scholarly journals Knowledge, Attitude, and Practices on Drug-Resistant Tuberculosis Infection Control in Nepal: A Cross-Sectional Study

2021 ◽  
Vol 2021 ◽  
pp. 1-8
Author(s):  
Sailesh Kumar Shrestha ◽  
Ratna Bahadur Bhattarai ◽  
Lok Raj Joshi ◽  
Nilaramba Adhikari ◽  
Suvesh Kumar Shrestha ◽  
...  

Drug-resistant tuberculosis (DR-TB) transmission is an important problem, particularly in low-income settings. This study is aimed at assessing the knowledge, attitude, and practices of DR-TB infection control among the healthcare workers under the National Tuberculosis Control Program in Nepal. In this cross-sectional study, we studied the healthcare workers from all the 11 functioning DR-TB treatment centers across Nepal in March 2018. Through face-to-face interviews, trained data collectors collected data on the characteristics of healthcare workers, their self-reported knowledge, attitude, and practice on DR-TB infection control. We entered the data in Microsoft Excel and analyzed in the R statistical software. We assigned a score of one to the correct response and zero to the incorrect or no response and calculated a composite score in each of the knowledge, attitude, and practice domains. We ascertained the healthcare workers as having good knowledge, appropriate attitude, and optimal practices when the composite score was ≥50%. We summarized the numerical variables with median (interquartile range (IQR)) and the categorical variables with proportions. We ran appropriate correlation tests to identify relationships between knowledge, attitude, and practice scores. We regarded a p value of <0.05 as significant. A total of 95 out of 102 healthcare workers responded. There were 46 male respondents. The median age was 33 years (IQR 26-42). Most of them (53, 55.79%) were midlevel paramedics. We found 91 (95.79%) respondents had good knowledge, 49 (51.58%) had an appropriate attitude, and 35 (36.84%) had optimal practices on DR-TB infection control. We found a statistically significant positive correlation between attitude and practice scores ( ρ = 0.37 , p ≤ 0.001 ). The healthcare workers at the DR-TB treatment centers in Nepal have good knowledge of DR-TB infection control, but it did not translate into an appropriate attitude or optimal practices.

2020 ◽  
Vol 15 (2) ◽  
Author(s):  
Hafiz J ◽  
Dzulkhairi MR ◽  
Shamsir MA ◽  
Abu N

Introduction: Islamic prayers involve certain physical movements and positions. These positions may be difficult to achieve in Muslim patients who suffer from any illness that limit their physical movements. Therefore, Islam introduced the concept of Rukhsah or exemptions. The objective of this study was to assess the knowledge, attitudes and practices of healthcare workers related to performing prayers during illness. Materials and Methods: A cross sectional study was conducted among 121 healthcare workers in Hospital Langkawi, between 22nd to 24th April 2014. Simple random sampling method was used to select the participants among healthcare workers in Hospital Langkawi to attend a workshop on Rukhsah Ibadah. The participants were given a set of questionnaire to answer and all the data were collected just before the talk began. Results: The majority of the participants 108 (89.3%) were female and more than half of them 74 (61.2%) were staff nurses. The mean age for the participants was 32.4 (SD: 9.42) years. About 73 (60.3%) of the participants have good knowledge, 62 (51.2%) have good attitude and 73 (60.3%) have good practice towards religious obligations and Rukhsah. Bivariate analysis shows no correlation between age and knowledge, attitude and practice score. There was also no correlation seen between knowledge, attitude and practice score. Conclusion: Almost half of the participants have good knowledge, attitude and practice on performing prayers during illness. By conducting proper training and coaching, it is hoped that their level of understanding towards Rukhsah can be improved.


2020 ◽  
Vol 10 (3) ◽  
pp. 98-102 ◽  
Author(s):  
Richa Nepal ◽  
Kalyan Sapkota ◽  
Pramod Paudel ◽  
Bhojraj Adhikari ◽  
Kalidas Adhikari ◽  
...  

Background: The cases of Coronavirus disease-2019 (COVID-19) has been gradually increasing in Nepal. The objective of this study was to evaluate knowledge, attitude and practice regarding COVID-19 among healthcare workers in Chitwan, one of the districts located in central Nepal. Methods: It was a descriptive, cross-sectional study, conducted among healthcare workers from differ­ent health institutions of Chitwan, over the span of two weeks from 1st April, 2020 till 14th April, 2020. Bivariate analyses of knowledge, attitude and practice scores were done with different variables using appropriate tests in SPSS IBM version 25. Results: Out of 353 responses, 166 (47%) were nurses, 102 (28.9%) were doctors, 41 (11.6%) were health assistants, 7 (2%) were community medical assistants, and the remaining 37 (10.5%) were cat­egorized as others. 290 (82.2%) healthcare workers obtained moderate to good knowledge scores, 295 (83.6%) obtained moderate to good practice scores, and 321 (90.9%) had positive attitude scores. Doctors had highest mean knowledge scores (23.70 ± 4.48, p value- 0.000) and health assistants had highest mean practice scores (15.10±3.61, p value- 0.007). Positive correlation was obtained between knowledge and practice scores (r= 0.476, p value- 0.000); and attitude and practice scores (r= 0.238, p value- 0.000). Only 20.4% healthcare workers were confident to handle the pandemic in their health­care setup. Conclusions: The majority of healthcare workers had moderate to good knowledge and practice scores and had a positive attitude toward COVID-19. There was a significant association between knowledge, attitude and practice scores obtained by healthcare workers from Nepal.


2020 ◽  
Author(s):  
Sailesh Kumar Shrestha ◽  
Ratna Bahadur Bhattarai ◽  
Lok Raj Joshi ◽  
Nilaramba Adhikari ◽  
Suvesh Kumar Shrestha ◽  
...  

Abstract BackgroundHealthcare centers are important sites for tuberculosis transmission, particularly in low-income settings where the burden of tuberculosis is high and infection control practices are often inadequate. This study aims to assess the knowledge, attitude, and practices of drug-resistant tuberculosis (DR TB) infection control among the healthcare workers under the National Tuberculosis Program in Nepal.MethodsIn this cross-sectional study, we studied the healthcare workers from all the 11 functioning drug-resistant tuberculosis treatment centers across Nepal in March 2018. Trained data collectors conducted face-to-face interviews with a pre-tested questionnaire to collect data on the basic characteristics of healthcare workers, their self-reported knowledge, attitude, and practice on tuberculosis infection control. We entered the data in Microsoft Excel and analyzed in R statistical software. We assigned a score of one to the correct response and zero to the incorrect or no response and calculated a composite score in each of the knowledge, attitude, and practice domains. We ascertained the healthcare workers as having good knowledge, appropriate attitude, and optimal practices when the composite score was at least 50%. We summarized the numerical variables with median and interquartile range (IQR) and the categorical variables with proportions. We ran appropriate correlation tests to identify relationships between knowledge, attitude, and practice scores. We regarded a p-value of < 0.05 as significant.ResultsA total of 95 out of 102 healthcare workers from 11 drug-resistant tuberculosis treatment centers participated in the study. There were 46 male and 49 female respondents. The median age was 33 years (IQR 26-42). Most of them (53, 56%) were mid-level paramedics. The median work experience in drug-resistant tuberculosis was 2 years (IQR 1-5). We found 91 (96%) respondents had a good knowledge of tuberculosis infection control, 49 (52%) respondents had an appropriate attitude and 35 (37%) respondents had optimal practices. We found a statistically significant positive correlation between attitude and practice scores (ρ = 0.37, p = < 0.001).ConclusionThe healthcare workers at the DR TB treatment facilities in Nepal have high knowledge of TB infection control but it did not translate into the appropriate attitude or optimal practices.


Author(s):  
Monika M. Khubchandani ◽  
Nilima Thosar ◽  
Priyanka Paul ◽  
Suwarna Dangore ◽  
Swapnil Mohod

Aims: The present study was undertaken to assess the knowledge, attitude and practice behaviors of parents towards care of the primary dentition of children in Wardha city, India. Study Design: Cross sectional study. Place and Duration of the Study: Department of Pedodontics & Preventive Dentistry, Sharad Pawar Dental College & Hospital, Duration- One year Methodology: A questionnaire based cross sectional study was conducted among parents of 3-7 year old children who visited the Department of Pedodontics & Preventive dentistry. The self-administered, close-ended questionnaire was adopted from oral health literature [Rwakatema et al 2009] and was modified based on researcher’s knowledge and experience of the issues under study. The first part of the questionnaire included the demographic details while the second part comprised of 25 items to test knowledge, attitude and practices of parents. Data was collected by a single investigator who distributed the questionnaire, allowed enough time to fill it and collected on the spot after they had completed. Results: Majority of parents (69%) had good knowledge about importance of milk teeth. 87% of parents were aware that oral health affects the overall general health of child. However, Bedtime bottle-feeding and sharing of spoons with the child was reported by 54% and 77% of the study participants respectively. Conclusions: The majority (57.9%) of the study population had good knowledge pertaining to oral health. However, their practices towards the oral health of children were not satisfactory. Therefore, there is a need to improve oral health care practices by conducting awareness programs for parents.


Author(s):  
Olubunmi Ayinde ◽  
Aishat Bukola Usman ◽  
Posi Aduroja ◽  
Abass Gbolahan

Abstract Background Health workers are at the front line of the COVID-19 outbreak response and as such are exposed to hazards that put them at risk of infection. Poor knowledge among HCWs and inadequate infection control practices may lead to the increased risk of COVID-19 nosocomial transmission. This study assessed the knowledge, attitude and practice of Oyo state health care workers on COVID-19 as part of emergency preparedness. Methods A hospital based cross-sectional survey was conducted in selected health facilities in Oyo State, Nigeria. A total of 350 HCWs were assessed for the knowledge, attitudes and practices on COVID-19 using a semi-structured questionnaire. Multivariate analysis was conducted to identify predictors of good knowledge at 95% confidence interval. with Epi-info software. Results The level of good knowledge on COVID-19 was 78.6% and positive attitude was 64% among the respondents. Majority of respondents practice safe measures in the prevention of COVID-19 including washing of hands (95.3%), routine cleaning (82.7%) and high-level disinfection (83.9%). However, use of personal protective equipment (PPE) was low (56.8%). Predictors of good knowledge on COVID-19 were being a female HCW [Adjusted Odd’s Ratio(AOR) = 6.5 95% CI 1.0-17.2], ≥ 10 years length in service[AOR = 5.2 95%CI 2.7–18.9] and being a secondary or tertiary facility[ AOR = 3.6 95%CI 1.7–32.2]. Conclusions Overall knowledge and attitude were satisfactory however the practices of HCWs on the use of personal protective equipment was not satisfactory. Effective infection control measures including regular skill-based training and/or orientation for all categories of HCWs can improve infection control practices in health facilities.


2021 ◽  
Vol 17 (3) ◽  
pp. 168-174
Author(s):  
Sahar Abdul Hassan Al-Shatari ◽  
Tayser Salah Ghafouri

  Background: Infections are common in the children attending daycare centers how act as predisposes to it. Hygienic interventions have a fundamental role in infection control and disease prevention in child care settings. Objective: - To evaluate the knowledge, attitude, and practice of nurseries workers in infection prevention and control among the children. Subjects and Methods: A cross-sectional study using the researcher-developed questionnaire validated by two experts and piloted and 100 nurseries-workers had participated in it. Result: the mean age of participants was 37.5 years±12.1, (37%) aged 18-30 yrs, 58% married, and 57% with higher education, 54% of nurseries the participant take care of 11-20 children. 67 (67%) had correct knowledge about infection control, (91%) had the corrected practice, but unfortunately, 47 (47%) had low-attitude. Education level has significantly associated with the knowledge, attitude, and practice of the child care workers. Conclusion: the majority of the nurseries workers had good knowledge and correct practice and less about their attitude in infection prevention.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Leila Shahbaznejad ◽  
Mohammad Reza Navaeifar ◽  
Faeze Sadat Movahedi ◽  
Fatemeh Hosseinzadeh ◽  
Seyed Alireza Fahimzad ◽  
...  

Abstract Background It has been determined that the coronavirus disease 2019 (COVID-19) pandemic needs social distancing and proper measures to prevent its spreading. This study aimed to determine COVID-19 knowledge, attitude, and practice among Sari Birth Cohort (SBC) members. Methods In this cross-sectional study linked to the SBC in north of Iran, mothers living in Sari and its suburbs from March 28 to April 8, 2020 were evaluated. The measurement tool was an online researcher-made, self-reported knowledge, attitude, and practice questionnaire related to COVID-19. Results In total, 1449 mothers with a mean age of 31.51 ± 5.73 years participated. Of them, 82.4% had good knowledge (98.6% in healthcare workers and 79.2% in housewives, p = 0.000). Most of them were worried about spread of the disease in the country (97.4%) and agreed that COVID-19 will finally be successfully controlled around the world (72.2%). Sleep disturbance was reported in 42.7% of mothers. Eighty-eight percent of cases wore masks and gloves when leaving home, 99.4% washed their hands frequently while 12.9% went to any crowded places. People with better knowledge followed safer practices (p = 0.000) and were more worried about the spread of the disease in the country and infection (among themselves and their first-degree relatives) (p = 0.000). Conclusions Most of the SBC members had a good level of knowledge about COVID-19 but were worried about a long-term pandemic period. They also had good practices regarding the prevention of the disease.


Author(s):  
Rufia Shaistha Khanum ◽  
Amoghashree . ◽  
D. Sunil Kumar ◽  
Satendra Kumar Verma ◽  
Chandan N. ◽  
...  

Background: COVID-19 is a highly infectious disease which was first identified in Wuhan, China and was subsequently declared as pandemic by WHO. As it is rapidly spreading and taken lives of millions, various countries have adopted unprecedented measures and treatment modalities. Since India has historical roots of Ayurveda, Ayurvedic system of medicine was consider to boost the immunity and also to prevent the infection. Hence the knowledge, attitude and practice of an Ayurvedic practitioner plays a major role in health system, which further helps to know the preparedness among them. With this context this study was conducted to assess knowledge, attitude and practice among them towards COVID-19.Methods: Online cross sectional study was done among Ayurvedic practitioners of Karnataka. Google form was sent through social media to collect data and analysed using SPSS 25.Results: The mean age among the participants was 30.5±9.1 years. Majority were females (54.3%), and 59.1% are currently practicing Ayurveda. Mean knowledge score was 10.5±1.9, thus 86.6% of the participants had good knowledge. 70.1% agreed for the fact that Ayurveda should be considered as a mainstream medicine whereas 88.2% were in opinion that Ayurveda should be considered as complementary therapy along with conventional treatment. Statistical association was seen between education and knowledge.Conclusions: Good knowledge towards COVID-19 was seen among 86.6% and majority of them want Ayurveda to be considered as complementary medicine but before that evidence based treatment protocol needs to be developed to support claims regarding treatment/prevention of COVID-19.


2019 ◽  
Vol 6 (Supplement_2) ◽  
pp. S493-S493
Author(s):  
Sailesh Kumar. Shrestha ◽  
Ratna Bhattarai ◽  
Lok Raj Joshi ◽  
Suvesh Kumar Shrestha ◽  
Rajendra Basnet ◽  
...  

Abstract Background Healthcare centers are important sites for tuberculosis transmission, particularly in low-income settings where the burden of tuberculosis is high and infection control practices are often inadequate. This study aims to assess the knowledge, attitude, and practices of drug-resistant tuberculosis infection control among the healthcare workers under the National Tuberculosis Control Program in Nepal. Methods In this descriptive cross-sectional survey, we studied the healthcare workers from all the functioning drug-resistant tuberculosis treatment centers across Nepal between March 1, 2018 and March 15, 2018. Nepal Health Research Council provided ethical clearance. Trained enumerators obtained informed consent and conducted face-to-face interviews with a pretested questionnaire to collect data on the basic characteristics of healthcare workers, their self-reported knowledge, attitude, and practice on tuberculosis infection control. We assigned a score of one to the correct response and zero to the incorrect or no response and calculated a composite score in each of the knowledge, attitude, and practice domains. We ascertained the healthcare workers as having good knowledge, appropriate attitude, and optimal practices when the composite score was at least 50%. We summarized the numerical variables with median and interquartile range (IQR) and the categorical variables with proportions. Results A total of 95 out of 102 healthcare workers from 11 drug-resistant tuberculosis treatment centers participated in the study. There were 46 male and 49 female respondents. The median age was 33 years (IQR 26–42). The majority of them (53, 56%) were mid-level paramedics. The median work experience in drug-resistant tuberculosis was 2 years (IQR 1–5). We found 91 (96%) respondents had a good knowledge of tuberculosis infection control with the median knowledge score of 14 (IQR 12–14), 49 (52%) respondents had an appropriate attitude with the median attitude score of 5 (IQR 4–6) and 35 (37%) respondents had optimal practices with the median practice score of 5 (IQR 4–7). Conclusion Healthcare workers at the drug-resistant tuberculosis treatment centers in Nepal had good knowledge of tuberculosis infection control but it did not translate into an appropriate attitude or optimal practices. Disclosures All authors: No reported disclosures.


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