scholarly journals Knowledge, attitudes and practices on use of Fossa Alternas and double vault urine diverting dry (DVUDD) latrines in Malawi

2016 ◽  
Vol 6 (4) ◽  
pp. 555-568 ◽  
Author(s):  
Save Kumwenda ◽  
Chisomo Msefula ◽  
Wilfred Kadewa ◽  
Bagrey Ngwira ◽  
Tracy Morse ◽  
...  

Fossa Alternas and double vault urine diverting dry (DVUDD) latrines have been extensively promoted as ecological sanitation (EcoSan) latrine options in Malawi, but little is known about whether they are used properly. A qualitative study of EcoSan users was conducted in Blantyre and Chikwawa districts, Malawi. Data were collected using in-depth interviews (IDIs). Twenty-eight (28) and seventeen (17) IDIs were conducted with household heads that had Fossa Alternas and DVUDD latrines, respectively. Recorded data were transcribed verbatim and analysed thematically. Of the total 45 EcoSan users, 40 had moderate to high knowledge on EcoSan latrine use, four had low knowledge and only one had no knowledge of how EcoSan latrines operate. Blockages of urine diversion systems, intensive management and maintenance needed for the latrines were reported as some problems related to the negative attitudes about EcoSan use. Use of soil and ash, urine diverting, use of hot water and chemicals to kill maggots, urinating in the drop-hole of the DVUDDs and poor maintenance of the roof were some of the practices reported on use of these latrines. It is therefore recommended that government, through community workers, should be monitoring practices on EcoSan latrine use and provide necessary support to users.

2010 ◽  
Vol 2010 ◽  
pp. 1-9 ◽  
Author(s):  
Humphrey D. Mazigo ◽  
Emmanuel Obasy ◽  
Wilhellmus Mauka ◽  
Paulina Manyiri ◽  
Maria Zinga ◽  
...  

Background. We assessed community knowledge, attitudes, and practices on malaria as well as acceptability to indoor residual spraying. Material and Methods. A cross-sectional survey was done in a community in Geita district (northwest Tanzania). Household heads (n=366) were interviewed Results. Knowledge on malaria transmission, prevention, and treatment was reasonable; 56% of respondents associated the disease with mosquito bites, with a significant difference between education level and knowledge on transmission (P<.001). Knowledge of mosquito breeding areas was also associated with education (illiterate: 22%; literate: 59% (P<.001). Bed nets were used by 236 (64.5%), and usage was significantly associated with education level (P<.01). The level of bed net ownership was 77.3%. Most respondents (86.3%) agreed with indoor residual spraying of insecticides. Health facilities were the first option for malaria treatment by 47.3%. Artemether-lumefantrine was the most common antimalarial therapy used. Conclusions. Despite reasonable knowledge on malaria and its preventive measures, there is a need to improve availability of information through proper community channels. Special attention should be given to illiterate community members. High acceptance of indoor residual spraying and high level of bed net ownership should be taken as an advantage to improve malaria control.


Author(s):  
Stephen A. Spencer ◽  
Emmanuel H. Andriamasy ◽  
Cortland Linder ◽  
James M. StJ. Penney ◽  
Jemima Henstridge-Blows ◽  
...  

Schistosomiasis control requires multisectoral approaches including praziquantel treatment, access to safe water, sanitation and hygiene, and health education. Community input can help ensure health education programs are culturally appropriate to effectively direct protective behavior change. This study reports on the three-stage development of an education program for Malagasy children, with an impact evaluation on their knowledge, attitudes, and practices (KAP) related to intestinal schistosomiasis. A cross-sectional study took place in 2017 with follow-up in 2018 in the hard-to-reach Marolambo district, Madagascar. A novel schistosomiasis education program (SEP) was designed in collaboration with researchers, stakeholders, and local community and included cartoon books, games, songs, puzzles, and blackboard lessons, costing $10 USD per school. KAP questionnaires were completed by 286 children pre-SEP and 273 children post-SEP in 2017, and by 385 and 337 children pre-SEP and post-SEP, respectively, in 2018. Improvements were observed in responses to all questions between pre- and post-education answers in 2017 (53–77%, P < 0.0001) and 2018 (72–98%, P < 0.0001) and in the pre-education answers between years (53–72%, P < 0.0001). Praziquantel mass drug administration attendance improved, rising from 64% to 91% (P < 0.0001), alongside improved latrine use, from 89% to 96% (P = 0.005). This community-consulted and -engaged SEP resulted in substantial improvements in children’s understanding of schistosomiasis, with improvements in praziquantel uptake and latrine use. Socioculturally tailored education programs can help gain schistosomiasis control. Continued investment in SEP will help promote the future well-being of children through increased participation in control and treatment activities.


2021 ◽  
Vol 34 (3) ◽  
pp. 293
Author(s):  
Agnes Fitria Widiyanto ◽  
Arif Kurniawan ◽  
Elviera Gamelia

Waste is still a problem in Indonesia. The increase in population causes the volume of waste to continue to grow, in Karangmangu Village, Banyumas Regency. Data on the increase in the volume of waste in Banyumas Regency reached 21.4%. The volume of inorganic waste is greater than organic waste because Karangmangu Village is a tourism buffer area in Baturraden. This study aimed to describe the knowledge, attitudes, and practices of cadres in the management of inorganic waste. The method used was descriptive qualitative. The research subjects were obtained using a purposive technique by conducting interviews with cadres as the main research subjects, midwives, and supporting informants. Data were collected through in-depth interviews and documentation. The results showed that the cadres had understood the definition, types, management, and negative impacts of inorganic waste. Based on their attitudes, the cadres consider the case of handling inorganic waste to be not optimal. In practice, they have sorted inorganic waste, managed a waste bank, made bricks, and produced handicrafts. Strategies to overcome obstacles in waste management are optimizing the facilities and infrastructure for the procurement of waste banks, as well as training more people to make handicrafts and market handicraft products. This study concludes that the presence of village cadres is able to increase public awareness in waste management.


Author(s):  
Isabela T. Mkude ◽  
Sara Gabrielsson ◽  
Richard Kimwaga

Abstract Resource recovery and reuse (RRR) of fecal sludge (FS) from onsite sanitation systems describes the concept of turning human waste into valuable end products. However, studies on peoples' perceptions of FS-derived products are still limited. Guided by the knowledge, attitudes and practices framework, and data from a survey of 395 households, focus group discussions and key informant interviews, this article explores how residents in three unplanned settlements of Dar es Salaam, Tanzania view FS RRR (FS-RRR). Results indicate that residents' knowledge about FS-RRR is moderately low. Moreover, residents generally have negative attitudes toward using FS-derived products, except for those not directly consumed, such as biogas or FS-briquettes. Additionally, only a few residents have engaged in any FS-RRR practices. We conclude that to increase local acceptance of FS-RRR will require significant efforts by a multitude of actors, not least to dispel myths linked to human waste, but also to raise awareness and demonstrate the benefits and safety of FS-derived products. The Tanzanian government must take the lead in this process and should start by prioritizing the improvement of FSM to enable such a shift.


2021 ◽  
Vol 3 (4) ◽  
pp. 130-139
Author(s):  
Banfitebiyi Gambogou ◽  
Essodolom Taale ◽  
Kefia Richala Ouro ◽  
Essi Kokutse ◽  
Ekpessi Bouka ◽  
...  

Collective food toxiinfections (CFTI) are frequent accidents, formidable by their health and economic consequences. They usually result from the consumption of food contaminated with microorganisms or chemical toxins. The objective of our study is to evaluate the knowledge, attitudes and practices of food product handlers in Kloto 1 municipality in order to guarantee food safety. To do this, we carried out a survey using google form whose questions were based on knowledge of foodborne diseases, good hygiene practices, good manufacturing practices, cross-contamination, wearing jewelry during handling, waste management. As a result of the study, It shows that during the years 2018, 2019 and 2020, the frequencies of toxiinfections recorded at the PHC of Kpalimé are respectively 33.09%, 41.84%, and 25.06%. To acces risk factor about this hight case of food poissoning in this area, 197 food handlers (FH) were interviewed and of these, 54.4% were women, 51.3% are between 15 and 25 years old, 67.2% have secondary education, and 68.7% have not received training on food safety. In terms of the level of knowledge, attitudes and practices, 10.7% of FH have insufficient knowledge about food safety, 98.0% have negative attitudes and 100.0% have insufficient food safety practices. Also, it shown that there is a strong positive correlation between knowledge and attitudes (rs = 0,267; p= 0.000), between knowledge and practices (rs = 0.182; p = 0.011), between attitudes and practices (rs = 0.253; p = 0.000), and between knowledge about foodborne illness and practice (rs = 0.189; p = 0,008). In short, the majority of FH have insufficient knowledge, practice and negative attitudes to avoid cases of CFTI because of the lack of training in food safety.


2020 ◽  
pp. 232020682097225
Author(s):  
Rhythm Bains ◽  
Aseem P. Tikku ◽  
Vivek Kumar Bains ◽  
Promila Verma

Aim: To assess the knowledge, attitude, and practices of the patients regarding cross-infection in dental clinics in view of COVID-19, and its economic implications. Materials and Methods: The present study is a cross-sectional online survey done using Google Forms tool which was shared amongst 501 participants via e-mail and various social media platforms. It consisted of 42 structured questions regarding sociodemographics (seven questions), knowledge of COVID-19 (seven questions), practices regarding COVID-19 preventive methods (five questions), knowledge regarding cross-infection in dental clinics (nine questions), attitudes toward infection in dental clinics, and increased cost of treatment due to added disinfection protocols (14 questions). All the associations were tested using the chi-square test and with the P-value set at <.05. The significance level was taken as α = 0.05; therefore, a difference or association with P-value <.05 was considered statistically significant. The linear regression model was used to relate demographics with the knowledge attitude practices items, and Pearson’s correlation coefficient was used to evaluate the correlation between knowledge, attitudes, and practices. Results: A total of 478 responses were assessed. 92.2% of the respondents had high knowledge regarding COVID-19, and only 48.1% had a high knowledge score regarding infection control in dental clinics. The respondents exhibited high scores for practice related to COVID-19 (83.9%) and attitude toward infection control in dental clinics (91.9%). Using the Pearson’s correlation coefficient, knowledge attitude practices variables showed a significant correlation amongst each other ( P < .001). Only 60% responded that extra infection control protocols will increase the treatment charges, and approximately 30% responded that they will not pay or were not sure of paying the extra charges. The proportion of respondents who were agreeing about paying the increase cost were independent of age ( P = .226), gender ( P = .328), education ( P = .085), and profession ( P = .121). Conclusion: A significant percentage of patients today have a lot of knowledge of COVID-19. Also, they have higher expectations than before from their dental health care providers regarding infection control.


Open Medicine ◽  
2009 ◽  
Vol 4 (4) ◽  
pp. 409-414 ◽  
Author(s):  
Slavenka Jankovic ◽  
Janja Bojanic ◽  
Aleksandra Jovic-Vranes ◽  
Jelena Marinkovic ◽  
Janko Jankovic

AbstractExposure to blood borne pathogens poses a serious risk to healthcare workers (HCWs). This study was undertaken to investigate knowledge, attitudes and practices among HCWs towards blood borne pathogens. We carried out a cross sectional KAP (Knowledge, Attitudes and Practice) study, using self-administered questionnaire. The study population consisted of 127(23.6%) physicians, and 410 (76.4%) nurses and laboratory technicians. Factor analysis and conditional multiple logistic regression were used in statistical analysis. We found that the knowledge of the epidemiological characteristics of blood-borne infection, the risk of acquisition and available preventative measures among HCWs is insufficient. Doctors were more knowledgeable about the transmissibility of blood borne pathogens regarding sexual transmission after percutaneous exposure (odds ratio) OR=2.71; 95% (confidence interval) CI=1.51–4.84, OR=2.45; 95% CI=1.21–4.96), respectively. Nurses reported professional exposure to patient’s blood more often than doctors (OR=0.90; 95% CI=0.84–0.96). Negative attitudes towards HIV positive patients were also noted. Less than half of HCWs used appropriate barriers (gloves, mask, and glasses) to protect them regularly. The compulsory preventive measures implied by the results of this study are continuous education, immunization against Hepatitis B, implementing Standard Precautions, as well as the development of written guidelines on the prevention of blood-borne infections.


2021 ◽  
Vol 9 (1) ◽  
pp. 35-35
Author(s):  
Ata Mahmoodpoor ◽  
Sarvin Sanaie ◽  
Fatemeh Momen ◽  
Mohammad Ata Pourmoghaddam ◽  
Seied Hadi Saghaleini

Introduction: In recent years, there has been a growing concern about the lack of adequate nutrition Knowledge among nurses. Nutrition training in the medical curriculum and for healthcare professionals is contradictory, inadequate, and weak. Nurses are one of the most reliable sources of nutritional information for patients; and yet, little research has been done so far on nurses’ information regarding their important role in nutritional care. Our study is designed to assess the current level of Knowledge, attitudes, and practices of nurses in intensive care units (ICUs). Methods: A four-part questionnaire was used in this study. This descriptive cross-sectional study was conducted from July 2019 to July 2020. The sample size consisted of 110 nurses based on the statistical data obtained from the nursing offices of two hospitals of Tabriz University of medical science including all the nurses working in the ICUs. Thereafter, all questionnaires were re-collected and data were finally analyzed. Results: Results showed that from 110 nurses which were included in this study, 73.6% had high Knowledge, 45.5% had moderate practices, and 58.2% had a positive attitude about nutritional support. Age and level of education had a significant correlation with their knowledge (P=0.005 and P=0.001, respectively). Nursing attitude had a significant correlation with age and the level of education (P=0.03 and P=0.003). And also, nursing practice had a significant relationship with age, work experience in the ICU, and the level of education (P=0.001, P=0.001 and P=0.004, P<0.05). Conclusion: Nurses surveyed in this study had a high knowledge, moderate practice and a positive attitude regarding nutritional care in patients admitted to the ICU.


2013 ◽  
Vol 03 (02) ◽  
pp. 24-31
Author(s):  
Mapingure Charity ◽  
Mamimine Patrick Walter ◽  
Kabote Forbes ◽  
Mirimi Kumbirai ◽  
Nyarota Margaret

This research explored the feasibility of developing health tourism in Zimbabwe using knowledge levels, attitudes of stakeholders and current practises as barometers of the destination’s potential. Researchers conducted in-depth interviews with tourism experts, hoteliers and tour operators in Harare (capital city of Zimbabwe). The major findings of the study on knowledge, attitudes and practices were that knowledge level on health tourism was high among hoteliers and tourism experts, with tour operators exhibiting little knowledge. In terms of attitude, hoteliers were quite positive about the adoption of health tourism while tourism experts were pessimistic about health tourism’s potential to provide a return on investment. On current health tourism practises the study revealed that there were health packages offered by hotels to a limited extent and only as a requirement for their grading. Nevertheless, an overarching insight from the study was that development of health tourism was a possibility in Zimbabwe if marketed in tandem with existing `anchor’ attractions such as Victoria Falls and others of a similar international stature and appeal.


Sign in / Sign up

Export Citation Format

Share Document