scholarly journals An integrated approach to assess Knowledge, Attitude and Practices (KAP) regarding major Neglected Tropical Diseases endemic in the Mbengwi health district (North West Region, Cameroon)

2019 ◽  
Author(s):  
Laurentine Sumo ◽  
Cédric G Lenou-Nanga ◽  
Ngum H Ntonifor ◽  
Nicanor Chenkumo-Kengmoni ◽  
Vanessa T Amana-Bokagne ◽  
...  

AbstractBackgroundPreventive chemotherapy (PCT) is the main strategy currently used to control and/or eliminate onchocerciasis (Oncho), lymphatic filariasis (LF) and Soil Transmitted Helminthiasis (STH), and community participation (through implementation of MDA or adherence to PCT) is critical to achieve this goal. However, these Neglected Tropical Diseases (NTDs) are still persisting in most endemic areas as a consequence of sub-optimal treatment coverage, the presence of systematic non-compliers in communities … This study aimed at investigating whether the knowledge, attitudes and practices of populations about these NTDs can explain the poor trends towards elimination.MethodologyA cross-sectional survey was carried out in the Mbengwi Health District (North West Region, Cameroon) using the cluster sampling technique. Clusters were selected using the Probability Proportionate to Estimate Size strategy. In each cluster, the random walk technique was used for the selection of households, and a structure questionnaire was administered to 2-3 of its members.Principal FindingsA total of 254 households from 26 clusters were visited, and 514 individuals were interviewed. The sex ratio of interviewees (1.08) was unbiased, and their ages ranged between 10 and 99 years old. Though most of the respondents declared having already heard of these NTDs (41.2%, 73.7% and 89.9% for Oncho, LF and STH respectively), only a minority of them were aware of correct response of how they are acquired/transmitted (3.7%, 6.8% and 12.5% for Oncho, LF and STH respectively), and prevented (23.1%, 18.9% and 47.2% for Oncho, LF and STH respectively). Even when respondents were aware that medicines were useful to prevent and/or treat these NTDs, almost none of them knew the drug used or the treatment frequency.Conclusion/SignificanceThis study reveals that interviewees exhibit poor knowledge, attitudes and practices as regards to these NTDs, although they are endemic in the study area and PCTs given yearly since a while. These misconceptions can seriously affect the adherence and contribution of populations to the success of PCTs, and it appears compulsory to improve individual knowledge, with a focus on the importance and rationale behind MDA, to optimize their attitudes and practices, especially community participation to PCTs.Author summaryThe control and/or elimination of Neglected Tropical Diseases (NTDs) are currently on top of the agenda of endemic countries’ control programs and stakeholders. Ivermectin- and Albendazole/Mebendazole-based mass distribution is currently the main strategy to control/interrupt transmission of onchocerciasis, lymphatic filariasis and soil-transmitted helminthiasis, and adherence of communities is compulsory for the success of this approach. Despite the success registered in the fight against these diseases, the trend towards elimination remains unsatisfactory in many endemic areas. This study was carried out to assess whether the perceptions, attitudes, and practices of the Mbengwi health district (North West Region, Cameroon) populations regarding these three parasitic diseases can explain the poor trend towards elimination. A cross-sectional study revealed important misconceptions about these NTDs amongst most of the respondents, which can clearly affect their adherence and contribution to the success of preventive chemotherapies, and seriously slower the momentum towards elimination.

2021 ◽  
Vol 11 (4) ◽  
pp. 426-434
Author(s):  
Laurentine Sumo ◽  
Ngum H. Ntonifor ◽  
Cédric G. Lenou-Nanga ◽  
Nicanor Chenkumo-Kengmoni ◽  
Vanessa T. Amana-Bokagne ◽  
...  

Abstract Background and objectives Preventive chemotherapy (PCT) is the main strategy currently used to control and/or eliminate onchocerciasis, lymphatic filariasis (LF) and soil transmitted helminthiasis (STH), and community participation (through implementation or adherence to PCT) is critical. This study aimed at investigating knowledge/perceptions of populations of the Mbengwi health district (North West Region, Cameroon), in relation to their attitudes/practices regarding the most prevalent neglected tropical diseases (NTDs). Methods A household-based cross-sectional survey was carried out in the Mbengwi health district (North West Region, Cameroon) using the cluster sampling technique. Clusters were selected using the probability proportionate to estimate size strategy. In each cluster, the random walk technique was used for the selection of households, and a structure questionnaire was administered to 2–3 of its members. Results A total of 254 households from 26 clusters were visited, and 514 individuals were interviewed. The sex ratio of interviewees (1.08) was unbiased, and their ages ranged between 10 and 99 years old. Though most of the respondents declared having already heard of these NTDs (41.6%, 73.9% and 90.5% for onchocerciasis, LF and STH, respectively), only a minority of them were aware of how they are acquired/transmitted (8.9%, 9.2% and 32.7% for onchocerciasis, LF and STH, respectively), or prevented (23.1%, 18.9% and 47.2% for onchocerciasis, LF and STH, respectively). Conclusions This study revealed poor knowledge/perceptions and wrong attitudes/practices of interviewees as regards to these NTDs, and these misconceptions can seriously affect the adherence and contribution of populations to the success of PCTs. It appears compulsory to reinforce information, education, and communication, with a focus on the rationale and importance behind PCTs, to optimize/improve community participation.


2016 ◽  
Vol 2 (5) ◽  
pp. 102-111 ◽  
Author(s):  
Thomas Obinchemti Egbe ◽  
◽  
Evaristus Ngong Ncham ◽  
William Takang ◽  
Eta-Nkongho Egbe ◽  
...  

2021 ◽  
pp. 227-231
Author(s):  
Kouengoua Kouengoua Armelle Prudence ◽  
Nankam Chimi Roland ◽  
Oyetola Wilfried Délé ◽  
Njayou Ngapagna Arouna ◽  
Alambedji Rianatou Bada ◽  
...  

Background and Aim: Shepherds are in constant contact with animals, and they are potential hosts for the transmission of zoonoses. This study aimed to assess the perceptions of shepherds in Cameroon's West region regarding zoonotic diseases. Materials and Methods: A cross-sectional study was conducted from August to October 2017, on 218 shepherds. The data were collected using semi-structured interviewer-administered questionnaires. The participants were assessed on their knowledge, attitudes, and practices that might expose them to bovine zoonose transmission, and the data were analyzed with R, version 2.13.0. Descriptive statistics were generated, and the association between socio-demographic characteristics and knowledge was explored using the Chi-square test. Results: Out of the 218 herdsmen, (205/218) 94% did not have any education, and (195/218) 89.5% did not know the definition of zoonosis. There was a correlation between the level of education and knowledge of the definition of zoonosis: About (162/218) 74.6% cited tuberculosis as a zoonosis, (62/218) 28.4% said the main modes of transmission were by ingestion of contaminated milk, and (66/218) 30.3% by consumption of contaminated meat. Abortions during the third trimester of gestation, combined with the presence of hygroma, were described by (130/218) 59.6% of the participants as brucellosis symptoms. In terms of practices and attitudes, (187/218) 85.8% and (50.14/218) 23.0% of the participants confirmed that they consumed raw milk and raw meat, respectively. Almost all (214/218) 98.1% interviewees stated that blood consumption is forbidden. In case of suspicion of disease, (204/218) 93.6% maintained that they treated sick animals without a veterinary prescription, and (209/218) 95.9% left the carcasses in the wild. After contact with animals, (181/218) 83.3% washed their hands. Finally, (192/218) 88.3% would like to be informed about zoonoses. Conclusion: The level of knowledge about zoonotic diseases was low; a high percentage of shepherds followed inadequate hygiene practices and expressed concern about zoonoses. As a result, they are at risk of exposure to pathogens. It would be in the interest of public health to develop training programs for shepherds and livestock owners to mitigate zoonotic risks.


2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Yunga Patience Ijang ◽  
Samuel Nambile Nambile Cumber ◽  
Claude Ngwayu Nkfusai ◽  
Mbinkar Adeline Venyuy ◽  
Fala Bede ◽  
...  

Abstract Background Birth preparedness and complication readiness has as goal to reduce maternal and neonatal mortality. This concept developed by the organizations of the United Nations permits pregnant women and their families seek health care without delay in case of obstetric complications and delivery. Though its benefits have been proven in several countries, little is known of this in Cameroon and specifically in the North West Region. Therefore, the intention of the study was to assess the awareness and practice of birth preparedness and complication readiness in this health district. Methods This was a facility-based cross sectional study carried out in the Bamenda health district of the North West Region, Cameroon. Three hundred forty-five pregnant women of ≥32 weeks gestational age seen at the antenatal consultation units were recruited. The dependent variable was birth preparedness and complication readiness while the independent variables were the socio-demographic and reproductive health characteristics. Data collected was analyzed with SPSS and Microsoft excel. Frequency distributions were used to determine the awareness and practice of birth preparedness and complication readiness. Results Of the 345 pregnant women included in this study, 159(46.1%) were aware of birth preparedness and complication readiness. The practice of birth preparedness and complication readiness was unsatisfactory as only 65(18.8%) were considered prepared. Conclusion Education and counselling on birth preparedness and complication readiness is not made available to the pregnant women resulting in poor knowledge. Thus, reflected in the low practice of preparation for birth and its complication observed.


Parasitologia ◽  
2021 ◽  
Vol 1 (3) ◽  
pp. 95-104
Author(s):  
Laurentine Sumo ◽  
Esther Nadine Otiobo Atibita ◽  
Eveline Mache ◽  
Tiburce Gangue ◽  
Hugues C. Nana-Djeunga

The control of soil-transmitted helminthiasis (STH) in Cameroon is focused on large-scale deworming through annual mass drug administration (MDA) of albendazole or mebendazole to at-risk groups, principally pre-school and school-age children. After a decade of intervention, prevalence and intensity of infection have been significantly lowered, encouraging the paradigm shift from control to elimination. However, STH eggs are extremely resistant to environmental stressors and may survive for years in soils. It therefore appeared important to assess whether the risk of transmission was still prevailing, especially in a context where transmission of soil-transmitted helminths in the human population had almost been interrupted. A retrospective and a prospective cross-sectional surveys were conducted in five Health Areas of the Mifi Health District (West Region, Cameroon) to: (i) assess the trends in infestation rates over three-years (2018–2020) using health facility registers, and (ii) investigate, in 2020, the contamination rates of the environment by dissemination stages of soil-transmitted helminths using the sucrose centrifugal flotation method. The overall soil-transmitted helminth infestation rate was 4.9% (95% CI: 4.3–5.6), significantly lower than the overall soil contamination rate (12.0%; 95% CI: 8.2–17.2). These results are supportive of the low endemicity level of STHs in the Mifi Health District, but environmental pollution by dissemination stages of the parasites outlines that the risk of transmission is still persistent. It therefore appears compulsory to account for the environment when considering policy/recommendations for transmission interruption and stopping MDA, as it is in the case with vector-borne diseases.


2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Paul Owono Etoundi ◽  
Junette Arlette Metogo Mbengono ◽  
Ferdinand Ndom Ntock ◽  
Joel Noutakdie Tochie ◽  
Dominique Christelle Anaba Ndom ◽  
...  

2021 ◽  
Vol 11 (8) ◽  
pp. 105
Author(s):  
Kranthi Swaroop Koonisetty ◽  
Ubydul Haque ◽  
Rajesh Nandy ◽  
Nasrin Aghamohammadi ◽  
Tamanna Urmi ◽  
...  

Dengue fever is one of the most important viral infections transmitted by Aedes mosquitoes and a major cause of morbidity and mortality globally. Accurate identification of cases and treatment of dengue patients at the early stages can reduce medical complications and dengue mortality rate. This survey aims to determine the knowledge, attitude, and practices (KAP) among physicians in dengue diagnosis and treatment. This study was conducted among physicians in Turkey as one nonendemic country and Bangladesh, India, and Malaysia as three dengue-endemic countries. The dosing frequencies, maximum doses, and contraindications in dengue fever were examined. The results found that physicians from Bangladesh, India, and Malaysia have higher KAP scores in dengue diagnosis and treatment compared to physicians in Turkey. This may be due to a lack of physician’s exposure to a dengue patient as Turkey is considered a nonendemic country. This assessment may help establish a guideline for intervention strategies among physicians to have successful treatment outcomes and reduce dengue mortality.


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