Objective:To assess the socioeconomic characteristics influencing knowledge,attitudes,and practices in preventing toxocariasis among the adult Khmer population in Tra Vinh Province,Vietnam.Methods:This cross-sectional...Objective:To assess the socioeconomic characteristics influencing knowledge,attitudes,and practices in preventing toxocariasis among the adult Khmer population in Tra Vinh Province,Vietnam.Methods:This cross-sectional study was conducted across 30 communities in eight districts and cities of Tra Vinh Province using a 30-cluster random sampling method during 2023.Results:The study encompassed 760 participants(median age:52 years;interquartile range:39-63 years),female 65.9%.There existed moderate levels of knowledge,attitudes,and preventive practices among participants,with variations across sociodemographic groups.Education(OR 0.53;95%CI 0.36-0.53;P=0.002),and average family income(OR 0.40;95%CI 0.24-0.68;P=0.001)were inversely associated with poor knowledge.Participants aged≥60 years had higher odds of negative attitudes(OR 5.26;95%CI 2.31-11.96;P<0.001)towards toxocariasis prevention.Not owning pets(OR 1.53;95%CI 1.13-2.08;P=0.006)and age≥60 years(OR 5.33;95%CI 2.61-10.86;P<0.001)were associated with significantly higher odds of poor preventive practices.Conversely,higher education(OR 0.11;95%CI 0.06-0.20;P<0.001)and higher income(OR 0.14;95%CI 0.06-0.33;P<0.001)were protective factors,significantly reducing the risk of poor preventive practices.Conclusions:Knowledge,attitudes,and practice levels regarding toxocariasis prevention among Khmer adults in Tra Vinh were moderate and associated with age,education and income.Targeted health education efforts,especially in rural and low-income groups,are essential to improve preventive behaviors and reduce infection risks.展开更多
Schistosomiasis is a neglected tropical disease (NTD) widespread in sub-Saharan Africa and mostly affects school going children. Côte d’Ivoire is one of the most vulnerable countries to schistosomiasis, and its ...Schistosomiasis is a neglected tropical disease (NTD) widespread in sub-Saharan Africa and mostly affects school going children. Côte d’Ivoire is one of the most vulnerable countries to schistosomiasis, and its prevalence varies by region. This cross-sectional survey was conducted in schools in the Upper Sassandra region to determine the knowledge, attitude, and practices of school children regarding schistosomiasis. In total, 354 students participated in the survey. Our results showed that, compared to the girls, the boys had a higher level of knowledge about schistosomiasis OR = 1.605 and p = 0.05. Regarding the signs, symptoms, and modes of transmission and prevention of schistosomiasis, the participants reported a low level of knowledge p > 0.05 and OR 1. In conclusion, it is important to target health messages in schools to reach the most vulnerable students effectively. This initiative aims to provide children with basic knowledge and skills in the transmission of schistosomiasis.展开更多
<strong>Introduction</strong><span><span><span style="font-family:;" "=""><span style="font-family:Verdana;">: Appropriate feeding and consequentl...<strong>Introduction</strong><span><span><span style="font-family:;" "=""><span style="font-family:Verdana;">: Appropriate feeding and consequently good nutritional status </span><span><span style="font-family:Verdana;">of young children largely depends on their caregivers. </span><b><span style="font-family:Verdana;">Aim</span></b><span style="font-family:Verdana;">: The current</span></span><span style="font-family:Verdana;"> study aimed at assessing maternal/caregivers’ current knowledge, attitudes, practices, and beliefs regarding different aspects of infant and young child feeding in Eastern and Central Uganda. </span><b><span style="font-family:Verdana;">Methodology</span></b><span style="font-family:Verdana;">: A cross-sectional survey design with mixed methods employing both qualitative and quantitative methods was used for data collection. </span><b><span style="font-family:Verdana;">Results</span></b><span style="font-family:Verdana;">: The study participants included 556 caregivers and 572 children. Results indicate that most caregivers (77%) were knowledgeable about key infant and young child feeding practices such as breastfeeding, complementary feeding and meal frequency. However, culture </span><span><span style="font-family:Verdana;">and economic hardships were</span><span style="color:red;"> </span><span style="font-family:Verdana;">a major barrier to the applicability of this</span></span><span style="font-family:Verdana;"> knowledge. Nearly all (98%) children were ever breastfed with 41% having been initiated on breast milk in the first hour after birth and 68% of all the children below 6 months exclusively breastfed. Three percent of the children aged 6 - 23 months were classified as having either Moderate (2%) or Severe (1%) Acute malnutrition. The median birth weight was 3.2</span></span></span></span><span><span><span style="font-family:;" "=""> </span></span></span><span><span><span style="font-family:;" "=""><span style="font-family:Verdana;">Kgs with nine percent of the children classified as underweight at birth. The majority (78%) of the children consumed foods from at least four food groups however only </span><span style="font-family:Verdana;">44% consumed heme-rich animal flesh food such as meat, poultry, organ</span><span style="font-family:Verdana;"> meats and fish, 29% consumed milk and milk products while only 11% consumed eggs. The barriers to improved nutritional status and health-seeking</span><span style="color:red;"> </span><span style="font-family:Verdana;">behaviour in children from both regions were largely similar. Some of these included cultural practices which prohibit children from eating certain foods and lack of drugs in the health facilities. Lack of male involvement was a key barrier to health-seeking behaviour and the nutritional well-being of children. Males were, however, more knowledgeable about the key childcare practices that are critical to positive outcomes because they listen to radios, have access to social media and usually congregate at bars where this information is disseminated and exchanged. </span><b><span style="font-family:Verdana;">Conclusion:</span></b><span style="font-family:Verdana;"> There should be continuous sensitization of mothers on the benefits of breastfeeding with special focus on early initiation and exclusive breastfeeding as well as child feeding practices during ill</span><span style="font-family:Verdana;">ness. To increase protein intake in children 6 - 23 months, interventions </span><span style="font-family:Verdana;">aimed at increasing consumption of these vital nutrients such as promotion of nutrition-sensitive agricultural enterprises like rearing of small livestock and chickens should be emphasized. Consumption of these foods is critical, especially during pregnancy and infancy. Finally, male involvement in maternal and child feeding should be encouraged.</span></span></span></span>展开更多
Background: This study assessed the effect of a nutrition education intervention. This intervention aimed to improve the knowledge, attitudes, and practices of mothers on food safety in the peri-urban areas of Bobo-Di...Background: This study assessed the effect of a nutrition education intervention. This intervention aimed to improve the knowledge, attitudes, and practices of mothers on food safety in the peri-urban areas of Bobo-Dioulasso in Burkina Faso. Methods: A total of 243 mothers of children under 5 years in the peri-urban of Bobo-Dioulasso were administered the FAO questionnaire for food safety knowledge, attitudes, and practices assessment during two cross-sectional surveys, before and after the intervention, in January and October 2017. The intervention included two components consisting of a theoretical phase (counselling and discussion) and cooking demonstrations implemented for ten months. To account for the before-and-after design of the study, the McNemar’s test was used to assess the effect of the intervention on food safety KAP of mothers of children under 5 years. Results: The mean age of mothers was 29 ± 6.2 years and 50.6% of them were between 20 and 29 years old. One for knowledge (cooking thoroughly with, p-value = 0.0001) and another for attitudes (perceived benefits of reheating leftovers before eating them, p-value = 0.0001), significantly increased after the intervention. In terms of food safety practices, all the indicators (cleaning of dirty surfaces, plates and utensils and storage of perishable foods) significantly increased (all p = 0.0001 Conclusion: This study provided some evidence of an effective nutrition education intervention for improving maternal KAP on food safety for their child’s feeding.展开更多
Several interventions have been suggested for averting and reducing wildlife declines including;securing dispersal areas and migratory corridors, strengthening and investing in local communities and landowners to crea...Several interventions have been suggested for averting and reducing wildlife declines including;securing dispersal areas and migratory corridors, strengthening and investing in local communities and landowners to create and develop community and private wildlife conservancies, and diversification of rural livelihoods through benefits from ecosystem services. Greater Kudu endemic to the Lake Bogoria landscape in Kenya is categorized as vulnerable to extinction due to unsustainable exploitation and management of resources although the continued economic importance of the Greater Kudu in the Lake Bogoria landscape is its best defense. A cross-sectional survey was conducted to analyze the status of knowledge, attitudes and practices (KAP) of locals towards the conservation of the Greater Kudu in the landscape. The survey was conducted using a semi-structured pre-tested questionnaire administered to target populations (N = 137 households). Face-to-face interviews of key informants (KI) and focus group discussions (FGDs) were also carried out. It was found that 84% of KAP respondents agreed that the landscape is rich with biodiversity while 77% of them agreed that conservation of the ecosystem is important for rural livelihoods. Further, 73% of KAP respondents agreed that the extinction of Greater Kudu in the Lake Bogoria landscape may lead to poverty. It is recommended that all-inclusive adaptive management and conservation strategies should embrace continuous monitoring, and understanding dispersal of Greater Kudu to ensure its survival, in the landscape for improved livelihoods.展开更多
Patient education is defined as the process of influencing a patient’s behavior and helping them make the necessary changes to their knowledge, attitudes, and skills to maintain or improve their health. It is a cruci...Patient education is defined as the process of influencing a patient’s behavior and helping them make the necessary changes to their knowledge, attitudes, and skills to maintain or improve their health. It is a crucial part of patient care, and the EHS ambulatory care healthcare system is giving patient education more importance. Many experts claim that nurses still have difficulties providing patient education because of a range of factors, which include a lack of expertise and numerous other obstacles. Moreover, there isn’t any published research that studies nurses’ attitudes, knowledge, and patient-teaching practices in primary healthcare in the United Arab Emirates. The research project aims to investigate the knowledge, attitude, and practice of patient teaching among nurses in primary health care centers to better understand how nurse knowledge and attitudes may affect nurse-performed patient education. The target population is nurses working in primary healthcare centers in Sharjah, Ajman, Dubai, Ras Al-Khaimah, Fujairah, and Umm Al Quwain. However, the sample size is 300 using a random cluster sampling technique. The participants were encouraged to take part in the study (KAPPTNQ) through an online survey. The study concludes that the majority of nurses are knowledgeable about patient education;a large proportion of the nurses have a positive attitude toward patient education;and the majority of the nurses have a positive practice of patient education. However, the major challenges nurses encounter with patients’ health teaching include language barriers, inadequate communication, ineffective time management, and cultural impacts on patient health education. .展开更多
Introduction: Breast and cervical cancer are real public health problems in Cameroon. Primary and secondary preventive measures remain the main means of the fight against cancer. This study aimed at evaluating women’...Introduction: Breast and cervical cancer are real public health problems in Cameroon. Primary and secondary preventive measures remain the main means of the fight against cancer. This study aimed at evaluating women’s knowledge, attitudes and practices regarding preventive measures against breast and cervical cancer. A cross-sectional study was conducted in the Mbankomo Health District in Cameroon for 5 months (From March to August 2023). Data was collected using a questionnaire administered during an interview with consenting women. Statistical analysis was performed using SPSS Version 26 software. Differences were considered statistically significant for values of p Results: A total of 325 women participated in this study. More than half of the participants were aged between 21 and 30 (60.9%), singles (52.9%) and had at least one child (53. 2%). The level of knowledge was poor in 46.76% of participants. Attitudes were approximative for 34.15% of them and related to their perception of not being at risk of cancer. Only 13.23% of women had adequate practices, with 4.2% vaccinated against the human papillomavirus and 17.8% having undergone breast cancer screening. There was a significant association between a low level of education and a poor level of knowledge [OR: 4.72;95% CI: 2.82 - 7.89;P-value Conclusion: knowledge was correlated with attitudes and practices. It would be advisable to raise awareness of breast and cervical cancer prevention, targeting all women and youths, particularly in the current context where cancers are increasingly occurring in young people.展开更多
Introduction: Obesity is an increasingly common problem, and general practitioners need to be involved in its management. This study aims to assess the knowledge, attitudes and practices of general practitioners in Ou...Introduction: Obesity is an increasingly common problem, and general practitioners need to be involved in its management. This study aims to assess the knowledge, attitudes and practices of general practitioners in Ouagadougou, Burkina Faso. Methodology: The cross-sectional survey was carried out between September 16 and October 15, 2024, involving general practitioners registered with the Medical Council. A structured questionnaire, previously tested, was sent by email and re-sent to maximize participation. Data analysis was performed using SPSS software. Results: Of 424 physicians contacted, 121 participated. The vast majority (97.5%) of doctors recognized the influence of obesity on women’s sexual and reproductive health, with 89.3% identifying potential disorders. However, only 28.1% actively sought to detect these disorders in their patients. Surprisingly, 96.6% of doctors referred their patients to specialists for sexual problems, mainly gynecologists. What’s more, only 30.6% broach the subject of contraception. Reasons for this reluctance include the taboo nature of the subject and the lack of comfort in discussing it. Conclusion: The study reveals a good knowledge of the impact of obesity on sexual health, but there is a reluctance on the part of GPs to broach these subjects in consultation. Targeted training is essential to improve communication between doctors and obese patients.展开更多
Objective: The purpose of this study is to understand the current situation of knowledge, attitude, and practice of self-management in young patients with type 2 diabetes mellitus (T2DM) and to explore the relationshi...Objective: The purpose of this study is to understand the current situation of knowledge, attitude, and practice of self-management in young patients with type 2 diabetes mellitus (T2DM) and to explore the relationship between general conditions (personal, social, and environment, clinical factors) and their knowledge, attitude, and practices (KAP) of diabetes self-management, This aims to provide patients with high-quality nursing care management and services, as well as to provide relevant recommendations for effective self-management. Methods: This study is a descriptive correlational study that used the purposive sampling method to investigate 359 patients with T2DM aged 18-25 years in four designated tertiary hospitals in Shandong Province. Results: Knowledge of self-management was correlated with sex, age, education level, occupation and work situation, monthly household income, medical payment method, family and friend support, frequency of diabetes health education, and diabetes complications. The attitude subscale was correlated with sex, age, education level, work situation, and family and friend support. The practice subscale was associated with age, education level, work situation, family and friend support, frequency of diabetes health education, and HbA1c values. Conclusion: Young adults aged 18-25 with T2DM have positive attitudes towards diabetes self-management, but there are still deficiencies in knowledge acquisition and behavioral practice. The KAP of self-management of diabetes is influenced by personal factors such as sex, age, and education level, and socio-environmental factors such as family income and family or friends’ social support. Additionally, clinical factors such as complications and HbA1c values significantly impacted the patient’s disease self-management ability.展开更多
Objective:To explore the impact of a continuous precision nursing model on patients’Knowledge,Attitudes,and Practices(KAP)and cardiac function during the nursing process of patients undergoing percutaneous coronary a...Objective:To explore the impact of a continuous precision nursing model on patients’Knowledge,Attitudes,and Practices(KAP)and cardiac function during the nursing process of patients undergoing percutaneous coronary angiography and stent implantation.Methods:Ninety patients who underwent percutaneous coronary angiography and stent implantation in our hospital from April 2022 to April 2023 were selected and randomly divided into the control group(45 cases),in which routine nursing support was carried out during the treatment process,and the observation group(45 cases),in which continuous precision nursing model was carried out during the treatment process.Comparisons were made between the two groups of patients on their KAP,cardiac function,and quality of life during recovery.Results:There was no difference in the left ventricular ejection fraction(LVEF),cardiac output(CO),and cardiac index(CI)levels before intervention.After the intervention,the levels of cardiac function in the observation group were higher than those of the control group(P<0.05).There was no difference in the Exercise of Self-Care Agency(ESCA)self-care ability scale scores before the intervention.After the intervention,the observation group had higher ESCA scores than the control group(P<0.05).Conclusion:Implementation of a continuous precision nursing model in the care of patients undergoing percutaneous coronary angiography and stent implantation improved the patient’s cardiac function,and KAP,and promoted recovery.展开更多
To assess the knowledge, attitudes, and practices(KAP) on Zika virus infection among pregnant women in Brunei Darussalam by a cross-sectional survey. Methods: Between February and June 2017, we recruited 234 pregnant ...To assess the knowledge, attitudes, and practices(KAP) on Zika virus infection among pregnant women in Brunei Darussalam by a cross-sectional survey. Methods: Between February and June 2017, we recruited 234 pregnant women from all government healthcare centres at Brunei-Muara district, using a modified systematic sampling approach. A pre-tested and self-administered questionnaire was used and data analysis was conducted using descriptive statistics and multiple logistic regression analyses. Results: The study participants were mainly Malay(87.2%) and their mean age was 28.0 years. The median knowledge score was 13, out of a possible score of 28. Most participants(92.7%) knew that Zika virus was transmitted by mosquito bites whereas some(34.6%) knew that sexual transmission was also possible. Media(radio, television or newspapers) was the preferred source of updated information on Zika virus, followed by healthcare workers(44.0%), government announcements(43.2%), and social media(38.0%). Pregnant women who were 25 years old or older [Adj. OR=3.62(95% CI: 1.57, 9.51)], not Malays [Adj. OR=3.32(95% CI: 1.35, 8.55)], and had an average monthly household income of more than BND $3 000 [Adj. OR=4.06(95% CI: 1.81, 19.44)] were more likely to score higher for knowledge on Zika virus. The median prevention practice score was 23, out of a possible score of 36. Most participants reported wearing covering clothes(98.3%) and kept their living surroundings clean(99.6%). Most participants(88.0%) agreed that Zika is an important issue in their community. Conclusion: We found a lack of knowledge on Zika virus infection among pregnant women attending government maternal and child healthcare centres in Brunei Darussalam, in particular that Zika virus can be sexually transmitted. Such information could be well disseminated at the healthcare centre level. Health literacy studies should be conducted to understand the facilitators and barriers of KAP on Zika virus infection among pregnant women.展开更多
Objective:To measure highly pathogenic avian influenza(HPAI)-related knowledge,attitudes, and practices(KAPs) among Cambodian women.Methods:This cross-sectional study selected 246 married women aged between 18-55 year...Objective:To measure highly pathogenic avian influenza(HPAI)-related knowledge,attitudes, and practices(KAPs) among Cambodian women.Methods:This cross-sectional study selected 246 married women aged between 18-55 years who had backyard poultry and lived at least one year in the areas of the survey through multi-stage cluster sampling.An average score of correct answers was generated to evaluate respondents’ knowledge(Good/Poor).attitudes(Positive/ Negative),and practices(Good/Bad).Results:We reported that about half of the respondents had good knowledge and good practices and four-fifth of them had positive attitudes towards HPAl.Odds ratios(ORs) and 95%confidence intervals(CIs) were estimated through a logistic regression model to explore contributing factors that raise their KAP levels.Most of the sources were significant in increasing knowledge of the respondent,like television(OR=l.6.95%CI=1.0- 2.7),radio(OR=2.5.95%CI=l.3-4.9).leaflets/booklets(OR=2.1,95%CI=1.2-3.9),school students (OR=18.4.95%CI=2.4-142.9).village health volunteers(OR=4.5.95%CI=2.2-10.9) etc.Factors such as television(OR=3.7.95%CI=2.1-6.4).leaflets/booklets(OR=2.6,95%CI7=1.4-5.1).and public health staff(OR=2.2,95%CI=1.2-4.1) had similar influence on practices.Although,we found similar effect on raising the attitudes of the responded,it was not significant.Conclusions: We report a satisfactory level of positive attitudes,and moderate level of knowledge and practices related to HPAI among Cambodian women.Raising KAPs through television,radio and other medias may be more efficient than using usual information,education and communication materials to prevent HPAI.展开更多
The development of antimicrobial resistance (AMR) due to over or misuse of antibiotics/antimicrobials is a globally increasing public health concern. This study was conducted to assess the current knowledge, attitudes...The development of antimicrobial resistance (AMR) due to over or misuse of antibiotics/antimicrobials is a globally increasing public health concern. This study was conducted to assess the current knowledge, attitudes, and practices (KAP) of swine and poultry producers on antimicrobial use (AMU) and antimicrobial resistance (AMR). A total of 254 swine and poultry producers of 5 provinces in Cambodia were purposively surveyed using validated KAP questionnaires, a useful tool for promoting the rational use of antimicrobials in livestock. Collectively, this study found out that livestock producers in Cambodia have a low level of knowledge, neutral rather than positive attitudes, and employed poor practices on the AMU and AMR. Thus, there is a need to promote among producers the rational and responsible use of antimicrobials. Furthermore, public awareness of the AMR implications on public health can contribute to the prevention or reduction of AMU and AMR in Cambodia.展开更多
Most scientific discoveries and advancements have occurred in the world in the last century. Both developed and developing countries are the beneficiaries of the new scientific knowledge and its application. Advanced ...Most scientific discoveries and advancements have occurred in the world in the last century. Both developed and developing countries are the beneficiaries of the new scientific knowledge and its application. Advanced knowledge and the ethical issues are inseparable from research, treatment, prophylaxis and prevention involving human diseases. It is necessary to make well informed decisions about acceptance of advancements that have taken place elsewhere and also prepare systems for our research and medical education. Bioethics therefore needs to be grounded in the local socio cultural context and health care systems. Students make first contact with human biological tissue in the Anatomy department. The seeds of ethical practices and professionalism are sown here. Therefore appropriate knowledge and attitudes of anatomists and cell biologists towards human tissue is important for regular practice of medicine. A questionnaire based study of knowledge and attitudes of 300 anatomy faculty related to use of human biological materials in research and education was conducted. The items included in the questionnaire were to judge the awareness about the same i.e., laboratory handling of human material and research related to corpses, organ & whole body donation along with their use in clinical learning and research in various medical specialties like, orthopedics, surgery, ENT, anesthesia etc. for clinicians, physicians and surgeons as well as undergraduate, post graduate and allied workforce teaching. The data collected from the respondents in the form of positive and negative responses was analyzed. The study identifies the knowledge gaps and the perceptions of faculty regarding the scope and utility of understanding the role of human biological tissues in curriculum and research and transmission of message to the next generation of learners.展开更多
Objective:To determine the global level of knowledge,attitudes,and practices towards dengue fever among the general population.Methods:To complete this systematic review and meta-analysis,a thorough search for pertine...Objective:To determine the global level of knowledge,attitudes,and practices towards dengue fever among the general population.Methods:To complete this systematic review and meta-analysis,a thorough search for pertinent English-language literature was undertaken during the study's extension until October 2023.The search used Google Scholar,Scopus,PubMed/MEDLINE,Science Direct,Web of Science,EMBASE,Springer,and ProQuest.A quality assessment checklist developed using a modified Newcastle-Ottawa Scale for the cross-sectional study was used to evaluate the risk of bias in the included papers.Inverse variance and Cochran Q statistics were employed in the STATA software version 14 to assess study heterogeneity.When there was heterogeneity,the Dersimonian and Liard random-effects models were used.Results:59 Studies totaling 87353 participants were included in this meta-analysis.These investigations included 86278 participants in 55 studies on knowledge,20196 in 33 studies on attitudes,and 74881 in 29 studies on practices.The pooled estimates for sufficient knowledge,positive attitudes,and dengue fever preventive behaviors among the general population were determined as 40.1%(95%CI 33.8%-46.5%),46.8%(95%CI 35.8%-58.9%),and 38.3%(95%CI 28.4%-48.2%),respectively.Europe exhibits the highest knowledge level at 63.5%,and Africa shows the lowest at 20.3%.Positive attitudes are most prevalent in the Eastern Mediterranean(54.1%)and Southeast Asia(53.6%),contrasting sharply with the Americas,where attitudes are notably lower at 9.05%.Regarding preventive behaviors,the Americas demonstrate a prevalence of 12.1%,Southeast Asia at 28.1%,Western Pacific at 49.6%,Eastern Mediterranean at 44.8%,and Africa at 47.4%.Conclusions:Regional disparities about the knowledge,attitude and preventive bahaviors are evident with Europe exhibiting the highest knowledge level while Africa has the lowest.These findings emphasize the importance of targeted public health interventions tailored to regional contexts,highlighting the need for region-specific strategies to enhance dengue-related knowledge and encourage positive attitudes and preventive behaviors.展开更多
Food handlers have a prime role to play in food businesses, and that is to guarantee that meals served are hygienic for consumption. Conscious or inadvertent contamination of such food places consumers at risk of suff...Food handlers have a prime role to play in food businesses, and that is to guarantee that meals served are hygienic for consumption. Conscious or inadvertent contamination of such food places consumers at risk of suffering from food- borne illnesses. For this reason the study was carried out to document the food hygiene knowledge, attitudes and practices of some food handlers, in food businesses in Accra, Ghana and also to determine the microbiological load of the foods sold by the food businesses. The study targeted food handlers in the hotel industry. The study involved a field survey, followed by a laboratory assessment of microbiological status of food samples obtained from the sampled hotels. Cross tabulations and chi – squared tests (5% significance level) as well as frequency distributions were used to analyze the data obtained from the field survey. Data obtained from the laboratory assessment were also compared to standard values of microbiological counts. Majority of respondents were between the ages of 30 - 40 years (42.9%) with tertiary or post secondary education. Food hygiene knowledge and attitudes were satisfactory, however its practice was challenging. Gender, age and educational level of respondents did not influence their food hygiene practices. Microbial counts of all food samples was generally high ranging from 1.2 × 105 CFU/g to 1.1 × 108 CFU /g. The total coliform counts of foods ranged from 1.0 × 104 CFU/g to 5.0 × 106 CFU/g, and these were obtained from three out of the five hotel kitchens sampled. The study concluded that, the food hygiene knowledge and attitudes of the food handlers did not result in efficient food hygiene practices.展开更多
Objective: To analyze the knowledge, attitudes and practices of mothers about breastfeeding at the Brazzaville University Hospital Center. Population and Methods: Analytical KAP study, conducted from February 1 to May...Objective: To analyze the knowledge, attitudes and practices of mothers about breastfeeding at the Brazzaville University Hospital Center. Population and Methods: Analytical KAP study, conducted from February 1 to May 31, 2019, including exclusively manner mothers who have started breastfeeding for at least 4 months and at most 24 months in accordance with the recommendations of the World Health Organization. The study variables were related to socio-demographic characteristics, knowledge, attitudes and practices. Results: One hundred and forty mothers were questioned. They were of a median age of 30, multiparous (61.5%), in a couple (78.6%), with gainful activity (47.9%). They had enough knowledge (87.1%) but harmful in 26.5% of cases, adapted attitudes (95%) with answers of different certainties, and bad practices (60%). Knowledge did not influence attitudes (p > 0.2). Knowledge and attitudes influenced practices (p Conclusion: An educational strategy on mothers’ knowledge and attitudes towards breastfeeding would help improve their breastfeeding practices.展开更多
Introduction<span style="font-family:Verdana;">: <span style="font-family:Verdana;">Improving teenagers’ knowledge <span style="font-family:Verdana;">on<span style=&...Introduction<span style="font-family:Verdana;">: <span style="font-family:Verdana;">Improving teenagers’ knowledge <span style="font-family:Verdana;">on<span style="font-family:Verdana;"> sexual and reproductive health (SRH) is important to prevent unintended pregnancies. We aimed to assess comprehensive sexuality education (CSE) <span style="font-family:Verdana;">programs and knowledge, attitudes <span style="font-family:Verdana;">and<span style="font-family:Verdana;"> practices of adolescents and teachers towards contraception. <span style="font-family:Verdana;">Methods<span style="font-family:Verdana;">: <span style="font-family:Verdana;">Based on the reasoned action theory and CSE guidelines, a qualitative study was conducted with seven teachers and 62 adolescents aged 15 <span style="font-family:Verdana;">- <span style="font-family:Verdana;">19. The data were collected through six focus groups (FG) of adolescents and seven semi-structured interviews of teachers. The program of the family life education course (FLEC) was assessed. The Atlas Ti software helped to analyze the data, using a deductive approach. <span style="font-family:Verdana;">Results<span style="font-family:Verdana;">: <span style="font-family:Verdana;">The periodic abstinence, male condoms <span style="font-family:Verdana;">and<span style="font-family:Verdana;"> pills were the most known contraceptive methods. Adolescents and teachers were reluctant to use artificial contraceptive methods, apart from the male condom which they used irregularly. Girls especially prefer<span style="font-family:Verdana;">red<span style="font-family:Verdana;"> natural contraceptive methods, fearing side effects, such as the risk of infertility. Almost all adolescents wanted to be informed on SRH and family planning in school. However, they estimated <span style="font-family:Verdana;">that <span style="font-family:Verdana;">the content of the FLEC <span style="font-family:Verdana;">was <span style="font-family:Verdana;">insufficient <span style="font-family:Verdana;">and criticize<span style="font-family:Verdana;">d<span style="font-family:Verdana;"> the teachers<span style="font-family:Verdana;">’<span style="font-family:Verdana;"> lack of openness. Their main sources of information were peers, siblings <span style="font-family:Verdana;">and<span style="font-family:Verdana;"> the internet. Mothers were an important source of information for girls, unlike fathers considered to be indifferent or even frightening. <span style="font-family:Verdana;">Conclusion<span style="font-family:Verdana;">: <span style="font-family:Verdana;">Adolescents’ and teachers’ knowledge <span style="font-family:Verdana;">are<span style="font-family:Verdana;"> weak;and their attitude<span style="font-family:Verdana;">s<span style="font-family:Verdana;"> unfavorable towards contraception. Misconceptions about contraception lead to the use of ineffective practices to prevent unwanted pregnancies. To improve knowledge, a teacher training program should be developed and the content of the FLEC improved<span style="font-family:Verdana;">, <span style="font-family:Verdana;">formalized and regulated.展开更多
Introduction: High blood pressure is a real public health problem affecting more than one in three adults. The objective of this study was to evaluate the level of knowledge, attitudes and practices of health care per...Introduction: High blood pressure is a real public health problem affecting more than one in three adults. The objective of this study was to evaluate the level of knowledge, attitudes and practices of health care personnel in the management of hypertension in Conakry. Methods: Descriptive transversal study of 6 months, from April 20, 2018 to September 20, 2018, which took place in the internal medicine departments of the two university hospital centers (CHU) of Conakry (Donka and Ignace Deen). The study population consisted of general practitioners and specialists, practicing in both departments for at least two years and who agreed to submit to our questionnaire. Results: At the end of the study, we included 140 doctors, 61% at Donka University Hospital and 39% at Ignace Deen University Hospital. The predominance was male with 113 men for 27 women with a sex ratio H/F = 4.18. General practitioners were the most represented with 95% against 5% specialists. Sixty-four percent of physicians gave an exact definition of hypertension, 56% of physicians confirmed the diagnosis of hypertension after 2 to 3 consultations. 19% offered monotherapy as first-line treatment, only 72% said that the duration of Antihypertensive treatment was for life. Conclusion: Theseresults demonstrate that it is essential to reflect on our daily practices for a good improvement in the quality of care for patients.展开更多
Objectives: to evaluate the parents’ knowledge of vaso-occlusive crises, to identify their attitudes and practices. Method: a retrospective, transversal, descriptive and analytical study carried out between January a...Objectives: to evaluate the parents’ knowledge of vaso-occlusive crises, to identify their attitudes and practices. Method: a retrospective, transversal, descriptive and analytical study carried out between January and June 2016 at the HUC of Brazzaville. The parents of sickle cell children aged 2 to 17 years, followed for at least one year, were interviewed. Results: a total of 319 parents were interviewed, including 221 women (69.3%) and 98 men (30.7%) with a mean age of 40.8 ± 9 years. They were unschooled 65 cases (20.4%), had primary education 41 cases (12.9%), secondary 149 cases (46.7%) and higher level 64 cases (20.1%). They had one child sickle cell 258 cases (80.9%). They knew sickle cell disease 283 cases (88.7%), its genetic transmission 249 cases (78.1%). The source of information was a health worker 211 cases (66.1%). They had a good knowledge of the vaso-occlusive crisis 101 cases (31.7%). In a vaso-occlusive crisis, they used a health facility 207 cases (64.8%), self-medicated 66 cases (20.7%). Their home practices were good 99 cases (31%), fairly good 135 cases (42.3%) and bad 85 cases (26.5%). Parents aged 25 to 34 (OR = 1.8 95% 1 - 3), secondary (OR = 1.7 95% 1 - 2.7) and with good practices (OR = 4.5 95% 2.7 - 7.5) are those who have a good knowledge of vaso-occlusive crises. Conclusion: The importance and severity of vaso-occlusive crises in the sickle-cell child’s life experience, the crucial role played by parents in their care requires that the information, education and communication of these children be strengthened To improve their quality of life.展开更多
文摘Objective:To assess the socioeconomic characteristics influencing knowledge,attitudes,and practices in preventing toxocariasis among the adult Khmer population in Tra Vinh Province,Vietnam.Methods:This cross-sectional study was conducted across 30 communities in eight districts and cities of Tra Vinh Province using a 30-cluster random sampling method during 2023.Results:The study encompassed 760 participants(median age:52 years;interquartile range:39-63 years),female 65.9%.There existed moderate levels of knowledge,attitudes,and preventive practices among participants,with variations across sociodemographic groups.Education(OR 0.53;95%CI 0.36-0.53;P=0.002),and average family income(OR 0.40;95%CI 0.24-0.68;P=0.001)were inversely associated with poor knowledge.Participants aged≥60 years had higher odds of negative attitudes(OR 5.26;95%CI 2.31-11.96;P<0.001)towards toxocariasis prevention.Not owning pets(OR 1.53;95%CI 1.13-2.08;P=0.006)and age≥60 years(OR 5.33;95%CI 2.61-10.86;P<0.001)were associated with significantly higher odds of poor preventive practices.Conversely,higher education(OR 0.11;95%CI 0.06-0.20;P<0.001)and higher income(OR 0.14;95%CI 0.06-0.33;P<0.001)were protective factors,significantly reducing the risk of poor preventive practices.Conclusions:Knowledge,attitudes,and practice levels regarding toxocariasis prevention among Khmer adults in Tra Vinh were moderate and associated with age,education and income.Targeted health education efforts,especially in rural and low-income groups,are essential to improve preventive behaviors and reduce infection risks.
文摘Schistosomiasis is a neglected tropical disease (NTD) widespread in sub-Saharan Africa and mostly affects school going children. Côte d’Ivoire is one of the most vulnerable countries to schistosomiasis, and its prevalence varies by region. This cross-sectional survey was conducted in schools in the Upper Sassandra region to determine the knowledge, attitude, and practices of school children regarding schistosomiasis. In total, 354 students participated in the survey. Our results showed that, compared to the girls, the boys had a higher level of knowledge about schistosomiasis OR = 1.605 and p = 0.05. Regarding the signs, symptoms, and modes of transmission and prevention of schistosomiasis, the participants reported a low level of knowledge p > 0.05 and OR 1. In conclusion, it is important to target health messages in schools to reach the most vulnerable students effectively. This initiative aims to provide children with basic knowledge and skills in the transmission of schistosomiasis.
文摘<strong>Introduction</strong><span><span><span style="font-family:;" "=""><span style="font-family:Verdana;">: Appropriate feeding and consequently good nutritional status </span><span><span style="font-family:Verdana;">of young children largely depends on their caregivers. </span><b><span style="font-family:Verdana;">Aim</span></b><span style="font-family:Verdana;">: The current</span></span><span style="font-family:Verdana;"> study aimed at assessing maternal/caregivers’ current knowledge, attitudes, practices, and beliefs regarding different aspects of infant and young child feeding in Eastern and Central Uganda. </span><b><span style="font-family:Verdana;">Methodology</span></b><span style="font-family:Verdana;">: A cross-sectional survey design with mixed methods employing both qualitative and quantitative methods was used for data collection. </span><b><span style="font-family:Verdana;">Results</span></b><span style="font-family:Verdana;">: The study participants included 556 caregivers and 572 children. Results indicate that most caregivers (77%) were knowledgeable about key infant and young child feeding practices such as breastfeeding, complementary feeding and meal frequency. However, culture </span><span><span style="font-family:Verdana;">and economic hardships were</span><span style="color:red;"> </span><span style="font-family:Verdana;">a major barrier to the applicability of this</span></span><span style="font-family:Verdana;"> knowledge. Nearly all (98%) children were ever breastfed with 41% having been initiated on breast milk in the first hour after birth and 68% of all the children below 6 months exclusively breastfed. Three percent of the children aged 6 - 23 months were classified as having either Moderate (2%) or Severe (1%) Acute malnutrition. The median birth weight was 3.2</span></span></span></span><span><span><span style="font-family:;" "=""> </span></span></span><span><span><span style="font-family:;" "=""><span style="font-family:Verdana;">Kgs with nine percent of the children classified as underweight at birth. The majority (78%) of the children consumed foods from at least four food groups however only </span><span style="font-family:Verdana;">44% consumed heme-rich animal flesh food such as meat, poultry, organ</span><span style="font-family:Verdana;"> meats and fish, 29% consumed milk and milk products while only 11% consumed eggs. The barriers to improved nutritional status and health-seeking</span><span style="color:red;"> </span><span style="font-family:Verdana;">behaviour in children from both regions were largely similar. Some of these included cultural practices which prohibit children from eating certain foods and lack of drugs in the health facilities. Lack of male involvement was a key barrier to health-seeking behaviour and the nutritional well-being of children. Males were, however, more knowledgeable about the key childcare practices that are critical to positive outcomes because they listen to radios, have access to social media and usually congregate at bars where this information is disseminated and exchanged. </span><b><span style="font-family:Verdana;">Conclusion:</span></b><span style="font-family:Verdana;"> There should be continuous sensitization of mothers on the benefits of breastfeeding with special focus on early initiation and exclusive breastfeeding as well as child feeding practices during ill</span><span style="font-family:Verdana;">ness. To increase protein intake in children 6 - 23 months, interventions </span><span style="font-family:Verdana;">aimed at increasing consumption of these vital nutrients such as promotion of nutrition-sensitive agricultural enterprises like rearing of small livestock and chickens should be emphasized. Consumption of these foods is critical, especially during pregnancy and infancy. Finally, male involvement in maternal and child feeding should be encouraged.</span></span></span></span>
文摘Background: This study assessed the effect of a nutrition education intervention. This intervention aimed to improve the knowledge, attitudes, and practices of mothers on food safety in the peri-urban areas of Bobo-Dioulasso in Burkina Faso. Methods: A total of 243 mothers of children under 5 years in the peri-urban of Bobo-Dioulasso were administered the FAO questionnaire for food safety knowledge, attitudes, and practices assessment during two cross-sectional surveys, before and after the intervention, in January and October 2017. The intervention included two components consisting of a theoretical phase (counselling and discussion) and cooking demonstrations implemented for ten months. To account for the before-and-after design of the study, the McNemar’s test was used to assess the effect of the intervention on food safety KAP of mothers of children under 5 years. Results: The mean age of mothers was 29 ± 6.2 years and 50.6% of them were between 20 and 29 years old. One for knowledge (cooking thoroughly with, p-value = 0.0001) and another for attitudes (perceived benefits of reheating leftovers before eating them, p-value = 0.0001), significantly increased after the intervention. In terms of food safety practices, all the indicators (cleaning of dirty surfaces, plates and utensils and storage of perishable foods) significantly increased (all p = 0.0001 Conclusion: This study provided some evidence of an effective nutrition education intervention for improving maternal KAP on food safety for their child’s feeding.
文摘Several interventions have been suggested for averting and reducing wildlife declines including;securing dispersal areas and migratory corridors, strengthening and investing in local communities and landowners to create and develop community and private wildlife conservancies, and diversification of rural livelihoods through benefits from ecosystem services. Greater Kudu endemic to the Lake Bogoria landscape in Kenya is categorized as vulnerable to extinction due to unsustainable exploitation and management of resources although the continued economic importance of the Greater Kudu in the Lake Bogoria landscape is its best defense. A cross-sectional survey was conducted to analyze the status of knowledge, attitudes and practices (KAP) of locals towards the conservation of the Greater Kudu in the landscape. The survey was conducted using a semi-structured pre-tested questionnaire administered to target populations (N = 137 households). Face-to-face interviews of key informants (KI) and focus group discussions (FGDs) were also carried out. It was found that 84% of KAP respondents agreed that the landscape is rich with biodiversity while 77% of them agreed that conservation of the ecosystem is important for rural livelihoods. Further, 73% of KAP respondents agreed that the extinction of Greater Kudu in the Lake Bogoria landscape may lead to poverty. It is recommended that all-inclusive adaptive management and conservation strategies should embrace continuous monitoring, and understanding dispersal of Greater Kudu to ensure its survival, in the landscape for improved livelihoods.
文摘Patient education is defined as the process of influencing a patient’s behavior and helping them make the necessary changes to their knowledge, attitudes, and skills to maintain or improve their health. It is a crucial part of patient care, and the EHS ambulatory care healthcare system is giving patient education more importance. Many experts claim that nurses still have difficulties providing patient education because of a range of factors, which include a lack of expertise and numerous other obstacles. Moreover, there isn’t any published research that studies nurses’ attitudes, knowledge, and patient-teaching practices in primary healthcare in the United Arab Emirates. The research project aims to investigate the knowledge, attitude, and practice of patient teaching among nurses in primary health care centers to better understand how nurse knowledge and attitudes may affect nurse-performed patient education. The target population is nurses working in primary healthcare centers in Sharjah, Ajman, Dubai, Ras Al-Khaimah, Fujairah, and Umm Al Quwain. However, the sample size is 300 using a random cluster sampling technique. The participants were encouraged to take part in the study (KAPPTNQ) through an online survey. The study concludes that the majority of nurses are knowledgeable about patient education;a large proportion of the nurses have a positive attitude toward patient education;and the majority of the nurses have a positive practice of patient education. However, the major challenges nurses encounter with patients’ health teaching include language barriers, inadequate communication, ineffective time management, and cultural impacts on patient health education. .
文摘Introduction: Breast and cervical cancer are real public health problems in Cameroon. Primary and secondary preventive measures remain the main means of the fight against cancer. This study aimed at evaluating women’s knowledge, attitudes and practices regarding preventive measures against breast and cervical cancer. A cross-sectional study was conducted in the Mbankomo Health District in Cameroon for 5 months (From March to August 2023). Data was collected using a questionnaire administered during an interview with consenting women. Statistical analysis was performed using SPSS Version 26 software. Differences were considered statistically significant for values of p Results: A total of 325 women participated in this study. More than half of the participants were aged between 21 and 30 (60.9%), singles (52.9%) and had at least one child (53. 2%). The level of knowledge was poor in 46.76% of participants. Attitudes were approximative for 34.15% of them and related to their perception of not being at risk of cancer. Only 13.23% of women had adequate practices, with 4.2% vaccinated against the human papillomavirus and 17.8% having undergone breast cancer screening. There was a significant association between a low level of education and a poor level of knowledge [OR: 4.72;95% CI: 2.82 - 7.89;P-value Conclusion: knowledge was correlated with attitudes and practices. It would be advisable to raise awareness of breast and cervical cancer prevention, targeting all women and youths, particularly in the current context where cancers are increasingly occurring in young people.
文摘Introduction: Obesity is an increasingly common problem, and general practitioners need to be involved in its management. This study aims to assess the knowledge, attitudes and practices of general practitioners in Ouagadougou, Burkina Faso. Methodology: The cross-sectional survey was carried out between September 16 and October 15, 2024, involving general practitioners registered with the Medical Council. A structured questionnaire, previously tested, was sent by email and re-sent to maximize participation. Data analysis was performed using SPSS software. Results: Of 424 physicians contacted, 121 participated. The vast majority (97.5%) of doctors recognized the influence of obesity on women’s sexual and reproductive health, with 89.3% identifying potential disorders. However, only 28.1% actively sought to detect these disorders in their patients. Surprisingly, 96.6% of doctors referred their patients to specialists for sexual problems, mainly gynecologists. What’s more, only 30.6% broach the subject of contraception. Reasons for this reluctance include the taboo nature of the subject and the lack of comfort in discussing it. Conclusion: The study reveals a good knowledge of the impact of obesity on sexual health, but there is a reluctance on the part of GPs to broach these subjects in consultation. Targeted training is essential to improve communication between doctors and obese patients.
文摘Objective: The purpose of this study is to understand the current situation of knowledge, attitude, and practice of self-management in young patients with type 2 diabetes mellitus (T2DM) and to explore the relationship between general conditions (personal, social, and environment, clinical factors) and their knowledge, attitude, and practices (KAP) of diabetes self-management, This aims to provide patients with high-quality nursing care management and services, as well as to provide relevant recommendations for effective self-management. Methods: This study is a descriptive correlational study that used the purposive sampling method to investigate 359 patients with T2DM aged 18-25 years in four designated tertiary hospitals in Shandong Province. Results: Knowledge of self-management was correlated with sex, age, education level, occupation and work situation, monthly household income, medical payment method, family and friend support, frequency of diabetes health education, and diabetes complications. The attitude subscale was correlated with sex, age, education level, work situation, and family and friend support. The practice subscale was associated with age, education level, work situation, family and friend support, frequency of diabetes health education, and HbA1c values. Conclusion: Young adults aged 18-25 with T2DM have positive attitudes towards diabetes self-management, but there are still deficiencies in knowledge acquisition and behavioral practice. The KAP of self-management of diabetes is influenced by personal factors such as sex, age, and education level, and socio-environmental factors such as family income and family or friends’ social support. Additionally, clinical factors such as complications and HbA1c values significantly impacted the patient’s disease self-management ability.
文摘Objective:To explore the impact of a continuous precision nursing model on patients’Knowledge,Attitudes,and Practices(KAP)and cardiac function during the nursing process of patients undergoing percutaneous coronary angiography and stent implantation.Methods:Ninety patients who underwent percutaneous coronary angiography and stent implantation in our hospital from April 2022 to April 2023 were selected and randomly divided into the control group(45 cases),in which routine nursing support was carried out during the treatment process,and the observation group(45 cases),in which continuous precision nursing model was carried out during the treatment process.Comparisons were made between the two groups of patients on their KAP,cardiac function,and quality of life during recovery.Results:There was no difference in the left ventricular ejection fraction(LVEF),cardiac output(CO),and cardiac index(CI)levels before intervention.After the intervention,the levels of cardiac function in the observation group were higher than those of the control group(P<0.05).There was no difference in the Exercise of Self-Care Agency(ESCA)self-care ability scale scores before the intervention.After the intervention,the observation group had higher ESCA scores than the control group(P<0.05).Conclusion:Implementation of a continuous precision nursing model in the care of patients undergoing percutaneous coronary angiography and stent implantation improved the patient’s cardiac function,and KAP,and promoted recovery.
文摘To assess the knowledge, attitudes, and practices(KAP) on Zika virus infection among pregnant women in Brunei Darussalam by a cross-sectional survey. Methods: Between February and June 2017, we recruited 234 pregnant women from all government healthcare centres at Brunei-Muara district, using a modified systematic sampling approach. A pre-tested and self-administered questionnaire was used and data analysis was conducted using descriptive statistics and multiple logistic regression analyses. Results: The study participants were mainly Malay(87.2%) and their mean age was 28.0 years. The median knowledge score was 13, out of a possible score of 28. Most participants(92.7%) knew that Zika virus was transmitted by mosquito bites whereas some(34.6%) knew that sexual transmission was also possible. Media(radio, television or newspapers) was the preferred source of updated information on Zika virus, followed by healthcare workers(44.0%), government announcements(43.2%), and social media(38.0%). Pregnant women who were 25 years old or older [Adj. OR=3.62(95% CI: 1.57, 9.51)], not Malays [Adj. OR=3.32(95% CI: 1.35, 8.55)], and had an average monthly household income of more than BND $3 000 [Adj. OR=4.06(95% CI: 1.81, 19.44)] were more likely to score higher for knowledge on Zika virus. The median prevention practice score was 23, out of a possible score of 36. Most participants reported wearing covering clothes(98.3%) and kept their living surroundings clean(99.6%). Most participants(88.0%) agreed that Zika is an important issue in their community. Conclusion: We found a lack of knowledge on Zika virus infection among pregnant women attending government maternal and child healthcare centres in Brunei Darussalam, in particular that Zika virus can be sexually transmitted. Such information could be well disseminated at the healthcare centre level. Health literacy studies should be conducted to understand the facilitators and barriers of KAP on Zika virus infection among pregnant women.
基金supported in part by a non profit organization"Epidemiological and Clinical Research Information Network"
文摘Objective:To measure highly pathogenic avian influenza(HPAI)-related knowledge,attitudes, and practices(KAPs) among Cambodian women.Methods:This cross-sectional study selected 246 married women aged between 18-55 years who had backyard poultry and lived at least one year in the areas of the survey through multi-stage cluster sampling.An average score of correct answers was generated to evaluate respondents’ knowledge(Good/Poor).attitudes(Positive/ Negative),and practices(Good/Bad).Results:We reported that about half of the respondents had good knowledge and good practices and four-fifth of them had positive attitudes towards HPAl.Odds ratios(ORs) and 95%confidence intervals(CIs) were estimated through a logistic regression model to explore contributing factors that raise their KAP levels.Most of the sources were significant in increasing knowledge of the respondent,like television(OR=l.6.95%CI=1.0- 2.7),radio(OR=2.5.95%CI=l.3-4.9).leaflets/booklets(OR=2.1,95%CI=1.2-3.9),school students (OR=18.4.95%CI=2.4-142.9).village health volunteers(OR=4.5.95%CI=2.2-10.9) etc.Factors such as television(OR=3.7.95%CI=2.1-6.4).leaflets/booklets(OR=2.6,95%CI7=1.4-5.1).and public health staff(OR=2.2,95%CI=1.2-4.1) had similar influence on practices.Although,we found similar effect on raising the attitudes of the responded,it was not significant.Conclusions: We report a satisfactory level of positive attitudes,and moderate level of knowledge and practices related to HPAI among Cambodian women.Raising KAPs through television,radio and other medias may be more efficient than using usual information,education and communication materials to prevent HPAI.
文摘The development of antimicrobial resistance (AMR) due to over or misuse of antibiotics/antimicrobials is a globally increasing public health concern. This study was conducted to assess the current knowledge, attitudes, and practices (KAP) of swine and poultry producers on antimicrobial use (AMU) and antimicrobial resistance (AMR). A total of 254 swine and poultry producers of 5 provinces in Cambodia were purposively surveyed using validated KAP questionnaires, a useful tool for promoting the rational use of antimicrobials in livestock. Collectively, this study found out that livestock producers in Cambodia have a low level of knowledge, neutral rather than positive attitudes, and employed poor practices on the AMU and AMR. Thus, there is a need to promote among producers the rational and responsible use of antimicrobials. Furthermore, public awareness of the AMR implications on public health can contribute to the prevention or reduction of AMU and AMR in Cambodia.
文摘Most scientific discoveries and advancements have occurred in the world in the last century. Both developed and developing countries are the beneficiaries of the new scientific knowledge and its application. Advanced knowledge and the ethical issues are inseparable from research, treatment, prophylaxis and prevention involving human diseases. It is necessary to make well informed decisions about acceptance of advancements that have taken place elsewhere and also prepare systems for our research and medical education. Bioethics therefore needs to be grounded in the local socio cultural context and health care systems. Students make first contact with human biological tissue in the Anatomy department. The seeds of ethical practices and professionalism are sown here. Therefore appropriate knowledge and attitudes of anatomists and cell biologists towards human tissue is important for regular practice of medicine. A questionnaire based study of knowledge and attitudes of 300 anatomy faculty related to use of human biological materials in research and education was conducted. The items included in the questionnaire were to judge the awareness about the same i.e., laboratory handling of human material and research related to corpses, organ & whole body donation along with their use in clinical learning and research in various medical specialties like, orthopedics, surgery, ENT, anesthesia etc. for clinicians, physicians and surgeons as well as undergraduate, post graduate and allied workforce teaching. The data collected from the respondents in the form of positive and negative responses was analyzed. The study identifies the knowledge gaps and the perceptions of faculty regarding the scope and utility of understanding the role of human biological tissues in curriculum and research and transmission of message to the next generation of learners.
文摘Objective:To determine the global level of knowledge,attitudes,and practices towards dengue fever among the general population.Methods:To complete this systematic review and meta-analysis,a thorough search for pertinent English-language literature was undertaken during the study's extension until October 2023.The search used Google Scholar,Scopus,PubMed/MEDLINE,Science Direct,Web of Science,EMBASE,Springer,and ProQuest.A quality assessment checklist developed using a modified Newcastle-Ottawa Scale for the cross-sectional study was used to evaluate the risk of bias in the included papers.Inverse variance and Cochran Q statistics were employed in the STATA software version 14 to assess study heterogeneity.When there was heterogeneity,the Dersimonian and Liard random-effects models were used.Results:59 Studies totaling 87353 participants were included in this meta-analysis.These investigations included 86278 participants in 55 studies on knowledge,20196 in 33 studies on attitudes,and 74881 in 29 studies on practices.The pooled estimates for sufficient knowledge,positive attitudes,and dengue fever preventive behaviors among the general population were determined as 40.1%(95%CI 33.8%-46.5%),46.8%(95%CI 35.8%-58.9%),and 38.3%(95%CI 28.4%-48.2%),respectively.Europe exhibits the highest knowledge level at 63.5%,and Africa shows the lowest at 20.3%.Positive attitudes are most prevalent in the Eastern Mediterranean(54.1%)and Southeast Asia(53.6%),contrasting sharply with the Americas,where attitudes are notably lower at 9.05%.Regarding preventive behaviors,the Americas demonstrate a prevalence of 12.1%,Southeast Asia at 28.1%,Western Pacific at 49.6%,Eastern Mediterranean at 44.8%,and Africa at 47.4%.Conclusions:Regional disparities about the knowledge,attitude and preventive bahaviors are evident with Europe exhibiting the highest knowledge level while Africa has the lowest.These findings emphasize the importance of targeted public health interventions tailored to regional contexts,highlighting the need for region-specific strategies to enhance dengue-related knowledge and encourage positive attitudes and preventive behaviors.
文摘Food handlers have a prime role to play in food businesses, and that is to guarantee that meals served are hygienic for consumption. Conscious or inadvertent contamination of such food places consumers at risk of suffering from food- borne illnesses. For this reason the study was carried out to document the food hygiene knowledge, attitudes and practices of some food handlers, in food businesses in Accra, Ghana and also to determine the microbiological load of the foods sold by the food businesses. The study targeted food handlers in the hotel industry. The study involved a field survey, followed by a laboratory assessment of microbiological status of food samples obtained from the sampled hotels. Cross tabulations and chi – squared tests (5% significance level) as well as frequency distributions were used to analyze the data obtained from the field survey. Data obtained from the laboratory assessment were also compared to standard values of microbiological counts. Majority of respondents were between the ages of 30 - 40 years (42.9%) with tertiary or post secondary education. Food hygiene knowledge and attitudes were satisfactory, however its practice was challenging. Gender, age and educational level of respondents did not influence their food hygiene practices. Microbial counts of all food samples was generally high ranging from 1.2 × 105 CFU/g to 1.1 × 108 CFU /g. The total coliform counts of foods ranged from 1.0 × 104 CFU/g to 5.0 × 106 CFU/g, and these were obtained from three out of the five hotel kitchens sampled. The study concluded that, the food hygiene knowledge and attitudes of the food handlers did not result in efficient food hygiene practices.
文摘Objective: To analyze the knowledge, attitudes and practices of mothers about breastfeeding at the Brazzaville University Hospital Center. Population and Methods: Analytical KAP study, conducted from February 1 to May 31, 2019, including exclusively manner mothers who have started breastfeeding for at least 4 months and at most 24 months in accordance with the recommendations of the World Health Organization. The study variables were related to socio-demographic characteristics, knowledge, attitudes and practices. Results: One hundred and forty mothers were questioned. They were of a median age of 30, multiparous (61.5%), in a couple (78.6%), with gainful activity (47.9%). They had enough knowledge (87.1%) but harmful in 26.5% of cases, adapted attitudes (95%) with answers of different certainties, and bad practices (60%). Knowledge did not influence attitudes (p > 0.2). Knowledge and attitudes influenced practices (p Conclusion: An educational strategy on mothers’ knowledge and attitudes towards breastfeeding would help improve their breastfeeding practices.
文摘Introduction<span style="font-family:Verdana;">: <span style="font-family:Verdana;">Improving teenagers’ knowledge <span style="font-family:Verdana;">on<span style="font-family:Verdana;"> sexual and reproductive health (SRH) is important to prevent unintended pregnancies. We aimed to assess comprehensive sexuality education (CSE) <span style="font-family:Verdana;">programs and knowledge, attitudes <span style="font-family:Verdana;">and<span style="font-family:Verdana;"> practices of adolescents and teachers towards contraception. <span style="font-family:Verdana;">Methods<span style="font-family:Verdana;">: <span style="font-family:Verdana;">Based on the reasoned action theory and CSE guidelines, a qualitative study was conducted with seven teachers and 62 adolescents aged 15 <span style="font-family:Verdana;">- <span style="font-family:Verdana;">19. The data were collected through six focus groups (FG) of adolescents and seven semi-structured interviews of teachers. The program of the family life education course (FLEC) was assessed. The Atlas Ti software helped to analyze the data, using a deductive approach. <span style="font-family:Verdana;">Results<span style="font-family:Verdana;">: <span style="font-family:Verdana;">The periodic abstinence, male condoms <span style="font-family:Verdana;">and<span style="font-family:Verdana;"> pills were the most known contraceptive methods. Adolescents and teachers were reluctant to use artificial contraceptive methods, apart from the male condom which they used irregularly. Girls especially prefer<span style="font-family:Verdana;">red<span style="font-family:Verdana;"> natural contraceptive methods, fearing side effects, such as the risk of infertility. Almost all adolescents wanted to be informed on SRH and family planning in school. However, they estimated <span style="font-family:Verdana;">that <span style="font-family:Verdana;">the content of the FLEC <span style="font-family:Verdana;">was <span style="font-family:Verdana;">insufficient <span style="font-family:Verdana;">and criticize<span style="font-family:Verdana;">d<span style="font-family:Verdana;"> the teachers<span style="font-family:Verdana;">’<span style="font-family:Verdana;"> lack of openness. Their main sources of information were peers, siblings <span style="font-family:Verdana;">and<span style="font-family:Verdana;"> the internet. Mothers were an important source of information for girls, unlike fathers considered to be indifferent or even frightening. <span style="font-family:Verdana;">Conclusion<span style="font-family:Verdana;">: <span style="font-family:Verdana;">Adolescents’ and teachers’ knowledge <span style="font-family:Verdana;">are<span style="font-family:Verdana;"> weak;and their attitude<span style="font-family:Verdana;">s<span style="font-family:Verdana;"> unfavorable towards contraception. Misconceptions about contraception lead to the use of ineffective practices to prevent unwanted pregnancies. To improve knowledge, a teacher training program should be developed and the content of the FLEC improved<span style="font-family:Verdana;">, <span style="font-family:Verdana;">formalized and regulated.
文摘Introduction: High blood pressure is a real public health problem affecting more than one in three adults. The objective of this study was to evaluate the level of knowledge, attitudes and practices of health care personnel in the management of hypertension in Conakry. Methods: Descriptive transversal study of 6 months, from April 20, 2018 to September 20, 2018, which took place in the internal medicine departments of the two university hospital centers (CHU) of Conakry (Donka and Ignace Deen). The study population consisted of general practitioners and specialists, practicing in both departments for at least two years and who agreed to submit to our questionnaire. Results: At the end of the study, we included 140 doctors, 61% at Donka University Hospital and 39% at Ignace Deen University Hospital. The predominance was male with 113 men for 27 women with a sex ratio H/F = 4.18. General practitioners were the most represented with 95% against 5% specialists. Sixty-four percent of physicians gave an exact definition of hypertension, 56% of physicians confirmed the diagnosis of hypertension after 2 to 3 consultations. 19% offered monotherapy as first-line treatment, only 72% said that the duration of Antihypertensive treatment was for life. Conclusion: Theseresults demonstrate that it is essential to reflect on our daily practices for a good improvement in the quality of care for patients.
文摘Objectives: to evaluate the parents’ knowledge of vaso-occlusive crises, to identify their attitudes and practices. Method: a retrospective, transversal, descriptive and analytical study carried out between January and June 2016 at the HUC of Brazzaville. The parents of sickle cell children aged 2 to 17 years, followed for at least one year, were interviewed. Results: a total of 319 parents were interviewed, including 221 women (69.3%) and 98 men (30.7%) with a mean age of 40.8 ± 9 years. They were unschooled 65 cases (20.4%), had primary education 41 cases (12.9%), secondary 149 cases (46.7%) and higher level 64 cases (20.1%). They had one child sickle cell 258 cases (80.9%). They knew sickle cell disease 283 cases (88.7%), its genetic transmission 249 cases (78.1%). The source of information was a health worker 211 cases (66.1%). They had a good knowledge of the vaso-occlusive crisis 101 cases (31.7%). In a vaso-occlusive crisis, they used a health facility 207 cases (64.8%), self-medicated 66 cases (20.7%). Their home practices were good 99 cases (31%), fairly good 135 cases (42.3%) and bad 85 cases (26.5%). Parents aged 25 to 34 (OR = 1.8 95% 1 - 3), secondary (OR = 1.7 95% 1 - 2.7) and with good practices (OR = 4.5 95% 2.7 - 7.5) are those who have a good knowledge of vaso-occlusive crises. Conclusion: The importance and severity of vaso-occlusive crises in the sickle-cell child’s life experience, the crucial role played by parents in their care requires that the information, education and communication of these children be strengthened To improve their quality of life.