - Yao-jun Ning
- Department of Pharmacy, Yuncheng Central Hospital Affiliated to Shanxi Medical University, Yuncheng, China
| | - Jun Xie
- Department of Pharmacy, Yuncheng Central Hospital Affiliated to Shanxi Medical University, Yuncheng, China
| | - Xiao-jun Cheng
- Department of Pharmacy, Yuncheng Central Hospital Affiliated to Shanxi Medical University, Yuncheng, China
| | - Shao-jun Duan
- Department of Pharmacy, Jincheng People’s Hospital, Jincheng, China
| | - Shi-wei Wang
- Department of Pharmacy, Shanxi Province Hospital of Traditional Chinese Medicine, Taiyuan, China
| | - Li-hong Hao
- Department of Pharmacy, Yangquan Coal Industry (Group) General Hospital, Yangquan, China
| | - Ping Shi
- Department of Pharmacy, Yuncheng Central Hospital Affiliated to Shanxi Medical University, Yuncheng, China
| |
Collapse
|
3
|
Hu Z, Wang X, Zheng C, Zhang L, Cao X, Tian Y, Gu R, Cai J, Tian Y, Shao L, Wang Z. Association Between the Improvement of Knowledge, Attitude and Practice of Hypertension Prevention and Blood Pressure Control-A Cluster Randomized Controlled Study. Am J Health Promot 2024:8901171241237016. [PMID: 38610124 DOI: 10.1177/08901171241237016] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/14/2024]
Abstract
BACKGROUND Hypertension-related knowledge, attitude and practice (KAP) of hypertensive patients can affect the awareness, treatment and control of hypertension. However, little attention has been paid to the association between the change of hypertension preventive KAP and blood pressure (BP) control in occupational population using longitudinal data. We assess the effectiveness of a workplace-based multicomponent hypertension intervention program on improving the level of KAP of hypertension prevention, and the association between improvement in KAP and BP control during intervention. METHODS From January 2013 to December 2014, workplaces across 20 urban regions in China were randomized to either the intervention group (n = 40) or control group (n = 20) using a cluster randomized control method. All employees in each workplace were asked to complete a cross-sectional survey to screen for hypertension patients. Hypertension patients in the intervention group were given a 2-year workplace-based multicomponent hypertension intervention for BP control. The level of hypertension prevention KAP and BP were assessed before and after intervention in the two groups. RESULTS Overall, 3331 participants (2658 in the intervention group and 673 in the control group) were included (mean [standard deviation] age, 46.2 [7.7] years; 2723 men [81.7%]). After 2-year intervention, the KAP qualified rate was 63.2% in the intervention groups and 50.1% in the control groups (odds ratio = 1.65, 95% CI, 1.36∼2.00, P < .001). Compared with the control group decreased in the qualified rate of each item of hypertension preventive KAP questionnaire, all the items in the intervention group increased to different degrees. The increase of KAP score was associated with the decrease of BP level after intervention. For 1 point increase in KAP score, systolic blood pressure (SBP) decreased by .28 mmHg and diastolic blood pressure (DBP) decreased by .14 mmHg [SBP: β = -.28, 95%CI: -.48∼-.09, P = .004; DBP: β = -.14, 95%CI: -.26∼-.02, P = .024]. SBP and DBP was significantly in manual labor workers (SBP: β = -.34, 95%CI: -.59∼-.09, P = .008; DBP: β = -.23, 95%CI: -.38∼-.08, P = .003), workers from private enterprise, state-owned enterprise (SOE) (SBP: β = -.40, 95%CI: -.64∼-.16, P = .001; DBP: β = -.21, 95%CI: -.36∼-.06, P = .005) and a workplace with an affiliated hospital (SBP: β = -.31, 95%CI: -.52∼-.11, P = .003; DBP: β = -.16, 95%CI: -.28∼-.03, P = .016). The improvement of knowledge (SBP: β = -.29, 95%CI: -.56∼-.02, P = .038; DBP: β = -.12, 95%CI: -.29∼.05, P = .160), as well as attitude (SBP: β = -.71, 95%CI: -1.25∼-.18, P = .009; DBP: β = .18, 95%CI: -.23∼.59, P = .385) and behavior (SBP: β = -.73, 95%CI: -1.22∼-.23, P = .004; DBP: β = -.65, 95%CI: -.97∼-.33, P < .001) was gradually strengthened in relation to BP control. CONCLUSION This study found that workplace-based multicomponent hypertension intervention can effectively improve the level of hypertension preventive KAP among employees, and the improvement of KAP levels were significantly associated with BP control. TRIAL REGISTRATION Chinese Clinical Trial Registry No. ChiCTR-ECS-14004641.
Collapse
Affiliation(s)
- Zhen Hu
- Division of Prevention and Community Health, National Center for Cardiovascular Disease, National Clinical Research Center of Cardiovascular Disease, State Key Laboratory of Cardiovascular Disease, Fuwai Hospital, Peking Union Medical College & Chinese Academy of Medical Sciences, Beijing, China
| | - Xin Wang
- Division of Prevention and Community Health, National Center for Cardiovascular Disease, National Clinical Research Center of Cardiovascular Disease, State Key Laboratory of Cardiovascular Disease, Fuwai Hospital, Peking Union Medical College & Chinese Academy of Medical Sciences, Beijing, China
| | - Congyi Zheng
- Division of Prevention and Community Health, National Center for Cardiovascular Disease, National Clinical Research Center of Cardiovascular Disease, State Key Laboratory of Cardiovascular Disease, Fuwai Hospital, Peking Union Medical College & Chinese Academy of Medical Sciences, Beijing, China
| | - Linfeng Zhang
- Division of Prevention and Community Health, National Center for Cardiovascular Disease, National Clinical Research Center of Cardiovascular Disease, State Key Laboratory of Cardiovascular Disease, Fuwai Hospital, Peking Union Medical College & Chinese Academy of Medical Sciences, Beijing, China
| | - Xue Cao
- Division of Prevention and Community Health, National Center for Cardiovascular Disease, National Clinical Research Center of Cardiovascular Disease, State Key Laboratory of Cardiovascular Disease, Fuwai Hospital, Peking Union Medical College & Chinese Academy of Medical Sciences, Beijing, China
| | - Yixin Tian
- Division of Prevention and Community Health, National Center for Cardiovascular Disease, National Clinical Research Center of Cardiovascular Disease, State Key Laboratory of Cardiovascular Disease, Fuwai Hospital, Peking Union Medical College & Chinese Academy of Medical Sciences, Beijing, China
| | - Runqing Gu
- Division of Prevention and Community Health, National Center for Cardiovascular Disease, National Clinical Research Center of Cardiovascular Disease, State Key Laboratory of Cardiovascular Disease, Fuwai Hospital, Peking Union Medical College & Chinese Academy of Medical Sciences, Beijing, China
- School of Population Medicine and Public Health, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, China
| | - Jiayin Cai
- Division of Prevention and Community Health, National Center for Cardiovascular Disease, National Clinical Research Center of Cardiovascular Disease, State Key Laboratory of Cardiovascular Disease, Fuwai Hospital, Peking Union Medical College & Chinese Academy of Medical Sciences, Beijing, China
| | - Ye Tian
- Division of Prevention and Community Health, National Center for Cardiovascular Disease, National Clinical Research Center of Cardiovascular Disease, State Key Laboratory of Cardiovascular Disease, Fuwai Hospital, Peking Union Medical College & Chinese Academy of Medical Sciences, Beijing, China
| | - Lan Shao
- Division of Prevention and Community Health, National Center for Cardiovascular Disease, National Clinical Research Center of Cardiovascular Disease, State Key Laboratory of Cardiovascular Disease, Fuwai Hospital, Peking Union Medical College & Chinese Academy of Medical Sciences, Beijing, China
| | - Zengwu Wang
- Division of Prevention and Community Health, National Center for Cardiovascular Disease, National Clinical Research Center of Cardiovascular Disease, State Key Laboratory of Cardiovascular Disease, Fuwai Hospital, Peking Union Medical College & Chinese Academy of Medical Sciences, Beijing, China
| |
Collapse
|
4
|
Akmatova R, Ebama MS, Temirbekov S, Alymkulova V, Otorbaeva D. A comparative analysis of knowledge, attitude, and practice ( KAP) towards influenza and influenza vaccination among healthcare workers in Kyrgyzstan prior to and during the COVID-19 pandemic. Vaccine 2024:S0264-410X(24)00420-1. [PMID: 38594119 DOI: 10.1016/j.vaccine.2024.04.008] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/22/2024] [Revised: 03/12/2024] [Accepted: 04/03/2024] [Indexed: 04/11/2024]
Abstract
INTRODUCTION Influenza, a globally significant respiratory illness with pandemic potential, affects around 1 billion individuals annually, leading to increased risk for severe illness and mortality. Despite recommendations from the WHO Strategic Advisory Group of Experts on Immunization (SAGE) and MoH prioritization, influenza vaccination coverage rate among HCWs in Kyrgyzstan remains low, ranging between 16 % and 46 % over the past five years. Understanding the Knowledge, Attitudes, and Practices (KAP) dynamics of HCWs regarding influenza vaccinations, both before and during the COVID-19 pandemic is crucial for refining national strategies and institutional approaches to enhance vaccination coverage rates in this important risk group. METHOD This study employed cross sectional investigations aimed at assessing KAPs among HCWs regarding influenza disease and vaccination. Conducted prior to and during the initial phase of the COVID-19 pandemic, the project involved 2400 participants from diverse medical disciplines. EPI Info was utilized to run biostatistical analyses, with descriptive and logistic regression models, to elucidate the dynamics of KAP over time. RESULTS The findings indicate that HCWs with over 5 years of experience were more likely to get vaccinated or recommend it to patients (p = 0.000). Low confidence in vaccine effectiveness influenced on recommendations of influenza vaccination in pre-pandemic time, where insufficient (95 %CI 0.08-0.6; p = 0.003) or uncertain assurance in vaccine effectiveness (95 %CI 0.007-0.18; p = 0.000) was a barrier for vaccine promotion during the pandemic. The study underscores to consider mandatory influenza vaccination for HCWs which may impact on likelihood of flu vaccination (p = 0.001). Priority groups for influenza vaccination shifted during the COVID-19 period, emphasizing older adults, individuals with existing conditions, and HCWs, compared to the pre-pandemic focus on HCWs, children, and patients with pre-existing conditions. CONCLUSION Our investigation provides valuable insights into HCWs KAP concerning influenza vaccination in Kyrgyzstan, highlighting the need for targeted interventions addressing factors influencing vaccine acceptance. The study suggests policy implications, advocating for the revision of national strategies to strengthen capacity building for medical staff.
Collapse
Affiliation(s)
- Rakhat Akmatova
- Center for Vaccine Equity, Task Force for Global Health, 330 W. Ponce de Leon Avenue, Decatur, GA 30030, United States.
| | - Malembe S Ebama
- Center for Vaccine Equity, Task Force for Global Health, 330 W. Ponce de Leon Avenue, Decatur, GA 30030, United States.
| | - Sanjar Temirbekov
- Department of Disease Prevention and State Sanitary and Epidemiology Surveillance under the Ministry of Health, 535 Frunze Street, 720033 Bishkek, Kyrgyzstan
| | - Venera Alymkulova
- Department of Disease Prevention and State Sanitary and Epidemiology Surveillance under the Ministry of Health, 535 Frunze Street, 720033 Bishkek, Kyrgyzstan
| | - Dinara Otorbaeva
- Department of Disease Prevention and State Sanitary and Epidemiology Surveillance under the Ministry of Health, 535 Frunze Street, 720033 Bishkek, Kyrgyzstan.
| |
Collapse
|
5
|
Shahi MK, Jeamsripong S. Knowledge, attitudes, and practices on antimicrobial use and antimicrobial resistance among poultry practitioner veterinarians. Front Vet Sci 2024; 11:1349088. [PMID: 38655534 PMCID: PMC11036543 DOI: 10.3389/fvets.2024.1349088] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/04/2023] [Accepted: 03/18/2024] [Indexed: 04/26/2024] Open
Abstract
Background Antimicrobial resistance (AMR) poses a serious global threat to human and animal health. In the context of antimicrobial usage (AMU) in livestock production, veterinarians are key stakeholders. However, there is a lack of comprehensive situational analysis regarding the current Knowledge, Attitudes, and Practices (KAP) among veterinarians concerning AMU and AMR in poultry production in Nepal. Methods The primary objective of this study was to evaluate the situation of AMU and KAP regarding AMU and AMR of among poultry practitioner veterinarians in Nepal. A total of 327 respondents from 56 districts across seven provinces participated. Demographic information and AMU situation were collected and analyzed using descriptive statistics, and factors affecting KAP on AMU and AMR were performed using logistic regression analysis. Results Nearly half of veterinarians (49.2%) were from Bagmati, followed by Lumbini (16.5%) and Gandaki (8.9%) provinces. Most of the respondents (85.0%) identified themselves as male with a mean age of 31.9 ± 7.8 years, with a range of 24-74 years. A large proportion of veterinarians held a master's degree (43.8%). Regarding reasons for AMR, 51.1% of them attributed it to the irrational use of antimicrobials. Other identified reasons for AMR, including over-the-counter sales (27.8%), low-dose administration (12.3%), and low-quality antimicrobials (6.7%). Based on antibiotic prescription rates, most veterinarians (50.8%) prescribed antimicrobials at a rate of 20-40%, while 25.9% prescribed at a rate of less than 20.0 and 18.9% at a rate of 40-60%. Approximately 89.0% of veterinarians agreed that vaccination could reduce the use of antimicrobials in poultry, and 75.6% preferred narrow-spectrum antimicrobials than broad-spectrum antimicrobials. A combination of broad-spectrum antimicrobials such as colistin with amoxicillin, gentamicin, tylosin, and tetracycline was commonly used in poultry production. Discussion In logistic regression analysis, it was observed that veterinarians aged 45-60 years demonstrated significantly higher levels of knowledge concerning AMU and AMR (p = 0.02) compared to those in the 24-30 age group. This study indicates that the need for robust regulatory mechanisms in veterinary drug administration and increased awareness among veterinarians to address the AMR issue livestock production.
Collapse
Affiliation(s)
- Manoj Kumar Shahi
- Nepal Veterinary Council, Kathmandu, Nepal
- Research Unit in Microbial Food Safety and Antimicrobial Resistance, Department of Veterinary Public Health, Faculty of Veterinary Science, Chulalongkorn University, Bangkok, Thailand
| | - Saharuetai Jeamsripong
- Research Unit in Microbial Food Safety and Antimicrobial Resistance, Department of Veterinary Public Health, Faculty of Veterinary Science, Chulalongkorn University, Bangkok, Thailand
| |
Collapse
|
6
|
Rocha NSS, Clara BM, Luz LMM, do Rosário Oliveira Martins M. Knowledge, attitudes and practices of cervical cancer screening among female students enrolled in higher education institutions in Cabo Verde. Ecancermedicalscience 2024; 18:1689. [PMID: 38566763 PMCID: PMC10984840 DOI: 10.3332/ecancer.2024.1689] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/26/2023] [Indexed: 04/04/2024] Open
Abstract
Cervical cancer (CC) is the fourth most common cancer among women in the world and the second in Africa. CC is the third most frequent cancer and the first cause of cancer-related death among women in Cabo Verde, with an estimated incidence of 17 cases per 100,000 women. The mortality rate is around 10.5% and represents one of the largest percentages of all types of cancer diagnosed in women in the country. The high mortality rate can be explained by the absence of a national screening programme and a lack of human and physical resources. This study aims to determine the level of knowledge, attitudes and practices on CC among undergraduate female students in Cabo Verde in 2020. Methods A descriptive cross-sectional study, using a self-administered structured questionnaire, was conducted in six higher education institutions (HEI) in Cabo Verde between November and December 2020. A total of 618 female undergraduate students were recruited using a simple random sampling technique. Descriptive statistical data analysis was used to report the results. Results The response rate was 96.6% (n = 618). Most of the participants, 90.6% (549), were single, with average age of 21.79 years (SD =±4). Although most of the participants had already heard about CC (94.6%), most students showed a low knowledge about this disease (86.2%). Moreover, only 9.1% reported having been screened for CC. Conclusion Most undergraduate female students enrolled in HEI in Cabo Verde have poor knowledge and unfavourable attitudes toward CC. The level of knowledge is quite unsatisfactory. Within this context, the implementation of health policies focused on human papillomavirus education, prevention strategies, and CC screening is crucial.
Collapse
Affiliation(s)
- Natalina Sousa Silva Rocha
- Faculdade de Ciências e Tecnologias (FCT), Universidade de Cabo Verde, Campus do Palmarejo Grande, CP 7943-010 Praia, Santiago, Cabo Verde
| | - Bicho M Clara
- Instituto de Saúde Ambiental (ISAMB), Faculdade de Medicina (FMUL), Universidade de Lisboa, Lisboa 1649-008, Portugal
| | | | | |
Collapse
|
7
|
Nengnong CB, Passah M, Wilson ML, Bellotti E, Kessler A, Marak BR, Carlton JM, Sarkar R, Albert S. Community and health worker perspectives on malaria in Meghalaya, India: covering the last mile of elimination by 2030. Malar J 2024; 23:83. [PMID: 38500097 PMCID: PMC10949573 DOI: 10.1186/s12936-024-04905-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/11/2023] [Accepted: 03/08/2024] [Indexed: 03/20/2024] Open
Abstract
BACKGROUND Malaria remains a public health problem in regions of Northeastern India because of favourable bio-geographic transmission conditions, poor access to routine healthcare, and inadequate infrastructure for public health and disease prevention. This study was undertaken to better understand community members' and health workers' perceptions of malaria, as well as their knowledge, attitudes, and prevention practices related to the disease in Meghalaya state. METHODS The study included participants from three malaria endemic districts: West Khasi Hills, West Jaiñtia Hills, and South Garo Hills from 2019 to 2021. A total of 82 focus group discussions (FGD) involving 694 community members and 63 in-depth interviews (IDI) with health personnel and traditional healers residing within the three districts were conducted. A thematic content analysis approach was employed, using NVivo12 software for data management. RESULTS Most participants reported a perceived reduction in malaria during recent years, attributing this to changes in attitudes and behaviours in health seeking, and to more effective government interventions. Local availability of testing and treatment, and an improved, more responsive health system contributed to changing attitudes. Long-lasting insecticidal nets (LLINs) were largely preferred over indoor residual spraying (IRS), as LLINs were perceived to be effective and more durable. Community members also reported using personal protective measures such as applying repellents, burning neem tree leaves, straw/egg trays, wearing long sleeve clothes, and applying ointments or oils to protect themselves from mosquito bites. While most participants acknowledged the role of mosquitoes in malaria transmission, other conditions that are not mosquito-borne were also attributed to mosquitoes by some participants. The communities surveyed have largely shifted from seeking treatment for malaria from traditional healers to using public facilities, although some participants reported switching between the two or using both simultaneously. Improved understanding of cerebral malaria, which some participants previously attributed to mental illness due to 'bad spirits', is an example of how cultural and ritualistic practices have changed. CONCLUSION The findings reveal diverse perceptions among community members regarding malaria, its prevention, practices to prevent mosquito-transmitted diseases, and their opinions about the healthcare system. A key finding was the shift in malaria treatment-seeking preferences of community members from traditional healers to the public sector. This shift highlights the changing dynamics and increasing acceptance of modern healthcare practices for malaria treatment and prevention within tribal and/or indigenous communities. By recognizing these evolving attitudes, policymakers and healthcare providers can better tailor their interventions and communication strategies to more effectively address ongoing needs and concerns as India faces the 'last mile' in malaria elimination.
Collapse
Affiliation(s)
- Carinthia B Nengnong
- Indian Institute of Public Health Shillong, Shillong, Meghalaya, 793001, India.
- Martin Luther Christian University, Shillong, Meghalaya, 793006, India.
| | - Mattimi Passah
- Indian Institute of Public Health Shillong, Shillong, Meghalaya, 793001, India
- Martin Luther Christian University, Shillong, Meghalaya, 793006, India
| | - Mark L Wilson
- Department of Epidemiology, School of Public Health, University of Michigan, Ann Arbor, MI, 48109, USA
| | - Elisa Bellotti
- Department of Sociology, The University of Manchester, Oxford Rd, Manchester, M13 9PL, UK
| | - Anne Kessler
- Department of Biology, Center for Genomics and Systems Biology, New York University, New York, NY, 10003, USA
| | - Bibha R Marak
- Department of Health and Family Welfare, National Vector Borne Disease Control Program, Shillong, Meghalaya, 793001, India
| | - Jane M Carlton
- Department of Biology, Center for Genomics and Systems Biology, New York University, New York, NY, 10003, USA
| | - Rajiv Sarkar
- Indian Institute of Public Health Shillong, Shillong, Meghalaya, 793001, India
- Martin Luther Christian University, Shillong, Meghalaya, 793006, India
| | - Sandra Albert
- Indian Institute of Public Health Shillong, Shillong, Meghalaya, 793001, India.
- Martin Luther Christian University, Shillong, Meghalaya, 793006, India.
| |
Collapse
|
8
|
Gregorio ER, Takeuchi R, Hernandez PMR, Medina JR, Kawamura SY, Salanguit MB, Santillan MDC, Ramos KMS, Tuliao GJ, Morales L, Palatino M, Shibuya F, Kobayashi J. Knowledge, attitudes, and practices related to dengue among public school teachers in a Central Luzon Province in the Philippines: an analytic cross-sectional study. Trop Med Health 2024; 52:25. [PMID: 38491552 PMCID: PMC10941585 DOI: 10.1186/s41182-024-00591-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/02/2023] [Accepted: 02/27/2024] [Indexed: 03/18/2024] Open
Abstract
BACKGROUND Dengue has become a major health issue in tropical regions as the numbers of reported cases and estimated infections continuously increase. In the Philippines, many challenges remain in preventing and controlling the disease amidst all the mitigation efforts of the government. This study sought to measure the health literacy of Filipino teachers and determine the associations among teachers' knowledge, attitudes, and selected practices (KAP) against dengue. METHODS Elementary and secondary school teachers from the consistently declared dengue hotspots in the City of San Fernando, Pampanga, Philippines, from the years 2017 to 2019 were selected as target participants in this cross-sectional study. A self-administered online survey tool was used in this study for both screening of participants and the KAP survey proper. STATA, descriptive statistics, and multiple logistic regression were used for the data analysis. Odds Ratios (ORs) and 95% confidence intervals (CIs) were reported. RESULTS The study comprised 604 participants whose mean age was 38.4 years. Television was determined as the top media source of information, and various health staff were the most trusted and common source of information. Good knowledge on dengue treatment (OR = 1.81; 95% CI 1.18-2.78) and dengue prevention (OR = 1.85; 95% CI 1.26-2.71) were positively associated with having good practices on protection against mosquito bites. Good knowledge on dengue signs and symptoms (OR = 1.56; 95% CI 1.02-2.37) and dengue prevention (OR = 2.38; 95% CI 1.59-3.58) were positively associated with having good practices on preventing breeding sites. Those with positive perceived susceptibility to dengue had lower odds of having good practices on protection against mosquito bites (OR = 0.64; 95% CI 0.41-0.99) and of having good practices on preventing breeding sites (OR = 0.46; 95% CI 0.26-0.81). CONCLUSION Even with the existing dengue policies, programs, and strategies, and the high disease literacy rate of Filipinos, dengue remains a struggle with an increasing case rate. Therefore, specific concepts should be emphasized, and interventions should be fine-tuned to better reach and influence the target population to attain a dengue-free Philippines.
Collapse
Affiliation(s)
- Ernesto R Gregorio
- Department of Health Promotion and Education, College of Public Health, University of the Philippines Manila, 625 Pedro Gil St, Ermita, 1000, Manila, Metro Manila, Philippines.
- SEAMEO-TROPMED Regional Center for Public Health, Hospital Administration, and Environmental and Occupational Health, Manila, Philippines.
- Department of Global Health, Graduate School of Health Sciences, University of the Ryukyus, Nishihara, Japan.
| | - Rie Takeuchi
- Graduate School of Public Health, International University of Health and Welfare, 4‑3 Kodunomori, Narita, Chiba, 286‑8686, Japan
- Department of Global Health, Graduate School of Health Sciences, University of the Ryukyus, Nishihara, Japan
- Japanese Consortium for Global School Health Research, University of the Ryukyus, Nishihara, Japan
| | - Paul Michael R Hernandez
- Department of Environmental and Occupational Health, College of Public Health, University of the Philippines Manila, Manila, Philippines
| | - John Robert Medina
- National Institutes of Health, University of the Philippines Manila, Manila, Philippines
| | - Shin-Ya Kawamura
- Chubu Institute for Advanced Studies, 1200 Matsumoto‑Cho, Kasugai, Aichi, 487‑8501, Japan
| | - Mikaela B Salanguit
- Department of Health Promotion and Education, College of Public Health, University of the Philippines Manila, 625 Pedro Gil St, Ermita, 1000, Manila, Metro Manila, Philippines
| | - Marian Danille C Santillan
- Department of Health Promotion and Education, College of Public Health, University of the Philippines Manila, 625 Pedro Gil St, Ermita, 1000, Manila, Metro Manila, Philippines
| | | | - Gideon John Tuliao
- Department of Health Promotion and Education, College of Public Health, University of the Philippines Manila, 625 Pedro Gil St, Ermita, 1000, Manila, Metro Manila, Philippines
| | - Lyndon Morales
- Department of Education, Schools Division Office, City of San Fernando, Pampanga, Philippines
| | - Maylin Palatino
- School of Medicine, University of Maryland Baltimore, Baltimore, MD, USA
| | - Fumiko Shibuya
- Department of Global Health, Graduate School of Health Sciences, University of the Ryukyus, Nishihara, Japan
- Japanese Consortium for Global School Health Research, University of the Ryukyus, Nishihara, Japan
| | - Jun Kobayashi
- Department of Health Promotion and Education, College of Public Health, University of the Philippines Manila, 625 Pedro Gil St, Ermita, 1000, Manila, Metro Manila, Philippines
- Department of Global Health, Graduate School of Health Sciences, University of the Ryukyus, Nishihara, Japan
- Japanese Consortium for Global School Health Research, University of the Ryukyus, Nishihara, Japan
| |
Collapse
|
9
|
Chan A. Implementing a cancer survivorship seminar course to non-healthcare professional undergraduate students. Support Care Cancer 2024; 32:227. [PMID: 38478105 PMCID: PMC10937781 DOI: 10.1007/s00520-024-08426-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/28/2024] [Accepted: 03/07/2024] [Indexed: 03/17/2024]
Abstract
BACKGROUND At University of California, Irvine (UCI), a seminar course focused on cancer survivorship was developed and offered to non-healthcare professional undergraduate students. Utilizing the knowledge, attitude, and perception (KAP) framework, this study was designed to examine the impact on students who have taken this course, and to clarify the value of this course for undergraduate students. METHODS This was a cross-sectional survey. Undergraduate students enrolled in the Life After Cancer Freshmen Seminar course (Uni Stu 3) at UCI between 2021 and 2023 were invited to participate. The survey consisted of 4 main sections: (1) demographics, (2) knowledge of cancer survivorship, (3) attitude towards cancer survivorship, and (4) perception and awareness of cancer survivorship. The survey was administered prior to the implementation of the course, and the same survey was administered at the end of the course. RESULTS A total of 33 students completed the pre-implementation survey and 30 students completed the post-implementation survey. Comparing pre- and post-course implementation, there was an increase of perception and awareness of (i) resources and guidelines for cancer survivors (pre, 9.1% vs. post, 36.7%), (ii) mental health complications among cancer survivors (pre, 36.4% vs. post, 56.7%), (iii) benefits of cancer survivorship care (pre, 15.2% vs. post, 40%), latest research in cancer survivorship (pre, 0% vs. post, 23.3%), and (iv) tailoring survivors' needs according to their age groups (pre, 24.2% vs. post, 66.7%). Knowledge and attitude towards caring of cancer survivors were similar comparing pre- and post-course implementation. CONCLUSION In an undergraduate seminar course focused on cancer survivorship, we observed an improvement of non-healthcare students' perception and awareness of cancer survivorship-related issues, advocating the value on introducing highly prevalent cancer survivorship topics early to both undergraduate STEM and non-STEM students.
Collapse
Affiliation(s)
- Alexandre Chan
- Department of Clinical Pharmacy Practice, School of Pharmacy & Pharmaceutical Sciences, University of California, Irvine, 802 W Peltason Drive, Berk Hall, Irvine, CA, 92697-4625, USA.
| |
Collapse
|
10
|
Jadhav BN, Abdul Azeez EP, Mathew M, Senthil Kumar AP, Snegha MR, Yuvashree G, Mangalagowri SN. Knowledge, attitude, and practice of breast self-examination is associated with general self-care and cultural factors: a study from Tamil Nadu, India. BMC Womens Health 2024; 24:151. [PMID: 38431649 PMCID: PMC10909289 DOI: 10.1186/s12905-024-02981-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/22/2023] [Accepted: 02/18/2024] [Indexed: 03/05/2024] Open
Abstract
AIM Breast cancer is the most prevalent type of cancer among women. One form of care related to early detection of breast cancer is breast self-examination (BSE). However, evidence on knowledge, attitude, and practice (KAP) of BSE and its determining factors are minuscule in an Indian context. Therefore, the present study primarily examined the prevalence of KAP of BSE. Further, its association with general self-care and cultural factors was determined. METHODS This cross-sectional study obtained data from 412 women (Mn age = 26.63) from two rural localities of Vellore district, Tamil Nadu, India. Self-reported questionnaires of KAP of BSE, self-care, and cultural factors were applied. Statistical analyses include independent sample t-test and binomial logistic regression. RESULTS The majority of the sample had inadequate knowledge (58%), unfavourable attitudes (73.8%), and poor practice (89.6%) of BSE. The general self-care among the sample was moderate. Self-care was found to be a significant predictor of knowledge (b = 0.07, p < .05) and attitude (b = 0.092, p < .05) toward BSE. Shyness was identified as a negative predictor of KAP. Discouraged breast health discussions predicted inadequate knowledge, and not being educated by family/friends had a negative impact on knowledge and practice. A preference for same-gender physicians led to an unfavourable attitude toward BSE. CONCLUSION The observed negative trends in KAP of BSE are concerning. The results imply that girls and women should be educated and encouraged to practice BSE and promote self-care behaviours. At the same time, efforts to reduce cultural barriers may be helpful to promote the KAP of BSE.
Collapse
Affiliation(s)
- Bhoomika N Jadhav
- School of Social Sciences and Languages, Vellore Institute of Technology (VIT), Vellore, Tamil Nadu, 632014, India
| | - E P Abdul Azeez
- School of Social Sciences and Languages, Vellore Institute of Technology (VIT), Vellore, Tamil Nadu, 632014, India.
| | - Manoj Mathew
- Department of Social Work, Kalinga University, Raipur, India
| | | | - M R Snegha
- School of Social Sciences and Languages, Vellore Institute of Technology (VIT), Vellore, Tamil Nadu, 632014, India
| | - G Yuvashree
- School of Social Sciences and Languages, Vellore Institute of Technology (VIT), Vellore, Tamil Nadu, 632014, India
| | - S N Mangalagowri
- School of Social Sciences and Languages, Vellore Institute of Technology (VIT), Vellore, Tamil Nadu, 632014, India
| |
Collapse
|
11
|
Gu Y, Ren R, Han J, Bai W, Zhang Y, Liu H, Li Z, Li C, Song R, Zhou L. Knowledge, Attitude, and Practice Towards Mpox and Associated Factors Among HIV-Infected Individuals - Beijing Municipality, China, 2023. China CDC Wkly 2024; 6:109-117. [PMID: 38405602 PMCID: PMC10883322 DOI: 10.46234/ccdcw2024.024] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/08/2023] [Accepted: 01/22/2024] [Indexed: 02/27/2024] Open
Abstract
What is already known about this topic? Approximately 50% of patients with mpox are human immunodeficiency virus (HIV)-infected globally. Studies have shown that individuals with advanced HIV infection tend to have more severe clinical manifestations and higher mortality rates after mpox infection. What is added by this report? The study revealed that individuals living with HIV have a low level of Knowledge, Attitude, and Practice (KAP) towards mpox. Several factors, including age, registered residence, sexual orientation, education level, viral load, and co-occurrence of other sexually transmitted diseases, were found to influence the KAP towards mpox. What are the implications for public health practice? This study is the first to investigate the KAP of mpox among individuals living with HIV. The findings suggest that mpox health education should prioritize individuals with co-existing sexually transmitted diseases (STDs) and a high viral load.
Collapse
Affiliation(s)
- Yue Gu
- Chinese Center for Disease Control and Prevention, Beijing, China
| | - Ruiqi Ren
- Chinese Center for Disease Control and Prevention, Beijing, China
| | - Jing Han
- National Center for Infectious Diseases, Beijing Ditan Hospital, Capital Medical University, Beijing, China
| | - Wenqing Bai
- Chinese Center for Disease Control and Prevention, Beijing, China
| | - Yuanyuan Zhang
- National Center for Infectious Diseases, Beijing Ditan Hospital, Capital Medical University, Beijing, China
- Beijing Key Laboratory of Emerging Infectious Diseases, Institute of Infectious Diseases, Beijing Ditan Hospital, Capital Medical University, Beijing, China
| | - Haoliang Liu
- Nanjing Medical University, Nanjing City, Jiangsu Province, China
| | - Zhaohe Li
- Chinese Center for Disease Control and Prevention, Beijing, China
| | - Chao Li
- Chinese Center for Disease Control and Prevention, Beijing, China
| | - Rui Song
- National Center for Infectious Diseases, Beijing Ditan Hospital, Capital Medical University, Beijing, China
| | - Lei Zhou
- Chinese Center for Disease Control and Prevention, Beijing, China
| |
Collapse
|
12
|
Valente D, Carolino N, Gomes J, Coelho AC, Espadinha P, Pais J, Carolino I. A study of knowledge, attitudes, and practices on ticks and tick-borne diseases of cattle among breeders of two bovine Portuguese autochthonous breeds. Vet Parasitol Reg Stud Reports 2024; 48:100989. [PMID: 38316511 DOI: 10.1016/j.vprsr.2024.100989] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/29/2023] [Revised: 01/02/2024] [Accepted: 01/12/2024] [Indexed: 02/07/2024]
Abstract
Beef cattle production in Portugal is an important sector of national agricultural production, with half of the herd being in the Alentejo region. Despite this, animal health is essential for its productivity, which may be compromised by ticks and tick-borne diseases. So far, no study has been conducted in Portugal to assess knowledge, attitudes, and practices (KAP) on ticks and tick-borne diseases in cattle, which the authors are aware of. This type of questionnaire is a very useful tool in the development and application of effective and sustainable prevention and control measures. Therefore, a KAP questionnaire was applied to 44 cattle breeders of autochthonous Portuguese breeds, namely 14 breeders of the Alentejana breed and 30 of the Mertolenga breed, between January 1 and May 9, 2023. Based on the analysis criteria of these surveys, 64% of the Alentejana breeders and 63% of the Mertolenga breeders have an average level of knowledge about ticks and tick-borne diseases, and 21% of the Alentejana breeders and 33% of the Mertolenga breeders have a high level of knowledge. Although only 21.4% of the Alentejana and 36.7% of the Mertolenga breeders consider tick infestation as a major animal health problem, 71.4% of the Alentejana and 63.3% of breeders of the Mertolenga state that one of the main reasons for veterinary consultations on their farm is deworming of animals, and 92.9% of breeders of the Alentejana and 96.7% of breeders of the Mertolenga refer the use of dewormers as a strategy to control tick infestation. The results of this study contribute to highlighting the importance of correcting some identified knowledge gaps and improving knowledge, especially on the life cycle of this parasite, its local distribution and seasonality, resistance to acaricides, and alternative control strategies.
Collapse
Affiliation(s)
- Diana Valente
- Centro de Investigação Vasco da Gama, Escola Universitária Vasco da Gama, Coimbra 3020-210, Portugal; Escola de Ciências Agrárias e Veterinárias, Universidade de Trás-os-Montes e Alto Douro, Quinta de Prados, Vila Real 5000-801, Portugal.
| | - Nuno Carolino
- Centro de Investigação Vasco da Gama, Escola Universitária Vasco da Gama, Coimbra 3020-210, Portugal; Centro de Investigação Interdisciplinar em Sanidade Animal, Faculdade de Medicina Veterinária, Universidade de Lisboa, Lisboa 1300-477, Portugal; Laboratório Associado para a Ciência Animal e Veterinária, Faculdade de Medicina Veterinária, Universidade de Lisboa, Lisboa 1300-477, Portugal; Instituto Nacional de Investigação Agrária e Veterinária, Polo de Inovação da Fonte Boa-Estação Zootécnica Nacional, Santarém 2005-424, Portugal
| | - Jacinto Gomes
- Centro de Investigação Interdisciplinar em Sanidade Animal, Faculdade de Medicina Veterinária, Universidade de Lisboa, Lisboa 1300-477, Portugal; Laboratório Associado para a Ciência Animal e Veterinária, Faculdade de Medicina Veterinária, Universidade de Lisboa, Lisboa 1300-477, Portugal; Escola Superior Agrária de Elvas, Instituto Politécnico de Portalegre, Elvas 7350-092, Portugal
| | - Ana Cláudia Coelho
- Escola de Ciências Agrárias e Veterinárias, Universidade de Trás-os-Montes e Alto Douro, Quinta de Prados, Vila Real 5000-801, Portugal; Laboratório Associado para a Ciência Animal e Veterinária, Faculdade de Medicina Veterinária, Universidade de Lisboa, Lisboa 1300-477, Portugal
| | - Pedro Espadinha
- Associação de Criadores de Bovinos da Raça Alentejana, Monforte Herdade da Coutada Real - Assumar, Assumar 7450-051, Portugal
| | - José Pais
- Associação de Criadores de Bovinos Mertolengos, Évora 7006-806, Portugal
| | - Inês Carolino
- Centro de Investigação Vasco da Gama, Escola Universitária Vasco da Gama, Coimbra 3020-210, Portugal; Instituto Nacional de Investigação Agrária e Veterinária, Polo de Inovação da Fonte Boa-Estação Zootécnica Nacional, Santarém 2005-424, Portugal; Instituto Superior de Agronomia, Universidade de Lisboa, Lisboa 1349-017, Portugal
| |
Collapse
|
13
|
Dowling R, Thompson AB, Kolokotronis SO. Knowledge, Attitudes and Practices About Zika Virus Infection Among Women of Reproductive Age in Central Brooklyn, New York City, USA. J Community Health 2024; 49:78-85. [PMID: 37507524 DOI: 10.1007/s10900-023-01258-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 07/13/2023] [Indexed: 07/30/2023]
Abstract
Zika virus (ZIKV) is spread by mosquitos, sexual intercourse and vertically during pregnancy. The 2015-2016 ZIKV epidemic infected millions in the Americas and resulted in thousands of infants born with malformations. Though the clusters of severe birth defects have subsided since 2017, ZIKV transmission remains a concern throughout Latin America and the Caribbean. Travel-associated and sexually-transmitted Zika, therefore, remain potential routes of transmission for women of reproductive age and their partners. This is particularly true for communities with high immigrant and foreign-born populations in Central Brooklyn, New York. Limited information has been collected on the perception by this population of ZIKV and how high-risk women engage in preventive practices. Using a survey adapted from the WHO, we assessed engagement in mosquito-related preventive practices while traveling. Data from 483 respondents on knowledge and perceived ZIKV concern, along with demographics as correlates of engagement in preventive practices were collected using a convenience sample between September 2020 and January 2021. Data were collected via a multipronged approach using social media in REDCap. Our findings show that being white/not Hispanic, pregnant, knowledgeable and concerned about ZIKV, and having enough information about ZIKV were all significantly associated with an increased likelihood of engaging in preventive practices while traveling. Multivariable logistic modeling revealed that knowledge was significantly associated with an increased likelihood of engaging in preventive practices while traveling (AOR = 1.90, 95% CI [1.28-2.83]). These findings underscore the importance of directing tailored health education efforts to vulnerable populations.
Collapse
Affiliation(s)
- Russell Dowling
- Department of Community Health Sciences, School of Public Health, SUNY Downstate Health Sciences University, Brooklyn, NY, USA.
| | - Azure B Thompson
- Department of Community Health Sciences, School of Public Health, SUNY Downstate Health Sciences University, Brooklyn, NY, USA
| | - Sergios-Orestis Kolokotronis
- Department of Epidemiology and Biostatistics, School of Public Health, SUNY Downstate Health Sciences University, Brooklyn, NY, USA
- Institute for Genomics in Health, School of Public Health, SUNY Downstate Health Sciences University, Brooklyn, NY, USA
- Division of Infectious Diseases, Department of Medicine, College of Medicine, SUNY Downstate Health Sciences University, Brooklyn, NY, USA
- Department of Cell Biology, College of Medicine, SUNY Downstate Health Sciences University, Brooklyn, NY, USA
| |
Collapse
|
14
|
Saad RK, Khader Y, Aqel AJ, Satyanarayana S, Wilson N, Abaza H. HIV- related knowledge, attitude, practices, and stigma among healthcare providers caring for HIV in Jordan: Identification of several organizational challenges. Heliyon 2024; 10:e24423. [PMID: 38293408 PMCID: PMC10827484 DOI: 10.1016/j.heliyon.2024.e24423] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/31/2023] [Revised: 12/20/2023] [Accepted: 01/09/2024] [Indexed: 02/01/2024] Open
Abstract
Background There is a paucity of data on Healthcare Providers (HCPs) caring for people living with HIV in Jordan. Objective We aimed to understand HCPs' knowledge, attitude, stigma, and practices, to assess the gaps in HIV care in Jordan. Methods We conducted recorded in-depth interviews with all five HCPs working at the only HIV Service Center in Jordan, using semi-structured questions in 2021. Content analysis was performed. Results Several organizational challenges were identified. Only one had received HIV training. All were uncertain of updated recommendations with little knowledge of international guidelines, vertical transmission, contraception, sexually transmitted infections (STIs), non-communicable diseases (NCDs), and prophylaxis. Four HCPs perform counseling, focusing on easing anxieties, risk modification, and the importance of treatment adherence. However, their counseling on contraception, risk of transmission, STIs, and NCDs is inadequate, and they have little-to-no experience with prophylaxis. Most had a positive attitude towards people living with HIV, especially HCPs working at the center the longest, encouraging marriage and reproduction. Most do not approve of mandatory testing, or of breaching patient confidentiality. They repetitively described risky behavior as 'immoral behavior', empathizing more with patients who caught HIV through blood transfusion or birth, and demonstrating embedded stigmatized beliefs. They reported people living with HIV experience anticipated stigma and stigma by their general community including by other HCPs. Conclusion This is the first study on HCPs caring for people living with HIV in Jordan. It highlights the suboptimal knowledge, practices, and stigma which improve with greater participatory exposure to HIV care. HCPs had an overall positive attitude, more evident in HCPs working at the clinic the longest.
Collapse
Affiliation(s)
- Randa K. Saad
- Center of Excellence for Applied Epidemiology, Global Health Development, Eastern Mediterranean Public Health Network, Amman, Jordan
| | - Yousef Khader
- Department of Community Medicine, Public Health, and Family Medicine, Jordan University of Science & Technology, Irbid, 22110, Jordan
| | - Ashraf Jamil Aqel
- The Department of Sexually Transmitted Diseases, Jordan Ministry of Health, Jordan
| | | | - Nevin Wilson
- Migration Health Division, International Organization for Migration (IOM), Jordan
| | - Hiba Abaza
- Migration Health Division, International Organization for Migration (IOM), Jordan
| |
Collapse
|
15
|
Altahini AT, Aburas W, Aljarwan SF, Alsuwayagh SA, Alqahtani NF, Alquwaiay S, Anwar S. Charting the Knowledge and Patterns of Non-Steroidal Anti-Inflammatory Drugs Usage in Hail Population, Saudi Arabia: Insights into the Adverse Effect Profile. Pharmacy (Basel) 2024; 12:9. [PMID: 38251403 PMCID: PMC10801559 DOI: 10.3390/pharmacy12010009] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/27/2023] [Revised: 12/31/2023] [Accepted: 01/04/2024] [Indexed: 01/23/2024] Open
Abstract
(1) Background: It is crucial to provide safe and knowledgeable healthcare practices because no research has been performed on the knowledge and usage patterns of NSAIDs among the Hail population. (2) Method: Structured questionnaires were utilized to gather data from 399 individuals in Hail, Saudi Arabia, for the cross-sectional analysis. The study assessed participants' knowledge regarding NSAIDs, patterns of use, reasons for use, and awareness of potential side effects. (3) Results: In the study, the gender distribution indicated that 170 participants (42.61%) were male, whereas 229 (57.39%) were female. Gender, occupation, and marital status showed non-significant associations except for menstrual cycle and joint pain, where marital status displayed significant associations (p > 0.001). Education and monthly income exhibited non-significant associations for all these reasons. The regression analysis demonstrated that gender played a significant role, with females having higher odds of knowledge (AOR = 1.75, 95% CI 1.10-2.88) than males. Meanwhile, >50% of the participants had knowledge of adverse events related to the use of NSAIDs, whereas 25% had no knowledge. Moreover, 59 (25.76%) participants reported discomfort with the use of NSAIDs. In addition, 50% and >75% of respondents believed that NSAIDs could induce peptic ulcers and kidney damage, respectively. (4) Conclusions: This study shed light on the knowledge and patterns of NSAIDs use in the population of Hail, Saudi Arabia. Healthcare providers and policymakers should consider these insights to develop targeted educational initiatives and healthcare interventions to promote safe and informed NSAID utilization in the region.
Collapse
Affiliation(s)
| | - Waled Aburas
- College of Pharmacy, University of Hail, Hail 55476, Saudi Arabia (S.A.)
| | - Saud F. Aljarwan
- College of Pharmacy, University of Hail, Hail 55476, Saudi Arabia (S.A.)
| | | | - Naif F. Alqahtani
- College of Pharmacy, University of Hail, Hail 55476, Saudi Arabia (S.A.)
| | - Saleh Alquwaiay
- College of Pharmacy, University of Hail, Hail 55476, Saudi Arabia (S.A.)
| | - Sirajudheen Anwar
- Department of Pharmacology and Toxicology, College of Pharmacy, University of Hail, Hail 55476, Saudi Arabia
| |
Collapse
|
16
|
Chen Q, Zhang Y, Li H. Knowledge, attitude, and practice toward non-nutritive sweeteners among the population with reduced sugar intake requirement. Front Nutr 2024; 10:1268599. [PMID: 38249606 PMCID: PMC10796998 DOI: 10.3389/fnut.2023.1268599] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/28/2023] [Accepted: 12/14/2023] [Indexed: 01/23/2024] Open
Abstract
Introduction This study aimed to explore the knowledge, attitude, and practice (KAP) toward non-nutritive sweeteners among a population with reduced sugar intake requirements. Methods This cross-sectional study used self-developed questionnaires to collect demographic characteristics and KAP towards non-nutritive sweeteners among respondents with reduced sugar intake requirements, i.e., overweight or obese individuals and patients with pre-diabetes or diabetes. Results A total of 639 valid questionnaires were collected, and 51.64% of participants were male. The KAP scores were 7.63 ± 3.58 (range: 0-11), 34.28 ± 7.47 (range: 12-60), and 15.48 ± 3.97 (range: 7-35), respectively. Pearson's correlation analysis showed that knowledge score was positively correlated with attitude (r = 0.229, p < 0.001) and practice score (r = 0.467, p < 0.001), while attitude was positively correlated with practice (r = 0.312, p < 0.001). The structural equation model showed that knowledge was directly and positively associated with attitude (path coefficient = 0.48, p < 0.001) and practice (path coefficient = 0.46, p < 0.001). In addition, the attitude was directly and positively associated with practice (path coefficient = 0.12, p < 0.001). Besides, diabetes was associated with lower knowledge (path coefficient = -0.81, p = 0.038) and practice (path coefficient = -0.42, p < 0.041). Discussion Population with the reduced sugar intake requirement showed poor knowledge, negative attitudes, and suboptimal practices toward non-nutritive sweeteners. To optimize the utilization of non-nutritive sweeteners in accordance with medical prescriptions, especially for individuals with diabetes, tailored educational interventions may be designed for participants with lower KAP.
Collapse
Affiliation(s)
- Qiao Chen
- Department of Nutrition, Third Medical Center of PLA General Hospital, Beijing, China
| | - Yan Zhang
- Department of Clinical Nutrition, Leling People's Hospital, Leling, China
| | - Hui Li
- Department of Nutrition, Third Medical Center of PLA General Hospital, Beijing, China
| |
Collapse
|
17
|
Albayat SS, Mundodan JM, Elmardi K, Hasnain S, Khogali H, Baaboura R, Al-Romaihi HE, AlKubaisi NJ, Bougmiza MI. Knowledge, attitude, and practices regarding human papilloma virus vaccination among physicians in Qatar. Womens Health (Lond) 2024; 20:17455057241227360. [PMID: 38282514 PMCID: PMC10826392 DOI: 10.1177/17455057241227360] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/30/2023] [Revised: 12/19/2023] [Accepted: 01/04/2024] [Indexed: 01/30/2024]
Abstract
BACKGROUND The human papilloma virus is a global problem that affects sexually active women and men, with cervical cancer being the most serious associated disease. Most cervical cancer cases can be prevented by vaccination against the human papilloma virus early in life. The objective of this study was to assess the knowledge, attitudes, and practices among physicians working in Qatar, regarding the human papilloma virus, infection, and prevention using vaccines. STUDY-DESIGN This was a cross-sectional study using quantitative data collection. METHODOLOGY An online survey targeting physicians working in Qatar was conducted, using a web-based pretested questionnaire. The questionnaire comprised four sections capturing a few demographic details, 33 questions in the Knowledge Section, 12 questions eliciting the attitude, and 14 practice-related questions. Mean knowledge score was calculated and those with a score more than the mean score were considered to have sufficient knowledge. Association between knowledge and attitude/practices/independent variables were looked for using bivariate and multivariate analysis. Logistic regression was used to identify the predictors for recommending human papilloma virus vaccines. RESULTS Of the 557 physicians who participated, 83.7% had sufficient knowledge, but only 69.1% knew that human papilloma virus vaccines were available in Qatar. The majority (89.4%) knew that human papilloma virus infection could be asymptomatic and 96.1% knew at least one symptom; 77% believed the human papilloma virus vaccine would substantially decrease the chances of human papilloma virus infection and related cancers and 46.5% felt physicians were less motivated to promote the human papilloma virus vaccine. The perceived barriers to community acceptance of the human papilloma virus vaccine were lack of awareness regarding the relationship between human papilloma virus and cervical cancer (61.6%), doubts regarding efficacy (32.5%), fear regarding safety (26.9%), concern that the human papilloma virus vaccination may encourage risky sexual behavior (26.8%), and perceived low-risk (23.3%) and cost (24.6%). Only 21.5% commonly discussed sexual health with their clients. More than one-third were not interested in recommending the human papilloma virus vaccine. Bivariate analysis showed nationality, specialization, discussing with patients, and recommending vaccine to be significantly associated with knowledge. Bivariate and regression analysis identified that female gender and physician's religion were significant predictors to recommend the human papilloma virus vaccine. CONCLUSION Most physicians have good knowledge. Less than one-fourth commonly discussed sexual health with their clients. More than one-third were not interested in recommending the human papilloma virus vaccine. This issue might affect the human papilloma virus vaccination program implementation if not well addressed.
Collapse
Affiliation(s)
| | | | - Khalid Elmardi
- HP-CDC, Department of Public Health, Ministry of Public Health, Doha, Qatar
| | - Samina Hasnain
- HP-CDC, Department of Public Health, Ministry of Public Health, Doha, Qatar
| | - Hayat Khogali
- HP-CDC, Department of Public Health, Ministry of Public Health, Doha, Qatar
| | | | | | | | - Mohamed Iheb Bougmiza
- Community Medicine Residency Program Director, Primary Health Care Corporation, Doha, Qatar
| |
Collapse
|
18
|
Overgaard HJ, Linn NYY, Kyaw AMM, Braack L, Win Tin M, Bastien S, Vande Velde F, Echaubard P, Zaw W, Mukaka M, Maude R. School and community driven dengue vector control and monitoring in Myanmar: Study protocol for a cluster randomized controlled trial. Wellcome Open Res 2023; 7:206. [PMID: 38313099 PMCID: PMC10837613 DOI: 10.12688/wellcomeopenres.18027.2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 12/19/2023] [Indexed: 02/06/2024] Open
Abstract
Background Dengue is the most common and widespread mosquito-borne arboviral disease globally estimated to cause >390 million infections and >20,000 deaths annually. There are no effective preventive drugs and the newly introduced vaccines are not yet available. Control of dengue transmission still relies primarily on mosquito vector control. Although most vector control methods currently used by national dengue control programs may temporarily reduce mosquito populations, there is little evidence that they affect transmission. There is an urgent need for innovative, participatory, effective, and locally adapted approaches for sustainable vector control and monitoring in which students can be particularly relevant contributors and to demonstrate a clear link between vector reduction and dengue transmission reduction, using tools that are inexpensive and easy to use by local communities in a sustainable manner. Methods Here we describe a cluster randomized controlled trial to be conducted in 46 school catchment areas in two townships in Yangon, Myanmar. The outcome measures are dengue cases confirmed by rapid diagnostic test in the townships, dengue incidence in schools, entomological indices, knowledge, attitudes and practice, behavior, and engagement. Conclusions The trial involves middle school students that positions them to become actors in dengue knowledge transfer to their communities and take a leadership role in the delivery of vector control interventions and monitoring methods. Following this rationale, we believe that students can become change agents of decentralized vector surveillance and sustainable disease control in line with recent new paradigms in integrated and participatory vector surveillance and control. This provides an opportunity to operationalize transdisciplinary research towards sustainable health development. Due to the COVID-19 pandemic and political instability in Myanmar the project has been terminated by the donor, but the protocol will be helpful for potential future implementation of the project in Myanmar and/or elsewhere.Registration: This trial was registered in the ISRCTN Registry on 31 May 2022 ( https://doi.org/10.1186/ISRCTN78254298).
Collapse
Affiliation(s)
- Hans J. Overgaard
- Faculty of Science and Technology, Norwegian University of Life Sciences, As, 1432, Norway
- Department of Microbiology, Faculty of Medicine, Khon Kaen University, KHON KAEN, 40002, Thailand
| | - Nay Yi Yi Linn
- Central Vector Borne Disease Control Unit, Ministry of Health and Sports, Nay Pyi Taw, Myanmar
| | - Aye Mon Mon Kyaw
- Yangon Regional Health Department, Ministry of Health and Sports, Yangon, Myanmar
| | - Leo Braack
- Malaria Consortium, Bangkok 10400, Thailand
- Institute for Sustainable Malaria Control, University of Pretoria, Pretoria 0028, South Africa
| | | | - Sheri Bastien
- Faculty of Landscape and Society, Norwegian University of Life Sciences, 1432 Ås, Norway
- Department of Community Health Sciences, Cumming School of Medicine, University of Calgary, Calgary, Alberta, T2N 1N4, Canada
| | - Fiona Vande Velde
- Faculty of Landscape and Society, Norwegian University of Life Sciences, 1432 Ås, Norway
| | - Pierre Echaubard
- School of Oriental and African Studies (SOAS), University of London, London, WC1H 0XG, UK
- Faculty of Environment and Resource Studies, Mahidol University, Salaya, 73170, Thailand
| | - Win Zaw
- Mahidol-Oxford Tropical Medicine Research Unit, Faculty of Tropical Medicine, Mahidol University, Bangkok 10400, Thailand
| | - Mavuto Mukaka
- Mahidol-Oxford Tropical Medicine Research Unit, Faculty of Tropical Medicine, Mahidol University, Bangkok 10400, Thailand
- Centre for Tropical Medicine and Global Health, Nuffield Department of Medicine, University of Oxford, Oxford, OX3 7LG, UK
| | - Richard Maude
- Mahidol-Oxford Tropical Medicine Research Unit, Faculty of Tropical Medicine, Mahidol University, Bangkok 10400, Thailand
- Centre for Tropical Medicine and Global Health, Nuffield Department of Medicine, University of Oxford, Oxford, OX3 7LG, UK
- Harvard T.H. Chan School of Public Health, Harvard University, Boston, MA, 02115, USA
| |
Collapse
|
19
|
Hasanpouri A, Rahmani B, Gharakhanlou BJ, Solaimanian S, Shahsavari S, Rasouli A, Abbasi S, Ebrahimi-Kalan A, Rouzitalab T, Hoseinabadi Z, Shiri-Shahsavar MR. Nutritional knowledge, attitude, and practice of professional athletes in an Iranian population (a cross-sectional study). BMC Sports Sci Med Rehabil 2023; 15:164. [PMID: 38049912 PMCID: PMC10696817 DOI: 10.1186/s13102-023-00776-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/11/2023] [Accepted: 11/27/2023] [Indexed: 12/06/2023]
Abstract
BACKGROUND Proper nutrition is vital in promoting community health, yet insufficient knowledge and improper dietary practices can lead to deficiencies and diseases. Professional athletes depend on optimal nutrition for their performance and recovery, but a lack of understanding can impede their potential. The nutritional status of athletes impacts their overall health and sports performance. Inadequate sports nutrition knowledge may result in suboptimal practices, reducing strength, power, endurance, and immunity. Additionally, disordered attitudes can lead to dietary imbalances and an increased risk of injury. This study, conducted in Qazvin, Iran, examined athletes' nutritional knowledge, attitudes, and practices. By addressing these factors, there is potential to enhance dietary behaviors and ultimately improve athletes' performance. METHODS The study employed a descriptive-analytical, cross-sectional design to investigate the nutritional knowledge, attitude, and practice (KAP) of professional athletes in Qazvin, Iran. A total of 320 purposefully selected professional athletes (68.13% male, 31.87% female) from various sports fields participated in the research. The data collection tool consisted of demographic questions and a KAP questionnaire, including 27 nutritional knowledge questions, 16 nutritional attitude questions, and 14 nutritional performance questions. The quota sampling method was used to estimate sample sizes. Data analysis was carried out by SPSS v.26 using one sample t-test, one-way ANOVA, and Pearson's correlation coefficient test. RESULTS The results showed that nutritional knowledge (the mean value was 79.594 ± 7.015 - the optimal knowledge level = 84) and attitude (the mean value was 23.347 ± 5.300 - the optimal attitude level = 26) for athletes are low, but their nutritional practice (the mean value was 21.788 ± 3.450 - the optimal performance level = 24) was moderate. Also, professional athletes' nutritional knowledge, attitude, and practice were lower than normal (p < 0.05). Significant positive correlations were among knowledge, attitude, and practice (p < 0.05). However, there were no significant differences in nutritional knowledge, attitude, and practice among the subjects of different age groups, genders, and sports types (p > 0.05). CONCLUSION This study showed that the nutritional knowledge, attitude, and practice of professional Iranian athletes in Qazvin province were low; therefore, the implementation of more theoretical and applied nutrition education, such as using knowledge assessment tools and interventions, irrespective of their age, sport's field, and gender, is compelling.
Collapse
Affiliation(s)
- Amin Hasanpouri
- Department of Nutrition, School of Heath, Qazvin University of Medical Sciences, Qazvin, Iran
- Student Research Committee, Faculty of Health, Qazvin University of Medical Sciences, Qazvin, Iran
| | - Bita Rahmani
- Student Research Committee, Faculty of Health, Qazvin University of Medical Sciences, Qazvin, Iran.
- Department of Microbial Biotechnology, Faculty of Basic Sciences and Advanced Technologies in Biology, University of Science and Culture, Tehran, Iran.
| | - Bahram Jamali Gharakhanlou
- Department of Basic Sciences, School of Paramedical Sciences, Tabriz University of Medical Sciences, Tabriz, Iran
| | - Shahabaddin Solaimanian
- Student Research Committee, Faculty of Health, Qazvin University of Medical Sciences, Qazvin, Iran
- Department of Pharmacology, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran
| | - Saeed Shahsavari
- Department of Epidemiology and Biostatistics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
| | - Ahmadreza Rasouli
- Student Research Committee, Faculty of Health, Qazvin University of Medical Sciences, Qazvin, Iran
- Nutrition Research Center, Department of Clinical Nutrition, School of Nutrition and Food Sciences, Tabriz University of Medical Sciences, Tabriz, Iran
| | - Saeed Abbasi
- Student Research Committee, Faculty of Health, Qazvin University of Medical Sciences, Qazvin, Iran
| | - Abbas Ebrahimi-Kalan
- Department of Neuroscience and Cognition, Faculty of Advanced Medical Sciences, Tabriz University of Medical Sciences, Tabriz, Iran
| | - Tohid Rouzitalab
- Department of Biochemistry, Nutrition Therapy, and Community Nutrition, Tabriz University of Medical Sciences, Tabriz, Iran
| | - Zahra Hoseinabadi
- Student Research Committee, Faculty of Health, Qazvin University of Medical Sciences, Qazvin, Iran
| | - Mohammad Reza Shiri-Shahsavar
- Department of Nutrition, School of Heath, Qazvin University of Medical Sciences, Qazvin, Iran
- Metabolic Diseases Research Center, Research Institute for Prevention of Non-Communicable Diseases, Qazvin University of Medical Sciences, Qazvin, Iran
| |
Collapse
|
20
|
Truong NM, Vo TQ, Tran HTB, Nguyen HT, Pham VNH. Healthcare students' knowledge, attitudes, and perspectives toward artificial intelligence in the southern Vietnam. Heliyon 2023; 9:e22653. [PMID: 38107295 PMCID: PMC10724669 DOI: 10.1016/j.heliyon.2023.e22653] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/17/2023] [Revised: 11/15/2023] [Accepted: 11/16/2023] [Indexed: 12/19/2023] Open
Abstract
The application of new technologies in medical education still lags behind the extraordinary advances of AI. This study examined the understanding, attitudes, and perspectives of Vietnamese medical students toward AI and its consequences, as well as their knowledge of existing AI operations in Vietnam. A cross-sectional online survey was administered to 1142 students enrolled in undergraduate medicine and pharmacy programs. Most of the participants had no understanding of AI in healthcare (1053 or 92.2 %). The majority believed that AI would benefit their careers (890 or 77.9 %) and that such innovation will be used to oversee public health and epidemic prevention on their behalf (882 or 77.2 %). The proportion of students with satisfactory knowledge significantly differed depending on gender (P < 0.001), major (P = 0.003), experience (P < 0.001), and income (P = 0.011). The percentage of respondents with positive attitudes significantly differed by year level (P = 0.008) and income (P = 0.003), and the proportion with favorable perspectives regarding AI varied considerably by age (P = 0.046) and major (P < 0.001). Most of the participants wanted to integrate AI into radiology and digital imaging training (P = 0.283), while the fifth-year students wished to learn about AI in medical genetics and genomics (P < 0.001, 4.0 ± 0.8). The male students had 1.898 times more adequate knowledge of AI than their female counterparts, and those who had attended webinars/lectures/courses on AI in healthcare had 4.864 times more adequate knowledge than those having no such experiences. The majority believed that the barrier to implementing AI in healthcare is the lack of financial resources (83.54 %) and appropriate training (81.00 %). Participants saw AI as a "partner" rather than a "competitor", but the majority of low knowledge was recorded. Future research should take into account the way to integrate AI into medical training programs for healthcare students.
Collapse
Affiliation(s)
- Nguyen Minh Truong
- Faculty of Pharmacy, Pham Ngoc Thach University of Medicine, Ho Chi Minh City, 700000, Viet Nam
| | - Trung Quang Vo
- Faculty of Pharmacy, Pham Ngoc Thach University of Medicine, Ho Chi Minh City, 700000, Viet Nam
| | - Hien Thi Bich Tran
- Faculty of Pharmacy, Pham Ngoc Thach University of Medicine, Ho Chi Minh City, 700000, Viet Nam
| | - Hiep Thanh Nguyen
- Faculty of Medicine, Pham Ngoc Thach University of Medicine, Ho Chi Minh City, 700000, Viet Nam
| | - Van Nu Hanh Pham
- Faculty of Pharmaceutical Management and Economic, Hanoi University of Pharmacy, Hanoi, 100000, Viet Nam
| |
Collapse
|
21
|
Rai R, Sehgal R, Singhal S, Suri V, Shivkumar P, Balasubramani L, Rajaram S, Shamsunder S, Bagga R, Vashist S, Meena J, Mishra A, Chawla L, Kumari S, Mani K, Bhatla N. Cervical Cancer Screening Coverage at Tertiary Care Institutes Across India. Asian Pac J Cancer Prev 2023; 24:4269-4275. [PMID: 38156863 PMCID: PMC10909083 DOI: 10.31557/apjcp.2023.24.12.4269] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/13/2023] [Accepted: 12/18/2023] [Indexed: 01/03/2024] Open
Abstract
OBJECTIVES The 70% screening coverage target proposed in the global cervical cancer elimination strategy is not achieved even at tertiary centres in India. A situational analysis was done to assess the currently existing facilities and barriers in tertiary care institutes. METHODS This cross sectional multicentric study was conducted from August to September 2021 in six tertiary care institutes across India. Women aged 30-49 years attending outpatient services (OPD) were invited for cervical screening. Women and health care professionals (HCPs) were administered structured questionnaires to assess knowledge, attitude and practices regarding cervical cancer screening services. RESULTS Out of 6709 eligible women who attended OPD, 1666 (24.8%; range:19-57%) received screening. Availability of screening kits was limited to 10-25 Pap/HPV tests per day. Visual inspection with acetic acid (VIA) and HPV testing were offered only at certain centres. Colposcopy and treatment facilities were optimal at all centres. Knowledge, attitude and practices were analysed for 1800 women: 45.7% had heard of cervical cancer, 78.0% did not know that it is preventable, 75.8% never heard about screening. Common symptoms correctly identified included postmenopausal bleeding (4.8%), postcoital bleeding (5.7%), intermenstrual bleeding (5.8%) and vaginal discharge (12.4%). Risk factors were identified by minority: poor menstrual hygiene (6.6%), oral contraceptive pill use (6.4%), multiparity (4.4%), and HPV infection (3.0%). Out of 21, mean total knowledge score (MTKS) was 2.07± 2.67. Out of 317 HCPs, 96.5% knew that cervical cancer is caused by HPV infection, is preceded by premalignant stage, and that it is preventable by screening and treatment (80.1%). Knowledge about screening modalities was present in 87.4% for cytology, 75.1% for VIA, 68.8% for HPV test. MTKS of HCPs was 20.88±6.61 out of 32. CONCLUSION Even at tertiary centres, limited availability of HPV tests, reluctance to implement VIA and lack of awareness among women remain the major barriers.
Collapse
Affiliation(s)
- Rakhi Rai
- Department of Obstetrics and Gynaecology, WHO CC AIIMS, New Delhi, India.
| | - Rohini Sehgal
- Department of Obstetrics and Gynaecology, WHO CC AIIMS, New Delhi, India.
| | - Seema Singhal
- Department of Obstetrics and Gynaecology, WHO CC AIIMS, New Delhi, India.
| | - Vanita Suri
- Department of Obstetrics and Gynaecology, PGIMER, Chandigarh, India.
| | | | - Latha Balasubramani
- Department of Gynaecology Oncology, VN Cancer Centre, GKNM Hospital, Coimbatore, India.
| | - Shalini Rajaram
- Department of Obstetrics and Gynaecology AIIMS, Rishikesh, India.
| | - Saritha Shamsunder
- Department of Obstetrics and Gynaecology, VMMC and Safdarjung Hospital, New Delhi, India.
| | - Rashmi Bagga
- Department of Obstetrics and Gynaecology, PGIMER, Chandigarh, India.
| | - Shachi Vashist
- Department of Obstetrics and Gynaecology, WHO CC AIIMS, New Delhi, India.
| | - Jyoti Meena
- Department of Obstetrics and Gynaecology, WHO CC AIIMS, New Delhi, India.
| | - Archana Mishra
- Department of Obstetrics and Gynaecology, VMMC and Safdarjung Hospital, New Delhi, India.
| | - Latika Chawla
- Department of Obstetrics and Gynaecology AIIMS, Rishikesh, India.
| | - Sarita Kumari
- Department of Obstetrics and Gynaecology, WHO CC AIIMS, New Delhi, India.
| | | | - Neerja Bhatla
- Department of Obstetrics and Gynaecology, WHO CC AIIMS, New Delhi, India.
| |
Collapse
|
22
|
Zeng W, Tao W, Yang Y, Li Y, Lu B, Zhao Q, Li Z, Wang M, Shui Z, Wen J. Perceived knowledge, attitudes and practices regarding the medical consortium among medical staff in Sichuan, China: a cross-sectional survey. BMC Health Serv Res 2023; 23:1318. [PMID: 38031073 PMCID: PMC10688012 DOI: 10.1186/s12913-023-10146-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/23/2022] [Accepted: 10/14/2023] [Indexed: 12/01/2023] Open
Abstract
BACKGROUND In China, fragmented and inefficient health care systems are common while quality resources are limited. To promote an organized, efficient system, the government launched a medical consortium policy to vertically integrate health care through the collaboration of different levels of medical care. Logically, medical staff's knowledge, attitudes and practices (KAP) regarding the consortium are critical for its development. The objective of this study was to explore the KAP regarding the medical consortium among medical staff in a medical consortium in Sichuan Province, China. METHODS A cross-sectional survey was conducted. In total, 690 medical staff members in 3 cities of Sichuan Province, China, were interviewed from November 2018 to December 2018. The questionnaire consisted of 18 items, including 4 items related to perceived knowledge, 4 items related to attitudes and 2 items related to practices, and was rated on a 5-point Likert scale (one = strongly disagree/do not know, five = strongly agree/know). RESULTS The effective response sample was 640 copies of the questionnaire, and most medical staff members (92.50%) knew about the cooperation with other hospitals in the medical consortium. Medical staff scored differently on each item in the questionnaire, with the highest score being the item 'agreeing with the ward rounds and clinical teaching and training organized by the leading hospital' (4.54 ± 0.76), and the lowest score being the item 'frequency in participating in ward rounds and clinical teaching organized by the leading hospital' (2.83 ± 1.36). In addition, the effect of demographic characteristics on KAP was evaluated by stepwise multiple regression analysis, and a significant positive correlation was found between all the studied variables by Spearman's correlation (p < 0.05). CONCLUSIONS This study showed that the attitudes toward and knowledge of the medical consortium significantly contribute to practices, satisfaction with the support work performed by the leading hospital and agreement of improvement after joining the medical consortium. Thus, to improve medical staff's KAP and satisfaction, publicity and educational programs in medical consortia are necessary, and the leading hospital should attach importance to the informatization construction and demand of different medical staff members. CLINICAL TRIAL REGISTRATION There are no clinical trials in this study.
Collapse
Affiliation(s)
- Wenqi Zeng
- Institute of Hospital Management, West China Hospital, Sichuan University, Chengdu, Sichuan, China
| | - Wenjuan Tao
- Institute of Hospital Management, West China Hospital, Sichuan University, Chengdu, Sichuan, China
| | - Yanlin Yang
- Institute of Hospital Management, West China Hospital, Sichuan University, Chengdu, Sichuan, China
| | - Yong Li
- Institute of Hospital Management, West China Hospital, Sichuan University, Chengdu, Sichuan, China
| | - Bingqing Lu
- Evidence-based Medical Center, Hospital of Chengdu University of Traditional Chinese Medicine (Traditional Chinese Medicine Hospital of Sichuan), Chengdu, Sichuan, China
| | - Qian Zhao
- Department of Medical Administration, Chengdu Municipal Health Commission, Chengdu, Sichuan, China
| | - Zhuyue Li
- West China School of Nursing/West China Hospital, Sichuan University, Chengdu, China
| | - Miao Wang
- Department of Public Affairs Development, West China Hospital, Sichuan University, Chengdu, China
| | - Zhanglin Shui
- Outpatient Department, West China Hospital, Sichuan University, Chengdu, Sichuan, China
| | - Jin Wen
- Institute of Hospital Management, West China Hospital, Sichuan University, Chengdu, Sichuan, China.
| |
Collapse
|
23
|
Jessani S, Saleem S, Fogleman E, Billah SM, Haque R, Figueroa L, Lokangaka A, Tshefu A, Goudar SS, Kavi A, Esamai F, Mwenchanya M, Chomba E, Patel A, Das P, Mazariegos M, Bauserman M, Petri WA, Krebs NF, Derman RJ, Carlo WA, Bucher S, Hibberd PL, Koso-Thomas M, Bann CM, McClure EM, Goldenberg RL. Trends over time in the knowledge, attitude and practices of pregnant women related to COVID-19: A cross-sectional survey from seven low- and middle-income countries. BJOG 2023; 130 Suppl 3:149-157. [PMID: 37581947 DOI: 10.1111/1471-0528.17630] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/10/2023] [Accepted: 07/21/2023] [Indexed: 08/17/2023]
Abstract
OBJECTIVE To understand trends in the knowledge, attitudes and practices (KAP) of pregnant women related to COVID-19 in seven low- and middle-income countries. DESIGN Multi-country population-based prospective observational study. SETTING Study sites in Bangladesh, the Demographic Republic of Congo (DRC), Guatemala, India (two sites), Kenya, Pakistan and Zambia. POPULATION Pregnant women in the Global Network's Maternal and Neonatal Health Registry (MNHR). METHODS Pregnant women enrolled in the MNHR were interviewed to assess their KAP related to COVID-19 from September 2020 through July 2022 across all study sites. MAIN OUTCOME MEASURES Trends of COVID-19 KAP were assessed using the Cochran-Armitage test for trend. RESULTS A total of 52 297 women participated in this study. There were wide inter-country differences in COVID-19-related knowledge. The level of knowledge of women in the DRC was much lower than that of women in the other sites. The ability to name COVID-19 symptoms increased over time in the African sites, whereas no such change was observed in Bangladesh, Belagavi and Guatemala. All sites observed decreasing trends over time in women avoiding antenatal care visits. CONCLUSIONS The knowledge and attitudes of pregnant women related to COVID-19 varied substantially among the Global Network sites over a period of 2 years; however, there was very little change in knowledge related to COVID-19 over time across these sites. The major change observed was that fewer women reported avoiding medical care because of COVID-19 across all sites over time.
Collapse
Affiliation(s)
| | | | | | - Sk Masum Billah
- International Centre for Diarrhoeal Disease Research, Bangladesh (ICDDR,B), Dhaka, Bangladesh
- University of Sydney, Sydney, New South Wales, Australia
| | - Rashidul Haque
- International Centre for Diarrhoeal Disease Research, Bangladesh (ICDDR,B), Dhaka, Bangladesh
| | - Lester Figueroa
- Instituto de Nutrición de Centroamérica y Panamá, Guatemala City, Guatemala
| | - Adrien Lokangaka
- Kinshasa School of Public Health, Kinshasa, Democratic Republic of the Congo
| | - Antoinette Tshefu
- Kinshasa School of Public Health, Kinshasa, Democratic Republic of the Congo
| | - Shivaprasad S Goudar
- KLE Academy Higher Education and Research, JN Medical College Belagavi, Belagavi, Karnataka, India
| | - Avinash Kavi
- KLE Academy Higher Education and Research, JN Medical College Belagavi, Belagavi, Karnataka, India
| | | | | | - Elwyn Chomba
- University of Zambia University Teaching Hospital, Lusaka, Zambia
| | - Archana Patel
- Lata Medical Research Foundation, Nagpur, Maharashtra, India
- Datta Meghe Institute of Medical Sciences, Sawangi, Maharashtra, India
| | - Prabir Das
- Lata Medical Research Foundation, Nagpur, Maharashtra, India
| | | | - Melissa Bauserman
- University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA
| | | | - Nancy F Krebs
- University of Colorado School of Medicine, Denver, Colorado, USA
| | | | | | - Sherri Bucher
- Indiana School of Medicine, University of Indiana, Indianapolis, Indiana, USA
| | | | - Marion Koso-Thomas
- Eunice Kennedy Shriver National Institute of Child Health and Human Development, Bethesda, Maryland, USA
| | | | | | | |
Collapse
|
24
|
Chisenga M, Dlamini B, Mwendera N, Maquina P, Hamainza B, Martins JF, Saute F, Bock H, Gosling R, Bennett A, Smith J, Kleinschmidt I. The provision of malaria services in border districts of four countries in Southern Africa: results from a cross-sectional community assessment of malaria border health posts. Malar J 2023; 22:318. [PMID: 37864245 PMCID: PMC10588083 DOI: 10.1186/s12936-023-04687-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/20/2022] [Accepted: 08/24/2023] [Indexed: 10/22/2023] Open
Abstract
BACKGROUND The importation of parasites across borders remains a threat to malaria elimination. The Southern African Development Community Malaria Elimination Eight (E8) established 39 border health facilities on 5 key international borders between high and low-burden countries. These clinics aimed to improve access to prevention, diagnosis, and treatment of malaria for residents in border areas and for mobile and migrant populations who frequently cross borders. Studies were conducted in each of the four high-burden E8 countries (Angola, Mozambique, Zambia, and Zimbabwe) to evaluate malaria services in border areas. METHODS Cross-sectional surveys were conducted within 30 km of recently established E8 Border Health Posts. Structured questionnaires were administered to randomly selected respondents to assess malaria-related knowledge and behavior, access to malaria prevention, diagnosis and treatment of malaria, and risk factors for malaria associated with local and cross-border travel. RESULTS Results showed that most providers followed appropriate guidelines performing blood tests when individuals presented with fever, and that nearly all those who reported a positive blood test received medication. Lack of access to health care due to distance, cost or mistrust of the provider was rare. A minority of respondents reported not receiving timely diagnosis either because they did not seek help, or because they were not offered a blood test when presenting with fever. There was a high level of correct knowledge of causes, symptoms, and prevention of malaria. A majority, of border residents had access to primary prevention against malaria through either long-lasting insecticidal nets (LLINs) or indoor residual spraying (IRS). Cross border travel was common with travellers reporting sleeping outside without protection against malaria. CONCLUSIONS The study demonstrated the importance of border health facilities in providing access to malaria services. Prevention needs to be improved for people who travel and sleep outdoors. Community health workers can play a key role in providing access to information, testing and treating malaria.
Collapse
Affiliation(s)
- Mukosha Chisenga
- Southern African Development Community Malaria Elimination Eight Secretariat, Windhoek, Namibia.
| | - Bongani Dlamini
- Southern African Development Community Malaria Elimination Eight Secretariat, Windhoek, Namibia
| | - Nyasha Mwendera
- Southern African Development Community Malaria Elimination Eight Secretariat, Windhoek, Namibia
| | - Paulo Maquina
- Southern African Development Community Malaria Elimination Eight Secretariat, Windhoek, Namibia
| | - Busiku Hamainza
- Ministry of Health, National Malaria Elimination Centre, Chainama Hospital College, Lusaka, Zambia
| | | | | | - Henrico Bock
- Multidisciplinary Research Centre, University of Namibia, Windhoek, Namibia
| | - Roly Gosling
- Malaria Elimination Initiative, Global Health Group, University of California, San Francisco, San Francisco, USA
- Department of Disease Control, London School of Hygiene and Tropical Medicine, London, UK
| | | | - Jennifer Smith
- Malaria Elimination Initiative, Global Health Group, University of California, San Francisco, San Francisco, USA
| | - Immo Kleinschmidt
- Southern African Development Community Malaria Elimination Eight Secretariat, Windhoek, Namibia
- Faculty of Health Sciences, School of Pathology, Wits Research Institute for Malaria, University of the Witwatersrand, Johannesburg, South Africa
- MRC International Statistics and Epidemiology Group, Department of Infectious Disease Epidemiology, London School of Hygiene and Tropical Medicine, London, UK
| |
Collapse
|
25
|
Nengnong CB, Passah M, Wilson ML, Bellotti E, Kessler A, Marak BR, Carlton JM, Sarkar R, Albert S. Community and health worker perspectives on malaria in Meghalaya, India: Covering the last mile of elimination by 2030. Res Sq 2023:rs.3.rs-3431734. [PMID: 37886590 PMCID: PMC10602177 DOI: 10.21203/rs.3.rs-3431734/v1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/28/2023]
Abstract
Background Malaria remains a public health problem in regions of northeastern India due to favourable bio-geographic transmission conditions, poor access to routine healthcare, and inadequate public health and healthcare infrastructure. This study was undertaken to better understand community members' and health workers' perceptions of malaria, as well as their knowledge, attitudes, and prevention practices related to the disease in Meghalaya state. Methods The study included participants from three malaria endemic districts: West Khasi Hills, West Jaiñtia Hills, and South Garo Hills from 2019 to 2021. A total of 82 focus group discussions (FGD) with 694 community members and 63 in-depth interviews (IDI) with health personnel and traditional healers residing within the three districts were conducted. A thematic content analysis approach was employed, and NVivo12 software was utilized for data management. Results Most participants reported a perceived reduction in malaria during recent years and attributed this to changing attitudes and behaviours in health seeking behaviour and effective government interventions. Local availability of testing and treatment, and an improved, more responsive health system contributed to changing attitudes. Long-lasting insecticidal nets (LLINs) were largely preferred over indoor residual spraying (IRS), as LLINs were perceived to be effective and more durable. Community members also reported using personal protective measures such as applying repellents, burning straw/egg trays, wearing long sleeve clothes, and applying ointments or oils to protect themselves from mosquito bites. While most participants acknowledged the role of mosquitoes in malaria transmission, other conditions that are not mosquito-borne were also attributed to mosquitoes by some participants. The communities surveyed have largely shifted from seeking traditional healers to using public facilities, although some participants reported switching between the two or using both simultaneously. Using the example of improved understanding of cerebral malaria which was previously attributed to mental illness due to 'bad spirits', participants explained how cultural and ritualistic practices had changed. Conclusions Our findings reveal diverse perceptions among community members regarding malaria, its prevention, practices to prevent mosquito-transmitted diseases, and their opinions about the health system. A key finding was the shift in malaria treatment seeking preferences of community members from traditional healers to the public sector. This shift highlights the changing dynamics and increasing acceptance of modern healthcare practices for malaria treatment and prevention within tribal and/or indigenous communities. By recognizing these evolving attitudes, policymakers and healthcare providers can better tailor their interventions and communication strategies to more effectively address ongoing needs and concerns as India faces the 'last mile' in malaria elimination.
Collapse
|
26
|
Han Y, Fan Z, Li T. Oil/Salt Use Assessment of Chinese-Style Canteens Based on Consumers' Perception of the Nutrition Environment. Nutrients 2023; 15:4321. [PMID: 37892397 PMCID: PMC10609421 DOI: 10.3390/nu15204321] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/27/2023] [Revised: 09/22/2023] [Accepted: 10/05/2023] [Indexed: 10/29/2023] Open
Abstract
Excess cooking oil and salt use in catering services contributes to obesity and cardiovascular disease, but the assessment of oil/salt use has been a challenge in nutrition environment measurement. We conducted a knowledge, attitude, and practice survey on 250 respondents in five university canteens at China Agricultural University, Beijing, China. Using on-site tools including a newly developed Likert scale and the previously tested Oil-Salt Visual Analogue Scale (OS-VAS), the respondents were asked to evaluate their personal taste, their impression of the oil/salt status of canteen dishes, and their attitude toward oil/salt reduction. Data analysis showed that gender and self-image of body shape had a significant impact on KAP scores and the impression of the oil/salt environment. The respondents' taste preferences correlated with their perception of oil and salt, but knowledge and attitude were not directly related to scores on oil and salt, while weight status was related to oil and salt scores. The Likert scale-based assessment could work but was not as effective as the OS-VAS in distinguishing the differences among the selected canteens. These results indicate that the quality of the nutrition environment in catering services needs to be comprehensively evaluated with an objective evaluation of raters and a subjective evaluation of consumers.
Collapse
Affiliation(s)
| | - Zhihong Fan
- College of Food Science & Nutritional Engineering, China Agricultural University, Beijing 100083, China; (Y.H.); (T.L.)
| | | |
Collapse
|
27
|
Shahi MK, Gompo TR, Sharma S, Pokhrel B, Manandhar S, Jeamsripong S. Situational Analysis and Knowledge, Attitudes, and Practices of Antimicrobial Use and Resistance among Broiler Poultry Farmers in Nepal. Animals (Basel) 2023; 13:3135. [PMID: 37835741 PMCID: PMC10571899 DOI: 10.3390/ani13193135] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/04/2023] [Revised: 10/02/2023] [Accepted: 10/04/2023] [Indexed: 10/15/2023] Open
Abstract
The purpose of this study was twofold: first, to conduct a situational analysis, and second, to assess the knowledge, attitudes, and practices (KAP) of broiler poultry farmers (BPF) regarding antimicrobial use (AMU) and antimicrobial resistance (AMR). Data were collected from 500 BPF across 40 districts, representing 88.1% of Nepal's broiler poultry population. Among these farmers, 81.0% were male, 59.6% had up to 4 years of experience in poultry farming, and 50.8% had completed at least a high school education. The most used antimicrobials on the farms were doxycycline (23.5%), neomycin (17.1%), and colistin sulfate (9.6%) out of 27 reported antimicrobials. While the BPF exhibited limited knowledge (62.6%) and practice (55.5%) related to AMU and AMR, their overall attitude toward these issues was positive (91.6%). This study also identified significant factors influencing farmers' attitudes toward AMU and AMR. Farmers aged 31-40 showed a stronger inclination compared to other age groups (OR = 4.2, p = 0.02), and those using antimicrobials for preventive purposes had a more favorable attitude compared to those using them for other purposes (OR = 5.9, p = 0.02). In light of these findings, this study recommends the implementation of effective regulatory measures for drug usage, along with awareness programs addressing AMU and AMR to address the issue of AMR in poultry production.
Collapse
Affiliation(s)
- Manoj Kumar Shahi
- Nepal Veterinary Council, Tripureshwor, Kathmandu 4600, Nepal; (M.K.S.); (S.M.)
| | - Tulsi Ram Gompo
- Central Veterinary Laboratory, Tripureshwar, Kathmandu 44600, Nepal
| | - Sumit Sharma
- Nepal Veterinary Council, Tripureshwor, Kathmandu 4600, Nepal; (M.K.S.); (S.M.)
| | - Bishal Pokhrel
- Nepal Veterinary Council, Tripureshwor, Kathmandu 4600, Nepal; (M.K.S.); (S.M.)
| | - Srijana Manandhar
- Nepal Veterinary Council, Tripureshwor, Kathmandu 4600, Nepal; (M.K.S.); (S.M.)
| | - Saharuetai Jeamsripong
- Department of Veterinary Public Health, Faculty of Veterinary Science, Chulalongkorn University, Henri-Dunant Rd., Pathumwan, Bangkok 10330, Thailand
| |
Collapse
|
28
|
ABD RAWAAKAMEL, ROUIS SANA, YASSEN KHALIED, BOUTRIF MAHDI. Effectiveness of a health education program on mothers' knowledge and practice regarding amebiasis. J Public Health Afr 2023; 14:2666. [PMID: 37859933 PMCID: PMC10583234 DOI: 10.4081/jphia.2023.2666] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 09/02/2023] Open
Abstract
This study was conducted to assess the effectiveness of a health education program on mothers' knowledge and practices related to amebiasis. Pre- and post-I and II-tests were used, along with a two-group quasi-experimental design. The study included a convenience sample of 120 mothers, including 60 from the study and 60 from the control group. Out of the entire number of PHCs in Wasit Governorate, seven were used for the study. A three-part structured questionnaire tests mothers' knowledge of the illness and attitudes about it. The results of this study indicated that there is statistically significant difference between the study and control groups during the post-test I and post-test II periods (t=14.968, P=.000 and t=13.731, P=.000, respectively). Data from the study group during the pre-test period of 31.17(9.14) revealed that (70%) of mothers had bad practices connected to Entameba Histolytica among children. According to the post-test I results, 47.4 (9.48) respondents, or 70%, identified good practices. The main finding showed that, after the educational program was implemented, mothers' knowledge and practice of amebiasis dramatically increased, with pre-post implementation differences that are statistically significant.
Collapse
Affiliation(s)
- RAWAA KAMEL ABD
- University of Sousse, Faculty of Medicine of Sousse, Department of Community Medicine; Department of Community Health Techniques, Kut Technical Institute, Middle Technical University, Baghdad, Iraq
| | - SANA ROUIS
- Infectious Disease Unit, Department of Medicine, Ibn Al Jazzar University Hospital, Kairouan, Tunisia
| | - KHALIED YASSEN
- Medical Laboratory Techniques Department, Kut Technical Institute, Middle Technical University, Iraq
| | - MAHDI BOUTRIF
- Plastic Surgery Department, Ibn Al Jazzar University Hospital, Kairouan, Tunisia
| |
Collapse
|
29
|
Azim MR, Ifteakhar KN, Rahman MM, Sakib QN. Public knowledge, attitudes, and practices ( KAP) regarding antibiotics use and antimicrobial resistance (AMR) in Bangladesh. Heliyon 2023; 9:e21166. [PMID: 37916103 PMCID: PMC10616402 DOI: 10.1016/j.heliyon.2023.e21166] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/23/2023] [Revised: 09/25/2023] [Accepted: 10/17/2023] [Indexed: 11/03/2023] Open
Abstract
Background Antibiotic resistance is a global public health concern that requires an understanding of public knowledge, attitudes, and practices (KAP) towards antibiotics. This study aimed to assess the KAP regarding antibiotic use and AMR among the general population in Bangladesh. Methods A cross-sectional survey was conducted among 656 respondents in Bangladesh. Data on socio-demographic characteristics, knowledge, attitudes, and practices regarding antibiotics use and AMR were collected through a structured questionnaire. Descriptive statistics and ordered logit regression analysis were performed to analyze the data. Results The study involved participants, with 52.44 % aged 18 to 30, 77.29 % males, and 92.53 % having primary education or higher. Urban residents were 80 %, and students formed the largest occupational group (29.57 %), followed by businessmen (25 %), service holders (24.7 %), housewives (10.52 %), and day laborers (8.84 %). The majority of respondents demonstrated average knowledge (52.29 %), moderate attitudes (67.84 %), and good practices (50.61 %) regarding antibiotic use and AMR. Socioeconomic factors such as education, media exposure, and urban residence significantly (1 % level of significance) influenced KAP. The findings revealed knowledge gaps and misconceptions among the respondents, including incorrect beliefs about antibiotic resistance (42%), and inadequate awareness of the importance of completing full antibiotic courses (54.88 %). Conclusion This study sheds light on the existing KAP related to antibiotic use and AMR within the general population of Bangladesh. The findings reveal varying levels of knowledge, attitudes, and practices among the participants. The results underscore the importance of addressing knowledge gaps, and misconceptions for awareness building through educational campaigns utilizing social media platforms and newspapers. These insights provide a foundation for informed strategies to ensure the continued efficacy of antibiotics.
Collapse
Affiliation(s)
- Md Ragaul Azim
- Institute of Health Economics, University of Dhaka, Dhaka, Bangladesh
| | | | | | | |
Collapse
|
30
|
Bertolino D, Baim-Lance A, D'Aquila E, Coren F, Abraham B. Immediate initiation of antiretroviral treatment: knowledge, attitudes, and practices among clinic staff in New York City. BMC Health Serv Res 2023; 23:1039. [PMID: 37770939 PMCID: PMC10537909 DOI: 10.1186/s12913-023-09896-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/12/2022] [Accepted: 08/10/2023] [Indexed: 09/30/2023] Open
Abstract
BACKGROUND Immediate initiation of antiretroviral treatment (iART) is a proven intervention that significantly decreases time to viral suppression and increases patient retention. iART involves starting medication as early as possible, often after a reactive rapid HIV test or re-engagement in care, although it does not have a universal definition. We aimed to understand iART from an implementation science perspective in a wide range of New York City (NYC) clinics providing HIV primary care, including staff knowledge, attitudes, and practices, as well as clinic barriers and facilitators to iART. METHODS We used a mixed-methods, convergent study design, with a quantitative survey and in-depth interview (IDI), to understand individual-level knowledge, attitudes, and practices, as well as clinic-level barriers and facilitators to iART. We recruited at least one medical and non-medical staff member from a diverse purposive sample of 30 NYC clinics. In quantitative analyses, we used separate binomial logistic regression models to estimate odds ratios (OR) and 95% confidence intervals (95% CI). In qualitative analyses, we used codebooks created by thematic analyses structured using a Framework Model to develop descriptive analytic memos. RESULTS Recruited staff completed 46 surveys and 17 IDIs. We found high levels of awareness of the viral suppression and retention in care benefits of iART. Survey respondents more commonly reported medication starts within three to four days of a reactive rapid HIV test rather than same-day initiation. Among survey respondents, compared to medical staff, non-medical staff were more likely to agree that medication should only be initiated after receiving confirmatory HIV test results (OR: 0.2, 95% CI: 0.06-0.8). Additionally, survey respondents from clinics serving a majority people of color were less likely to report iART on the same day as a reactive rapid HIV test (OR: 0.2, 95% CI: 0.02-1.0, p-value < 0.5). IDI results elucidated barriers to implementation, including perceived patient readiness, which potentially leads to added disparities in iART access. CONCLUSION iART has proven benefits and support for its implementation among HIV clinic staff. Our findings indicate that barriers to expanding iART access may be overcome if implementation resources are allocated strategically, which can further progress towards health equity.
Collapse
Affiliation(s)
- Daniel Bertolino
- New York City Department of Health and Mental Hygiene, Bureau of Hepatitis, HIV, and Sexual Transmitted Infections, Gotham Center, 42-09 28th Street, Long Island City, NY, 11101, USA.
| | - Abigail Baim-Lance
- Brookdale Department of Geriatrics and Palliative Care, Icahn School of Medicine at Mount Sinai, New York, NY, USA
- Institute for Implementation Science in Population Health, City University of New York, New York, NY, USA
| | - Erica D'Aquila
- New York City Department of Health and Mental Hygiene, Bureau of Hepatitis, HIV, and Sexual Transmitted Infections, Gotham Center, 42-09 28th Street, Long Island City, NY, 11101, USA
| | - Freda Coren
- Institute for Implementation Science in Population Health, City University of New York, New York, NY, USA
| | - Bisrat Abraham
- New York City Department of Health and Mental Hygiene, Bureau of Hepatitis, HIV, and Sexual Transmitted Infections, Gotham Center, 42-09 28th Street, Long Island City, NY, 11101, USA
- Division of Infectious Diseases, Weill Cornell Medical College, New York, NY, USA
| |
Collapse
|
31
|
Sallam M, Salim NA, Barakat M, Al-Mahzoum K, Al-Tammemi AB, Malaeb D, Hallit R, Hallit S. Assessing Health Students' Attitudes and Usage of ChatGPT in Jordan: Validation Study. JMIR Med Educ 2023; 9:e48254. [PMID: 37578934 PMCID: PMC10509747 DOI: 10.2196/48254] [Citation(s) in RCA: 8] [Impact Index Per Article: 8.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/17/2023] [Revised: 07/25/2023] [Accepted: 08/14/2023] [Indexed: 08/16/2023]
Abstract
BACKGROUND ChatGPT is a conversational large language model that has the potential to revolutionize knowledge acquisition. However, the impact of this technology on the quality of education is still unknown considering the risks and concerns surrounding ChatGPT use. Therefore, it is necessary to assess the usability and acceptability of this promising tool. As an innovative technology, the intention to use ChatGPT can be studied in the context of the technology acceptance model (TAM). OBJECTIVE This study aimed to develop and validate a TAM-based survey instrument called TAME-ChatGPT (Technology Acceptance Model Edited to Assess ChatGPT Adoption) that could be employed to examine the successful integration and use of ChatGPT in health care education. METHODS The survey tool was created based on the TAM framework. It comprised 13 items for participants who heard of ChatGPT but did not use it and 23 items for participants who used ChatGPT. Using a convenient sampling approach, the survey link was circulated electronically among university students between February and March 2023. Exploratory factor analysis (EFA) was used to assess the construct validity of the survey instrument. RESULTS The final sample comprised 458 respondents, the majority among them undergraduate students (n=442, 96.5%). Only 109 (23.8%) respondents had heard of ChatGPT prior to participation and only 55 (11.3%) self-reported ChatGPT use before the study. EFA analysis on the attitude and usage scales showed significant Bartlett tests of sphericity scores (P<.001) and adequate Kaiser-Meyer-Olkin measures (0.823 for the attitude scale and 0.702 for the usage scale), confirming the factorability of the correlation matrices. The EFA showed that 3 constructs explained a cumulative total of 69.3% variance in the attitude scale, and these subscales represented perceived risks, attitude to technology/social influence, and anxiety. For the ChatGPT usage scale, EFA showed that 4 constructs explained a cumulative total of 72% variance in the data and comprised the perceived usefulness, perceived risks, perceived ease of use, and behavior/cognitive factors. All the ChatGPT attitude and usage subscales showed good reliability with Cronbach α values >.78 for all the deduced subscales. CONCLUSIONS The TAME-ChatGPT demonstrated good reliability, validity, and usefulness in assessing health care students' attitudes toward ChatGPT. The findings highlighted the importance of considering risk perceptions, usefulness, ease of use, attitudes toward technology, and behavioral factors when adopting ChatGPT as a tool in health care education. This information can aid the stakeholders in creating strategies to support the optimal and ethical use of ChatGPT and to identify the potential challenges hindering its successful implementation. Future research is recommended to guide the effective adoption of ChatGPT in health care education.
Collapse
Affiliation(s)
- Malik Sallam
- Department of Pathology, Microbiology and Forensic Medicine, School of Medicine, The University of Jordan, Amman, Jordan
- Department of Clinical Laboratories and Forensic Medicine, Jordan University Hospital, Amman, Jordan
| | - Nesreen A Salim
- Prosthodontic Department, School of Dentistry, The University of Jordan, Amman, Jordan
- Prosthodontic Department, Jordan University Hospital, Amman, Jordan
| | - Muna Barakat
- Department of Clinical Pharmacy and Therapeutics, Faculty of Pharmacy, Applied Science Private University, Amman, Jordan
- Middle East University Research Unit, Middle East University, Amman, Jordan
| | - Kholoud Al-Mahzoum
- Department of Pathology, Microbiology and Forensic Medicine, School of Medicine, The University of Jordan, Amman, Jordan
| | - Ala'a B Al-Tammemi
- Migration Health Division, International Organization for Migration, The United Nations Migration Agency, Amman, Jordan
| | - Diana Malaeb
- College of Pharmacy, Gulf Medical University, Ajman, United Arab Emirates
| | - Rabih Hallit
- School of Medicine and Medical Sciences, Holy Spirit University of Kaslik, Jounieh, Lebanon
- Department of Infectious Disease, Bellevue Medical Center, Mansourieh, Lebanon
- Department of Infectious Disease, Notre Dame des Secours, University Hospital Center, Byblos, Lebanon
| | - Souheil Hallit
- School of Medicine and Medical Sciences, Holy Spirit University of Kaslik, Jounieh, Lebanon
- Research Department, Psychiatric Hospital of the Cross, Jal Eddib, Lebanon
| |
Collapse
|
32
|
Subedi D, Jyoti S, Thapa B, Paudel S, Shrestha P, Sapkota D, Bhatt BR, Adhikari H, Poudel U, Gautam A, Nepal R, Al-Mustapha AI. Knowledge, Attitude, and Practice of Antibiotic Use and Resistance among Poultry Farmers in Nepal. Antibiotics (Basel) 2023; 12:1369. [PMID: 37760666 PMCID: PMC10525118 DOI: 10.3390/antibiotics12091369] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/14/2023] [Revised: 08/21/2023] [Accepted: 08/22/2023] [Indexed: 09/29/2023] Open
Abstract
The abuse and misuse of antibiotics is one of the main drivers of antimicrobial resistance (AMR). Globally, AMR in food-producing animals is a significant public health concern. This study, therefore, assessed the knowledge, attitudes, and practices related to antibiotic usage (AMU) and AMR among poultry farmers in Nepal. We conducted a cross-sectional survey of 605 poultry farmers from six districts of Nepal from May to June 2022 to assess the status of knowledge, attitude, as well as practices toward prudent antibiotic usage (AMU) and AMR. The majority of the participants in our study were from the Chitwan district (31.6%; n = 191/605), aged 30-44 (54.2%; n = 328/605), males (70.4%; n = 426/605), and farmers with a higher secondary (28.76%; n = 174/605) level of education. The tetracyclines (28%, n = 228/828), aminoglycosides (23%, n = 188/828), and fluoroquinolones (15%, n = 126/828) were the most used antibiotics classes among poultry farmers. Although 87.8% (n = 531/605) of poultry farmers used antibiotics, 49.8% (n = 301/605) of them were aware of AMR, and 55.7% (n = 337/605) knew that the misuse of antimicrobials could affect human and environmental health. There were significant differences in the knowledge, attitude, and practices toward prudent AMU and AMR among farmers who reared different birds. The mean knowledge, attitude, and practice score of the respondents were 7.81 ± 3.26, 5.8 ± 2.32, and 7.59 ± 3.38 when measured on a scale of 12, 10, and 15, respectively. Based on a cut-off of 75% of the maximum score, 49.4% (n = 299/605), 62.8% (n = 380/605), and 12.73% (n = 77/605) of the respondents had good knowledge, attitude, and practices toward prudent AMU and AMR, respectively. The multivariable logistic regression analyses revealed that the positive predictors of good knowledge and attitude were male gender, higher level of education, district, and the types of birds (layers). Similarly, those of the male gender (OR: 3.36; 95% CI: 1.38-8.20; p = 0.008) and those that rear layers (OR: 4.63; 95% CI: 1.75-12.25; p = 0.003) were more likely to practice prudent usage of antimicrobials. The findings of this study show poor practice toward prudent antibiotic usage despite good knowledge of AMR. This study provides essential baseline data on the knowledge, attitudes, and practices of poultry farmers in Nepal and offers valuable insights that could help in the design of interventions and policies aimed at addressing illicit AMU and AMR in poultry in Nepal.
Collapse
Affiliation(s)
- Deepak Subedi
- Department of Poultry Science, University of Georgia, Athens, GA 30602, USA
- Paklihawa Campus, Institute of Agriculture and Animal Science, Tribhuvan University, Bhairahawa 32900, Nepal; (S.J.); (S.P.); (P.S.); (U.P.); (A.G.); (R.N.)
| | - Sumit Jyoti
- Paklihawa Campus, Institute of Agriculture and Animal Science, Tribhuvan University, Bhairahawa 32900, Nepal; (S.J.); (S.P.); (P.S.); (U.P.); (A.G.); (R.N.)
- Department of Health Management, Atlantic Veterinary College, University of Prince Edward Island, 550 University Avenue, Charlottetown, PE C1A 4P3, Canada
| | - Bhima Thapa
- Faculty of Animal Science, Veterinary Science and Fisheries, Agriculture and Forestry University, Bharatpur 44200, Nepal; (B.T.); (D.S.); (H.A.)
| | - Sanjay Paudel
- Paklihawa Campus, Institute of Agriculture and Animal Science, Tribhuvan University, Bhairahawa 32900, Nepal; (S.J.); (S.P.); (P.S.); (U.P.); (A.G.); (R.N.)
- Faculty of Animal Science, Veterinary Science and Fisheries, Agriculture and Forestry University, Bharatpur 44200, Nepal; (B.T.); (D.S.); (H.A.)
| | - Prajjwal Shrestha
- Paklihawa Campus, Institute of Agriculture and Animal Science, Tribhuvan University, Bhairahawa 32900, Nepal; (S.J.); (S.P.); (P.S.); (U.P.); (A.G.); (R.N.)
- Department of Agriculture, University of Arkansas at Pine Bluff, Pine Bluff, AR 71601, USA
| | - Deepak Sapkota
- Faculty of Animal Science, Veterinary Science and Fisheries, Agriculture and Forestry University, Bharatpur 44200, Nepal; (B.T.); (D.S.); (H.A.)
| | - Bhuwan Raj Bhatt
- Faculty of Agriculture, Far Western University, Kailali 10900, Nepal;
| | - Hari Adhikari
- Faculty of Animal Science, Veterinary Science and Fisheries, Agriculture and Forestry University, Bharatpur 44200, Nepal; (B.T.); (D.S.); (H.A.)
| | - Uddab Poudel
- Paklihawa Campus, Institute of Agriculture and Animal Science, Tribhuvan University, Bhairahawa 32900, Nepal; (S.J.); (S.P.); (P.S.); (U.P.); (A.G.); (R.N.)
| | - Anil Gautam
- Paklihawa Campus, Institute of Agriculture and Animal Science, Tribhuvan University, Bhairahawa 32900, Nepal; (S.J.); (S.P.); (P.S.); (U.P.); (A.G.); (R.N.)
| | - Rojina Nepal
- Paklihawa Campus, Institute of Agriculture and Animal Science, Tribhuvan University, Bhairahawa 32900, Nepal; (S.J.); (S.P.); (P.S.); (U.P.); (A.G.); (R.N.)
| | - Ahmad I. Al-Mustapha
- Department of Food Hygiene and Environmental Health, Faculty of Veterinary Medicine, University of Helsinki, 00790 Helsinki, Finland
- Department of Veterinary Public Health and Preventive Medicine, Faculty of Veterinary Medicine, University of Ibadan, Ibadan 200284, Nigeria
- Department of Veterinary Services, Kwara State Ministry of Agriculture and Rural Development, Ilorin 240213, Nigeria
| |
Collapse
|
33
|
Omar KN, Coetzer A, Hamdu M, Malan AJ, Moh’d AZ, Suleiman TS, Nel LH. The Use of Dog Collars Offers Significant Benefits to Rabies Vaccination Campaigns: The Case of Zanzibar, Tanzania. Trop Med Infect Dis 2023; 8:421. [PMID: 37624359 PMCID: PMC10459019 DOI: 10.3390/tropicalmed8080421] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/27/2023] [Revised: 08/17/2023] [Accepted: 08/18/2023] [Indexed: 08/26/2023] Open
Abstract
Tools and resources that could increase dog vaccination coverage have become increasingly critical towards progressing the goal to eliminate dog-mediated human rabies by 2030. In this regard, dog collars that are fitted during vaccination campaigns could potentially enhance owner participation. The use of dog collars will, however, increase the cost per dog vaccinated and the impact and benefit of this practice should be elucidated. This study evaluated the impact of dog collars by testing the perception and related behavioural influences in communities in Zanzibar. In this cross-sectional investigation-conducted approximately two months after the implementation of a mass dog vaccination (MDV) where dog collars were provided to vaccinated dogs-data were collected from 600 respondents in 56 municipal wards in Zanzibar. Descriptive analyses and logistic regressions were undertaken to determine the impact the collars had on respondents with regards to (i) engaging with the community dogs, (ii) health seeking behaviour after exposure, and (iii) overall participation during dog vaccination campaigns. From the data, it was evident that the collars had a positive impact on the community's perception of dogs, with 57% of the respondents feeling safer around a dog with a collar, while 66% of the respondents felt less safe around a dog without a collar. Furthermore, the collars had a positive impact on participation during dog vaccination campaigns. Of the 142 respondents who owned dogs, 64% reported that the collars made them more likely to take their dogs for vaccination, and 95% felt that the collar was an important sign of the dog's vaccination status. This study demonstrated that dog collars could not only improve participation during dog vaccination campaigns, but that they could also play a significant role in the community's perception of rabies vaccination campaigns and vaccinated dogs in general.
Collapse
Affiliation(s)
- Khadija N. Omar
- Zanzibar Livestock Research Institute, Zanzibar P.O. Box 104, Tanzania
| | - Andre Coetzer
- Global Alliance for Rabies Control South Africa Non-Profit Company, Pretoria 0181, South Africa
| | - Maulid Hamdu
- Zanzibar Livestock Research Institute, Zanzibar P.O. Box 104, Tanzania
| | - Ayla J. Malan
- Department of Biochemistry, Genetics and Microbiology, Faculty of Natural and Agricultural Sciences, University of Pretoria, Pretoria 0002, South Africa
| | - Ali Z. Moh’d
- Department of Livestock Development, Ministry of Agriculture, Irrigation, Natural Resources and Livestock, Zanzibar P.O. Box 159, Tanzania
| | - Talib S. Suleiman
- Zanzibar Livestock Research Institute, Zanzibar P.O. Box 104, Tanzania
| | - Louis H. Nel
- Global Alliance for Rabies Control South Africa Non-Profit Company, Pretoria 0181, South Africa
- Department of Biochemistry, Genetics and Microbiology, Faculty of Natural and Agricultural Sciences, University of Pretoria, Pretoria 0002, South Africa
| |
Collapse
|
34
|
Abughoush M, Olaimat AN, Al-Holy MA, Al-Dabbas M, Alavi S, Maghaydah S, Choudhury I, Nour M, Abu - Ghoush L. Evaluation of food quality and safety parameters and food safety knowledge and practices of food handlers at fast foods restaurants at universities in Jordan during COVID-19. Heliyon 2023; 9:e18936. [PMID: 37600425 PMCID: PMC10432971 DOI: 10.1016/j.heliyon.2023.e18936] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/26/2023] [Revised: 07/31/2023] [Accepted: 08/03/2023] [Indexed: 08/22/2023] Open
Abstract
The quality and the safety of the foods that are served at fast foods restaurants and their effect on the consumer health could become a matter of concern during COVID-19. Therefore, the objectives of this study were i) to evaluate the quality and safety of raw foods, suitability and availability of manufacturing places, physical facilities, drinking water and waste management system, and processing conditions, and ii) to assess the knowledge, attitudes, practices regarding food safety and hygienic practices among food handlers at fast foods restaurants in the different universities in Jordan during COVID-19. The study was conducted in 12 fast foods restaurants of 3 different universities in Jordan which are located in different places in Jordan. A desirable practice was given a score of one while no score will be allotted for an undesirable practice through using a standard questionnaire for all the food establishments. This was used to compare with the maximum score obtainable for that relevant operation and the percentage scores was calculated for each operation. Analysis of Variance (ANOVA) of the data was performed to study the significant differences at P ≤ 0.05 in all the evaluated properties among the food establishments in the different universities. The results showed that low percentage scores were obtained with 68%, 75%, 32% and 56% for the production area, waste management, product evaluation (chemical, microbial) and food safety program application, respectively. Also, it was found that there were insignificant differences at P ≤ 0.05 among different food serving establishments in different universities in all the safety properties. This means that all the food establishments in all the universities suffer from the same problems with the same degree. As a conclusion, more work should be done to produce safe food in the different food establishments that were studied in the different universities.
Collapse
Affiliation(s)
- Mahmoud Abughoush
- Science of Nutrition and Dietetics Program, College of Pharmacy, Al Ain University, P.O. Box 64141, Abu Dhabi, United Arab Emirates
- Department of Clinical Nutrition and Dietetics, Faculty of Applied Medical Sciences, The Hashemite University, P.O. Box 330127, Zarqa, 13133, Jordan
| | - Amin N. Olaimat
- Department of Clinical Nutrition and Dietetics, Faculty of Applied Medical Sciences, The Hashemite University, P.O. Box 330127, Zarqa, 13133, Jordan
| | - Murad A. Al-Holy
- Department of Clinical Nutrition and Dietetics, Faculty of Applied Medical Sciences, The Hashemite University, P.O. Box 330127, Zarqa, 13133, Jordan
| | - Maher Al-Dabbas
- Science of Nutrition and Dietetics Program, College of Pharmacy, Al Ain University, P.O. Box 64141, Abu Dhabi, United Arab Emirates
- Department of Nutrition and Food Technology, Faculty of Agriculture, University of Jordan, Jordan
| | | | - Sofyan Maghaydah
- Department of Nutrition and Food Technology, Faculty of Agriculture, Jordan University of Science and Technology, P.O. Box 3030, Irbid, 22110, Jordan
- Department of Human Nutrition and Dietetics, College of Health Sciences, Abu Dhabi University, Zayed City, Abu Dhabi, United Arab Emirates
| | - Imranul Choudhury
- College of Pharmacy, Al Ain University, P.O. Box 64141, Abu Dhabi, United Arab Emirates
| | - Mohammad Nour
- Department of Nutrition and Food Technology, Faculty of Agriculture, Jordan University of Science and Technology, P.O. Box 3030, Irbid, 22110, Jordan
| | | |
Collapse
|
35
|
Berhanu A, Dugassa S, Maru M, Animut A, Erko B, Hailu A, Gebresilassie A. Cutaneous leishmaniasis in Kutaber District, Ethiopia: Prevalence, sand fly fauna and community knowledge, attitude and practices. Heliyon 2023; 9:e18286. [PMID: 37520994 PMCID: PMC10382297 DOI: 10.1016/j.heliyon.2023.e18286] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/24/2022] [Revised: 07/11/2023] [Accepted: 07/13/2023] [Indexed: 08/01/2023] Open
Abstract
Background Cutaneous leishmaniasis (CL) affects 25% of the population living in the highlands of Ethiopia. CL intervention has not decreased the number of leishmaniasis patients. A cross-sectional study was conducted to determine CL prevalence, community's knowledge, attitude and practices (KAP), and the sand fly fauna in Kutaber district, northeast Ethiopia. Methods A retrospective, community-based cross-sectional study was conducted in Boru Meda Hospital from December 2014-March 2021 to study CL prevalence of Kutaber district. A Pre-tested, well-structured questionnaire was used to collect data on the participants' socio-demographic characteristics, KAP towards CL and knowledge about sand fly vectors. Chi-square test and logistic regression analysis were used in the study, and data were analyzed using SPSS version 23 (p < 0.05). Results A total of 10,002 (14.02%), of which 71,325 samples were confirmed as positive for CL. The infection rate of CL in females (7.1%) was a little bit higher than males (7.0%). More cases were recorded among 15-29 age category. The study also revealed that 77.1% of the respondents had poor knowledge about CL treatment, prevention, clinical presentation and disease transmission. Farmers tended to have poorer knowledge about sand flies than non-workers and students (32.7 vs. 35 and 44.1%; P = 0.049). Housewives had poorer knowledge about sand flies than farmers and workers (22.2 vs. 32.7 and 33.3%; P = 0.023). Phlebotomus longipes comprised the highest composition (80%) of the sand fly species identified in Kutaber district. Conclusions The data showed that the community had poor knowledge about CL, vector, and transmission mode. CL preventive measures were prevalent, implying the need to raise CL awareness. Phlebotomus longipes was identified as the most dominant sand fly species which accounted for CL. The findings can be used in developing an effective control strategy to reduce CL transmission in the study area and elsewhere in Ethiopia.
Collapse
Affiliation(s)
- Abib Berhanu
- Addis Ababa University, College of Natural and Computational Sciences, Department of Zoological Sciences, Insect Science Stream, Addis Ababa, Ethiopia
| | - Sisay Dugassa
- Aklilu Lemma Institute of Pathobiology, Addis Ababa University, Ethiopia
| | - Minwuyelet Maru
- Health Research and Technology Transfer Directorate, Amhara Public Health Institute, Dessie Branch, Ethiopia
| | - Abebe Animut
- Aklilu Lemma Institute of Pathobiology, Addis Ababa University, Ethiopia
| | - Berhanu Erko
- Aklilu Lemma Institute of Pathobiology, Addis Ababa University, Ethiopia
| | - Asrat Hailu
- College of Health Sciences, Addis Ababa University, Ethiopia
| | - Araya Gebresilassie
- Addis Ababa University, College of Natural and Computational Sciences, Department of Zoological Sciences, Insect Science Stream, Addis Ababa, Ethiopia
| |
Collapse
|
36
|
Benedict MOA, Steinberg WJ, Claassen FM, Mofolo N. Strategies to enhance the approach to prostate cancer screening of South African black men in the Free State: a Delphi study. J Public Health Afr 2023; 14:2333. [PMID: 37680870 PMCID: PMC10481904 DOI: 10.4081/jphia.2023.2333] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/27/2022] [Accepted: 12/19/2022] [Indexed: 09/09/2023] Open
Abstract
Background The incidence and mortality rates of prostate cancer (PCa) are disproportionately on the increase among South African black men. Recent studies show a greater net benefit of prostate-specific antigen screening of black men compared with the general population. There are, however, knowledge, attitude, and practice (KAP) gaps among primary healthcare providers (HCPs) and users (black men) on PCa screening. Likewise, there is a scarcity of research on strategies to address these gaps. Objective This study sought to determine complementing strategies to enhance the approach to PCa screening of African men in the Free State, South Africa, from the perspectives of primary HCPs and users. Methods This study utilized a three-round modified Delphi survey to achieve its aim. Consensus was determined by an a priori threshold of ≥70% of agreement. Results The survey involved a multidisciplinary panel of 19 experts. The consensus was reached on 34 items (strategies) to enhance the approach to PCa screening in the study setting. Community health education strategies were proffered, relating to relevant topics, methods, venues of delivery, and persons to deliver the education. Continuing education topics and methods of instruction were suggested for primary HCPs. Conclusions In view of the existing KAP gaps in PCa screening among primary HCPs and users (black men), an expert consensus was determined, on complementing strategies to enhance the approach to PCa screening of South African black men in the study setting.
Collapse
Affiliation(s)
| | | | - Frederik M. Claassen
- Department of Urology, Faculty of Health Sciences, University of the Free State, Bloemfontein
| | - Nathaniel Mofolo
- School of Clinical Medicine, University of the Free State, Bloemfontein, South Africa
| |
Collapse
|
37
|
Pan Z, Ma T, Zeng Q, Xu T, Ran Q, Li T, Lu D. People's knowledge, attitudes, practice, and healthcare education demand regarding OSA: a cross-sectional study among Chinese general populations. Front Public Health 2023; 11:1128334. [PMID: 37521967 PMCID: PMC10372425 DOI: 10.3389/fpubh.2023.1128334] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/20/2022] [Accepted: 04/03/2023] [Indexed: 08/01/2023] Open
Abstract
Background Population knowledge and attitudes toward obstructive sleep apnea (OSA) syndrome are critical to public health initiatives to overcome the disease. Healthcare education is an appropriate approach to expediting the process to build active medical practice models in the public. Objective This study aimed to assess the level of knowledge, attitude, and practice (KAP) regarding OSA and healthcare education demand among the Chinese general population. Methods A cross-sectional survey was performed online via Wenjuanxing in China between 8 February and 8 March 2022, using a 34-item questionnaire designed and reviewed by multidisciplinary experts. Results This study enrolled 1507 respondents, aged 18 to 68, with a city-to-countryside ratio of approximately 2:1. Four-fifths of respondents reported that they had children (n = 1237), and mothers accounted for 57.7%. If they or their children had symptoms of OSA, nearly nine in 10 respondents would undertake positive medical practices, especially parents. A total of 89.4% of the respondents reported a desire to receive healthcare education through the new multimedia approach, and most were concerned about the etiology of OSA. Conclusion The current study indicated that even the higher educated and urban populations in China had insufficient knowledge about positive attitudes toward and practices regarding OSA, indicating an urgent demand for healthcare education. A special emphasis should be placed on appropriating population demand for healthcare education and promoting the benefits of active medical practice models in sleep medicine.
Collapse
Affiliation(s)
- Zhongjing Pan
- Department of Otorhinolaryngology, Head, and Neck Surgery, West China Hospital, Sichuan University, Chengdu, China
| | - Tianpei Ma
- Department of Epidemiology and Health Statistics, West China School of Public Health and West China Fourth Hospital, Sichuan University, Chengdu, China
| | - Qinghan Zeng
- Department of Otorhinolaryngology, Head, and Neck Surgery, West China Hospital, Sichuan University, Chengdu, China
| | - Ting Xu
- Department of Otorhinolaryngology, Head, and Neck Surgery, West China Hospital, Sichuan University, Chengdu, China
| | - Qiong Ran
- Department of Outpatient Nursing, Dazhou Central Hospital, Dazhou, China
| | - Tianming Li
- Department of Otorhinolaryngology, Head, and Neck Surgery, Santai People's Hospital, Mianyang, China
| | - Dan Lu
- Department of Otorhinolaryngology, Head, and Neck Surgery, West China Hospital, Sichuan University, Chengdu, China
| |
Collapse
|
38
|
You Y, Li X, Chen B, Zou X, Liu G, Han X. Knowledge, Attitude, and Practice towards Influenza Vaccination among Older Adults in Southern China during the COVID-19 Pandemic. Vaccines (Basel) 2023; 11:1197. [PMID: 37515013 PMCID: PMC10384555 DOI: 10.3390/vaccines11071197] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/23/2023] [Revised: 06/26/2023] [Accepted: 06/27/2023] [Indexed: 07/30/2023] Open
Abstract
Influenza is prevalent globally, leading to severe morbidity and mortality. During the pandemic, knowledge, attitude, and practice (KAP) towards influenza virus and vaccination were less investigated among southern Chinese older adults. A cross-sectional study was conducted through the structured questionnaire among community healthcare centers in selected districts in Shenzhen, southern China from September to October 2021. KAP towards influenza virus and vaccination were analyzed. A multivariable logistic regression model was used to identify associated factors. Among 975 participants, 55.6% were reported to have received influenza vaccination ever, and 46.6% had taken influenza vaccination in 2020 during the pandemic. Only one-fifth of participants knew severe comorbidities happen among severe influenza cases. A total of 88.3% thought older adults should have influenza vaccination. COVID-19 vaccination history was associated with receiving influenza vaccination (OR 1.92, 95% CI 1.32-2.80). People with a high-level income had better KAP towards influenza virus and vaccination. COVID-19 vaccination history was associated with the positive actions of influenza vaccination during the pandemic. Efforts should be made to promote the free influenza vaccination program widely and launch health education events on influenza and its vaccination regularly to improve KAP among older adults.
Collapse
Affiliation(s)
- Yating You
- School of Public Health and Emergency Management, Southern University of Science and Technology, Shenzhen 518055, China
| | - Xiaoheng Li
- Shenzhen Center for Disease Prevention and Control, Shenzhen 518055, China
| | - Binglin Chen
- School of Public Health and Emergency Management, Southern University of Science and Technology, Shenzhen 518055, China
| | - Xuan Zou
- Shenzhen Center for Disease Prevention and Control, Shenzhen 518055, China
| | - Gang Liu
- Shenzhen Center for Disease Prevention and Control, Shenzhen 518055, China
| | - Xinxin Han
- School of Public Health and Emergency Management, Southern University of Science and Technology, Shenzhen 518055, China
| |
Collapse
|
39
|
Jayagayathri R, Ezhilvathani N, Venkatesh R. Knowledge, attitude, and practice toward mucormycosis among patients discharged from a COVID-19 care tertiary center in South India: A questionnaire-based survey. Indian J Ophthalmol 2023; 71:2818-2821. [PMID: 37417127 PMCID: PMC10491084 DOI: 10.4103/ijo.ijo_131_23] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/14/2023] [Revised: 03/18/2023] [Accepted: 04/07/2023] [Indexed: 07/08/2023] Open
Abstract
Purpose To study the awareness of mucormycosis among discharged inpatients after receiving treatment for COVID-19 infection at a tertiary COVID care center in south India. Methods This was a telephone-based survey conducted using a questionnaire consisting of 38 questions in five sections in the month of June-July 2021. COVID-positive inpatients who had been admitted, treated, and discharged from a government medical college were contacted via phones, and their responses were directly entered into the Google Forms platform. Results A total of 222 participants were included in the study. Among all the participants, a cumulative 66% of participants had some knowledge of mucormycosis and 98/222 (44%) did not have any idea of mucormycosis in spite of being admitted to the hospital. More than 40% of them reported that their prime source of information was through mass communication. Around 81% of the respondents were aware that it can occur after COVID-19 infection. Among them, only 25 knew that systemic steroids were the main risk factor. Sixty-four out of 124 knew that diabetes is a major risk factor. Fifty percent agreed that a vaccine for COVID can prevent mucormycosis. Conclusion Such knowledge, attitude, and practice (KAP) studies give us an idea of the impact of the measures taken for educating the public. In this study, a cumulative 66% of participants had some knowledge of mucormycosis and 34.7% were diabetics who had better knowledge and practice scores than non-diabetics. Sixty-six point nine percent felt that it was possible to prevent this condition.
Collapse
Affiliation(s)
| | - Namaskaram Ezhilvathani
- Department of Ophthalmology, Indira Gandhi Medical College and Research Institute, Pondicherry, India
| | | |
Collapse
|
40
|
Kayode OO, Oyedeji AS, Alabi QK. Factors affecting exclusive breastfeeding practices among working-class women in Osun State, Nigeria. J Public Health Afr 2023; 14:2191. [PMID: 37680704 PMCID: PMC10481784 DOI: 10.4081/jphia.2023.2191] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/22/2022] [Accepted: 05/16/2022] [Indexed: 09/09/2023] Open
Abstract
Breastfeeding has been accepted as the most vital intervention for reducing infant mortality and ensuring optimal growth and development of children. However, studies on the factors affecting exclusive breastfeeding, especially, among working-class women are sparse. This study determined the factors affecting exclusive breastfeeding among working-class women in Osun state. Multistage sampling was used to select a total of 316 respondents for this cross-sectional study and a pretested, interviewer-administered questionnaire was used to elicit information. More than half (57.6%) of the respondents were between the ages of 26-35 years. Ninety-eight percent (98.1%) of the respondents had good knowledge of exclusive breastfeeding (EBF). Sixty-six percent (66.8%) had good exclusive breastfeeding practices. The study showed that there was a significant relationship between knowledge and practices of exclusive breastfeeding among the respondents (P<0.05). Identified factors affecting exclusive breastfeeding among the respondents are: duration of maternity leave, availability of crèche near the place of work, breastfeeding break at work, husband and family support, health conditions that could hinder EBF, and engagement in other activities with work. Breastfeeding breaks at work (AOR=4.717; P=0.000), husband and family support (AOR=2.944; P=0.000), and one-month maternal leave (P=0.000) were factors significantly associated with EBF practices. We conclude that good knowledge and good practices of exclusive breastfeeding were found among the study group. Improved policies around maternity leave and the provision of breastfeeding friendly work environment are needed to increase exclusive breastfeeding practices. Husbands and family members should be educated on the need to provide support to breastfeeding mothers.
Collapse
Affiliation(s)
- Olariike O. Kayode
- Department of Human Nutrition and Dietetics, Osun State University Osogbo, Osun State
| | | | - Quadri K. Alabi
- Department of Physiology, Adeleke University Ede, Osun State, Nigeria
| |
Collapse
|
41
|
Dalawi I, Isa MR, Chen XW, Azhar ZI, Aimran N. Development of the Malay Language of understanding, attitude, practice and health literacy questionnaire on COVID-19 (MUAPHQ C-19): content validity & face validity analysis. BMC Public Health 2023; 23:1131. [PMID: 37312175 DOI: 10.1186/s12889-023-16044-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/25/2023] [Accepted: 06/02/2023] [Indexed: 06/15/2023] Open
Abstract
OBJECTIVE This study aimed to assess the content and face validity index of the development of the understanding, attitude, practice and health literacy questionnaire on COVID-19 (MUAPHQ C-19) in the Malay language. METHODS The development of the MUAPHQ C-19 was conducted in two stages. Stage I resulted in the generation of the instrument's items (development), and stage II resulted in the performance of the instrument's items (judgement and quantification). Six-panel experts related to the study field and ten general public participated to evaluate the validity of the MUAPHQ C-19. The content validity index (CVI), content validity ratio (CVR) and face validity index (FVI) were analysed using Microsoft Excel. RESULTS There were 54 items and four domains, namely the understanding, attitude, practice and health literacy towards COVID-19, identified in the MUAPHQ C-19 (Version 1.0). The scale-level CVI (S-CVI/Ave) for every domain was above 0.9, which is considered acceptable. The CVR for all items was above 0.7, except for one item in the health literacy domain. Ten items were revised to improve the item's clarity, and two items were deleted due to the low CVR value and redundancy, respectively. The I-FVI exceeded the cut-off value of 0.83 except for five items from the attitude domain and four from the practice domains. Thus, seven of these items were revised to increase the clarity of items, while another two were deleted due to low I-FVI scores. Otherwise, the S-FVI/Ave for every domain exceeded the cut-off point of 0.9, which is considered acceptable. Thus, 50-item MUAPHQ C-19 (Version 3.0) was generated following the content and face validity analysis. CONCLUSIONS The questionnaire development, content validity, and face validity process are lengthy and iterative. The assessment of the instruments' items by the content experts and the respondents is essential to guarantee the instrument's validity. Our content and face validity study has finalised the MUAPHQ C-19 version that is ready for the next phase of questionnaire validation, using Exploratory and Confirmatory Factor Analysis.
Collapse
Affiliation(s)
- Izzaty Dalawi
- Training Reserve Position Unit, Training Management Division, Ministry of Health Malaysia, Level 6, Prisma Tower, Precinct 3, Federal Territory of Putrajaya, 62675, Malaysia
- Department of Public Health Medicine, Faculty of Medicine, Universiti Teknologi MARA, Sungai Buloh Campus, Sungai Buloh, 47000, Selangor, Malaysia
| | - Mohamad Rodi Isa
- Department of Public Health Medicine, Faculty of Medicine, Universiti Teknologi MARA, Sungai Buloh Campus, Sungai Buloh, 47000, Selangor, Malaysia.
| | - Xin Wee Chen
- Department of Public Health Medicine, Faculty of Medicine, Universiti Teknologi MARA, Sungai Buloh Campus, Sungai Buloh, 47000, Selangor, Malaysia
| | - Zahir Izuan Azhar
- Department of Public Health Medicine, Faculty of Medicine, Universiti Teknologi MARA, Sungai Buloh Campus, Sungai Buloh, 47000, Selangor, Malaysia
| | - Nazim Aimran
- School of Mathematical Sciences, College of Computing, Informatics and Media, Universiti Teknologi MARA, Shah Alam, 40450, Selangor, Malaysia
| |
Collapse
|
42
|
Kantor J. This Month in JAAD International: August 2023: Knowledge, attitudes, and perceptions relating to hidradenitis suppurativa. J Am Acad Dermatol 2023:S0190-9622(23)01086-1. [PMID: 37307996 DOI: 10.1016/j.jaad.2023.06.007] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/07/2023] [Accepted: 06/07/2023] [Indexed: 06/14/2023]
Affiliation(s)
- Jonathan Kantor
- Department of Dermatology, Center for Global Health, and Center for Clinical Epidemiology and Biostatistics, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, Pennsylvania, and Florida Center for Dermatology, St Augustine, Florida.Philadelphia, Pennsylvania, and St Augustine, Florida.
| |
Collapse
|
43
|
Dopelt K, Amar A, Yonatan N, Davidovitch N. Knowledge, Attitudes, and Practices Regarding Antibiotic Use and Resistance: A Cross-Sectional Study among Students in Israel. Antibiotics (Basel) 2023; 12:1028. [PMID: 37370347 DOI: 10.3390/antibiotics12061028] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/12/2023] [Revised: 06/06/2023] [Accepted: 06/07/2023] [Indexed: 06/29/2023] Open
Abstract
Antibiotic resistance is one of the biggest threats to human health, food security, and development. This study aimed to examine the level of knowledge and awareness regarding antibiotic resistance while comparing students from health sciences to students in other disciplines. A cross-sectional study was conducted based on the "antibiotic resistance" questionnaire developed by the World Health Organization. A total of 371 students participated in the study. All respondents had taken antibiotics in the past. A tenth had taken them on their own without a prescription, and 14% had not received an explanation regarding the use of antibiotics. The average for the knowledge questions was 15.49 ± 5.35 (out of 27). Many students mistakenly associated antibiotics with viral diseases. Despite these misconceptions, there was a high level of awareness and understanding regarding the ways to treat antibiotic resistance. Still, the awareness of the severity of antibiotic resistance was not high. Differences were found between the disciplines in general knowledge and the level of awareness and understanding about the ways to treat antibiotic resistance, where health science students had the highest scores, followed by social science students and finally, computer and management students. No differences were found in the perception of the severity of the phenomenon. This information is essential to developing educational interventions to improve knowledge, attitudes, and practices regarding antibiotic use among students, especially those unrelated to the health sciences.
Collapse
Affiliation(s)
- Keren Dopelt
- School of Public Health, Faculty of Health Sciences, Ben Gurion University of the Negev, Beersheva 84105, Israel
- Department of Public Health, Ashkelon Academic College, Ashkelon 78211, Israel
| | - Almog Amar
- Department of Public Health, Ashkelon Academic College, Ashkelon 78211, Israel
| | - Nickol Yonatan
- Department of Public Health, Ashkelon Academic College, Ashkelon 78211, Israel
| | - Nadav Davidovitch
- School of Public Health, Faculty of Health Sciences, Ben Gurion University of the Negev, Beersheva 84105, Israel
| |
Collapse
|
44
|
Thomas DC, Nain RA. Dataset on nurses' knowledge, attitude and practice in pressure injury prevention at Sabah, Malaysia. Data Brief 2023; 48:109193. [PMID: 37213558 PMCID: PMC10193149 DOI: 10.1016/j.dib.2023.109193] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/23/2023] [Revised: 04/24/2023] [Accepted: 04/25/2023] [Indexed: 05/23/2023] Open
Abstract
Pressure injuries are a significant problem in healthcare, and understanding the knowledge and practices of nurses in this area is critical to improving patient outcomes. This article presents dataset concerning a survey conducted to assess the knowledge, attitudes, and practices of pressure injury prevention and care among nurses in public hospitals in the West Coast division of Sabah, Malaysia. The study involved 448 nurses who completed a structured questionnaire between April and December 2021, using the Malay version of the Pieper-Zulkowski-Pressure Ulcer Knowledge Test (PZ-PUKT) 2016 questionnaire. The questionnaire included socio-demographic information and three outcome measures related to pressure injury prevention. Quantitative descriptive statistical analysis was used to analyze the survey results. The data suggest that this survey provides insights into nurses' knowledge, attitudes, and practices regarding pressure injury prevention and could inform the development of interventions to improve the prevention and management of pressure injuries in public hospitals.
Collapse
Affiliation(s)
| | - Rose A. Nain
- Corresponding author at: Department of Nursing, Faculty of Medicine and Health Sciences, Universiti Malaysia Sabah, UMS Road, 88400, Kota Kinabalu, Sabah, Malaysia.
| |
Collapse
|
45
|
Lestari YD, Adriono GA, Ratmilia R, Magdalena C, Sitompul R. Knowledge, attitude, and practice pattern towards diabetic retinopathy screening among general practitioners in primary health centres in Jakarta, the capital of Indonesia. BMC Prim Care 2023; 24:114. [PMID: 37170199 PMCID: PMC10176940 DOI: 10.1186/s12875-023-02068-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/31/2022] [Accepted: 04/28/2023] [Indexed: 05/13/2023]
Abstract
BACKGROUND Diabetic retinopathy (DR) is an emerging cause of visual impairment and blindness and is often detected in the irreversible stage. General practitioners (GPs) play an essential role in the prevention of DR through diabetes control, early detection of retinal changes, and timely referral to ophthalmologists. This study aimed to determine the knowledge, attitude, and practice (KAP) towards DR screening among GPs in the district primary health centres (PHCs) in Jakarta, Indonesia. METHODS A cross-sectional study was conducted between April 2021 and February 2022 in 17 randomly selected district PHCs. A validated online questionnaire was then distributed. Good knowledge was defined when the correct response rate was > 75%, positive attitude was indicated when desired attitudes were found in more than half of the items (> 50%), and good practice was defined when more than half of the practice items (> 50%) were performed. RESULTS A total of 92 GPs, with a response rate of 60.1%, completed the questionnaire. Seventy-nine respondents (85.9%) were female with a median (range) age of 32 (24-58) years. Among the respondents, 82 (89.1%) had good knowledge and all showed positive attitude on DR screening. However, only four (4.3%) demonstrated good practices. We found a weak positive correlation (rs = 0.298, p = 0.004) between attitude and practices. CONCLUSION GPs in Jakarta showed good knowledge and positive attitude on DR screening. However, they did not show good practice. There was a positive correlation between attitude and practice.
Collapse
Affiliation(s)
- Yeni Dwi Lestari
- Ophthalmology Department, Faculty of Medicine, Universitas Indonesia-Cipto Mangunkusumo General Hospital, Jakarta, Indonesia
| | - Gitalisa Andayani Adriono
- Ophthalmology Department, Faculty of Medicine, Universitas Indonesia-Cipto Mangunkusumo General Hospital, Jakarta, Indonesia.
| | - Rizka Ratmilia
- Ophthalmology Department, Faculty of Medicine, Universitas Indonesia-Cipto Mangunkusumo General Hospital, Jakarta, Indonesia
| | - Christy Magdalena
- Ophthalmology Department, Faculty of Medicine, Universitas Indonesia-Cipto Mangunkusumo General Hospital, Jakarta, Indonesia
| | - Ratna Sitompul
- Ophthalmology Department, Faculty of Medicine, Universitas Indonesia-Cipto Mangunkusumo General Hospital, Jakarta, Indonesia
| |
Collapse
|
46
|
Nadia J, Wang Y, Li G, Sun L, Mmadi SA, Abdallah KS, Abdallah AM, Shu L, Bacar A, Deng C, Huang X, Zhou X, Song J, Lu F. KNOWLEDGE, ATTITUDES, AND PRACTICES TOWARD MALARIA AND ANTIMALARIAL MASS DRUG ADMINISTRATION AMONG HEADS OF HOUSEHOLDS IN VILLAGES ON GRANDE COMORE ISLAND, THE COMOROS. J Parasitol 2023; 109:187-199. [PMID: 37270766 DOI: 10.1645/22-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/05/2023] Open
Abstract
Knowledge, attitudes, and practices (KAP) surveys on malaria and antimalarial mass drug administration (MDA) have not received much attention in the Union of the Comoros. This study is a household-based cross-sectional survey using a multi-stage sampling technique aiming at investigating KAP toward malaria and antimalarial MDA with artemisinin-piperaquine among heads of households on Grande Comore Island, the largest island of the Comoros. A predefined structured questionnaire containing socio-demographic characteristics and questions about malaria and antimalarial MDA was administered to 1,368 randomly selected heads of households from 10 malaria-endemic villages on Grande Comore Island. The results showed that 81.4% of the heads of households knew that malaria is a transmissible disease, 77.6% recognized mosquitoes as the vectors of malaria, and 70.8% recognized fever as one of the frequent symptoms of malaria; 40.8% of respondents remembered the name of the antimalarial drug used for MDA, and 62.1% remembered the color of the antimalarial tablets; and 65.1% chose to go to a public health center to seek treatment as their first option within 24 hr of the onset of initial malaria symptoms. This study found that most heads of households had a reasonable level of knowledge about malaria and antimalarial MDA. However, only 7.3% obtained full points on all knowledge-related questions. Misconceptions about malaria cause, transmission, diagnostic method, and antimalarial MDA exist in the community of Grande Comore Island. As the Comoros continues to put great efforts to go toward malaria elimination, the community's KAP on malaria and antimalarial MDA is crucial to guarantee the community's long-term adherence to malaria elimination interventions and could become key to guaranteeing malarial elimination in the Comoros. Therefore, there is a great need to improve malaria prevention awareness through strengthening malaria education and promoting behavioral change. Heads of households should be the core target of malaria education and behavioral change for malaria elimination.
Collapse
Affiliation(s)
- Julie Nadia
- Artemisinin Research Center, Guangzhou University of Chinese Medicine, Guangzhou 510405, China
- Science and Technology Park, Guangzhou University of Chinese Medicine, Guangzhou 510440, China
| | - Yuxin Wang
- Science and Technology Park, Guangzhou University of Chinese Medicine, Guangzhou 510440, China
| | - Guoming Li
- Science and Technology Park, Guangzhou University of Chinese Medicine, Guangzhou 510440, China
| | - Liwei Sun
- Science and Technology Park, Guangzhou University of Chinese Medicine, Guangzhou 510440, China
| | - Salim Abdoulkarim Mmadi
- Ministry of Health, Social Cohesion, Solidarity, and Gender Promotion, Bâtiment de la Fonction Publique, BP 1028, Moroni, the Union of the Comoros
| | - Kamal Said Abdallah
- National Malaria Control Program, Route de la Corniche, BP 5212, Moroni, the Union of the Comoros
| | - Ali Maoulida Abdallah
- Ministry of Health, Social Cohesion, Solidarity, and Gender Promotion, Bâtiment de la Fonction Publique, BP 1028, Moroni, the Union of the Comoros
| | - Lei Shu
- Science and Technology Park, Guangzhou University of Chinese Medicine, Guangzhou 510440, China
| | - Affane Bacar
- National Malaria Control Program, Route de la Corniche, BP 5212, Moroni, the Union of the Comoros
| | - Changsheng Deng
- Artemisinin Research Center, Guangzhou University of Chinese Medicine, Guangzhou 510405, China
| | - Xinan Huang
- Artemisinin Research Center, Guangzhou University of Chinese Medicine, Guangzhou 510405, China
| | - Xian Zhou
- Science and Technology Park, Guangzhou University of Chinese Medicine, Guangzhou 510440, China
| | - Jianping Song
- Artemisinin Research Center, Guangzhou University of Chinese Medicine, Guangzhou 510405, China
- First Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou 510405, China
| | - Fangli Lu
- Clinical Laboratory, the Seventh Affiliated Hospital, Sun Yat-sen University, Shenzhen 518107, China; Department of Parasitology, School of Medicine, Sun Yat-sen University, Shenzhen 518107, China; Department of Parasitology, Zhongshan School of Medicine, Sun Yat-sen University, Guangzhou 510080, China; and Key Laboratory of Tropical Disease of the Ministry of Education, Sun Yat-sen University, Guangzhou 510080, China
| |
Collapse
|
47
|
Geddawy A, Alajmi M, Alaskar AM, Alwadani ST, Alanezi AF, Alhomaidhi AA, Al-Ghamdi S. Undergraduate health sciences students' response regarding COVID-19 pandemic in Saudi Arabia: an observational study. Postgrad Med 2023; 135:234-243. [PMID: 34933641 DOI: 10.1080/00325481.2021.2017184] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Abstract
BACKGROUND The coronavirus disease 2019 (COVID-19) pandemic represents a major health problem, and its influences may persist with emerging viral variants. The current work was to evaluate the knowledge, attitude, and learning satisfaction of health sciences students (HSS) regarding the COVID-19 pandemic. METHODS A questionnaire-based cross-sectional study was conducted from 20 February 2021 to 20 March 2021. Participants were undergraduate HSS at Prince Sattam bin Abdulaziz University in Al Kharj, Saudi Arabia. The questionnaire has been generated and distributed via online form. The questionnaire used was based on previous studies and included demographic information and knowledge, attitudes, perception, and learning satisfaction related to the COVID-19 pandemic. RESULTS Out of the 400 questionnaires distributed to eligible students, the current study included a total of 330 HSS (82.5% response rate) from colleges of medicine (25.5%), dentistry (11.8%), pharmacy (33.6%), and Applied Medical Sciences (29.1%) of participants. The mean scores of knowledge, attitude, and learning satisfaction attained by students were 5.63 ± 0.65 out of 6, 4.22 ± 1.01 out of 5, and 11.28 ± 2.9 out of 19, respectively. Results show an association between the knowledge score of students and their age-group and specialty-college. Students with chronic diseases reported lower attitude scores and rate of COVID-19 vaccine-willingness. Younger HSS had a higher learning satisfaction score than the older participants. CONCLUSION Overall, participants show high knowledge level and positive attitude toward COVID-19 but fair learning satisfaction during the pandemic. Further studies are needed to improve the learning satisfaction and attitude of HSS in the future.
Collapse
Affiliation(s)
- Ayman Geddawy
- Department of Basic Medical Sciences, College of Medicine, Prince Sattam Bin Abdulaziz University, Al Kharj, Saudi Arabia
- Department of Pharmacology, Faculty of Medicine, Minia University 61511, Minia, Egypt
| | - Mansour Alajmi
- Department of Family and Community MedicineCollege of Medicine, Prince Sattam Bin Abdulaziz University, Al Kharj, Saudi Arabia
| | - Abdulaziz M Alaskar
- Undergraduate Medical Student, College of Medicine, Prince Sattam Bin Abdulaziz University, Al Kharj, Saudi Arabia
| | - Salman T Alwadani
- Undergraduate Medical Student, College of Medicine, Prince Sattam Bin Abdulaziz University, Al Kharj, Saudi Arabia
| | - Abdulaziz F Alanezi
- Undergraduate Medical Student, College of Medicine, Prince Sattam Bin Abdulaziz University, Al Kharj, Saudi Arabia
| | | | - Sameer Al-Ghamdi
- Department of Family and Community MedicineCollege of Medicine, Prince Sattam Bin Abdulaziz University, Al Kharj, Saudi Arabia
| |
Collapse
|
48
|
Suolaniemi J, Autio T, Heikkinen J, Räsänen K. Knowledge, Attitudes, and Practices of Finnish Dairy Farmers on Cryptosporidiosis. J Agromedicine 2023; 28:288-299. [PMID: 35993159 DOI: 10.1080/1059924x.2022.2112417] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/15/2022]
Abstract
Calf-mediated zoonotic cryptosporidiosis is an emerging occupational health risk among Finnish dairy farmers. We studied farmers' knowledge, attitudes, and practices (KAP) regarding cryptosporidiosis to reveal possible weaknesses, which might increase the risk of zoonotic infection. KAP study was carried out as a cross-sectional questionnaire survey (n = 243). A total of 400 cryptosporidiosis-negative and 138 cryptosporidiosis-positive dairy farms, with more than 50 cows, were invited to participate in the study. The response rate was 45%. Half (49%) of the respondents had adequate knowledge concerning zoonotic cryptosporidiosis. Knowledge score was associated with age (p < 0.01), level of education (p < 0.01), and cryptosporidiosis status of the farm (p < 0.01). Though most respondents had favorable attitudes, one-third (32.5%) had poor zoonotic transmission prevention practices. Use of a personal mobile device was the most common risky practice (90%) performed daily in the cowhouse. Most respondents (93%) reported gaining information about infectious diseases in animals from more than two information sources. Veterinarians were the most mentioned source (n = 228), whereas primary care physicians were among the least common sources (n = 16). Having favorable attitudes towards the prevention of zoonotic cryptosporidiosis was common. However, shortages in knowledge and several risky practices were identified in both cryptosporidiosis positive and negative farms. The role of the occupational health sector should be strengthened in work-related zoonotic disease prevention and may require further education of the personnel. A one-health approach to control zoonotic diseases is recommended.
Collapse
Affiliation(s)
- J Suolaniemi
- Institute of Public Health and Clinical Nutrition, Faculty of Health Sciences, University of Eastern Finland, Kuopio, Finland
| | - T Autio
- Veterinary Bacteriology and Pathology, Research and Laboratory Department, Finnish Food Authority, Kuopio, Finland
| | - J Heikkinen
- Institute of Public Health and Clinical Nutrition, Faculty of Health Sciences, University of Eastern Finland, Kuopio, Finland
| | - K Räsänen
- Institute of Public Health and Clinical Nutrition, Faculty of Health Sciences, University of Eastern Finland, Kuopio, Finland
| |
Collapse
|
49
|
Moges S, Lajore BA, Mekango DE, Wontamo TE, Erkalo D, Sadore AA, Hanfore LK, Tamrat H. Knowledge, Attitude, and Practices Related to COVID-19 and Its Determinants Among Prisoners, Southern Ethiopia. Disaster Med Public Health Prep 2023; 17:e364. [PMID: 36949722 DOI: 10.1017/dmp.2023.26] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/24/2023]
Abstract
BACKGROUND Coronavirus disease 2019 (COVID-19) may affect anybody, and prisoners are a susceptible group in terms of the risk of contracting infectious illnesses owing to a variety of situations such as overcrowding, confinement, and poor cleanliness. Therefore, this study aimed to assess prisoners' Knowledge, Attitude, and Practice (KAP) of COVID-19 and its determinants in southern Ethiopia. METHOD The Institutional cross-section study was conducted among 404 prisoners selected using simple random sampling obtained from the prisoner's registration book. To collect data from prisoners, an interviewer-based face-to-face data-collecting technique was used. Multivariate ordinal logistic regression was used to identify determinants of KAP toward COVID-19. RESULTS AND CONCLUSIONS The majority of the prisoners had limited understanding and poor preventive strategies application toward COVID-19. Being male, living in a rural area, having a low educational standing, and being a farmer were related to limited knowledge, negative attitude, and poor practice toward COVID-19. Furthermore, having little understanding was linked with poor practice toward COVID-19. As a result, the focus should be on convicts, creating awareness, and addressing specific socioeconomic features of prisoners, as well as boosting COVID-19 preventive activities that should get attention in the prison.
Collapse
Affiliation(s)
- Sisay Moges
- Hosanna Health Science College, Department of Family Health, Hosanna, Ethiopia
| | | | - Dejene Ermias Mekango
- Wachemo University, College of Medicine and Health Sciences, Department of Public Health, Hosanna, Ethiopia
| | - Tekle Ejajo Wontamo
- Wachemo University, College of Medicine and Health Sciences, Department of Public Health, Hosanna, Ethiopia
| | - Desta Erkalo
- Wachemo University, College of Medicine and Health Sciences, Department of Public Health, Hosanna, Ethiopia
| | - Abinet Arega Sadore
- Wachemo University, College of Medicine and Health Sciences, Department of Public Health, Hosanna, Ethiopia
| | - Lolemo Kelbiso Hanfore
- Wachemo University, School of Nursing, College of Medicine & Health Science, Hosanna, Ethiopia
| | - Habtamu Tamrat
- Wachemo University, School of Medicine, Department of Orthopedics, Hosanna, Ethiopia
| |
Collapse
|
50
|
Chitha W, Sibulawa S, Funani I, Swartbooi B, Maake K, Hellebo A, Hongoro D, Mnyaka OR, Ngcobo Z, Zungu CM, Sithole N, Godlimpi L, Nomatshila SC, Mabunda SA, Essel V. A cross-sectional study of knowledge, attitudes, barriers and practices of cervical cancer screening among nurses in selected hospitals in the Eastern Cape Province, South Africa. BMC Womens Health 2023; 23:94. [PMID: 36894910 PMCID: PMC9996860 DOI: 10.1186/s12905-023-02251-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/25/2022] [Accepted: 02/28/2023] [Indexed: 03/11/2023] Open
Abstract
BACKGROUND Cervical cancer is a preventable but highly prevalent cancer in many low -and middle-income countries including South Africa. Cervical cancer outcomes can be improved with improved vaccination, a well-coordinated and efficient screening programme, increased community awareness and uptake, and increased knowledge and advocacy of health professionals. This study therefore aimed to ascertain the knowledge, attitudes, practices and barriers of cervical cancer screening among nurses of selected rural hospitals in South Africa. METHODS A quantitative cross-sectional study was conducted in five hospitals in the Eastern Cape Province of South Africa between October and December 2021. A self-administered questionnaire was used to assess demographic characteristics of nurses and cervical cancer knowledge, attitudes, barriers and practices. A knowledge score of 65% was deemed adequate. Data were captured in Microsoft Excel Office 2016 and exported to STATA version 17.0 for analysis. Descriptive data analyses were used to report the results. RESULTS A total of 119 nurses participated in the study with just under two thirds (77/119, 64.7%) being professional nurses. Only 15.1% (18/119) of participants were assessed as having obtained a good knowledge score of ≥ 65%. The majority of these (16/18, 88.9%) were professional nurses. Of the participants with a good knowledge score, 61.1% (11/18) were from Nelson Mandela Academic Hospital, the only teaching hospital studied. Cervical cancer was deemed to be a disease of public health importance by 74.0% (88/119). However, only 27.7% (33/119) performed cervical cancer screening. Most of the participants (116/119, 97.5%) had an interest of attending more cervical cancer training. CONCLUSION The majority of nurse participants did not have adequate knowledge about cervical cancer and screening, and few performed screening tests. Despite this, there is a high level of interest in being trained. Meeting these training needs is of utmost importance to implementing a comprehensive cervical cancer screening programme in South Africa.
Collapse
Affiliation(s)
- Wezile Chitha
- Health Systems Enablement & Innovation Unit, University of the Witwatersrand, Johannesburg, South Africa
| | - Siyabonga Sibulawa
- Health Systems Enablement & Innovation Unit, University of the Witwatersrand, Johannesburg, South Africa.
| | - Itumeleng Funani
- Health Systems Enablement & Innovation Unit, University of the Witwatersrand, Johannesburg, South Africa
| | - Buyiswa Swartbooi
- Health Systems Enablement & Innovation Unit, University of the Witwatersrand, Johannesburg, South Africa
| | - Kedibone Maake
- Health Systems Enablement & Innovation Unit, University of the Witwatersrand, Johannesburg, South Africa
| | - Assegid Hellebo
- Health Systems Enablement & Innovation Unit, University of the Witwatersrand, Johannesburg, South Africa
| | - Danleen Hongoro
- Health Systems Enablement & Innovation Unit, University of the Witwatersrand, Johannesburg, South Africa
| | - Onke R Mnyaka
- Health Systems Enablement & Innovation Unit, University of the Witwatersrand, Johannesburg, South Africa
| | - Ziyanda Ngcobo
- Health Systems Enablement & Innovation Unit, University of the Witwatersrand, Johannesburg, South Africa
| | - Christopher M Zungu
- Health Systems Enablement & Innovation Unit, University of the Witwatersrand, Johannesburg, South Africa
| | - Nomfuneko Sithole
- Health Systems Enablement & Innovation Unit, University of the Witwatersrand, Johannesburg, South Africa
| | - Lizo Godlimpi
- Department of Public Health, Walter Sisulu University, Mthatha, South Africa
| | | | - Sikhumbuzo A Mabunda
- Health Systems Enablement & Innovation Unit, University of the Witwatersrand, Johannesburg, South Africa.,School of Population Health, University of New South Wales, Sydney, Australia.,George Institute for Global Health, University of New South Wales, Sydney, Australia
| | - Vivien Essel
- Health Systems Enablement & Innovation Unit, University of the Witwatersrand, Johannesburg, South Africa
| |
Collapse
|