Full Text Available Background: Present study was conducted to assess the knowledge, attitude and practices of mothers towards infant feeding practices. Materials and methods: The mothers of infants, coming to a tertiary care centre, Ahmedabad, on outpatient basis were interviewed using a pre-designed questionnaire. Total 150 mothers were interviewed. Results: Out of the total, 18% mothers were illiterate.58.67% mothers have been counselled by doctor about feeding. Regarding breast feeding, 96% knew about exclusive breast feeding up to 6months. 90.67% think that colostrum is good for baby.34.67% mothers have given pre-lacteal feeds, tea and jaggery was most common.84.67% mothers knew that they should take extra food during lactation. Father (36% most commonly help in feeding while 31.33% don?t get any domestic help.78.67% women consult doctor for feeding problems. Most common reason of stopping breast feeding was inadequate milk secretion(54.67%.18% think that feeding should be stopped during illness. 75.33% women were completely satisfied with their feeding practices. Conclusion-Mothers had good knowledge about infant feeding practices. Inspite of good knowledge there are lacunae in the practices of mothers due to social and economic reasons. Level of education has positive impact on infant feeding practices. Counselling by doctors had a better impact on the attitude and practices of mothers. [Natl J Med Res 2013; 3(2.000: 147-150
Abbate, Rossella; Di Giuseppe, Gabriella; Marinelli, Paolo; Angelillo, Italo F
We asked Italian poultry workers about knowledge, attitudes, and practices regarding avian influenza. It was perceived to be a low occupational hazard, and wearing protective equipment and handwashing were not routine practices. Knowledge of transmission and preventive measures should be improved. Employers and health professionals should provide more effective information.
Full Text Available Background: Adverse Drug Reactions (ADRs are one of the leading causes of morbidity and mortality and contribute to excessive health care costs. Detection and reporting of ADRs could decrease these consequences. The present study was designed to assess the Knowledge, Attitude and Practice (KAP of pharmacy students towards ADRs monitoring and reporting.Methods: A questionnaire was prepared to investigate the Knowledge, Attitude and Practice (KAP of pharmacy students regarding ADR reporting. The questionnaire consisting of 17 questions (7 questions on knowledge, 5 on attitudes and 5 on practice were given to pharmacy students randomly.Results: A total of 71 respondents participated in the study. 70% of participants had favorable general knowledge about ADRs but more than 60% of their professional knowledge was not satisfying. 60% of respondent believed that educational intervention will improve participating of health care professional in ADRs reporting. 63% of respondent observed ADRs cases but about 95% of them had never reported an ADR.Conclusion: In overall, pharmacy students have poor knowledge, attitude and practice towards ADRs reporting and pharmacovigilance. This suggests the need of suitable changes in the undergraduate teaching curriculum and additional training among the students regarding ADRs.
Palaian S; Ibrahim MI; Mishra P
Pharmacovigilance can be helpful in protecting consumers from harmful effects of medicines. Healthcare professionals should consider Adverse Drug Reaction (ADR) reporting as their professional obligation and should be aware of the existing pharmacovigilance mechanisms in their countries. In Nepal, pharmacovigilance activities were initiated in 2004. Objectives: The present study evaluated the knowledge, attitude and practices (KAP) of the healthcare professionals towards ADRs and pharmacovigi...
Mirfakhraei, M; Cheraghi, Z; A Doosti Irani; Cheraghi, P; J Poorolajal
Background: This study was conducted to develop a questionnaire in order to evaluate knowledge, attitude and practice (KAP) of the faculty members and students toward plagiarism.Methods: A KAP study was conducted from June to October 2011 enrolling 390 volunteers anonymously (response rate 96%). The questionnaire included the following four parts: (a) general characteristics like gender, academic degree and education level; (b) nine questions regarding knowledge (Min=0, Max=9); (c) nine quest...
To assess the knowledge, attitude regarding family planning and the practice of contraceptives among rural women. One-hundred women between the ages 15-45, living with their husbands and coming from rural area (villages) were interviewed. Women who were pregnant, had a child younger than 2 years, or had any medical disorder were excluded. Their knowledge, attitude and practice on contraceptives were evaluated with the help of a predesigned questionnaire. The other variables used were the age of women, parity and educational status. Descriptive analysis was conducted to obtain percentages. Out of 100 interviewed women with mean age of 29.7 years, 81(81%) had some knowledge about family planning methods. The media provided information of contraceptives in 52 out of 81 (64%) women. Regarding the usage of contraceptive methods, only 53 (53%) of the respondents were using some sort of contraception. Barrier method (condoms) was in practice by 18 (33.9%) and 12 (22.6%) of women had already undergone tubal ligation. The women using injectables and intrauterine contraceptive devices were 10 (18.8%) and 7 (13.2%) respectively. Six were using oral contraceptive pills (11.3%). Positive attitude towards contraception was shown by 76 (76%) of them, while 41(41%) stated their husbands positive attitude towards contraception. In the present study, there was a low contraceptive use among women of rural origin despite good knowledge. Motivation of couples through media and health personnel can help to achieve positive attitude of husbands for effective use of contraceptives. (author)
Bhabani Pegu; Bhanu Pratap Singh Gaur; Nalini Sharma; Ahanthem Santa Singh
Background: Aim of current study was to assess the knowledge, attitude and practices of contraceptives among married women of reproductive age group. Methods: A cross sectional study was conducted in obstetrics and gynaecology (obs. and gynae) out door patient department (OPD), North Eastern Indira Gandhi Regional Institute of Health and Medical Sciences, Shillong, Meghalaya. 200 married women aged between 15-45 years were included in this study. Along with the socio-demographic ch...
Mulugeta Tarekegn Angamo et al.
BACKGROUND: Self-medication is the selection and use of medicines by individuals to treat selfrecognised illnesses or symptoms and an important initial response to illnesses if successfully used. The objective of this study was to assess knowledge, attitude and practice of self medication among Medical Sciences Faculty students of Jimma University.METHODS: A cross sectional study was conducted in Medical sciences Faculty students in 2009.The faculty and the three schools were selected by lott...
Demaio, Alessandro R; Dugee, Otgontuya; de Courten, Maximilian; Bygbjerg, Ib C; Enkhtuya, Palam; Meyrowitsch, Dan W
The leading cause of mortality in Mongolia is Non-Communicable Disease. Alcohol is recognised by the World Health Organization as one of the four major disease drivers and so, in order to better understand and triangulate recent national burden-of-disease surveys and to inform policy responses to alcohol consumption in Mongolia, a national Knowledge, Attitudes and Practices survey was conducted. Focusing on Non-Communicable Diseases and their risk factors, this publication explores the alcohol-r...
Goel Deepak; Dhanai J; Agarwal Alka; Mehlotra V; Saxena V.
Objectives: This study was conducted to find out knowledge, attitude and practice (KAP) of epilepsy among 12 th -class students in Uttarakhand state. Secondly data of Uttarakhand was compared with KAP study from other parts of the country. Materials and Methods: All 12 th - class students studying in six schools of randomly selected 36 villages in Chakrata block of Dehradun district of Uttarakhand state were provided a printed questionnaire having answer as "yes or no". This questionnaire use...
Full Text Available The study was conducted on 35 primi para mothers admitted in Krishna hospital, K arad. A evaluative survey approach was considered. Study design was descriptive purposive sampling technique was used. The instrument used for data collection was a structured interview schedule. RESULTS: The present study found that 11 (31 . 42% having good knowledge, 22 (62.85% having average knowledge and 2 (5 . 71% having poor knowledge. Related to attitude of mothers majority of 20 (57 . 14% having average attitude of breast feeding and 19 (54 . 28% mothers were not using knowledge of practice for giving breast feeding to new born baby. CONCLUSION: M ajority of 60% mothers having good knowledge of breast feeding but they were not practicing the knowledge of breast feeding. Also there was no association found in - between knowledge, attitude, and practice with socio - demographic variable. OBJECTIVES: To assess knowledge, attitude and knowledge of practice regarding breast feeding. To find an association between knowledge, attitude an d knowledge of practice with demographic variable.
Weng, Chen-Yu; Black, Catherine
The purpose of this study was to assess Taiwanese fruit farm workers' knowledge, attitudes, behaviours, and clothing practices regarding pesticide activities. Seventy-seven fruit farm workers from four districts of Tainan City, Taiwan completed the questionnaire. Results indicated that farmer workers had a good overall level of knowledge of the adverse effects of pesticides on human health and most had experienced symptoms of pesticide poisoning. Farm workers' attitudes toward pesticide use and handling indicated that they saw pesticides useful in controlling pests. Farm workers indicated the limited availability of comfortable clothing designed for a hot and humid climate while still providing sufficient protection was the main reason for not wearing personal protective clothing (PPC) and personal protective equipment (PPE). Emphasis on safety precautions is needed when using pesticides, and the importance of PPC and PPE is essential for the health of farm workers. PMID:25761364
Full Text Available Objectives: This study was conducted to find out knowledge, attitude and practice (KAP of epilepsy among 12 th -class students in Uttarakhand state. Secondly data of Uttarakhand was compared with KAP study from other parts of the country. Materials and Methods: All 12 th - class students studying in six schools of randomly selected 36 villages in Chakrata block of Dehradun district of Uttarakhand state were provided a printed questionnaire having answer as "yes or no". This questionnaire used was used previously by various authors and validated for KAP analysis. These filled questionnaires were collected by village health workers and medical officer. Results: This study conducted on 219, 12 th -class students revealed that epilepsy was heard by 98%, 74.9% thought epilepsy a mental disease and 4.8% believed that it is contagious. Negative attitude showed as nearly 2/3 rd students stated that epilepsy is hindrance in marriage and occupation. Nearly 41% would use onion or shoe for terminating seizure attack. Ayurvedic treatment was preferred over allopathic drugs. Conclusions: Study on 12 th -class students of Uttarakhand revealed poor knowledge, attitude and practice for epilepsy and needs special education program to dispel these misconceptions.
The nutritional care of patients is one of the primary responsibilities of all registered nurses (Persenius et al, 2008). A poor nutritional status can lead to malnutrition, which can have serious consequences for an individual\\'s quality of life (Field and Smith, 2008). This paper commences with an introduction to the concept of nutrition, provides an overview of nutritional guidelines and nutritional screening tools which identify those at risk of malnutrition. It reviews the literature on nurses\\' knowledge, attitudes and practices in the provision of nutritional care and debates challenges and opportunities encountered to help nurses ensure adequate patient nutrition.
Full Text Available Organic farming is gaining popularity all over the world as it can diversify agricultural production system toward attaining improved productivity, farm income as well as food safety. The rise of organic farming was driven partly by consumers' concern with food quality and safety, as well as the protection of the environment. Organic Farming produces safe and nutritious food as it helps prevent soil pollution by stopping risky chemical reactions in the soil and avoiding produce contamination, as well as soil erosion, by wind and rain. One of the important parties that can enable the country to produce more organic products through organic farming is the growers or farmers. The final decision of farmers to use a new practice like organic farming system is usually the result of their knowledge of the practices as well as their perception. Therefore, the main purpose of this preliminary study was to investigate the knowledge, perception or attitude, and practices of vegetable growers towards organic farming. A survey method through face-to-face interview by using structured questionnaire was used to collect data from a total of 31 vegetable growers in Kundasang, Sabah which was selected by using simple random sampling method. The findings of the study show that the knowledge of the respondents on organic farming especially pertaining to the use of chemical insecticides, herbicides and fertilizers is still need to be improved, their attitude is also still negative, and they are still dependent on conventional practices (i.e. chemical especially to control pests and diseases.
Full Text Available Background: Millions of workers are occupationally exposed to dyes in the world, but little is known about their knowledge and attitudes toward the effects of dye on their health. Objectives: The aim of this study was to assess the fabric dyers? and fabric printers? knowledge, attitude, and practice toward the health hazard of dyes. Materials and Methods: The present study was taken up in the Madurai district which is situated in the Southern Tamil Nadu, India. One hundred and forty-two workers employed in small-scale dyeing and printing units participated in a face-to-face confidential interview . Results: The mean age of fabric dyers and fabric printers was 42 years (?10.7. When enquired about whether dyes affect body organ(s, all the workers agreed that dye(s will affect skin, but they were not aware that dyes could affect other parts of the body. All the workers believed that safe methods of handling of dyes and disposal of contaminated packaging used for dyes need to be considered. It was found that 34% of the workers were using personal protective equipment (PPE such as rubber hand gloves during work. Conclusion: The workers had knowledge regarding the occupational hazards, and their attitudinal approach toward the betterment of the work environment is positive.
Hinderer, Katherine A; Klima, Dennis; Truong, Hoai-An; Rangel, Adriana G; Brown, Voncelia; Talley, William; Dougherty, Patrick; Joyner, Robert L
As interprofessional education (IPE) is incorporated into health professions programs, it is essential to understand faculty perceptions, knowledge, and attitudes about IPE and interprofessional practice (IPP). A descriptive, cross-sectional design was used. Seventy-one faculty from three campuses of two rural public universities representing seven different programs participated. Despite limited IPE experience, faculty appreciated IPE and IPP. Notably, many felt undervalued by other professions. Participants acknowledged the importance of working with other professions (mean 2.69±0.53), participating on IP teams (2.61±0.52), and integrating IPP in patient care (2.60±0.52). Faculty reported low IPE knowledge (1.74±0.66) and confidence in IPE teaching ability (1.74±0.67). These findings demonstrate a need for faculty development in both IPE and IPP across all health disciplines. PMID:26937886
Full Text Available Introduction: Intensive care unit ICU syndrome is a disorder, in which patients in an ICU or a similar setting experience anxiety, hallucination and become paranoid, severely disoriented in time and place, very agitated, or even violent, etc. The aim of this study was to assess knowledge, attitude and practice (KAP of nurses with regards to prevention of ICU syndrome (Delirium. Methods: Subjects of this research were 56 nurses with including criteria of registration in nursing, university degree and at least one month experience of working in open heart surgery ICUs. The data was gathered from 3 clusters in university hospitals equipped with open heart surgery ICUs in Tehran. All subjects were asked to fill in a questionnaire. Moreover all subjects were observed in all shifts. During observation, two researchers observed each subject simultaneously to achieve higher accuracy of observations. Descriptive and analytic statistics were applied to analysis the data. Results: The finding of the study showed that more than 53% of the subjects had passed a continuing education course, but less than 46% of them never passed a training course on ICU. According to this research, subjects, work experience in ICUs had significant relation on their knowledge with regard to prevention of ICU psychosis. However, it has not significant relation to their attitude and skill. Conclusion: According to the results of the study, subjects have little chance to be familiar with the concepts and elements of ICU syndrome in their university program. The finding also indicated that many subjects in this study were not familiar with the important concepts such as sleep deprivation, sensory overload and sensory deprivation, etc. Ongoing progression in high-tech ICUs brings about continuing nursing education programs for all nurses. The results also showed that stress factor in ICU, such as high mortality, isolation, high workload etc. Gradually influences nurses,attitude in ICU. So, it is strongly recommended to consider rotation of nurses in order not to impose high stress to ICU nurses.
Full Text Available Mostafa A Abolfotouh,1 Abdullah A Alabdrabalnabi,2 Rehab B Albacker,3 Umar A Al-Jughaiman,4 Samar N Hassan5 1King Abdullah International Medical Research Center (KAIMRC, King Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia; 2University of Dammam, College of Medicine, Dammam, Saudi Arabia; 3King Saud University, College of Medicine, Riyadh, Saudi Arabia; 4King Faisal University, College of Medicine, Dammam, Saudi Arabia; 5Division of Reproductive Medicine, Department of Obstetrics and Gynecology, King Abdulaziz Medical City, Riyadh, Saudi Arabia Introduction: Infertility places a huge psychological burden on infertile couples, especially for women. Greater knowledge of the factors affecting fertility may help to decrease the incidence of infertility by allowing couples to avoid certain risk factors. The aim of our study was (1 to assess the knowledge and attitudes of infertile and fertile Saudi participants on infertility, possible risk factors, and social consequences; and (2 to determine the practices of infertile Saudi couples to promote their fertility before having them attend an in vitro fertilization (IVF clinic. Methods and materials: We conducted a cross-sectional study on 277 fertile participants from outpatient clinics and 104 infertile patients from the IVF clinic at King Abdulaziz Medical City between June 24, 2012 and July 4, 2012, using a previously validated interview questionnaire. Descriptive and analytical statistics were applied with a significance threshold of P â¤ 0.05. Results: A generally poor level of knowledge (59% and a neutral attitude (76% toward infertility were reported by participants. Mistaken beliefs commonly held by the study participants regarding the causes of infertility were Djinns and supernatural causes (58.8%, black magic (67.5%, intrauterine devices (71.3%, and contraceptive pills (42.9%. The healer/Sheikh was reported as the primary and secondary preference for infertility treatment by 6.7% and 44.2% of IVF patients, respectively. Compared with fertile patients, IVF patients were significantly less likely to favor divorce (38.5% versus 57.6%; P = 0.001 or marriage to a second wife (62.5% versus 86.2%; P < 0.001, if the woman could not have a baby. The patients with infertility had more favorable attitudes toward fertility drugs (87.5% versus 68.4%; P = 0.003 and having a test tube baby (92.4% versus 70.3%; P < 0.001. Child adoption was accepted as an option for treatment by the majority of IVF patients (60.6% and fertile outpatients (71.5%. Alternative treatments previously practiced by the IVF patients to improve fertility include practicing Ruqia (61%, using alternative medicine (42%, engaging in physical exercise (39%, eating certain foods (22%, and quitting smoking (12%. Conclusion: These findings have implications for health care providers regarding the reluctance that couples experiencing fertility problems may have, at least initially, to accept some interventions required for the couple to conceive. Keywords: infertility, knowledge, attitude, practice, KAP, misconceptions
Full Text Available Pharmacovigilance can be helpful in protecting consumers from harmful effects of medicines. Healthcare professionals should consider Adverse Drug Reaction (ADR reporting as their professional obligation and should be aware of the existing pharmacovigilance mechanisms in their countries. In Nepal, pharmacovigilance activities were initiated in 2004. Objectives: The present study evaluated the knowledge, attitude and practices (KAP of the healthcare professionals towards ADRs and pharmacovigilance in Manipal Teaching Hospital (MTH, a tertiary care teaching hospital attached to the regional pharmacovigilance center in western Nepal. Methods: A cross-sectional study was carried out in 2007 using a pretested (Cronbach alpha=0.72 questionnaire having 25 questions (15 questions on knowledge, 5 on attitude and 5 on practice. The correct/positive responses were given a score of 2 and the wrong/negative responses 1, maximum possible score of 50. Results: A total of 131 responses were obtained among which 42 were incomplete and remaining 89 [females 49 (55.1%] were analyzed. Of the 89 professionals, 29 (32.6% were doctors, 46 (51.8 nurses and 14 (15.7% pharmacists. The mean age was 28.32 (SD=8.46 years and the median (interquartile range of duration of the service 14.5 (6-36 months. The total KAP scores was 40.06 (SD=3.51 for doctors, 38.92 (SD=4.83 for pharmacists, and 35.82 (SD=3.75 for nurses. Among the 89 professionals, 59 (62.3% had not reported even a single ADR to the pharmacovigilance center. Conclusion: The healthcare professionals at the MTH had a poor KAP towards ADRs and pharmacovigilance and there is a need for educational and awareness intervention for these professionals.
Sonam Zangmu Sherpa; Melita Sheilini; Asha Nayak
Objective: To assess the knowledge, attitude, practice and preferences on contraceptive methods among the female population, to determine the association between knowledge and attitude on contraceptive methods with the variables.Materials and methods: A Descriptive survey of 136 females between 18- 45 year of age were done using a structured knowledge questionnaire, structured attitude scale and opinionnaire on practice and preference during the month of January 2012 to February 2012 at Mood...
Zafar, Mubashir; Nisar, Nighat; Kadir, Masood; Fatmi, Zafar; Ahmed, Zeeshan; Shafique, Kashif
Background Migrant populations are at high risk of Human Immuno Deficiency Virus infection (HIV) and Acquired Immunodeficiency Syndrome (AIDS). Studies of HIV/AIDS knowledge, attitudes and practices among fishermen in developing countries have shown gaps in knowledge and fear of contagion with ambivalent attitudes towards HIV/AIDS and inconsistent universal precautions adherence. The aim of this study was to determine the knowledge, attitude and practices regarding HIV/AIDS among adult fis...
Adrien, A; Cayemittes, M; Bergevin, Y
AIDS constitutes an important public health problem in Haiti, where it appears to be spread mainly through heterosexual encounters. The study reported here employed in-depth interviews, focus group discussions, and a national cross-sectional survey of 1,300 men and 1,300 women 15 to 49 years old to assess AIDS-related knowledge, attitudes, beliefs, and practices in Haiti. According to criteria established for the study, 38.1% of the 1,118 sexually active male survey respondents were found to engage in high-risk behavior. In general, the women were found to have better knowledge of AIDS than the men. Significant obstacles to condom use included the inability of women to choose whether condoms would be used and a belief that condom lubricant could cause health problems. The study also found a tendency to ostracize people with AIDS, especially in areas outside Port-au-Prince, and a belief that AIDS was imposed on people by fate--which could partially explain the tendency to persist in high-risk behavior. PMID:8220518
Castro Reyes Elkin Mauricio
Full Text Available Introduction: cervical cancer (CC is the second most frequent cancer in women in theworld, South America and Colombia. It represents the fourth cause of death by cancerin the world, the third cause in South America and the first cause in Colombia. The interesanprincipalrisk factor is the persistent infection with the Human Papillomavirus (HPV. TheCC can be prevented and the patient can be treated if it is detected early.Objective: to establish the knowledge, attitudes and practices about HumanPapillomavirus (HPV in adolescent students of secondary.Methods: an analytical, observational and cross sectional study was performed withthe application of a survey of knowledge, attitudes and practices (KAP, to studentsof secondary of two schools of the city of Cartagena, Colombia, between July andDecember of 2011.Results: 10.8% of the polled adolescents replied that they knew the condilomatosis,infectious disease of sexual transmission caused by HPV and 20,1% have knowledgeabout the connection between cervical cancer and HPV infection.Conclusion: there is low knowledge about HPV infection and its association with CC,just like good attitudes with respect to the use of prevention methods of HPV infectionand early detection methods of CC and inadequate practices, mainly in the vaccinationprogramming against HPV. Rev.cienc.biomed. 2012;3(2:275-281RESUMEN:frecuente en mujeres en el mundo, AmÃ©rica Latina y Colombia. Representa la cuartacausa de muerte por cÃ¡ncer en el mundo, la tercera en America del Sur y la primera enColombia. El factor de riesgo principal es la infecciÃ³n persistente con el Virus del PapilomaHumano (VPH. El CACU puede prevenirse y curarse si se detecta tempranamente.Objetivo: establecer conocimientos, actitudes y prÃ¡cticas acerca del VPH enadolescentes estudiantes de secundaria.MetodologÃa: estudio observacional analÃtico de corte transversal realizado con laaplicaciÃ³n de una encuesta de conocimientos, actitudes y prÃ¡cticas (CAP, a estudiantesde secundaria de dos colegios de la ciudad de Cartagena, Colombia, en el periodocomprendido entre julio y diciembre de 2011.Resultados: el 10.8% de las adolescentes encuestadas respondiÃ³ que conocÃa lacondilomatosis, enfermedad infecciosa de transmisiÃ³n sexual causada por el VPH y el20,1% tiene conocimiento de la relaciÃ³n del cÃ¡ncer de cuello uterino con la infecciÃ³npor VPH.Conclusiones: se observa bajo conocimiento acerca de la infecciÃ³n por VPH y suasociaciÃ³n con el CACU, buenas actitudes con respecto a la utilizaciÃ³n de mÃ©todosde prevenciÃ³n de la infecciÃ³n por VPH y de mÃ©todos de detecciÃ³n precoz de CACU yprÃ¡cticas deficientes, principalmente en la cobertura de vacunaciÃ³n contra el VPH. Rev.cienc.biomed. 2012;3(2:275-281
Mulugeta Tarekegn Angamo et al.
Full Text Available BACKGROUND: Self-medication is the selection and use of medicines by individuals to treat selfrecognised illnesses or symptoms and an important initial response to illnesses if successfully used. The objective of this study was to assess knowledge, attitude and practice of self medication among Medical Sciences Faculty students of Jimma University.METHODS: A cross sectional study was conducted in Medical sciences Faculty students in 2009.The faculty and the three schools were selected by lottery method .Then, within the faculty respective number of students for each School was determined by proportion from the total sample size. Data was collected randomly from each School using self administered questionnaires and analyzed using SPSS version 16.0RESULTS: From a total of 403 (100% participants,95 (45.89% students practiced self medication in the past two months for commonly perceived illnesses such as headache 35 (36.85%, abdominal pain 29 (30.55% and cough 33 (23.16% using mainly analgesics 40(49.38% and antibiotics 29 (35.80% mostly from drug retail outlets 88(92.63. Fifty seven (60.00% respondents can recall the dose, frequency and duration of the medicine while 38 (40% did not know. Sixty five (68.42% students agreed to practice self medication irrespective of the seriousness of illnesses.CONCLUSION: Self mediation was widely practiced for minor symptoms with both OTC and prescription only drugs. Most of respondents use self medication irrespective of the seriousness of the illnesses. Lack of proper information and the ease of access from drug outlets were the most important problems.
Smalyanna Sgren da Costa Andrade
Full Text Available OBJECTIVE Assessing the adequacy of knowledge, attitude and practice of women regarding male and female condoms as STI/HIV preventive measures. METHOD An evaluative Knowledge, Attitude and Practice (KAP household survey with a quantitative approach, involving 300 women. Data collection took place between June and August 2013, in an informal urban settlement within the municipality of João Pessoa, Paraiba, Northeast Brazil. RESULTS Regarding the male condom, most women showed inadequate knowledge and practice, and an adequate attitude. Regarding the female condom, knowledge, attitude and practice variables were unsatisfactory. Significant associations between knowledge/religious orientation and attitude/education regarding the male condom were observed. CONCLUSION A multidisciplinary team should be committed to the development of educational practices as care promotion tools in order to improve adherence of condom use.
Ranimah Yahya; Rosediani Muhamad; Harmy Mohamed Yusoff
Introduction: Cardiovascular disease (CVD) has been realized as a primary cause of death in women for almost a century. However, the relationship between womens knowledge, their wish and action on practicing heart healthy lifestyle is still vague. Aim and Objectives: This research aimed to determine the association between knowledge and attitude, knowledge and practice and attitude and practice on cardiovascular disease among women in Kelantan. Methods/ Study Design: A cross sectional study ...
Hisam, Aliya; Rahman, Mahmood Ur; Mashhadi, Syed Fawad
Objectives: To find the Knowledge Attitude and Practice regarding Folic Acid Deficiency among Women of Child Bearing Age (WPCBA). To find out the Association of Education Level with Practice of Folic Acid in WPCBA.
Prachi Renjhen; Ashwini Kumar; Sanjay Pattanshetty; Afrin Sagir; Charmaine Minoli Samarasinghe
Objective: To assess the knowledge, attitude and practice of contraception among the college students.Materials and Methods: A cross sectional study was conducted in the Government College, Gangtok, Sikkim, during the month of April 2009 to evaluate the knowledge, attitude and practice of contraception among 156 students enrolled in the first year bachelor course. Descriptive statistics was used for data analysis.Results: 98% (153/156) of the students had knowledge about family planning and ...
Tajvar, Abdolhamid; Yekaninejad, Mir Saeed; Aghamolaei, Teamur; Shahraki, Soudabeh Hamedi; Madani, Abdolhossein; Omidi, Leila
Introduction Traffic injuries are among the leading causes of death and disability in many countries. The knowledge, attitudes, and practice of drivers towards traffic regulations are key factors in decreasing traffic injuries and deaths. The objectives of this research were to study the knowledge, attitudes, and practice of taxi drivers towards traffic regulations in Bandar-Abbas, Iran, and to determine the relationships between demographic features and knowledge, attitudes, and practice of taxi drivers towards traffic regulations. Methods This cross-sectional study was done in 2014 in Bandar-Abbas, Iran (Hormozgan Province). To study the knowledge, attitudes, and practice of 241 intra-city taxi drivers towards traffic regulations, researchers developed questionnaires and a checklist. The chi-squared test was performed to determine the relationships between knowledge, attitude, and practice of drivers towards traffic regulations and demographic features. Results Among the 241 drivers, 50 of them (20.7%) thought that the seat belt could cause discomfort while driving, and 107 (44.4%) did not wear a seat belt while driving. The study determined that there was a significant difference between the knowledge and work experience of the drivers (p = 0.014). The 94 drivers (43.5%) in the 3140 year age group had positive attitudes towards traffic regulations (among 216 drivers expressed positive attitudes) and 92 (44.4%) of the drivers in this age group had safe practices towards traffic regulations (among 207 drivers with safe practice). Conclusion Many of the taxi drivers in Bandar-Abbas had inadequate knowledge, less positive attitudes, and risky practices towards traffic regulations. Implementation of effective intervention programs may increase the taxi drivers knowledge, attitudes, and practices towards traffic regulations. PMID:26813231
Objective: To determine the knowledge and practice of the breast cancer in medical community. The study was carried out in the Department of Oncology, Service Hospital, Lahore and completed in one month. Subjects and Methods: About 200 female doctors and nurses of the Hospital were involved. Each subject was asked to fill up a pro forma designed to assess knowledge, risk factors and preventive practices of the breast cancer. Using non-probability convenience sampling technique, breast self-examination (BSE) and mammography was performed as screening of breast cancer. Results: A majority had good knowledge of the risk factors and screening method for the early detection of breast cancer. Majority had the consensus on the benefit of mammography. Conclusions: The study shows that although medical professionals had fairly good knowledge about screening methods and risk factors of breast cancer. Their preventive practices were scanty in high risk population and, therefore, physicians and nurses need proper training. (author)
Jason O. Molina
The study determined the relationships between food safety knowledge and practices of hospital food handlers in Davao City and also between their attitudes and practices regarding food safety. Questionnaire patterned after the Key Food Safety Guidelines of Pacific Northwest Publications was administered to 51 food handlers to generate the data. It was found that hospital food handlers in Davao City are highly knowledgeable and have favorable attitudes in food safety. The extent of food sa...
Tilahun, Dejene; Assefa, Tsion; Belachew, Tefera
Background Unwanted pregnancy followed by unsafe abortion is one of the major worldwide health problems, which has many negative consequences on the health and well-being of women. Information about women's knowledge, attitude and practice of emergency contraceptives plays a major role in the reduction of unwanted pregnancy; however, there are no studies about this issue in the study area. This study assessed Adama University female students' knowledge, attitude and practice of emergency cont...
Naeema Badruddin; Abdul Basit; M. Zafar Iqbal Hydrie; Rubina Hakeem
All patients if given proper guidance and education regarding diabetes care would be able to make significant improvement in their life-style which is helpful for good glycemic control. Education to diabetic patients would be more effective if we know the level of knowledge, attitude and practices of our patients. Thus a study was conducted to assess the general characteristics, knowledge, attitude and practices of type 2 diabetic patients attending the Out-Patient Department (OPD) of Baqai I...
Darryn Knobel; Job Wasonga; Gamaliel Omondi; Eric Ogola; Peter Omemo
We sought to determine the knowledge and attitude of public health workers (PHWs) with respect to emerging and re-emerging zoonotic diseases and the practice of one health approach in the surveillance of zoonoses in the community. A cross-sectional study was conducted in 12 randomly selected districts of Nyanza province, Kenya. One hundred and ten randomly-selected PHWs were assessed using a structured questionnaire. Data were collected on their knowledge, attitudes and practices about common...
M. Talaei; S ROOHI; B SABET; A.M BAGHAEI; P BAHMAN ZIARI
Introduction. In a time that economic classification of nations is largely dependant on their scientific output, our country "Iran" in comparison to it"s facilities, has fewer scienilfic producilon than accepted. For programming to increase quantity and quality of research, at first, should carefully recognise the present condition. This study was done to survay attitiude, knowledge and practice of students in Isfahan University of Medical Sciences and Health Services (IUMSHS) about research....
DELUCCHI, KEVIN L.; Tajima, Barbara; Guydish, Joseph
This report describes the development and measurement characteristics of a new measure of smoking knowledge, attitudes, and practices (S-KAP) among treatment providers. Data are based on survey responses from 336 paid staff working in one of three drug abuse treatment or HIV care settings. Exploratory factor analysis, used to examine the factor structure, pointed towards five underlying factors: a single knowledge factor, three attitude factors (treatment barriers, counselor self-facto...
Ernesto, Smyth; Francisco, Caamaño; Paula, Fernández-Riveiro.
Full Text Available Objective: The objective of this study was to assess the association between knowledge, attitudes and practice of oral health in 12-year-old schoolchildren, and to analyse the findings in terms of the conventional KAP health-education model and of the critical approach. Study design: This study has [...] a cross sectional design. The study participants were 1105 randomly selected 12-year-old children resident in the region of Galicia in Spain. For data collection, five teams of one dentist and one assistant were formed. The dentist carried out the physical examination and the assistant helped the subjects to answer the questionnaire. Knowledge, attitudes and practice were assessed, as well as oral health indicators. Multiple regression analysis was used to identify variables affecting practice (as measured by extent of plaque). Results: The results of this study show how that there is an important association between oral health knowledge, attitudes, and practice in 12-year-old schoolchildren in this region. However, the results also show that attitude is not totally explained by knowledge, so that attitude cannot be understood simply as an intermediate variable in a knowledge® practice causal chain. Specifically, the results indicate that sociocultural environment modifies the association knowledge, attitudes and practice. Conclusions: Within oral health education it is clearly important to increase public knowledge of the risk factors for dental disease. However, the efficacy of such education will be limited if health programs do not directly impinge on attitudes, and take into account factors related to the environment, education, social status and economic level of the targeted population.
Fazele Atarbashi Moghadam
Full Text Available Introduction: The importance of the periodontal health maintenance and promotion in diabetes mellitus has been supported. Evidence showed that many patients are unaware about effects of diabetes mellitus on oral health. The aim of this study is to evaluate knowledge, attitudes and practice of diabetic patients concerning the risk of periodontal disease and prevention. Materials and Methods: In this cross sectional study, 156 diabetic patients referring to Yazd Diabetic Research Center were recruited by random selection. Patients completed questionnaires, which included 29 questions about their knowledge, attitude and practice of oral health in diabetes mellitus. The data was scored and analyzed. Result: The results showed knowledge (58.64 and attitude (46.86 scores of diabetic patients were moderate, while their practice (24.3 score were poor. There is statistical significant relation between mean scores of knowledge, attitude and practice of patients with their educational level and age. Conclusion: This study showed knowledge, attitude and practice level of diabetic patients were insufficient on oral health care.
Full Text Available Purpose: To describe knowledge, attitudes and practices of health workers of tuberculosis (TBprograms in priority municipalities of the Colombian Pacific coast. Material and Methods: A cross-sectional descriptive study was conducted with 38 health workers, corresponding to the entire population of people working at the TB programs in ten priority municipalities of Nariño, Colombia. A structured interview, previously validated trough cognitive interviews, was used. Results: Health workers report to have knowledge about TB and its management according to the established control guidelines. Nevertheless, some risk practices concerning biosecurity standards of infection control were found, that show some stigmatizing attitudes towards the illness. Conclusions: The study provides information about the health workers knowledge, attitudes and practices towards TB in Narino that can be used as input to the design of intervention strategies to strengthen the TB programs with local and cultural approach.
Full Text Available Background: Post-exposure prophylaxis plays an important role in prevention of bloodborne diseases after occupational exposures.Objective: To evaluate the knowledge, attitude and practice of dentists towards post-exposure prophylaxis.Methods: In a cross-sectional study, 140 dentists in Shiraz were selected through a systematic randomized sampling. They filled out a self-made questionnaire including 30 knowledge, 4 attitude and 10 practice questions. Mean of knowledge and percentage of various items of attitude and practice were reported.Results: The mean±SD knowledge score of dentists was 18.5±6.2. Knowledge had a significant relationship with the level of education (p<0.001, attending infection control seminars (p<0.001, and working in public clinics (p<0.001. A total of 63 (43% dentists believed that immediate washing of the exposed area has no effect on the prevention of hepatitis and AIDS. Of the studied dentists, 13%, 11%, and 34% believed that prophylaxis after exposure to patients' blood had no effect on prevention of human immunodeficiency virus (HIV, hepatitis B virus, and hepatitis C virus infections, respectively. Only 170 (53% exposed dentists immediately washed the exposed area and only 43 (13.4% of them evaluated the source patient for risk factors of hepatitis and AIDS.Conclusion: Knowledge, attitude and practice of dentists working in Shiraz towards postexposure prophylaxis are not desirable. Interventions to raise their awareness are therefore warranted.
Full Text Available Dengue fever (DF is increasingly recognized as one of the worldâs major vector borne diseases and causes significant morbidity & mortality in most tropical & subtropical countries of the world & had become the most com mon arboviral diseases of human. Dengue fever is endemic in most part of India & continues to be a public health concern. Dengue vector, human knowledge & human behavior each have been reported to play an important role in the transmission of the diseases. OBJECTIVES: 1. To determine the level of knowledge, attitude & practices regarding Dengue fever among nursing student. 2. To study the relationship of level of knowledge & attitude with preventive practices for dengue fever. METHOD & MATERIAL: A cross sectional study was carried out in nursing student of tertiary care hospital during September to October2012. A prestructured & self - administered questionnaire was used to collect data regarding dengue fever knowledge, attitude & practices from nursing stu dents. STATISTICAL ANALYSIS: Data was analyzed using SPSS version 20 statistical software. Appropriate statistical test was applied to calculate P - value. RESULT: Almost all the participants have heard of DF (94%, the media being the most quoted source of information. Nearly 80.6% participants were aware transmission of Dengue Fever is by mosquito bite. Practices based upon preventive measures were found to be predominantly focused towards prevention of mosquito bites rather than elimination of breeding pla ces. CONCLUSION: Although the knowledge regarding DF & mosquito control measure was quite high among the nursing student but this knowledge was not put into practice
Ballala, Kirthinath; Shetty, Avinash; Malpe, Surekha Bhat
Voluntary body donation has become an important source of cadavers for anatomical study and education. The objective of this study was to assess knowledge, attitude, and practice (KAP) regarding whole body donation among medical professionals in a medical institute in India. A cross sectional study was conducted at Kasturba Hospital, Manipal,
Spellman, Claire; Craike, Melinda; Livingston, Patricia M.
Objectives: This study examined the knowledge, attitudes and practices of clinicians in promoting physical activity to prostate cancer survivors. Design: A purposeful sample was used and cross-sectional data were collected using an anonymous, self-reported online questionnaire or an identical paper-based questionnaire. Settings: Health services
Naquin, Millie; Cole, Diane; Bowers, Ashley; Walkwitz, Ed
The purpose of this study was to investigate environmental health knowledge, attitudes and practices of children enrolled in grades four through eight at a university laboratory school in southeast Louisiana, U.S.A. Quantitative and qualitative questions were completed through an online survey. The children's written responses to the survey
Macaulay, Araxi P.; Griffin, Kenneth W.; Gronewold, Elizabeth; Williams, Christopher; Botvin, Gilbert J.
The current study explored the relationships between parenting practices and adolescent drug use. Suburban middle school students (N = 2129) completed surveys that included measures of perceived parental monitoring, discipline and setting an anti-drug message as well as measures of drug-related knowledge, attitudes and peer norms. Results
Ha, Chrysanthy; Rios, Lenoa M.; Pannaraj, Pia S.
Background: School personnel are important for communicating with parents about school vaccination programs and recognizing influenza outbreaks. This study examined knowledge, attitudes, and practices of school personnel regarding seasonal and 2009 H1N1 influenza, vaccinations, and school outbreak investigations. Methods: Data were analyzed from
He, Na; Zhang, Jinling; Yao, Jinjian; Tian, Xiuhong; Zhao, Genming; Jiang, Qingwu; Detels, Roger
A study of knowledge, attitudes and practices (KAP) of voluntary HIV counseling and testing (VCT) among rural migrants was conducted in Shanghai, China. An anonymous questionnaire was administered face-to-face. Among 2,690 participants, 78% reported having had lifetime sexual intercourse with 41.3% of singles reporting sexual intercourse, 9.2%
Newman, Ian M.; And Others
This report presents information from a survey of the knowledge, attitudes, and practices of Nebraska adolescents (N=1,240) in grades 9-12 related to the Human-Immunodeficiency Virus (HIV)/Acquired Immune Deficiency Syndrome (AIDS). Schools were selected at random from each of the six classifications of Nebraska schools, and two or three
Herring, Theresa A.; Bakhiet, Raga M.
This study assessed how knowledge of soy protein and its relationship to heart disease influences the attitudes and practices of college students. Results showed that family members, schools, and newspapers were the primary sources of students' nutritional information. One fourth of the participating students answered at least four nutrition
This document presents knowledge, skills, and attitudes that are needed for achieving and practicing the competencies listed in Addiction Counseling Competencies, as written by the National Curriculum Committee of the Addiction Technology Transfer Center Program. The document is intended to provide guidance for the professional treatment of
Bannink, Femke; Stroeken, Koenraad; Idro, Richard; van Hove, Geert
This article describes the findings of a qualitative study on knowledge, beliefs, attitudes, and practices towards children with spina bifida and hydrocephalus in four regions of Uganda. Focus group discussions and semi-structured interviews were held with parents of children with spina bifida and hydrocephalus, policy-makers, and service
Vanesh Mathur; Dwivedi, S.; M.A.Hassan; Misra, R P
Background: The waste produced in the course of healthcare activities carries a higher potential for infection and injury than any other type of waste. Inadequate and inappropriate knowledge of handling of healthcare waste may have serious health consequences and a significant impact on the environment as well. Objective: The objective was to assess knowledge, attitude, and practices of doctors, nurses, laboratory technicians, and sanitary staff regarding biomedical waste management. Material...
Stull Jason W; Peregrine Andrew S; Sargeant Jan M; Weese J
Abstract Background Many human infections are transmitted through contact with animals (zoonoses), including household pets. Although pet ownership is common in most countries and non-pet owners may have frequent contact with pets, there is limited knowledge of the publics pet contact practices and awareness of zoonotic disease risks from pets. The objective of this study was to characterize the general publics knowledge, attitudes and risks related to pet ownership and animal contact in so...
Walrond Errol; Jonnalagadda Ramesh; Hariharan Seetharaman; Moseley Harley
Abstract Background The aim of the study is to assess the knowledge, attitudes and practices among healthcare professionals in Barbados in relation to healthcare ethics and law in an attempt to assist in guiding their professional conduct and aid in curriculum development. Methods A self-administered structured questionnaire about knowledge of healthcare ethics, law and the role of an Ethics Committee in the healthcare system was devised, tested and distributed to all levels of staff at the Q...
Stephens, Lindsey L.; Bachhuber, Marcus A.; Seloilwe, Esther; Gungqisa, Nontombi; Mmelesi, Mpho; Bussmann, Hermann; Marlink, Richard G; WESTER, C. William
Students at the University of Botswana, an at-risk group, have previously been shown to have high levels of risky sexual behavior despite widespread knowledge that these behaviors might lead to HIV-1 infection. As there have recently been considerable efforts focused on HIV-1 prevention in Botswana through nationwide media education campaigns and the opening of voluntary counselling and testing centers, re-evaluation of HIV-related knowledge, attitudes, and practices among students is needed....
Jane E. Ellery; Carol A. Friesen; Grete R. Hornstrom; Kimberli Pike
The number of women participating in softball at the collegiate level continues to rise, yet little is known about collegiate softball players' knowledge about sport nutrition. The purpose of this study was to collect information from Mid-American Conference softball players to determine their current knowledge, attitudes, and practices related to sport nutrition and to identify their preferred sources for obtaining sport nutrition information.
Full Text Available The aim of this study was to evaluate knowledge, attitude and practice of herbal remedies (HRs in infertile patients. This was a cross sectional study in a referral infertility care center. Three hundred and six outpatients, both women and men, presenting for the first time with complaint of infertility at Arash hospital, were recruited. Verbal consent for participation was received. A self administered questionnaire was used. Main outcome measure was knowledge, attitude and practice of patients toward herbal medications. 47.3% of participants were knowledgeable of HRs with female gender and lower educational background being the associated factors in knowledge. 43.4% of patients with significant female dominancy had positive attitude toward HRs. 31% of participants were using HRs. Only 3.2% of those using HRs informed their physician. The most common health condition promoting herbal use was psychological (33.3% and gastrointestinal (30.8% disorders. 3.5% of participants used HRs as fertility treatment which was significantly observed in women and those with lower levels of formal education. A considerable proportion of our population had used HRs without sufficient knowledge and had positive attitude toward HRs. More importantly, patients did not disclose their use of HRs to physicians. Therefore, physicians should inquire about the use of alternative remedies and provide patients with appropriate information
Govender Dayanandan; Kunene Simon; Mabaso Musawenkosi LH; Hlongwana Khumbulani W; Maharaj Rajendra
Abstract Background The potential contribution of knowledge, attitudes and practices (KAP) studies to malaria research and control has not received much attention in most southern African countries. This study investigated the local communities' understanding of malaria transmission, recognition of signs and symptoms, perceptions of cause, treatment-seeking patterns, preventive measures and practices in order to inform the country's proposed malaria elimination programme in Swaziland. Methods...
Full Text Available Introduction: Cardiovascular disease (CVD has been realized as a primary cause of death in women for almost a century. However, the relationship between womens knowledge, their wish and action on practicing heart healthy lifestyle is still vague. Aim and Objectives: This research aimed to determine the association between knowledge and attitude, knowledge and practice and attitude and practice on cardiovascular disease among women in Kelantan. Methods/ Study Design: A cross sectional study was conducted in Kelantan, Malaysia. A total of 448 women attended primary care facilities in Kelantan were included in this study. Twostage sampling process was used to select clinics in all districts in Kelantan followed by female participants from selected clinics attendance lists. Recruited were non illiterate young adult women up to 65 years of age and without psychotic symptoms. Consented participants were given a set of validated KAP questionnaire that should be completed within 15 minutes. Findings: The respondents mean age was about 40 years with majority of them having secondary educational level and coming from low socio-economic group. Among them, 56.8% involved in tobacco products and 41.3% reported as having CVD related medical illnesses, especially obesity (23.7% and hypertension (17.6%. About 56.2% had family history of CVD risk. Only 26.8% of them obtained the CVD information from health care workers. The good knowledge, attitude and practice score were 55.6%, 55.1 % and 51.1% accordingly. There were significant association between attitude and knowledge, practice and knowledge and practice and attitude which were found to be strong (0.10, 0.20, (0.10, 0.18 and (0.26, 0.40 95% CI, respectively and is independent with socio-demographic and personal disease characteristic. Conclusion: Positive relationship between knowledge, attitude and practice will encourage primary care doctors to take this challenge to educate, motivate community and provide full support to those who wish to modify their lifestyle.
Bahador Haji Mohammadi
Full Text Available Background and Aim: Food poisoning occurs under circumstances where proper action for protecting foods from microbial contamination and chemical toxins is not taken. In the Iranian society women have an important role in preparing food in the home. The objective of this study was to assess the knowledge, attitude and practice (KAP of women living in Yazd, Iran regarding food poisoning. Materials and Methods: This was a cross-sectional descriptive study. Data were collected through interviewing 266 women living in Yazd, selected randomly by calling at their homes. Data analysis was performed using SPSS version 18. The minimum and maximum accessible scores for knowledge, attitude and practice were 0 and 15, 15 and 45 and 0 and 20, respectively.Results: The mean (± SD score of knowledge, attitude and practice was 11.13 ± 2.54, 39.98 ± 4.52 and 17.73 ± 1.96, respectively. Further analysis of the data showed that 63.2% of the women had no knowledge about safety of refrigerated cooked foods and 41.4% had an erroneous attitude about fruit and vegetable cleaning, believing that merely cleaning them would make them safe to eat. As regards practice, 68.8 % of the women prepared and ate semi-cooked eggs.Conclusion: Yazdi women lack a sound knowledge about (a. some agents of food poisoning such as, for example, Salmonella and (2. food cooking and preserving temperatures. It is recommended to plan and execute educational programs aiming at promoting knowledge and improving practice of women in these areas.
Full Text Available Abstract Background This study assessed the level of knowledge, attitudes, and practice regarding disinfection procedures among nurses in Italian hospitals. Methods A face-to-face interview gathered the following information: demographic and practice characteristics; knowledge about the healthcare-associated infections (HAIs and the disinfection practices; attitudes towards the utility of guidelines/protocols and perception of the risks of acquiring/transmitting HAIs; compliance with antisepsis/disinfection procedures; and sources of information. Results Only 29% acknowledged that urinary and respiratory tract infections were the two most common HAIs and this knowledge was significantly higher in those with a higher level of education. Attitudes towards the utility of guidelines/protocols for disinfection procedures showed a mean score of 9.1. The results of the linear regression model indicated a more positive attitude in female nurses, in those with a lower number of years of activity, and in those needing additional information about disinfection procedures. Nurses with higher educational level and with a higher perception of risk of transmitting an infectious disease while working were more likely to perform appropriate antisepsis of the surgical wound and handwashing before and after medication. Conclusions Plan of successful prevention activities about HAIs and provide pointers to help optimize disinfection procedures and infection prophylaxis and management are needed.
Full Text Available Background Dental practitioners can be exposed to the human immunodeficiency virus (HIV, hepatitis B virus (HBV, and hepatitis C virus (HCV during routine work. Objectives In this study, the knowledge, attitude, and practice of the dentists in Zahedan were examined on patients with HIV, HBV, and HCV infections. Materials and Methods This cross-sectional study was carried out on 100 dentists in Zahedan in 2013. A reliable and valid questionnaire on knowledge, attitude and performance of the dentists toward the infectious diseases of HIV, hepatitis B and C was distributed to all dentists who worked in Zahedan. Data were analyzed using one-way analysis of variance (ANOVA, independent sample t-test and Spearman rank correlation coefficient. Results The mean score of the knowledge, attitude and practice of the dentists were 51.45 ± 3.16 out of 63, 20.22 ± 3.74 out of 39 and 64.41 ± 4.49 out of 72, respectively. Most of the participants (95% believed that the fear and concern of the transmission of HIV, HBV and HCV infections are among the reasons of refusing the infected patients. The relationship between demographic variables and the level of knowledge, attitude, and practice of dentists was not statistically significant. Conclusions Although the dentists had a proper knowledge in the field of transmission of HIV, HBV, and HCV infections, fear and concern of being infected make them to refuse these patients. Therefore, training dentists to improve their attitudes toward treatment of these patients is necessary.
Full Text Available Background: Diabetic neuropathy (DN can affect any part of the nervous system and should be suspected in all patients who have had diabetes for more than 5 years. Family physicians (FPs can play an important role with the care and education of people with diabetes. They can augment the knowledge and motivate the diabetics to acquire a healthy life style, which would further lead to a good glycemic control providing protection from the chronic complications. Lack of compliance with the guidelines on the part of the diabetic subjects, indicates deficiencies in the FPs' knowledge, implementation techniques, and attitude problems. Therefore, the present study was conducted to assess FPs' knowledge, attitude, and practice regarding DN for further educational interventions that will improve their quality of care for diabetic patients in family practice centers. Materials and Methods: The study population was 60 FPs working in family practice centers affiliated to Suez Canal University Hospitals. The questionnaire composed of three groups of questions to collect data for evaluation of knowledge, attitude, and practice; two written patient problems to assess their practice and two questions to assess barriers and recommendations of physicians. To pass the evaluation; 50, 80, and 60% were the cut off points to pass the evaluation for knowledge, attitude, and practice, respectively. Results: 48.3, 66.7, and 43.3% of the evaluated FPs passed the knowledge, attitude, and practice assessment, respectively. Eighty-five percent of physicians felt that they need more knowledge and training in DN management. Physicians' qualification (P = 0.037 was a significant variable in passing the knowledge test, but qualification and experience years (P = 0.007 and 0.035, respectively were significant variables in passing the practice test. There was a positive significant (P = 0.021 correlation between practice and knowledge score. Postgraduate knowledge accounts the majority (78.3% as a source of information about DN. Providing physicians with standardized guidelines (81.7%, continuous medical education seminars (76.7% and training courses (76.7% came at the top of physician's recommendations to improve DN care by FPs. Conclusion: This study has identified the need for improvement in family medicine physician practices for treating and educating diabetics and recommended that awareness and educational programs are necessary to update the FPs on screening, effective treatment of diabetes and prevention of DN.
Van Eyndhoven, Lisa; Chussid, Steven; Yoon, Richard K
The aim of this cross-sectional study was to determine pediatric dentists' attitudes about speech evaluation in the dental setting and assess their knowledge of speech development and pathology. In October 2013, members of the American Academy of Pediatric Dentistry were invited to participate in an electronic questionnaire. Categories of questions were demographics, attitudes and confidence in speech pathology, and theoretical and practical knowledge of speech development and speech pathology. Theoretical knowledge was assessed using questions about phonetics and speech milestones. Practical knowledge was determined with three 30-second interview-style video clips. A total of 539 responses were received for a response rate of 10.4%. The majority of respondents reported feeling that speech evaluation should be part of the pediatric dental visit (72.8%) and felt confident in their ability to detect speech issues (73.2%). However, they did poorly on the theoretical knowledge questions (41.9%) as well as the practical knowledge questions (8.5%). There was a statistically significant difference in theoretical score between gender and type of occupation (pspeech issues, they currently have insufficient training and knowledge to do so. PMID:26522632
Solange Laurentino dos, Santos; Gabriel, Parra-Henao; Mírcia Betânia Costa e, Silva; Lia Giraldo da Silva, Augusto.
Full Text Available Introduction This study was conducted in Brazil and Colombia,where dengue is endemic and vector control programs use chemical insecticides. Methods We identified [...] knowledge, attitudes, and practices about dengue and determined the infestation levels of Aedes aegypti in one Brazilian and four Colombian communities. Results The surveys show knowledge of the vector, but little knowledge about diagnosis, prognosis, and treatment. Vector infestation indices show Brazil to have good relative control, while Colombia presents a high transmission risk. Conclusions Given the multidimensionality of dengue control, vertical control strategies are inadequate because they deny contextualized methods, alternative solutions, and local empowerment.
Solange Laurentino dos Santos
Full Text Available Introduction This study was conducted in Brazil and Colombia,where dengue is endemic and vector control programs use chemical insecticides. Methods We identified knowledge, attitudes, and practices about dengue and determined the infestation levels of Aedes aegypti in one Brazilian and four Colombian communities. Results The surveys show knowledge of the vector, but little knowledge about diagnosis, prognosis, and treatment. Vector infestation indices show Brazil to have good relative control, while Colombia presents a high transmission risk. Conclusions Given the multidimensionality of dengue control, vertical control strategies are inadequate because they deny contextualized methods, alternative solutions, and local empowerment.
Full Text Available Abstract Background Health research training is an essential component of medical education and a vital exercise to help develop physician research skills. This study was carried out to assess the level of knowledge, attitudes and practices towards research amongst a group of Post Graduate Medical Trainees (PGMTs' at Aga Khan University (AKU, Pakistan. Methods A cross sectional health research survey was carried out on all PGMTs' at AKU Pakistan. AKU is a tertiary care health facility which offers residency in 28 specialties and fellowship in 16 programs. Knowledge, attitudes and practices related to health research were assessed using a pretested, structured and validated questionnaire. Health research related practices of the residents were examined using questions graded on Likert scale. Results Mean percentage score Â± SD on the knowledge scale was 36.9% Â± 20.2 and 47.19% Â± 25.18 on the attitude scale. Of 104(55.6% who had previously participated in research 28(26.9% had been involved in basic science research only, 62(59.6% in clinical research and 14(13.5% had participated in both clinical and basic science research projects. 88(47.1% planned to pursue a future research career. Those who planned to pursue a future research career had more positive health research attitudes p Conclusion PGMTs' demonstrate inadequate knowledge, while they have moderate attitudes towards health research. Residency training and research facilities at the institution need to undergo major transformation in order to encourage meaningful research by resident trainees.
Sonam Zangmu Sherpa
Full Text Available Objective: To assess the knowledge, attitude, practice and preferences on contraceptive methods among the female population, to determine the association between knowledge and attitude on contraceptive methods with the variables.Materials and methods: A Descriptive survey of 136 females between 18- 45 year of age were done using a structured knowledge questionnaire, structured attitude scale and opinionnaire on practice and preference during the month of January 2012 to February 2012 at Moodu Alevoor village, Udupi district, Karnataka. Simple random sampling was used to select the village and purposive sampling technique was used to select the sample.Results: It was shown that 48.5% were of 26-35 years of age, 92% were Hindus, 45.6% had higher secondary education, 41.2% were house wives, 55.9% had family monthly income below 5000 rupees, 49.3% were from nuclear family, 64% were married between 19-25 years, 43.3% had 2-3 years of married life and 52.2% had one pregnancy. Majority (55.9% had one living child and 98.5% got information through health personnel. Majority (67.60% had moderate knowledge on contraceptive methods and 17.60% had high knowledge. Majority (87.50% had favourable attitude and 12.50% had unfavourable attitude towards contraceptive methods. From the group of studied women 38.23% did not use any contraceptive methods, 19.85% used OCPs and minimum 1.47% used injection as contraceptive method. In this study 37.5% preferred OCPs as Rank 1, male condom (22.1% as Rank 2 and injection (16.3% as Rank 3. There was association between knowledge with educational status(c2 = 47.14, p=0.001, occupation (c2 =15.81, p=0.044, family monthly income (c2 =6.473, p=0.039 and duration of marriage (c2=6.721, p=0.035. There was no association between attitude and the studied variables.Conclusion: The study showed that majority of the females had moderate knowledge and favourable attitude
De Pretto, Laura; Acreman, Stephen; Ashfold, Matthew J.; Mohankumar, Suresh K.; Campos-Arceiz, Ahimsa
Transboundary haze episodes caused by seasonal forest fires have become a recurrent phenomenon in Southeast Asia, with serious environmental, economic, and public health implications. Here we present a cross-sectional survey conducted among people in Kuala Lumpur and surrounds to assess the links between knowledge, attitudes, and practices in relation to the transboundary haze episodes. Of 305 respondents, 125 were amateur athletes participating in a duathlon event and the remainder were surveyed in an inner-city shopping mall. Across the whole sample, people who possessed more factual information about the haze phenomenon showed significantly higher levels of concern. Duathletes were more knowledgeable than non-duathletes and also more concerned about the negative effects of haze, especially on health. For all people who regularly practice outdoor sports (including people interviewed at the shopping mall), higher levels of knowledge and concerned attitudes translated into a greater likelihood of engaging in protective practices, such as cancelling their outdoor training sessions, while those with greater knowledge were more likely to check the relevant air pollution index on a daily basis. Our results indicate that the provision of accurate and timely information about air quality to residents will translate into beneficial practices, at least among particularly exposed individuals, such as amateur athletes who regularly practice outdoor sports. PMID:26646896
De Pretto, Laura; Acreman, Stephen; Ashfold, Matthew J; Mohankumar, Suresh K; Campos-Arceiz, Ahimsa
Transboundary haze episodes caused by seasonal forest fires have become a recurrent phenomenon in Southeast Asia, with serious environmental, economic, and public health implications. Here we present a cross-sectional survey conducted among people in Kuala Lumpur and surrounds to assess the links between knowledge, attitudes, and practices in relation to the transboundary haze episodes. Of 305 respondents, 125 were amateur athletes participating in a duathlon event and the remainder were surveyed in an inner-city shopping mall. Across the whole sample, people who possessed more factual information about the haze phenomenon showed significantly higher levels of concern. Duathletes were more knowledgeable than non-duathletes and also more concerned about the negative effects of haze, especially on health. For all people who regularly practice outdoor sports (including people interviewed at the shopping mall), higher levels of knowledge and concerned attitudes translated into a greater likelihood of engaging in protective practices, such as cancelling their outdoor training sessions, while those with greater knowledge were more likely to check the relevant air pollution index on a daily basis. Our results indicate that the provision of accurate and timely information about air quality to residents will translate into beneficial practices, at least among particularly exposed individuals, such as amateur athletes who regularly practice outdoor sports. PMID:26646896
Najafi-Sharjabad, Fatemeh; Hajivandi, Abdollah; Rayani, Mohammad
Emergency Contraception (EC) is used within a few days of unprotected sex to prevent an unintended pregnancy. About one quarter of pregnancies in south of Iran are unintended. EC is important option that women can use after unprotected sex or contraceptive failure for preventing of unplanned pregnancies and adverse maternal and perinatal health outcomes. Health staff have influence on women's contraceptive behavior and their knowledge and attitudes about EC can affect women's contraceptive behaviors. Data are lacking about the knowledge, attitude and practice of hormonal EC method among health staff in Bushehr state, south of Iran. A cross-sectional study using self administered questionnaire was conducted. A sample of 170 health staff were surveyed. The mean age of respondents was 30.6±5.1. Overall 6.5% of participants had poor knowledge, 25.2% moderate knowledge, 68.3% good knowledge about EC. Half of participants had positive and half had negative attitude towards the EC method. Midwives and family health workers were more knowledgeable (peducational efforts for health staff should be focused more on the specific aspects of EC method. GPs also should be more involved in family planning program. PMID:24373264
Sakineh Mohammad-Alizadeh- Charandabi
Full Text Available Objective: The Pap smear is a reliable, inexpensive and effective screening test for cervical cancer; the second most common cancer among women worldwide. We aimed to determine womens knowledge, attitudes and practice towards Pap smear and barriers for the screening in a public hospital.Materials and methods: This study, was carried out on 350 outpatient married women reffering for a visit at the clinics of the Alzahra educational hospital, Rasht- Iran, 2011. A questionnaire including demographic characteristics (24 questions, knowledge (14 questions, attitudes (11 statments and practice (10 questions towards Pap smear was completed by interview with the women. The data were analyzed using SPSS ver.13.Results: Mean age of participants was 32 (SD 12 years. Of the respondents, only 44.3% were aware of the Pap smear and 27.1% had had it at least once in their life. The most common reason for having the test was physicians or other health workers advise and for not having the test was no recommendation by health providers and lack of knowledge about Pap smear. Embarrassing, fear of the test result or economic problems mentioned by only 12 (4.2% as the main barrier. Mean (±SD knowledge score of the women who had heard about the Pap smear was 59.4 (24.3 and attitudes score of all participants was 48.5 (11.6 from possible range score of 0-100. Women with a history of Pap smear had had higher awareness and attitudes score.Conclusion: The knowledge and practice of the women was inadequate and need to be promoted. Considering the main reason mentioned by the participants for not having the test, all health providers should educate and encourage women to do regular Pap smear.
Dorah U. Ramathuba; Lunic B. Khoza; Mutshinyalo L. Netshikweta
Unplanned teenage pregnancy constitutes an important health problem, whilst contraceptive services are free throughout South Africa and the number of Termination of Pregnancy (TOP) services is increasing. The purpose of this study was to assess the knowledge, attitudes and practices of secondary school girls towards contraception in Thulamela Municipality of Limpopo Province, South Africa. A quantitative descriptive study design was used and respondents were selected by convenience sampling f...
Khan Sadaf; Khan Hassan; Iqbal Arshad
Abstract Background Health research training is an essential component of medical education and a vital exercise to help develop physician research skills. This study was carried out to assess the level of knowledge, attitudes and practices towards research amongst a group of Post Graduate Medical Trainees (PGMTs') at Aga Khan University (AKU), Pakistan. Methods A cross sectional health research survey was carried out on all PGMTs' at AKU Pakistan. AKU is a tertiary care health facility which...
Aiga, Hirotsugu; Nguyen, Vinh Duc; Nguyen, Cuong Dinh; Nguyen, Tho Thi Thi; Nguyen, Lien Thi Phuong
Background Maternal and Child Health (MCH) Handbook, an integrated MCH home-based record, was piloted in four provinces of Vietnam (Dien Bien, Hoa Binh, Thanh Hoa and An Giang). The study is aimed at assessing the changes in pregnant womenâs behavior towards the frequencies of their antenatal care service utilizations and their subsequent breastfeeding practices up to six months of age, through the MCH Handbook intervention. This is because the levels of pregnant womenâs knowledge, attitude a...
Qidwai Waris; Saleem Taimur; Ishaque Sidra
Abstract Background Gemstones have been in use as part of alternative and complementary medicine for years. However, our understanding of the perceived healing powers of gemstones is limited. An extensive literature search revealed that there is a dearth of validated information on this subject. This study was therefore undertaken to explore the various aspects of the knowledge, attitudes, and practices of the public towards gemstone therapeutics. Methods A survey was performed in the Communi...
Michael G. Prucha; Fisher, Susan G.; Scott McIntosh; Grable, John C.; Heather Holderness; Kelly Thevenet-Morrison; Zahíra Quiñones de Monegro; José Javier Sánchez; Arisleyda Bautista; Sergio Díaz; Deborah J. Ossip
Tobacco use is increasing globally, particularly in low and middle-income countries like the Dominican Republic (DR) where data have been lacking. Health care worker (HCW) interventions improve quit rates; asking patients about tobacco use at each visit is an evidence-based first step. This study provides the first quantitative examination of knowledge, attitudes and practices of DR HCWs regarding tobacco use. All HCWs (N = 153) in 7 economically disadvantaged DR communities were targeted wit...
Full Text Available Background: The emergence and spread of Ebola outbreak is a growing problem worldwide, which represents a significant threat to public health. Evidence has shown that the level of knowledge, attitude, and practice of people in the society play major roles in controlling the spread of Ebola virus disease. This study was designed to determine knowledge, attitude and practice of students at School of Public Health, Tehran University of Medical Sciences towards Ebola.Methods: A cross-sectional survey was performed in Tehran, Iran in 2014 using a pretested self-administered questionnaire on a stratified sample of 400 students. Descriptive and multivariate analyses were used for statistical analysis.Results: All-in-all, 385 students returned the completed questionnaires making a response rate of 96.3%., 239 (62.2% were females and 145 (37.8% were males. The mean age of female and males were 28.44 and 30.3 years respectively. Of the 385students, 83 (21.7% were studying at PhD level, 210 (55.0% at Masters Level (including MPH and 89 (23.3% at Bachelors level. knowledge of the students regarding EVD transmission was lowest among students of Department of Occupational Health (50.0%, followed by Health Education and Promotion Department (33.3%. Virology Department recorded the highest percentage of students who had selected correct answers regarding EVD prevention (100.0%Conclusion: These findings will aid in the assessment of the adequacy of current studentsâ educational curriculum. Also, it will provide further insight in designing future multifaceted interventions to promote specific messages to change attitude and improve practice.Â Keywords: Ebola, Outbreak, Tehran, Iran, Knowledge, Attitude, Practice, Students
Sima Garshasbi; Zahra Khazaeipour; Nahid Fakhraei; Maryam Naghdi
The objective of the study was to evaluate the position of patient education measuring knowledge, attitude, and practice (KAP) among health care workers (HCWs). It is also aimed to emphasize the need for a real position for patient education. This survey was performed among a group of HCWs in Iran. The scores had an acceptable level. However, nurses, females and younger people received higher scores. The staff was already aware of patient education necessity and considered it as the duty of a...
M.I. Khairil Anuar; M.N. Norazmir; G. Nurliyana
The food nutrition label provides the nutrition information that helps consumers on food choices and used to give us information so that customer can choose between foods. This study was aimed to determine the association between knowledge, attitude and practices on food label use and to determine the factors that influence the use of food labels during making food purchasing decision among university students. A cross-sectional study of undergraduate students at UiTM Puncak Alam in the Kuala...
Jamilah Ahmad; Habibah Lateh
This paper presents the findings of a field survey of supposedly educated young Malaysians regarding their knowledge of landslide as an environmental hazard and their attitudes and practice regarding landslide issues. The respondents were undergraduate students of Penangs Universiti Sains Malaysia whose RST (Restu, Saujana, Tekun) residential hostels were chosen for the study due to their location on a mountainous terrain. A total of 343 students participated in the survey. The results...
De Pretto, Laura; Acreman, Stephen; Ashfold, Matthew J.; Mohankumar, Suresh K.; Campos-Arceiz, Ahimsa
Transboundary haze episodes caused by seasonal forest fires have become a recurrent phenomenon in Southeast Asia, with serious environmental, economic, and public health implications. Here we present a cross-sectional survey conducted among people in Kuala Lumpur and surrounds to assess the links between knowledge, attitudes, and practices in relation to the transboundary haze episodes. Of 305 respondents, 125 were amateur athletes participating in a duathlon event and the remainder were surv...
Ahmad H Al-Hazmi
Full Text Available Background/Aim: Primary health care (PHC physicians manage most patients with irritable bowel syndrome (IBS. In Saudi Arabia, there are limited data on their knowledge, attitudes, and practices about this disorder. This study aimed to assess knowledge, attitudes, and practices of primary care physicians about IBS. Patients and Methods: A cross-sectional survey of 70 practitioners aged 36 Â± 10.25 years was carried out in primary care centers in AlJouf Province of Saudi Arabia. The physicians were asked to fill a valid questionnaire containing their sociodemographic data, and well-modified questions regarding their knowledge, attitudes, and practices about IBS. Data was processed and analyzed using SPSS (version 15 program, and the level of significance was set at P<0.05. Results: A response rate of 92.9% yielded 65 questionnaires for analysis. Majority of physicians surveyed (83.1% considered IBS as a common health problem in Saudi Arabia, and (55.4% believed it is underestimated. There was a significant association between physiciansâ² qualifications and using diagnostic tools to facilitate IBS diagnosis (14.3% vs 35.5%; P<0.05, while utilization of "Rome or Manning criteria" was more frequent by physicians with masterâ²s degree (35.5% compared to residents (14.3%. Also, 35.4% of physicians (15 males and 8 females were not sure how to diagnose IBS. Conclusions: This study suggested that PHC physicians had a suitable attitude toward IBS, but they lacked knowledge, and their practices toward this condition were inappropriate.
Rosediani Muhamad; Ranimah Yahya; Harmy Mohamed Yusoff
Introduction: Coronary heart disease (CHD) is a leading killer not only in men but also in women worldwide and primary target for prevention. However, majority initial researchers believed it was mainly a mens disease that resulted in fewer women being informed regarding the disease.Aim and Objectives: A cross sectional study was conducted to determine the level of knowledge, attitude and practice on cardiovascular disease among women attended outpatient clinics with Family Medicine Speciali...
Kavin Nishith Shroff; R J Gayakwad; Neha Bavarva; Fenil Patel; Patel, N B
Objective: The study was aimed to assess knowledge, attitudes and practices of emergency contraception among the college students. Methodology: Data was collected through self administered questionnaires, where by students were instructed what to do in introductory remark. All this was done first before being administered in the class. Then the filled questionnaires were collected. Results: Majority were not using ECP 56(46.7%) with a reason of never had need for it, followed by 29 (2...
Fotedar, Shailee; Gupta, Manish; Manchanda, Kavita; Sharma, Mukesh
Background Oral cancer is the sixth most common cancer among Indian males and the third most common cancer among Indian females. Early detection of oral cancers makes them more amenable to treatment and allows the greatest chance of cure. Lack of awareness among the health care providers is the most significant factor in delaying diagnosis and treatment of oral cancer. So the aim of the study was to assess the knowledge, attitude and practices of oral cancer among undergraduate medical students in Indira Gandhi Medical College, Shimla, India. Materials and Methods A cross-sectional questionnaire study was conducted among 186 undergraduate medical students between the third to fifth years in Indira Gandhi Medical College, Shimla. The questionnaire consisted of 15 questions, five each on knowledge, attitudes and practices. The data were analysed by Statistical Package for the Social Sciences version 16. Test used were t-test, Chi-square and ANOVA. Results The response rate of the study was 96.5%. The mean knowledge percent of the sample was good. Mean knowledge percent was higher in females than males. Higher percentage of students in 5th year (internship) had excellent knowledge. The knowledge and practices about risk factors was not satisfactory. One hundred and twenty four (66.6%) of the subjects disagreed/strongly disagreed that their knowledge regarding the prevention and detection of oral cancer is current adequate. One hundred and seventy six and (94.6%) agreed/strongly agreed that there is need for additional training/information regarding oral cancer. Conclusion It can be concluded that though the mean knowledge of the population was good but the knowledge and practices about risk factors had to be reinforced among these students so that they can help the patients in tobacco and alcohol cessation and contribute in prevention of oral cancers. PMID:26436029
The purpose of this study was to assess the basic knowledge, attitudes and practices about viral hepatitis B and hepatitis C among young healthy adults. A total of 2038 young healthy adults belonging to central Punjab were included in the study. A closed structured questionnaire was used to assess the knowledge, attitudes and practices of the individuals. A total of 602(30.74%) of respondents knew that hepatitis B and C are viral diseases. Contaminated needles/syringes, blood transfusion and used blades were identified as a mode of transmission of hepatitis B and C viruses by 84.38%, 69.58%, 25.63 individuals. About 80% replied that even if they were found positive for HBsAg and anti-HCV, they would not have further investigations/ treatment. TV was the leading source of information about these diseases. The attitudes and practices regarding exposure to risk factors were significantly poor from knowledge among young adults. A high level of public awareness, especially among the young, is critical to decrease the burden of these diseases in Pakistan in future. (author)
Eckhardt, Cara L; Lutz, Tam; Karanja, Njeri; Jobe, Jared B; Maupomé, Gerardo; Ritenbaugh, Cheryl
The promotion of healthy infant feeding is increasingly recognized as an important obesity-prevention strategy. This is relevant for American Indian populations that exhibit high levels of obesity and low compliance with infant feeding guidelines. The literature examining the knowledge, attitudes, and beliefs surrounding infant feeding within the American Indian population is sparse and focuses primarily on breastfeeding, with limited information on the introduction of solid foods and related practices that can be important in an obesity-prevention context. This research presents descriptive findings from a baseline knowledge, attitudes, and beliefs questionnaire on infant feeding and related behaviors administered to mothers (n=438) from five Northwest American Indian tribes that participated in the Prevention of Toddler Overweight and Teeth Health Study (PTOTS). Enrollment occurred during pregnancy or up to 6 months postpartum. The knowledge, attitudes, and beliefs questionnaire focused on themes of breastfeeding/formula feeding and introducing solid foods, with supplemental questions on physical activity. Knowledge questions were multiple choice or true/false. Attitudes and beliefs were assessed on Likert scales. Descriptive statistics included frequencies and percents and means and standard deviations. Most women knew basic breastfeeding recommendations and facts, but fewer recognized the broader health benefits of breastfeeding (eg, reducing diabetes risk) or knew when to introduce solid foods. Women believed breastfeeding to be healthy and perceived their social networks to agree. Attitudes and beliefs about formula feeding and social support were more ambivalent. This work suggests opportunities to increase the perceived value of breastfeeding to include broader health benefits, increase knowledge about solid foods, and strengthen social support. PMID:24951434
V. Mortazavi; B ZOLFAGHARY; M SHOKRANI
In this study, knowledge, attitude and practice about mercury hygiene of dentist who have private offices in Isfahan were evaluated. This cross-sectional study was carried out in 2001-2002. One hundred and sixteen of dentists were selected by random sampling. Data were collected using a standard questionnaire. T-student test, Chi-square test, Fisher"s exact test and Spearman correlation test have been used to analyse data. It was shown that dentists knowledge about mercury hygiene was no...
Full Text Available INTRODUCTION: This study was undertaken to determine the knowledge, attitude and practice of self - medication among nursing students of the NRIIMS, Visakhapatnam. MATERIALS & METHODS: This was an anonymous, questionnaire - bas ed, descriptive study. A prevalidated questionnaire, containing open - ended and close - ended questions, was administered to the subjects. Data were analyzed using MS - Excel and the results were expressed as counts and percentages. RESULTS: Out of the 140 resp ondents, everyone responded with one or the other drug. The respondents' knowledge about appropriate self - medication was poor, but knowledge of the benefits and risks of self - medication was adequate. The respondents found self - medication to be time - saving, economical, convenient and providing quick relief in common illnesses. Important disadvantages of self - medication mentioned were the risk of making a wrong diagnosis, inappropriate drug use and adverse effects. The majority (42% of the respondents had a positive attitude favoring self - medication. The most common indications for self - medication were to relieve the symptoms of headache (36 . 43% , fever (34 . 02 , cough & cold (21 . 42% . Analgesics (37 . 14% were the most common drugs used for self - medication. Kn owledge about appropriate self - medication was adequate, attitude towards self - medication was positive, and the practice of self - medication was common and often inappropriate.
Dinh Thac; Freddy Karup Pedersen; Tang Chi Thuong; Le Bich Lien; Nguyen Thi Ngoc Anh; Nguyen Ngoc Phuc
A study of 600 rural under-five mothers knowledge, attitude, and practice (KAP) in child care was performed in 4 southern provinces of Vietnam. The mothers were randomly selected and interviewed about sociodemographic factors, health seeking behaviour, and practice of home care of children and neonates. 93.2% of the mothers were literate and well-educated, which has been shown to be important for child health care. 98.5% were married suggesting a stable family, which is also of importance fo...
Full Text Available Background: Oral cancer has emerged as a significant cause of global public health concern. If a cancerous lesion is diagnosed in primary stages, the survival rate would be higher. Thus, the aim of this study was to evaluate knowledge, attitude and practice of general dentist regarding oral cancer in Sari, Iran . Methods: This cross sectional analytical study was performed on general dentists of Sari, Iran. The dentists were given a questionnaire including demographic characteristics of the dentists and questions about knowledge, attitude and practice regarding oral cancer. Data were subjected to SPSS 18 .0. Quantitative data were reported as mean (±SD and qualitative data were shown as percent. Kolmogorov - Smirnoff sample test, t - test (p<0.07 was considered statistically significant equivalent nonparametric test and Spearmans rho test was used for sta tistical analysis . Results: Total mean score of knowledge, mean score of females and mean score of males was 20.88±8.53, 20.96±7.62 and 20.71±10.43, respectively. Age and sex had no correlation with score of knowledge. Conclusion: Dentists of Sari do not ha ve enough knowledge about oral cancer
M. Amparo Pérez-Campos
Full Text Available Objective. to determine the evidence-based practice (EBP competence of Spanish and Latin-American nurses participating in professional forums on the Internet and estimate the influence of socio-demographic and professional factors on their competence, which was defined as knowledge of, attitude towards, and implementation of EBP. Methodology: An online survey was administered to a convenience sample of nurses active in Internet forums, comprising validated Spanish versions of the Evidence-Based Practice Questionnaire (EBPQ and Practice Environment Scale of the Nursing Work Index (PES-NWI and socio-demographics and professional variables. Results: 314 questionnaires were obtained (76.96%. The mean EBPQ score was 5.02 out of 7 (95%CI, 4.89-5.14. The variables associated with a higher competence in EBP were academic level, (p<03001, professional category (p=0.001, country of work (p<0.001, perception of practice environment (p=0,018 and research activities (p<0,036. Conclusions: These nurses showed a moderate level of EBP competence. They revealed a positive attitude towards EBP and achieved intermediate scores in both EBP-related skills and knowledge and their implementation. Higher academic levels and professional categories were associated with greater EBP competence. A practice environment perceived to be unfavorable has a negative influence on EBP implementation.
Full Text Available Introduction: The harmful effects of cigarette smoking on oral health are well established. The aim of this study was to assess knowledge and attitude of dental patients about the effects of smoking on oral health and their cessation efforts.Methods and materials: In this descriptive analysis-cross sectional study, 905 patients from dental clinics in Kerman were selected. They were asked to complete a self- administered structured questionnaire on the effects of smoking on oral health. The questionnaire consisted of questions about demographic data, smoking status, patients' knowledge and attitude about the effects of smoking and cessation efforts of them. Finally, data was analyzed with SPSS program, t test and x2 test.Result: A total 905 patients (53% men and 47% women were studied. The mean age was 32.76 ± 9.509. The prevalence of smoking was 20.5%. The relationship between sex and education and smoking was significant (p value = 0.0001. Mean Knowledge score was 53.95%. Smoking patients and men were significantly less aware of the effects of smoking on oral health. In this study, 54.9% of smoking patients had tried to quit smoking. Only 12.2% had taken counselling. The attitude toward cigarettes was passive.Conclusion: Results of this study showed that the knowledge about effects of smoking on oral health, especially oral cancer, was low. Therefore dentists have a key role for awarding their patients of such effects and are placed to be have a key role in tobacco prevention and cessation.Keywords: Cigarette, Oral manifestations, Knowledge, Attitude, Practice, Dental patients
Akram, Waqas; Hussein, Maryam S.E.; AHMAD, Sohail; Mamat, Mohd N.; Ismail, Nahlah E.
There is no instrument which collectively assesses the knowledge, attitude and perceived practice of asthma among community pharmacists. Therefore, this study aimed to validate the instrument which measured the knowledge, attitude and perceived practice of asthma among community pharmacists by producing empirical evidence of validity and reliability of the items using Rasch model (Bond & Fox softwareÂ®) for dichotomous and polytomous data. This baseline study recruited 33 community pharmacists...
Hansa M Goswami, Sumeeta T Soni, Sachin M Patel, Mitesh K Patel
Purpose: A lot of accidents occur in the laboratory due to lack of proper knowledge regarding laboratory safety measures, indifferent attitude & improper implementation of safe laboratory practices. In view of this, the present study on knowledge, Attitude & Practice (KAP) of laboratory safety measures was carried out among paramedical staff of laboratory services of tertiary care teaching hospital, western India. Method: This was a comparative study which used a standardized,...
Alice Ncube; Andries J. Jordaan; Beverly M. Mabela
The study assessed the knowledge, attitudes and practices of cholera prevention and preparedness in Ga-Mampuru village (Limpopo, South Africa). Interviewers collected data using a two-pronged method, namely a household questionnaire (open- and closed-ended questions) to assess knowledge and attitudes about cholera and observations to assess practices in the prevention and management of the disease. Additionally, interviewers took pictures with the respondents permission. Ninety-six responden...
Li, Shiyue; Chen, Rucheng; Cao, Yue; Li, Jingjing; Zuo, Dan; Yan, Hong
Objectives This study explored sexual knowledge, attitudes and practices of female only-child undergraduates and made a comparison with students with siblings. Methods Anonymously completed questionnaires were received from 4,769 female undergraduates, recruited using randomized cluster sampling by type of university and students' major and grade. Multivariate logistic regression was used to assess the effects of only-child on sexual knowledge, attitudes and practices among female undergradua...
Dorah U., Ramathuba; Confidence T., Ratshirumbi; Tshilidzi M., Mashamba.
Full Text Available OBJECTIVES: The study assessed the knowledge, attitudes and breast cancer screening practices amongst women aged 30-65 years residing in a rural South African community METHOD: A quantitative, descriptive cross-sectional design was used and a systematic sampling technique was employed to select 150 [...] participants. The questionnaire was pretested for validity and consistency. Ethical considerations were adhered to in protecting the rights of participants. Thereafter, data were collected and analysed descriptively using the Predictive Analytics Software program RESULTS: Findings revealed that the level of knowledge about breast cancer of women in Makwarani Community was relatively low. The attitude toward breast cancer was negative whereas the majority of women had never performed breast cancer diagnostic methods CONCLUSION: Health education on breast cancer screening practices is lacking and the knowledge deficit can contribute negatively to early detection of breast cancer and compound late detection. Based on the findings, community-based intervention was recommended in order to bridge the knowledge gap
Dorah U. Ramathuba
Full Text Available Objectives: The study assessed the knowledge, attitudes and breast cancer screening practices amongst women aged 3065 years residing in a rural South African community.Method: A quantitative, descriptive cross-sectional design was used and a systematic sampling technique was employed to select 150 participants. The questionnaire was pretested for validity and consistency. Ethical considerations were adhered to in protecting the rights of participants. Thereafter, data were collected and analysed descriptively using the Predictive Analytics Software program.Results: Findings revealed that the level of knowledge about breast cancer of women in Makwarani Community was relatively low. The attitude toward breast cancer was negative whereas the majority of women had never performed breast cancer diagnostic methods.Conclusion: Health education on breast cancer screening practices is lacking and the knowledge deficit can contribute negatively to early detection of breast cancer and compound late detection. Based on the findings, community-based intervention was recommended in order to bridge the knowledge gap
P. Ravi Shankar
Full Text Available Concern has been raised about inadequate pharmacology teaching in medical schools and the high incidence of prescribing errors by doctors in training. Modifications in pharmacology teaching have been carried out in many countries. The present study was carried out using a semi-structured questionnaire to obtain students??perceptions of their knowledge, attitudes, and skills with regard to different subject areas related to rational prescribing at the end of two-year activity-based pharmacology practical learning sessions in a private medical school in Nepal. The effectiveness of the sessions and strengths and suggestions to further improve the sessions were also obtained. The median total knowledge, attitude, skills and overall scores were calculated and compared among different subgroups of respondents. The median effectiveness score was also calculated. Eighty of the 100 students participated; 37 were male and 43 female. The median knowledge, attitude, and skills scores were 24, 39, and 23, respectively (maximum scores being 27, 45, and 36. The median total score was 86 (maximum score being 108. The effectiveness score for most subject areas was 3 (maximum 4. The strengths were the activity-based nature of the session, use of videos and role-plays, and repeated practice. Students wanted more sessions and practice in certain areas. They also wanted more resources and an internet connection in the practical room. The skills scores were relatively low. The immediate impact of the sessions was positive. Studies may be needed to assess the long term impact. Similar programs should be considered in other medical schools in Nepal and other developing countries.
Full Text Available Introduction: Coronary heart disease (CHD is a leading killer not only in men but also in women worldwide and primary target for prevention. However, majority initial researchers believed it was mainly a mens disease that resulted in fewer women being informed regarding the disease.Aim and Objectives: A cross sectional study was conducted to determine the level of knowledge, attitude and practice on cardiovascular disease among women attended outpatient clinics with Family Medicine Specialists in Kelantan from June to December 2010.Methods/ Study Design: A total of 448 women from 7 out of 14 clinics run by Specialist with age ranged between 25 and 65 years were selected via systematic random sampling in the ratio of 1:2 based on clinic attendance lists. Excluded were those who illiterate and having psychotic symptoms. All of consented participants were given a set of validated KAP questionnaire to be completed within 15 minutes.Findings: Majority of respondents were Malays with mean age of 39.9 years. Among them, 3.1% were smokers and 41.1% claimed having medical illness, the commonest was obesity (23.6%. About 87% of women knew that smoking is a risk factor. However, less than 20% knew about menopause. More than 80% knew typical symptoms whereas less than half realised atypical symptoms. Less than 20% of them knew the cholesterol risk target. Only 13% of women practiced exercise as required. The mean (SD for knowledge and practice score were 70.6 (13.76 and 63.7(13.59 accordingly. The median (IQR for attitude score was 88.2 (14.71. Thus the good knowledge, attitude and practice score were 55.6%, 55.1 % and 51.1% respectively.Conclusion: A structured educational programme and utilization of available CVD guidelines should be reinforced as a better preventive strategy to overcome this problem.
Kabeta, Tadele; Deresa, Benti; Tigre, Worku; Ward, Michael P; Mor, Siobhan M.
Rabies is an important but preventable cause of death in Ethiopia. We assessed the knowledge, attitudes and practices of animal bite victims attending an anti-rabies health center in Jimma Town, Ethiopia. We found generally high levels of knowledge about rabies. Participants recognized domestic dogs as the source and identified a range of appropriate preventive measures, including avoidance of bites and the need for dog confinement. Despite this reasonable level of knowledge, attitudes and pr...
The chapter aims to develop conceptions of practical knowledge, relevant to skills and Bildung in engineering science. The starting point is Francis Bacons ideas of new science, developed 400 years ago. It is argued that Bacons vision has become dogmatized during the course of history, whereas...... his critical attitude has become superseded. A critical discussion on the heritage from Bacon leads to a focus on the concepts of truth, utility, and goodness. Unification of skills and Bildung, it is stated, should imply the ability to deal explicitly with these concepts and their interrelations...
Full Text Available Abstract Background Pediatricians are in an ideal position to advise families about the prevention and management of oral diseases in children. The objective of the study was to determine knowledge, attitude, and practices regarding the prevention of oral diseases among pediatricians in Italy. Methods A systematic random sample of 1000 pediatricians received a questionnaire on socio-demographic and practice characteristics; knowledge on risk factors; attitude and practices towards the prevention of oral diseases. Results A total of 507 pediatricians participated. More than half knew the main risk factors for oral diseases and this knowledge was higher in primary care pediatricians (p = 0.007, in those with a higher number of hours worked per week (p = 0.012, and who believed that oral diseases may be prevented (p = 0.017. Pediatricians with higher knowledge about the main risk factors (p = 0.006 believe that they have an important role in preventing oral diseases and that they can perform an oral examination. Almost all (89% prescribed fluoride supplements and those younger (p = 0.016, with a higher number of patients seen in workday (p = 0.001, with longer practice activity (p = 0.004, those who believe that fluoride is effective in preventing caries (p p = 0.002 were more likely to prescribe fluoride. One-fourth and 40.6% provides and recommends a dental visit once a year and primary care pediatricians (p = 0.014 and those who believed that routine visit is important in preventing oral diseases (p Conclusion The results showed a lack of knowledge among pediatricians although almost all believed that they had an important responsibility in preventing oral diseases and provided an oral examination.
Seyed Mohamad Hosein Mosavi Jazayeri; Reza Amani
This study was conducted to determine the nutritional knowledge, attitudes and practices (KAP) of male and female bodybuilding trainers in Ahwaz, one of the 7 major cities of Iran. KAP questionnaires which contained information about nutrients, food groups, using of supplements and ergogenic aids, were completed by trainers. Sixty three certified male bodybuilding trainers (37.9 ? 2.7 y) and 30 certified female trainers (37.3 ? 8.1 y) were recruited from all clubs of the city. All of the male...
Embleton, Lonnie; Ayuku, David; Atwoli, Lukoye; Vreeman, Rachel; Braitstein, Paula
The study describes the knowledge of and attitudes toward substance use among street-involved youth in Kenya, and how they relate to their substance use practices. In 2011, 146 children and youth ages 1019 years, classified as either children on the street or children of the street were recruited to participate in a cross-sectional survey in Eldoret, Kenya. Bivariate analysis using ?2 or Fishers Exact Test was used to test the associations between variables, and multiple logistic regression...
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Background: Fighting against cancers includes management in prevention, early treatment, and rehabilitation. This research is a descriptive study that was done to determine the women's knowledge attitude and practice about prevention of breast cancer. Methods: The sample of this research included 630 women in Kerman city, more than 15 years old, that selected in several stages (cluster, randomized, systematic . For data gathering a questionnaire was used and for data analysis ANOVA, kruskal-walis, Tukey Ãâ¡2 and regression (Pearson were used.
Results: Results showed most of women had weak to moderate knowledge. Women who were employed with diploma and higher educational level had more awareness than others. Also most of women had positive or impartial attitude, and positive attitude in employed women and those with higher educational level was more than others. In practice no body had proper practice (P < 0.05. Results showed no relationship among knowledge, attitude and practice.
Conclusion: Results indicated that health services members have an important role in increasing knowledge and improving health behavior in prevention of cancers.
Demaio, Alessandro R; Dugee, Otgontuya
The leading cause of mortality in Mongolia is Non-Communicable Disease. Alcohol is recognised by the World Health Organization as one of the four major disease drivers and so, in order to better understand and triangulate recent national burden-of-disease surveys and to inform policy responses to alcohol consumption in Mongolia, a national Knowledge, Attitudes and Practices survey was conducted. Focusing on Non-Communicable Diseases and their risk factors, this publication explores the alcohol-related findings of this national survey.
Prucha, Michael G; Fisher, Susan G; McIntosh, Scott; Grable, John C; Holderness, Heather; Thevenet-Morrison, Kelly; de Monegro, Zahíra Quiñones; Sánchez, José Javier; Bautista, Arisleyda; Díaz, Sergio; Ossip, Deborah J
Tobacco use is increasing globally, particularly in low and middle-income countries like the Dominican Republic (DR) where data have been lacking. Health care worker (HCW) interventions improve quit rates; asking patients about tobacco use at each visit is an evidence-based first step. This study provides the first quantitative examination of knowledge, attitudes and practices of DR HCWs regarding tobacco use. All HCWs (N = 153) in 7 economically disadvantaged DR communities were targeted with anonymous surveys. Approximately 70% (N = 107) completed the primary outcome item, asking about tobacco use at each encounter. Despite >85% strongly agreeing that they should ask about tobacco use at each encounter, only 48.6% reported doing so. While most (94.39%) strongly agreed that smoking is harmful, knowledge of specific health consequences varied from 98.13% for lung cancer to 41.12% for otitis media. Few received training in tobacco intervention (38.32%). Exploratory analyses revealed that always asking even if patients are healthy, strongly agreeing that tobacco causes cardiac disease, and always advising smoke-free homes were associated with always asking. Overall, results demonstrate a disconnect between HCW belief and practice. Though most agreed that always asking about tobacco was important, fewer than half did so. Gaps in HCW knowledge and practices suggest a need for education and policy/infrastructure support. To our knowledge, this is the first reported survey of DR HCWs regarding tobacco, and provides a foundation for future tobacco control in the DR. PMID:25872018
Full Text Available Abstract Background In Jordan, as in neighboring countries in the Middle East, higher education and higher employment rates in recent years among women have had an impact on traditionally based infant feeding. The objective of this study was to evaluate practice, knowledge and attitude to breastfeeding and to assess factors associated with breastfeeding among women in the north of Jordan. Methods A cross sectional study was carried out between 15 July 2003 and 15 August 2003. A total of 344 women with children aged between 6 months and 3 years from five different villages in the north of Jordan were randomly selected and interviewed. Information regarding participants' demographics, infant feeding in first six months of life, knowledge and attitude towards breastfeeding was collected. Results Full breastfeeding was reported by 58.3%, mixed feeding was reported by 30.3% and infant formula feeding was reported by 11.4%. Almost one third of the full breastfeeding group did so for 612 months, and almost two thirds did continue breastfeeding for more than one year. Employed women were more likely not to practice full breastfeeding compared to unemployed women (odds ratio 3.34, 95% CI 1.60, 6.98, and women who had caesarian delivery were more likely not to practice full breastfeeding compared to those who had vaginal delivery (odds ratio 2.36, 95% CI 1.17, 4.78. Jordanian women had a positive attitude but work place and short maternity leaves had a negative impact on breastfeeding. Conclusion This study showed that a high proportion of Jordanian women did breastfeed for more than one year. However, working women and those who deliver by caesarean section were less likely to breastfeed. It is speculated that adopting facilitatory measures at hospitals and work place could increase the rate of full breastfeeding.
MH Ehrampoush , MH Baghiani Moghadam
The risk of unhealthy disposal of solid waste is one of the important problems in many societies, and recycling is considered as a solution for managing solid wastes. Environmental knowledge and attitude of young people (like students) appears to be crucial as their point of view ultimately plays an important role in providing solution to future environmental problems. In this study the knowledge, attitude and practice of Yazd University of Medical Sciences students in respect of disposal of ...
J. Lwelamira; G. Mnyamagola; M.M. Msaki
This study was undertaken in Mpwapwa District in Central Zone of Tanzania between July to August, 2009 to assess knowledge, attitude and practice towards modern contraceptives among married women of reproductive age (15-49 years). Specific objectives of the study were to ascertain knowledge and attitude towards modern contraceptives, to determine the extent of use of modern contraceptives and identify factors associated with current use of modern contraceptive in the study population. Study d...
Full Text Available Many of the known risk factors associated with low birth weight (LB W infants, such as socio-economic status, ethnicity, genetic makeup, and obstetric history, are not within a womans immediate control. However, there are many things that a woman can do to improve her chances of having a normal healthy child. Lifestyle behaviours, such as cigarette smoking, nutrition and the use of alcohol, play an important role in determining the growth of the foetus. There is a high rate of low birth weight infants bom to women living and working on the farms in the Western Cape. Very little is known about the knowledge, attitudes and practices of the women living and working on the farms that may be influencing their pregnancy outcomes. The aim of this qualitative exploratory study was to establish the knowledge, attitudes and practices of reproductive age women related to lifestyle factors such as alcohol use, smoking and nutrition, and the perceptions of these factors by health care workers, in Stellenbosch and Vredendal areas (small towns in the Western Cape.
Adenike O. Omosun
Full Text Available Background: Child adoption is a recommended alternative form of infertility management. Infertility is of public health importance in Nigeria and many other developing nations. This is a result of its high prevalence and especially because of its serious social implications as the African society places a passionate premium on procreation in any family setting. Objectives: The aim of this study was to determine the knowledge, attitude and practice of child adoption amongst women attending infertility clinics in teaching hospitals in Lagos State and to determine the factors that influence their attitude and practice towards it.Method: A cross-sectional descriptive design was used. Data were collected by using a structured questionnaire which was interviewer-administered. The study was conducted in the two teaching hospitals in Lagos State (LUTH [Lagos University Teaching Hospital] and LASUTH [Lagos State University Teaching Hospital] from amongst 350 women attending the gynaecological clinics. All the patients under management for infertility at the gynaecology clinics during the period of the study were interviewed.Results: Many respondents (85.7% had heard of child adoption and 59.3% of them knew the correct meaning of the term. More than half of the respondents (68.3% said that they could love an adopted child but less than half of them (33.7% were willing to consider adoption. Only 13.9% has ever adopted a child. The major reason given for their unwillingness to adopt was their desire to have their own biological child. Factors that were favourable towards child adoption were Igbo tribe identity, an age above 40 years, duration of infertility above 15 years, and knowing the correct meaning of child adoption.Conclusion: There is a poor attitude to adoption even amongst infertile couples. Interventions need to be implemented to educate the public on child adoption, to improve their attitude towards adoption and to make it more acceptable.
Full Text Available OBJECTIVE: To determine the knowledge , attitudes and practices regarding eye donation in selected adult population attending tertiary eye care centre. Methods: 636 interviews were successfully completed and used for analysis. A questionnaire was specially designed to know the facts about awareness and willingness for eye donation among general population attending tertiary eye care centre. Questionnaire included whether they had any knowledge of eye donation , source of information , willingness to donate eyes and also impact of eye donation on corneal blindness status. Results: Knowledge about eye donation was significantly associated with education and socioeconomic status. After counseling , 84.90% of partici pants agreed to motivate other family members/ friends to fill the pledge form of eye donation. Allowance of eye donation in religion was significantly associated with the motivation to donate . Higher level of education and higher socioeconomic status were significant predictors of knowledge status of eye donation. For motivation , higher socioeconomic status , adequate knowledge and belief that eye donation is allowed in religion were significant predictors. Television emerged as the major source of information. Conclusion: Better knowledge may ultimately translate into the act of donation. Effective measures sh ould be taken to educate people with relevant information with the involvement of media , doctors and religious scholars
Full Text Available Background: Epilepsy, one of the most common serious chronic brain disorders, is poorly understood by the public and has been associated with numerous misconceptions and beliefs. This, coupled with its sometimes dramatic clinical manifestations, has often resulted in a strong social stigma.Objective: This study was conducted to find out knowledge, attitudes and practices toward epilepsy among preparatory school students in Mekelle, North Ethiopia.Methods: A semi-structured questionnaire used previously by various authors was self-administered to 391 students studying in four preparatory schools in Mekelle, North Ethiopia.Results: About 85.7% had heard about epilepsy, 19.23% had read on the subject, 67.03% had known someone with epilepsy and 57.14% had witnessed a seizure. Those who would offer equal employment opportunities to people with epilepsy (PWE, refuse to associate with, or refuse to marry PWE represented 64%, 16.8%, and 44.8%, respectively. Negative attitudes seemed to be reinforced by beliefs that epilepsy is evil spirit (33.24%, contagious (28.6% or a kind of insanity (51.6%. Majority of respondents (70.33% opted for Holy water, followed by physicians (64.01%, traditional healer (44.78% and prayers (32.14%.Conclusions: The study revealed practices and knowledge toward epilepsy were limited, especially with respect to epilepsys cause, manifestation, and management. Moreover, there were statistically significant differences between respondents attitude with respect to epilepsy based on age, gender, level of education, religion and school category.
Schouten, B C; Eijkman, M A; Hoogstraten, J; den Dekker, J
The introduction of the 'Medical Treatment Contract Act' in the Netherlands 5 years ago, established some major rights and duties of both patients and members of the medical profession. The aim of this study was to assess Dutch dentists' knowledge, attitudes and self-efficacy with regard to several topics of this act. A questionnaire was sent to 806 dental practitioners; 41.6% of them responded. Results show that dentists are well informed about some of the most important topics of this law, such as the requirement to obtain the patient's consent to major dental treatments. The results concerning their attitude and self-efficacy, however, are less positive. A majority of the respondents believe that the principle of informed consent will lead to a commercialization of the dentist-patient relation. Also, fear for legal procedures and difficulty with what patients must be informed about appears present. It is concluded that improvement of the implementation of the requirements of this legislation in dental practice requires both a change in attitude and an enhancement of the communicative skills of dentists. PMID:11118784
Full Text Available Abstract Background Colorectal cancer (CRC is the second most commonly diagnosed cancer for both sexes in developed countries. This study assessed the knowledge, attitudes, and preventive practices regarding CRC of adults in Italy. Methods A random sample of 1165 adults received a self-administered questionnaire on socio-demographic characteristics; knowledge regarding definition, risk factors, and screening; attitudes regarding perceived risk of contracting CRC and utility of screening tests; health-related behaviors and health care use; source of information. Results Only 18.5% knew the two main modifiable risk factors (low physical activity, high caloric intake from fat and this knowledge was significantly associated with higher educational level, performing physical activity, modification of dietary habits and physical activity for fear of contracting CRC, and lower risk perception of contracting CRC. Half of respondents identified fecal occult blood testing (FOBT as main test for CRC prevention and were more knowledgeable those unmarried, more educated, who knew the main risk factors of CRC, and have received advice by physician of performing FOBT. Personal opinion that screening is useful for CRC prevention was high with a mean score of 8.3 and it was predicted by respondents' lower education, beliefs that CRC can be prevented, higher personal perceived risk of contracting CRC, and information received by physician about CRC. An appropriate behavior of performing FOBT if eligible or not performing if not eligible was significantly higher in female, younger, more educated, in those who have been recommended by physician for undergo or not undergo FOBT, and who have not personal history of precancerous lesions and familial history of precancerous lesions or CRC. Conclusion Linkages between health care and educational systems are needed to improve the levels of knowledge and to raise CRC screening adherence.
Stephens, Lindsey L; Bachhuber, Marcus A; Seloilwe, Esther; Gungqisa, Nontombi; Mmelesi, Mpho; Bussmann, Hermann; Marlink, Richard G; Wester, C William
Students at the University of Botswana, an at-risk group, have previously been shown to have high levels of risky sexual behavior despite widespread knowledge that these behaviors might lead to HIV-1 infection. As there have recently been considerable efforts focused on HIV-1 prevention in Botswana through nationwide media education campaigns and the opening of voluntary counselling and testing centers, re-evaluation of HIV-related knowledge, attitudes, and practices among students is needed. A cross-sectional survey was administered to 393 students chosen via a random cluster method. Respondents were 50% junior and 50% senior students with 42% males. Half (52%) were "single", 44% were "in a relationship", and 4% were "married". The mean percentage of knowledge questions answered correctly was 96%. 98% agreed that all sexually active adults should know their status and that condom use is important, but only 56% believed getting tested was common and 66% believed that it was common for students to always use a condom. As with the previous survey, we again found that students had excellent knowledge yet perceived use of testing services and condoms remain lower than might be predicted based on knowledge scores. PMID:23275859
Kobayashi, Miwako; Beer, Karlyn D; Bjork, Adam; Chatham-Stephens, Kevin; Cherry, Cara C; Arzoaquoi, Sampson; Frank, Wilmot; Kumeh, Odell; Sieka, Joseph; Yeiah, Adolphus; Painter, Julia E; Yoder, Jonathan S; Flannery, Brendan; Mahoney, Frank; Nyenswah, Tolbert G
As of July 1, 2015, Guinea, Liberia, and Sierra Leone have reported a total of 27,443 confirmed, probable, and suspected Ebola virus disease (Ebola) cases and 11,220 deaths. Guinea and Sierra Leone have yet to interrupt transmission of Ebola virus. In January, 2016, Liberia successfully achieved Ebola transmission-free status, with no new Ebola cases occurring during a 42-day period; however, new Ebola cases were reported beginning June 29, 2015. Local cultural practices and beliefs have posed challenges to disease control, and therefore, targeted, timely health messages are needed to address practices and misperceptions that might hinder efforts to stop the spread of Ebola. As early as September 2014, Ebola spread to most counties in Liberia. To assess Ebola-related knowledge, attitudes, and practices (KAP) in the community, CDC epidemiologists who were deployed to the counties (field team), carried out a survey conducted by local trained interviewers. The survey was conducted in September and October 2014 in five counties in Liberia with varying cumulative incidence of Ebola cases. Survey results indicated several findings. First, basic awareness of Ebola was high across all surveyed populations (median correct responses = 16 of 17 questions on knowledge of Ebola transmission; range = 2-17). Second, knowledge and understanding of Ebola symptoms were incomplete (e.g., 61% of respondents said they would know if they had Ebola symptoms). Finally, certain fears about the disease were present: >90% of respondents indicated a fear of Ebola patients, >40% a fear of cured patients, and >50% a fear of treatment units (expressions of this last fear were greater in counties with lower Ebola incidence). This survey, which was conducted at a time when case counts were rapidly increasing in Liberia, indicated limited knowledge of Ebola symptoms and widespread fear of Ebola treatment units despite awareness of communication messages. Continued efforts are needed to address cultural practices and beliefs to interrupt Ebola transmission. PMID:26158352
Full Text Available This study explored medical studentsâ knowledge and attitude on the medico - legal autopsy demonstrations which formed part of their training in Forensic Medicine. 300 students of 2010, 2011 and 2012 batch of college were obtained by asking them to answer a questionnaire on the subject. The students were asked to respond anonymously to a questionnaire which dealt with their views on the autopsy practice, the knowledge of the procedure, attitude and perception towards medico legal autopsy. In present study majority of the students were aware of the situations where medico legal postmortem examination is mandatory as per Indian law and taking out of viscera for chemical analysis and histo - pathological examination for the purpose of medico - legal autopsy. 96% of the students agreed that autopsy is necessary in medical education. 37.95% of the students were very uncomfortable on the first exposure to postmortem examination. This study showed that medical students appreciate the medico - legal autopsy demonstration as a learning experience.
Barbara J. Ganley; Dianne I. Rosario
Background /Objective: Sixty percent of all smokers in the United States (U.S.) try smoking cigarettes before they are 18 years old. Family and peer behavior (subjective norm), and attitude may influence young people to initiate smoking. The aims of this study were to 1) determine if attitude, subjective norm, and knowledge could predict smoking behaviors; 2) identify reasons for smoking; 3) determine if there were differences in attitudes toward smoking between smokers and non-smokers; and 4...
Aida Malek Mahdavi
Full Text Available Background: Considering the significant role of consumers awareness about food labels in making healthy food choices, this study was designed to assess the knowledge, attitude and prac-tice of university students about food labeling.Methods: In this cross-sectional study, 332 students aged 18-25 yr in five different academic ma-jors (including Nutrition, Public Health, Health Services Administration, Paramedical and En-gineering were asked to complete an approved questionnaire contained fifteen questions. The chi-square test was applied to examine the differences across various major groups.Results: 89.2% of the students believed that food labels had effect on nutritional awareness. 77.4% were agreed with the usefulness of the food labels and 79.2% did not feel that nutrition claims on food label were truthful. For 84% of students, the expiry date and storage conditions information were the most important informational cues to appear on the food labels. From 47.6% of students who reported the use of nutrition facts label in their often or always shopping; only 32.3% used the information on labels to fit the food into their daily diet. Surprisingly, fatty acids were the least noteworthy items (1.9% on nutrition facts labels. Regarding students major, there was significant difference in their knowledge, attitude and practice about truth of the nutri-tion claims, using food labels and importance of health claims (P<0.05.Conclusion: Food labels were more useful tools for students and had an effect on their nutri-tional awareness. Designing and implementation of the educational programs in order to increase the level of knowledge about food labels is suggested.
The research centered on secondary mathematics teachers' beliefs, attitudes, knowledge base, and practices in meeting the academic and language needs of English language learners. Using socio-cultural theory and social practice theory to frame the study, the research design employed a mixed methods approach incorporating self-reported
Aim: We examinted the attitude, knowledge and perceived barriers to evidence-based practice of radiology (EBPR) among residents in radiology. Study design and setting: We used the McColl questionnaire (1) and the BARRIERS scale (2) to assess the issues among radiology trainees attending an annual refresher course. Ninety six residents from 32 medical colleges from Southern India attended the course. Results: Eighty (83.3%) residents, 55 male and 25 female of age range 2434 years, consented and returned the questionnaire. The majority of the participants had a positive attitude towards EBPR. However, 45% were unaware of sources for evidence based literature although many had access to Medline (45%) and the internet (80%). The majority (70%) were aware of the common technical terms (e.g. odds ratio, absolute and relative risk) but other complex details (e.g. meta-analysis, clinical effectiveness, confidence interval, publication bias and number needed to treat) were poorly understood. Though majority of residents (59%) were currently following guidelines and protocols laid by colleagues within their departments, 70% of residents were interested in learning the skills of EBPR and were willing to appraise primary literature or systematic reviews by themselves. Insufficient time on the job to implement new ideas (70.1%); relevant literature is not being complied in one place (68.9%); not being able to understand statistical methods (68.5%) were considered to be the major barriers to EBPR. Training in critical appraisal significantly influence usage of bibliographic databases (p < 0.0001). Attitude of collegues (p = 0.006) influenced attitude of the trainees towards EBPR. Those with higher knowledge scores (p = 0.02) and a greater awareness of sources for seeking evidence based literature (p = 0.05) held stronger beliefs that EBPR significantly improved patient care. Conclusions: The large knowledge gap related to EBPR suggests the need to incorporate structured training into the core-curriculum of training programmes in radiology
Anuradha, Chandramohan, E-mail: firstname.lastname@example.org [Department of Radiology, Christian Medical College, Vellore, Tamil Nadu 632 004 (India); Jacob, K.S., E-mail: email@example.com [Department of Psychiatry, Christian Medical College, Vellore, Tamil Nadu 632 004 (India); Specialist Mental Health Service for Older People, Suite 106, 64â68 Derby Street, Kingswood, Penrith 2750 (Australia); Shyamkumar, N.K., E-mail: firstname.lastname@example.org [Department of Radiology, Christian Medical College, Vellore, Tamil Nadu 632 004 (India); Sridhar, Gibikote, E-mail: email@example.com [Department of Radiology, Christian Medical College, Vellore, Tamil Nadu 632 004 (India)
Aim: We examinted the attitude, knowledge and perceived barriers to evidence-based practice of radiology (EBPR) among residents in radiology. Study design and setting: We used the McColl questionnaire (1) and the BARRIERS scale (2) to assess the issues among radiology trainees attending an annual refresher course. Ninety six residents from 32 medical colleges from Southern India attended the course. Results: Eighty (83.3%) residents, 55 male and 25 female of age range 24â34 years, consented and returned the questionnaire. The majority of the participants had a positive attitude towards EBPR. However, 45% were unaware of sources for evidence based literature although many had access to Medline (45%) and the internet (80%). The majority (70%) were aware of the common technical terms (e.g. odds ratio, absolute and relative risk) but other complex details (e.g. meta-analysis, clinical effectiveness, confidence interval, publication bias and number needed to treat) were poorly understood. Though majority of residents (59%) were currently following guidelines and protocols laid by colleagues within their departments, 70% of residents were interested in learning the skills of EBPR and were willing to appraise primary literature or systematic reviews by themselves. Insufficient time on the job to implement new ideas (70.1%); relevant literature is not being complied in one place (68.9%); not being able to understand statistical methods (68.5%) were considered to be the major barriers to EBPR. Training in critical appraisal significantly influence usage of bibliographic databases (p < 0.0001). Attitude of collegues (p = 0.006) influenced attitude of the trainees towards EBPR. Those with higher knowledge scores (p = 0.02) and a greater awareness of sources for seeking evidence based literature (p = 0.05) held stronger beliefs that EBPR significantly improved patient care. Conclusions: The large knowledge gap related to EBPR suggests the need to incorporate structured training into the core-curriculum of training programmes in radiology.
Musallam, Imadidden I.; Abo-Shehada, Mahmoud N.; Guitian, Javier
We evaluated livestock owners' knowledge, attitudes, and practices regarding brucellosis in Jordan. A questionnaire was administered and biological samples were examined to verify the serological status of animals. Seroprevalence estimates indicated that 18.1% (95% CI: 1125.3) of cattle herds and 34.3% (95% CI: 28.440.4) of small ruminant flocks were seropositive. The results showed that 100% of the interviewed livestock keepers were aware of brucellosis: 87% indicated a high risk of infection if unpasteurized milk is consumed and 75% indicated a high risk if unpasteurized dairy products are consumed. Awareness of the risk of infection through direct contact with fetal membranes or via physical contact with infected livestock is considerably lower, 19% and 13%, respectively. These knowledge gaps manifest in a high frequency of high-risk practices such as assisting in animal parturition (62%), disposing aborted fetuses without protective gloves (71.2%) or masks (65%), and not boiling milk before preparation of dairy products (60%). When brucellosis is suspected, basic hygiene practices are often disregarded and suspect animals are freely traded. Public health education should be enhanced as the disease is likely to remain endemic in the ruminant reservoir as long as a suitable compensation program is not established and trust on available vaccines is regained. PMID:26438029
Rao, P V Ranganadha; Rao, S L Narasimha; Vijayakrishnan, B; Chaudhary, A B; Peril, S; Reddy, B Pratap; Reddy, G Swamy
In India, MDT was implemented through vertical programme staff of the National Leprosy Eradication Programme till the year 2001, when it was integrated into general health services (GHS). Human resource development of GHS is a vital, preparatory action for successful integration of leprosy into GHS. District Technical Support Teams (DTST) have been formed with responsibility for building the capacity of medical and paramedical staff of urban health posts (UHPs). In this context, it is necessary to know the current levels of Knowledge, Attitude and Practices (KAP) about leprosy prevailing among health staff at a given point in time, so that required knowledge and skills can be imparted, if need be. The present study is an attempt in this direction for assessing the KAP status of health staff working in Hyderabad city. 402 staff members (352 females and 50 males) working in urban health posts, the Employees State Insurance Corporation and the Central Government Health Services dispensaries in Hyderabad urban district in Andhra Pradesh were included in the study carried out in 2004 in order to assess KAP, and some operational parameters. A questionnaire was used to elicit responses of 110 medical officers in urban Hyderabad and the data were analysed and discussed. Medical officers have shown consistent higher knowledge on leprosy, followed by nursing staff as compared to other paramedical workers Only 40% of the medical officers had the opportunity of seeing at least 1 case of leprosy in their practice. Medical Officers who received training in leprosy and possessed reference material on leprosy have shown higher knowledge and practice. More than half of the study subjects did not have specific training in leprosy. Two major operational problems expressed by the medical officers were managing big crowds in OPD and time lost in meetings. 96 (87.3%) of 110 medical officers felt integration of leprosy services into general health services can be effectively implemented. 78 (71%) expressed that a leprosy patient with severe reaction needed priority attention at the out-patient department indicating good understanding of reactions in leprosy and a positive attitude towards such patients. There is a need to organize training at regular intervals to cover new persons as well as reinforcing and updating the knowledge of those already trained. PMID:17578266
Full Text Available In this quasi-experimental study, we have evaluated the effects of an educational program on the level of knowledge, attitude and practice methods of experimental assistant dentists in Shiraz, regarding AIDS and HIV transmission. These variables were assessed before and after an educational program, by a questionnaire and a checklist. The educational program consisted of lectures and group discussions, held in 4 sessions during one month. The second assessments of knowledge, attitude, and of practice methods were performed six weeks and three months after the completion of the educational program, respectively. The scores were significantly different before and after the educational program, which can therefore be considered effective in improving knowledge, attitude and practice methods in the cases under study.
Full Text Available Abstract Background To determine the knowledge, attitudes and practices regarding organ donation in a selected adult population in Pakistan. Methods Convenience sampling was used to generate a sample of 440; 408 interviews were successfully completed and used for analysis. Data collection was carried out via a face to face interview based on a pre-tested questionnaire in selected public areas of Karachi, Pakistan. Data was analyzed using SPSS v.15 and associations were tested using the Pearson's Chi square test. Multiple logistic regression was used to find independent predictors of knowledge status and motivation of organ donation. Results Knowledge about organ donation was significantly associated with education (p = 0.000 and socioeconomic status (p = 0.038. 70/198 (35.3% people expressed a high motivation to donate. Allowance of organ donation in religion was significantly associated with the motivation to donate (p = 0.000. Multiple logistic regression analysis revealed that higher level of education and higher socioeconomic status were significant (p Conclusion Better knowledge may ultimately translate into the act of donation. Effective measures should be taken to educate people with relevant information with the involvement of media, doctors and religious scholars.
Sandridge, A L; Takeddin, J; Al-Kaabi, E; Frances, Y
From March 2007 to March 2008 a cross-sectional study was conducted in Qatar to estimate the prevalence of consanguinity among Qataris and to assess their knowledge of the risks and their attitudes towards the practice. A secondary objective was to test the acceptability of sixteen Likert-style questions within the Qatari population. Face-to-face interviews using a 70-item structured questionnaire were conducted by three native Arabic-speaking medical students with 362 Qatari employees. Where consanguinity existed between the employee's parents, a diagram of the consanguinal relationship (phylogram) was completed. The response rate was 93%. By phylogram, 22% of participants reported a cousin relationship between their parents (consanguinal relationship) and another 15% reported that their parents were from the same tribe (affinal relationship). With respect to their own marital decision, 68% of the respondents had been married at least once. By phylogram, 35% of these reported a consanguineous relationship (first marriage), 9% reported only an affinal relationship and 56% reported that they were not married to a blood relative. Results on the sixteen Likert-style attitude questions were stratified by consanguinity status of parents and of self. In the stratification by consanguinity status of parents the top five attitudes differed by group but there appeared to be more similarity between the consanguinal and only tribal groups. Attitudinal results were stratified by sex. Results showed that the males had a stronger belief in several of the attitudes than females with the exception of causation of genetic abnormalities and health problems. The phylogram was shown to collect more detailed and explicit data than hard-coding. With respect to knowledge, the results showed that knowledge was imperfect with high proportions of participants not knowing that consanguinity has been implicated in autosomal recessive diseases such as thalassaemia, inborn errors of metabolism, deafness, anomalies of the extremities and specific congenital heart defects. Additionally, a sizeable proportion of the participants did not know that a more distant cousin marriage (e.g. third cousin) theoretically could be a less genetically risky choice to potential offspring than a closer cousin marriage (half-first cousin). These results indicate that more effort needs to be made in developing public health strategies to improve the population's understanding of the cost-benefit analysis involved in contracting consanguineous marriages given the goal of healthy offspring. PMID:19895726
Kaczorowski J.; Hutchison B; Swanson JG; Skelly J
OBJECTIVE: To determine current knowledge, attitudes, and management of urinary incontinence among family physicians in Canada. DESIGN: Cross-sectional mailed survey. SETTING: Family physicians in Canada. PARTICIPANTS: A random sample of 1500 members of the College of Family Physicians of Canada. MAIN OUTCOME MEASURES: Self-assessed knowledge, self-reported attitudes, and rating of various tests and treatments in the investigation and management of incontinence. RESULTS: The overall unadjuste...
Full Text Available Background: Chronic haemodialysis for adult patients with end-stage kidney failure requires a patent extracorporeal circuit, maintained by anticoagulants such as unfractionated heparin (UFH. Incorrect administration of UFH has safety implications for patients.Objectives: Firstly, to describe renal practitionersâ self-reported knowledge, attitudes and practice (KAP regarding the safe use of UFH and its effects; secondly, to determine an association between KAP and selected independent variables.Method: A cross-sectional descriptive survey by self-administered questionnaire and non-probability convenience sampling was conducted in two tertiary hospital dialysis units and five private dialysis units in 2013.Results: The mean age of 74/77 respondents (96.1%, was 41.1 years. Most (41/77, 53.2% had 0â5 years of renal experience. The odds of enrolled nurses having poorer knowledge of UFH than registered nurses were 18.7 times higher at a 95% Confidence Interval (CI (1.9â187.4 and statistically significant (P = 0.013. The odds of delivering poor practice having â¤ five years of experience and no in-service education were 4.6 times higher at a 95% CI (1.4â15.6, than for respondents who had â¥ six years of experience (P = 0.014 and 4.3 times higher (95% CI 1.1â16.5 than for respondents who received in-service education (P = 0.032, the difference reaching statistical significance in both cases.Conclusion: Results suggest that the category of the professional influences knowledge and, thus, safe use of UFH, and that there is a direct relationship between years of experience and quality of haemodialysis practice and between having in-service education and quality of practice.
Full Text Available The objective of the study was to evaluate the position of patient education measuring knowledge, attitude, and practice (KAP among health care workers (HCWs. It is also aimed to emphasize the need for a real position for patient education. This survey was performed among a group of HCWs in Iran. The scores had an acceptable level. However, nurses, females and younger people received higher scores. The staff was already aware of patient education necessity and considered it as the duty of all medical team. Often HCWs cannot include patient education in their routine due to time shortage, lack of staffâs financial motivation, fatigue, and loads of work, etc. There is still need for a real training in the educational curriculum. Additionally, the various HCWsârelated obstacles should be taken into account.
Garshasbi, Sima; Khazaeipour, Zahra; Fakhraei, Nahid; Naghdi, Maryam
The objective of the study was to evaluate the position of patient education measuring knowledge, attitude, and practice (KAP) among health care workers (HCWs). It is also aimed to emphasize the need for a real position for patient education. This survey was performed among a group of HCWs in Iran. The scores had an acceptable level. However, nurses, females and younger people received higher scores. The staff was already aware of patient education necessity and considered it as the duty of all medical team. Often HCWs cannot include patient education in their routine due to time shortage, lack of staff's financial motivation, fatigue, and loads of work, etc. There is still need for a real training in the educational curriculum. Additionally, the various HCWs-related obstacles should be taken into account. PMID:26853292
Suleiman, M M A; Sahal, N
This case-control study aimed to assess tuberculosis (TB) awareness and its associated sociodemographic characteristics in Gezira, Sudan. New smear-positive TB patients registered in Gezira in 2010 (n = 425) and age-matched controls who attended the same health facilities for other reasons (n = 850) formed the study sample. Awareness was measured using a modified standard World Health Organization TB knowledge, attitude and practice instrument. There was no significant difference between TB cases and the controls in overall levels of TB awareness. About two-thirds of TB cases and controls had good TB awareness. Respondents' sex was associated with awareness among the controls. Age, level of education, type of residence and type of occupation were significantly associated with TB awareness, whereas marital status had no effect. The good level of TB awareness found among TB cases and controls is a baseline for further TB awareness-raising among the Gezira population.
Full Text Available Objective: The aim of the study is to analyze the knowledge, attitude and practice of forensic odontology among dental practitioners in Chennai. Materials and Methods: A cross-sectional study was conducted in a sample of 322 dental practitioners in Chennai and data was collected by means of a questionnaire. Results: Twenty-one percent of the dental practitioners did not maintain dental records in their clinic/workplace, with only 12% of the practitioners maintaining complete records. Ninety-three percent of dental practitioners were not maintaining dental records for more than seven years. The significance of ante-mortem records in identifying deceased suspects was not known to 17% of the dental practitioners. Forty percent of the dental practitioners were not aware of child abuse and the actions to be taken. Dental age estimation was not known to 41% of the dental practitioners. Thirty-eight percent of the practitioners were unaware of the accurate method of individual identification. About 18% of the dental practitioners did not know the significance of bite mark patterns of the teeth. Ninety-three percent of the practitioners lacked formal training in collecting, evaluating and presenting dental evidence. Thirty percent of dental practitioners did not know they can testify as an expert witness in the court of law. Forty percent of the dental practitioners were unaware of identifying the age and gender of an individual in mass disasters. Conclusion: Our study revealed inadequate knowledge, poor attitude and lack of practice of forensic odontology prevailing among the dental practitioners in Chennai.
Full Text Available Background: Cervical cancer being a major cause of morbidity and mortality in women in developing countries, its awareness is essential. Aim: The aim of this study is to assess the knowledge, attitude and practices of women regarding the basic screening test for detection of cancer cervix. Settings and Design: Population based cross-sectional study. Materials and Methods: Cross-sectional prospective study was conducted. Information from consenting participants (450 was collected using structured questionnaire. Answers were described in terms of knowledge, attitude and practice and their respective adequacy with respect to Papanicolaou (Pap test, the most common test used for early detection of cervical cancer. Adequacy was compared between the categories of socio demographic and clinical variables. Statistical Analysis: The data collected was analyzed using statistical package (SPSS version 18.0. Adequacy was compared between the categories of the control variables by ?2 test with a 5% significance level. Results: Knowledge, attitude and practices regarding Pap test were adequate in 32.7%, 18.2% and 7.3% of women respectively. Major impediment to adequate practice was lack of request by physician. Knowledge, attitudes and practices were found to increase significantly with increasing age and education. Conclusion: Effective information, education and communication strategies are required to improve the level of awareness of public. Health-care professional should be proactive in imparting knowledge at every opportunity.
Full Text Available Objective To assess the antibiotic prescribing practices of doctors working in the Lao People's Democratic Republic and their knowledge of local antibiotic resistance patterns. Methods Doctors attending morning meetings in 25 public hospitals in four provinces were asked to complete a knowledge, attitude and practice survey. The questionnaire contained 43 multiple choice questions that the doctor answered at the time of the meeting. Findings The response rate was 83.4% (386/463. Two hundred and seventy doctors (59.8% declared that they had insufficient information about antibiotics. Only 14.0% (54/386 recognized the possibility of cephalosporin cross-resistance in methicillin-resistant Staphylococcus aureus. Most participants had no information about local antibiotic resistance for Salmonella Typhi (211/385, 54.8% and hospital-acquired pneumonia (253/384, 65.9%. Unnecessary antibiotic prescriptions were considered as harmless by 115 participants and 148 considered locally-available generic antibiotics to be of poor quality. Nearly three-quarters (280/386 of participants agreed that it was difficult to select the correct antibiotics. Most participants (373/386 welcomed educational programmes on antibiotic prescribing and 65.0% (249/383 preferred local over international antibiotic guidelines. Conclusion Doctors in the Lao People's Democratic Republic seem to favour antibiotic prescribing interventions. Health authorities should consider a capacity building programme that incorporates antibiotic prescribing and hospital infection control.
Yeneneh, H; Gyorkos, T W; Joseph, L; Pickering, J; Tedla, S
A survey was undertaken between December 1991 and February 1992 to assess the knowledge, attitudes, and practices with respect to malaria of 300 women from six randomly selected rural communities in central Ethiopia. A total of 85% were able to recognize one or more of the common symptoms of the disease; however, the modes of transmission were generally misunderstood and only 23% believed that transmission could be prevented. More women preferred to obtain antimalarials from government clinics rather than from private drug shops, mission clinics, unofficial suppliers of injections, open markets, or from leftover sources. Under-5-year-olds were identified as the most malaria-vulnerable group and given priority for treatment; severity of illness was the principal determinant in seeking treatment. Decisions about treatment were generally made jointly by both parents. Knowledge about the transmissibility of malaria decreased with increasing distance from a health unit (odds ratio: 0.48; 95% confidence interval: 0.27, 0.86). A logistic regression analysis indicated that literacy and village were the most important variables associated with knowledge about preventing malaria. PMID:8313494
Full Text Available Introduction: Rabies in humans is highly fatal and ends in an extremely painful and tortuous death. Unfortunately we still have highest number of deaths due to rabies, ironically a disease preventable by modern prophylactic measures. The post-exposure prophylaxis is a life saving treatment in a definite rabid animal bite. General Practitioners (GPs act as first line care-givers for the treatment of dog bite and they are also easily approachable by the victim for the treatment to prevent rabies. Objective: To assess the knowledge, attitude and practices regarding rabies among general practitioners. Methodology: This cross sectional survey was carried out from July August 2011 in Belgaum city among 100 general practitioners using a pre tested questionnaire. Data was entered and analyzed using SPSS 18 trial version. Frequencies were tabulated for demographic variables and association between variables was tested using Chi-square test. Results: Out of the total 100 general practitioners interviewed, 93 were males and 7 were females. The mean age of GPs was 42.89 years. The mean duration of practice for MBBS doctors was 19 years and for other doctors (BAMS, BHMS, RMPs was 11 years. Knowledge about various aspects of rabies was comparatively better among MBBS doctors. The knowledge regarding vaccine was very poor among the general practitioners. Conclusion: The major issue was lack of hands on training or updating the knowledge of general practitioners regarding the newer vaccines and their administration. We recommend continued medical education for general practitioners, both (MBBS and non MBBS on prevention of Rabies.
Sizakele L.T., Khoza; A.A., Tjale.
Full Text Available BACKGROUND: Neonatal pain management has received increasing attention over the past four decades. Research into the effects of neonatal pain emphasises the professional, ethical and moral obligations of staff to manage pain for positive patient outcomes. However, evaluation studies continuously rep [...] ort evidence of inadequate neonate pain management and a gap between theory and practice. OBJECTIVE: This study reviewed current practice in neonatal pain management to describe the knowledge, attitudes and practices of nurses and doctors regarding pain management for neonates in two academic hospitals. METHOD: A non-experimental, prospective quantitative survey, the modified Infant Pain Questionnaire, was used to collect data from 150 nurses and doctors working in the neonatal wards of two academic hospitals in central Gauteng. RESULTS: The response rate was 35.33% (n = 53), most respondents being professional nurses (88.68%; n = 47) working in neonatal intensive care units (80.77%; n = 42); 24 (45.28%) had less than 5 years' and 29 respondents 6 or more years' working experience in neonatal care. A review of pain management in the study setting indicated a preference for pharmacological interventions to relieve moderate to severe pain. An association (p
Amparo Montalvo Prieto
Full Text Available Objective. This article sought to describe knowledge, attitudes, and practices regarding the use of legal and illegal substances by nursing students from Cartagena (Colombia. Methodology. This was a descriptive study conducted on a probabilistic sample of 689 students matriculated in three nursing programs. The study used the Predisposing Factors instrument associated to the use of psychoactive substances by Cepeda, Aldana, and Ossío. Results. The mean age of the participants was 20.5 years, 91.9% were women, 92.4% belonged to socio-economic levels 1 to 3, 87.5% were single. Of the 12 psychoactive substances (PAS consulted, eight were considered by over 90% of the students as harmful to health. A total of 94% considered that the brain is the organ most affected by drug consumption. The students considered production (80.4%, trafficking (79.4%, and use of substances (80.0% as problems of great importance; and they agreed with investing financial resources for prevention, rehabilitation, and follow-up programs for the population affected (89.1%. They expressed that use of PAS is mainly influenced by friends (26.9% and by family problems (26.7%. The highest life prevalence of legal PAS use were: alcohol (77.6% and cigarettes (17.6%; along with marihuana for illegal PAS use (1.8%. Conclusion. Knowledge of nursing students on legal and illegal PAS is not satisfactory, although they have favorable attitudes for their prevention and control. Use of PAS by the students, although not of great magnitude, is a problem deserving attention from organisms in charge of university welfare programs. Curricular contents should be enhanced on the phenomenon of PAS use of future nursing professionals.
Full Text Available Abstract Background The aim of the study is to assess the knowledge, attitudes and practices among healthcare professionals in Barbados in relation to healthcare ethics and law in an attempt to assist in guiding their professional conduct and aid in curriculum development. Methods A self-administered structured questionnaire about knowledge of healthcare ethics, law and the role of an Ethics Committee in the healthcare system was devised, tested and distributed to all levels of staff at the Queen Elizabeth Hospital in Barbados (a tertiary care teaching hospital during April and May 2003. Results The paper analyses 159 responses from doctors and nurses comprising junior doctors, consultants, staff nurses and sisters-in-charge. The frequency with which the respondents encountered ethical or legal problems varied widely from 'daily' to 'yearly'. 52% of senior medical staff and 20% of senior nursing staff knew little of the law pertinent to their work. 11% of the doctors did not know the contents of the Hippocratic Oath whilst a quarter of nurses did not know the Nurses Code. Nuremberg Code and Helsinki Code were known only to a few individuals. 29% of doctors and 37% of nurses had no knowledge of an existing hospital ethics committee. Physicians had a stronger opinion than nurses regarding practice of ethics such as adherence to patients' wishes, confidentiality, paternalism, consent for procedures and treating violent/non-compliant patients (p = 0.01 Conclusion The study highlights the need to identify professionals in the workforce who appear to be indifferent to ethical and legal issues, to devise means to sensitize them to these issues and appropriately training them.
Shamsipour, Mansour; Khajehkazemi, Razieh; Haghdoost, Ali Akbar; Setayesh, Hamidreza; KarimanMajd, Sajjad; Mostafavi, Ehsan
In this study, knowledge and attitude of Iranian clerical students toward HIV and AIDS was assessed. Through a cross-sectional study, 367 clerical students were surveyed, in convenience sampling method, in the Qom seminary in 2011, utilizing a self-administered structured questionnaire. The questionnaire was piloted on 20 clerical student volunteers, internal consistency measured with Cronbach's alpha was 0.89. Participants' scores of knowledge and attitude were calculated out of 100. The level of knowledge in 37.33 % of participants was good (scores >80), whereas 46.05 and 16.62 % had moderate (40 knowledge, respectively. The mean score of knowledge and attitude was 58.29 (95 % CI 56.11-60) and 77.26 (95 % CI 75.92-78.59) out of 100, respectively. A significant correlation was observed between level of knowledge and attitude (r = 0.33, P Knowledge score appeared to be significantly higher in women compared to men (p = 0.04). With an increase in age, the level of knowledge significantly decreased (r = -0.10, P = 0.02). We could also detect a statistically significant relationship between attending educational courses on HIV/AIDS and inclusion of HIV/AIDS topics in the individual's sermons (P attitudes toward HIV, their knowledge still needs to be improved to enable them to deliver more accurate information to the community during the course of their speeches. Having HIV-related courses as part of their curriculum or aside may contribute a lot to this. PMID:25344879
Joshi, Ashish; Lichenstein, Richard; King, James; Arora, Mohit; Khan, Salwa
The objective of this pilot study was to assess and describe changes in knowledge, attitudes and practice regarding influenza vaccination in an inner city setting using an interactive computer-based educational program. A convenience sample of ninety participants whose children were in the age group of 6 months to 5 years was enrolled in thisâ¦
Ahn, Mark J.; Frederikson, Lesley; Borman, Barry; Bednarek, Rebecca
Purpose: This study seeks to measure the public knowledge, attitudes, and practices related to eye health and disease in New Zealand (NZ). Design/methodology/approach: A 22-item survey of 507 adults in NZ was conducted. The survey was developed using interviews and focus groups, as well as comparisons with other benchmark international studies.
Wendwosen T. Nibabe
Full Text Available Background: Unwanted teenage pregnancies have a notable detrimental impact on the learnersâ trajectory and have been associated with jeopardising the studentsâ educational progress and future career prospects. These pregnancies are mostly unplanned and unintended and many are terminated, either legally or illegally.Aim: The aim of this study was to explore the contributory role played by the knowledge, attitude and practices of female college students with respect to the utilisation of emergency contraceptives.Setting: Three tertiary institutions in Dessie, Ethiopia.Methods: Quantitative self-administered questionnaires were used to collect descriptive data from 352 female college students.Results: The study revealed that there was a high percentage (78.3% of unwanted pregnancies amongst those engaging in sex. Significantly, nearly half (43.3% of these unwanted pregnancies resulted in abortion. Only 10% of the students sampled admitted to ever having used emergency contraception. Even though more than half (69.9% of the students knew about emergency contraception, only 27% of them felt confident that they understood when it was most effective.Conclusion: These and other observed findings confirm the need for improvement of female college studentsâ knowledge and timely utilisation of emergency contraception.
Dorah U., Ramathuba; Lunic B., Khoza; Mutshinyalo L., Netshikweta.
Full Text Available Unplanned teenage pregnancy constitutes an important health problem, whilst contraceptive services are free throughout South Africa and the number of Termination of Pregnancy (TOP) services is increasing. The purpose of this study was to assess the knowledge, attitudes and practices of secondary sch [...] ool girls towards Contraception in Thulamela Municipality of Limpopo Province, South Africa. A quantitative descriptive study design was used and respondents were selected by convenience sampling from a population of secondary school girls, the sample consisting of 273 girls in Grades 10-12. A self-administered questionnaire was used to collect data and analysed by computing frequencies and percentages using the Statistical Package for Social Sciences. Findings showed that respondents were aware of different contraceptive methods that can prevent pregnancy. However, most did not have knowledge of the emergency contraceptive, intra-uterine device and female condom. Pressure from male partners, fear of parental reaction to the use of contraceptives, reluctance to use contraceptives, poor contraceptive education and lack of counselling were seen as the main causes of ineffective contraceptive use and non-utilisation. Possible modalities of intervention deal with providing contraceptive counselling and care to empower these school girls to make informed choices on reproductive health.
Stull Jason W
Full Text Available Abstract Background Many human infections are transmitted through contact with animals (zoonoses, including household pets. Although pet ownership is common in most countries and non-pet owners may have frequent contact with pets, there is limited knowledge of the publics pet contact practices and awareness of zoonotic disease risks from pets. The objective of this study was to characterize the general publics knowledge, attitudes and risks related to pet ownership and animal contact in southern Ontario, Canada. Methods A self-administered questionnaire was distributed to individuals at two multi-physician clinics in Waterloo, Ontario, Canada during 2010. A single adult from each household was invited to participate in the study. Results Seventy five percent (641/853 of individuals approached completed the questionnaire. Pet ownership and contact were common; 64% of participants had a pet in their household and 37% of non-pet owning households had a member with at least weekly animal contact outside the home. Pet ownership was high (55% for households with individuals at higher risk for infections (i.e., Conclusions These results suggest that there is a need for accessible zoonotic disease information for both pet and non-owning households, with additional efforts made by veterinary, human and public health personnel. Immediate educational efforts directed toward households with individuals at higher risk to infections are especially needed.
Dorah U. Ramathuba
Full Text Available Unplanned teenage pregnancy constitutes an important health problem, whilst contraceptive services are free throughout South Africa and the number of Termination of Pregnancy (TOP services is increasing. The purpose of this study was to assess the knowledge, attitudes and practices of secondary school girls towards contraception in Thulamela Municipality of Limpopo Province, South Africa. A quantitative descriptive study design was used and respondents were selected by convenience sampling from a population of secondary school girls, the sample consisting of 273 girls in Grades 1012. A self-administered questionnaire was used to collect data and analysed by computing frequencies and percentages using the Statistical Package for Social Sciences. Findings showed that respondents were aware of different contraceptive methods that can prevent pregnancy. However, most did not have knowledge of the emergency contraceptive, intra-uterine device and female condom. Pressure from male partners, fear of parental reaction to the use of contraceptives, reluctance to use contraceptives, poor contraceptive education and lack of counselling were seen as the main causes of ineffective contraceptive use and non-utilisation. Possible modalities of intervention deal with providing contraceptive counselling and care to empower these school girls to make informed choices on reproductive health.
Kavin Nishith Shroff
Full Text Available Objective: The study was aimed to assess knowledge, attitudes and practices of emergency contraception among the college students. Methodology: Data was collected through self administered questionnaires, where by students were instructed what to do in introductory remark. All this was done first before being administered in the class. Then the filled questionnaires were collected. Results: Majority were not using ECP 56(46.7% with a reason of never had need for it, followed by 29 (24.2% and 28 (23.3%, with reasons of partner doesn't like it and religious reasons respectively. Cancer causation was chosen the least, 7 (5.8%. Only 23 individuals had ever used ECP in their life time, of these only 8 (34.8% followed by 6 (26.1% who had a failure in withdrawal. Only 136 individuals were able to respond to ECP using references, where by 75(55.1% said yes. Large number of individuals 114 (85.7% had never use ECP despite of sex exposure and only 19 (14.3% were able to use ECP. Majority of individuals out of 80, 66 (82.55% had a knowledge that ECP prevent pregnancy formation and few had a negative response, 7 (8.8% causes abortion, 5 (6.3% causes cancer. Conclusion: This study revealed that people in our country with much concern to bearing age group, have very little knowledge about emergency contraception. However, they are highly in need of getting it, and they are also in need of knowledge and dispensing units. [Natl J Med Res 2014; 4(2.000: 142-144
Naik, Sachin; Khanagar, Sanjeev; Kumar, Amit; Vadavadagi, Sunil; Neelakantappa, Hombesh Mayakonda; Ramachandra, Sujith
Background: Hand hygiene in dental practice is one of the most important parts of the infection control process to reduce the risk of transmitting microorganisms from provider to patient. The Centers for Disease Control and Prevention (CDC) Hand Hygiene (HH) guidelines were published more than 5 years ago. The extent to which dental practitioners are aware of it and the extent to which alcohol-based hand sanitizers are used by dental practitioners are unknown. Aims and Objectives: The aim of the present study was to assess the practice of HH among dentists in Bangalore city. The objectives of the study were to assess knowledge and attitudes among dentists with regard to HH in Bangalore city. Materials and Methods: A total of 204 dentists from the registry of dental care facility, Bangalore, were selected for this study. The data were collected by administering a specially designed proforma. Results: 51% of the dental practitioners use soap and water for HH frequently and 44.6% use alcohol-based hand sanitizers for HH frequently. Also, 53.4% were aware of the CDC HH guideline. One-third of the dental practitioners indicated that they have limited/moderate knowledge of the CDC HH guideline. Conclusion: Most dental practitioners use soap and water for HH frequently, and a smaller number of dental practitioners use alcohol-based hand sanitizers for HH frequently. The knowledge of the CDC HH guidelines needs to be improved. PMID:25374833
Full Text Available Background: Knowledge about epilepsy and its management is not satisfactory among school students in developing countries. The present study was planned to ascertain the knowledge, attitude and practices (KAP of students regarding first-aid management of epilepsy seizures in school setting. Materials and Methods: A total of 177 students of government schools of Chandigarh, a city of northern India, were taken. They were administered with a pre-tested semi-structured questionnaire (for knowledge and attitude assessment and an observational checklist after role play (for practice assessment on first-aid management of epilepsy. A scoring system was devised to quantify the knowledge and practices of students. Results: Seventy-one percent of them had either heard or read about epilepsy. Half of the students believed epilepsy as a hindrance to education. Ayurvedic treatment was preferred by more than half of the students; however, many believed that visit to religious places and exorcism as ways to cure epilepsy. Nearly 74% of students would call a doctor as first-aid measure for seizure in a person with epilepsy. Conclusion: We concluded that the knowledge about various aspects of epilepsy was average among school students in Chandigarh. However, there was no significant difference in knowledge, attitude and practice between students who lived in urban, urban slum and rural areas. It is recommended that first-aid management of seizures in epilepsy should be a part of school curriculum.
Thac, Dinh; Pedersen, Freddy Karup; Thuong, Tang Chi; Lien, Le Bich; Ngoc Anh, Nguyen Thi; Phuc, Nguyen Ngoc
A study of 600 rural under-five mothers' knowledge, attitude, and practice (KAP) in child care was performed in 4 southern provinces of Vietnam. The mothers were randomly selected and interviewed about sociodemographic factors, health seeking behaviour, and practice of home care of children and neonates. 93.2% of the mothers were literate and well-educated, which has been shown to be important for child health care. 98.5% were married suggesting a stable family, which is also of importance for child health. Only 17.3% had more than 2 children in their family. The mother was the main caretaker in 77.7% of the families. Only 1% would use quacks as their first health contact, but 25.2% would use a private clinic, which therefore eases the burden on the government system. Nearly 69% had given birth in a hospital, 27% in a commune health station, and only 2.7% at home without qualified assistance. 89% were giving exclusive breast feeding at 6 months, much more frequent than in the cities. The majority of the mothers could follow IMCI guideline for home care, although 25.2% did not deal correctly with cough and 38.7% did not deal correctly with diarrhoea. Standard information about Integrated Management of Childhood Illnesses (IMCI) based home care is still needed. PMID:26881233
Full Text Available Background: Realizing the ill effects of increasing population, India was the first country to have started a state sponsored Family Planning Programme, long back in 1952; India is the second most populous country of the world only after China. To attain the required targets India needs nationwide surveys to assess the practices of contraception especially in poor performing states in order to utilize the available resources according to local needs. Methods: Hospital based, cross-sectional survey conducted amongst the women of post natal ward of a referral hospital mainly catering rural population. Knowledge, Attitude and Practice survey of family planning was conducted. Results: A total of 4221 subjects were interviewed.58% of these women were aware of contraceptive methods, mostly Permanent followed by IUCD, Condom, least of oral pills. Conclusions: Spacing methods are less known amongst rural women while the use is even lower which calls for the further strengthening of existing awareness programmes. [Int J Reprod Contracept Obstet Gynecol 2015; 4(2.000: 329-333
Najafi, Fatemeh; Rahman, Hejar Abdul; Hanafiah, Muhamad; Momtaz, Yadollah A; Ahmad, Zaiton
There is a high rate of unintended pregnancies in Malaysia due to low contraceptive use. Only 30% of married women use modern contraceptive methods. Emergency contraception (EC) is used within a few days of unprotected sex to prevent pregnancy. The purpose of this study was to investigate the knowledge, attitudes, and practices regarding EC pill use among Malay women. A cross sectional study was conducted among married female staff using stratified random sampling from 15 faculties in the Universiti Putra Malaysia (UPM). Data about sociodemographic factors, reproductive health, knowledge, attitudes and practices regarding EC use were gathered using validated self-administered questionnaire. The response rate was 87%. Half the 294 subjects who participated had a low knowledge, 33.0% a moderate knowledge and 17.0% a good knowledge about the EC pill. Eighty-eight percent of respondents had a positive attitude and 12.0% a negative attitude toward EC. Eleven percent of respondents had previously used EC. Unplanned and unwanted pregnancies were reported by 35.0% and 14.0% of respondents, respectively. Most respondents lacked knowledge about the indications for using EC, its mechanism of action, when it can be used and its side effects. Our findings show a need to educate women about EC. PMID:23413716
Sizakele L.T. Khoza
Full Text Available Background: Neonatal pain management has received increasing attention over the past four decades. Research into the effects of neonatal pain emphasises the professional, ethical and moral obligations of staff to manage pain for positive patient outcomes. However, evaluation studies continuously report evidence of inadequate neonate pain management and a gap between theory and practice.Objective: This study reviewed current practice in neonatal pain management to describe the knowledge, attitudes and practices of nurses and doctors regarding pain management for neonates in two academic hospitals.Method: A non-experimental, prospective quantitative survey, the modified Infant Pain Questionnaire, was used to collect data from 150 nurses and doctors working in the neonatal wards of two academic hospitals in central Gauteng.Results: The response rate was 35.33% (n = 53, most respondents being professional nurses (88.68%; n = 47 working in neonatal intensive care units (80.77%; n = 42; 24 (45.28% had less than 5 years and 29 respondents 6 or more years working experience in neonatal care. A review of pain management in the study setting indicated a preference for pharmacological interventions to relieve moderate to severe pain. An association (p < 0.05 was found between pain ratings on 5 procedures and frequency of administration of pharmacological pain management. Two-thirds of respondents (64% reported that there were no pain management guidelines in the neonatal wards in which they worked.Conclusion: The interventions to manage moderate neonatal pain are in line with international guidelines. However, neonatal pain management may not occur systematically based on prior assessment of neonatal pain, choice of most appropriate intervention and evaluation. This study recommends implementation of a guideline to standardise practice and ensure consistent and adequate pain management in neonates.
LC, Maart; K, Rendall-Mkosi; DJ, Jackson.
Full Text Available INTRODUCTION: Many of the known risk factors associated with low birth weight (LBW) infants, such as socio-economic status, ethnicity, genetic makeup, and obstetric history, are not within a woman's immediate control. However, there are many things that a woman can do to improve her chances of havin [...] g a normal healthy child. Lifestyle behaviours, such as cigarette smoking, nutrition and the use of alcohol, play an important role in determining the growth of the foetus. There is a high rate of low birth weight infants born to women living and working on the farms in the Western Cape. Very little is known about the knowledge, attitudes and practices of the women living and working on the farms that may be influencing their pregnancy outcomes. The aim of this qualitative exploratory study was to establish the knowledge, attitudes and practices of reproductive age women related to lifestyle factors such as alcohol use, smoking and nutrition, and the perceptions of these factors by health care workers, in Stellenbosch and Vredendal areas (small towns in the Western Cape). METHODS: Four methods of data collection were employed: focus groups and individual interviews with women on farms, and focus groups and semi-structured interviews with health workers. All focus groups and interviews were recorded, transcribed, and then coded to form themes. Findings were then triangulated across data collection methods. RESULTS: Participants described high levels of use of alcohol and cigarettes by women living on the farms in general, and in pregnancy, despite reasonable levels of awareness of the dangers to the foetus. Regarding nutrition, women have a fairly good sense of eating in a balanced way during pregnancy, but affording this on very low wages is difficult. Many ideas regarding how to increase healthy lifestyles were offered, ranging from environmental improvements, such as access to recreational facilities and handwork classes, to more contact with health services, and improvement in conditions of employment. CONCLUSION: This study highlights the lifestyle factors related to LBW infants on farms, and proposes that these should be addressed collectively by all the relevant sectors in the community. Although some of these processes have been initiated, there are gaps in the health services, which should be addressed immediately to provide women with opportunities to ensure acceptable pregnancy outcomes.
Amrutha Swati Indupalli, Kaviraj Motakpalli, Purushottam A. Giri, Nazir Ahmed Bendigiri
"Context: Globally 18 to 64% of healthcare institutions are reported to have unsatisfactory Bio-Medical Waste Management (BMWM) facilities. Objective: To assess the knowledge, attitude and practices regarding biomedical waste management of hospital nursing staff Method: A hospital based cross-sectional study was carried out amongst 100 nursing staff working in Khaja Banda Nawaz Institute of Medical Sciences, Hospital Kalburgi. Result: Majority had knowledge regarding 92% col...
Rui Wang; Yingying Yang; Renjie Chen; Haidong Kan; Jinyi Wu; Keran Wang; Maddock, Jay E; Yuanan Lu
To assess the status of, and factors associated with, residents knowledge, attitudes, and practices (KAP) related to air pollution and respiratory health of children in Shanghai, we conducted a cross-sectional survey. Demographic factors associated with residents knowledge were identified by multiple logistic regressions. The questionnaires were completed by 972 participants, half from the Shanghai Children Hospital and the other half from the Jiading communities. Half of the participants ...
Full Text Available Purpose: To study the knowledge, attitude and practices (KAP towards computer vision syndrome prevalent in Indian ophthalmologists and to assess whether ?computer use by practitioners? had any bearing on the knowledge and practices in computer vision syndrome (CVS. Materials and Methods: A random KAP survey was carried out on 300 Indian ophthalmologists using a 34-point spot-questionnaire in January 2005. Results: All the doctors who responded were aware of CVS. The chief presenting symptoms were eyestrain (97.8%, headache (82.1%, tiredness and burning sensation (79.1%, watering (66.4% and redness (61.2%. Ophthalmologists using computers reported that focusing from distance to near and vice versa ( P =0.006, ?2 test, blurred vision at a distance ( P =0.016, ?2 test and blepharospasm ( P =0.026, ?2 test formed part of the syndrome. The main mode of treatment used was tear substitutes. Half of ophthalmologists (50.7% were not prescribing any spectacles. They did not have any preference for any special type of glasses (68.7% or spectral filters. Computer-users were more likely to prescribe sedatives/ anxiolytics ( P = 0.04, ?2 test, spectacles ( P = 0.02, ?2 test and conscious frequent blinking ( P = 0.003, ?2 test than the non-computer-users. Conclusions: All respondents were aware of CVS. Confusion regarding treatment guidelines was observed in both groups. Computer-using ophthalmologists were more informed of symptoms and diagnostic signs but were misinformed about treatment modalities.
Full Text Available Background: Tobacco consumption is associated with considerable negative impact on health. Health professionals, including future doctors, should have a leading role in combating smoking in the community. Objectives: The aims of the study were to assess the prevalence of smoking among medical students of newly established medical colleges in Riyadh city, the capital of Saudi Arabia, as well as to assess students? attitude, practice and their knowledge on the risk factors of tobacco consumption. Methods: A cross-sectional, questionnaire-based study of students from two medical colleges in Riyadh, Saudi Arabia was carried out. The questionnaire used was anonymous, self-administered and developed mainly from Global Adult Tobacco Survey (GATS. Results: A total of 215 students participated in this study. Forty students (19% indicated that they smoke tobacco at the time of the study. All of them were males, which raise the prevalence among male students to 24%. Tobacco smoking was practiced by males more than females (P value < 0.0001 and by senior more than junior students (< 0.0001. About 94% of the study sample indicated that smoking could cause serious illnesses. About 90% of the students indicated that they would advice their patients to quit smoking in the future and 88% thought that smoking should be banned in public areas. Forty-four students (20% thought that smoking has some beneficial effects, mainly as a coping strategy for stress alleviation. Conclusion: Despite good knowledge about the hazards of tobacco consumption, about 25% of the medical students in this study continue to smoke. The main reported reasons should be addressed urgently by policy-makers. Special efforts should be taken to educate medical students on the effective strategies in managing stress during their study as they thought that tobacco smoking could be used as a coping strategy to face such a stress.
Full Text Available OBJECTIVE : To assess the awareness and attitude towards AIDS and PLHA in slum dwellers of Chennai, an Indian metropolis by KAP (Knowledge, Attitude, Practice study. METHODS : A cross sectional study was conducted in a representative sample of 650 subjects (400 females and 250 females, aged 15-45 years, by means of a questionnaire in the local dialect Tamil. RESULTS : The overall literacy rate was 64%, with males being 70% and females being 60% literate. 20% of males and 11% of females do not know about a disease called AIDS. Only 67% of males and 55% of females are aware of the sexual mode of transmission. 34% of males and 50% females opine that AIDS is also a hereditary disease. Also 45% of males and 62% of females feel that AIDS also spreads by air, fomites, or mosquito-bite. Only 30% of males and 22% females know about the possible symptoms of AIDS. 30% of males and 45% of females never ask for a new syringe if not provided, as they are totally unaware of its significance. 43% of males and 78% of females do not know about the risk of a barber?s blade. 56% of males and 71% of females feel that AIDS can be treated at least by a traditional medicine. Lastly, 48% of males and 60% females prefer outcasting an AIDS patient from the slum. CONCLUSIONS : AIDS awareness in the slum dwellers of Chennai is very poor. Corresponding awareness in suburbs and rural areas will be much worse. Conventional IEC methods targeting general population via mass media are not reaching the slum dwellers, even in a metropolitan city. A specially designed targeted intervention is needed.
Shubhanshu; Malhotra,, S.; Santosh K.; Mrigen; Preeti,; Rashmi; Swati
BACKGROUND: Dengue is the major public health problem leading to increase in disease burden in terms of disability and deaths. Despite the magnitude of problem no documented evidence exists in India, which reveals the awareness and practices of countryâs adult population regarding dengue fever, its spread, symptoms, treatment and prevention. OBJECTIVES: To access the knowledge, attitude and practices among the people living in urban area of Jhansi city. MATERIAL AND METHOD...
Conclusions: The results of our study showed that though Group II had better knowledge regarding IDA Group I followed more favourable practices. Our study, though small in size gives a glimpse of the greater picture. The attitude and practice of students and society in general needs to be improved with intensive media campaigns. Greater awareness about causes, prevention and treatment will go a long way in combating IDA. [Int J Res Med Sci 2015; 3(6.000: 1342-1344
Full Text Available Introduction: There is concerned in Latin America due to the little or no impact that have had prevention programs in the reduction of cases of uterine cervical neoplasm. Different aspects should be looked at and analyzed.Objective: To determine the knowledge, practice and attitude of women from themunicipality of Pinillos, Colombia, relating to the use of uterine cervical cytology asdiagnostic techniques of early lesions of uterine cervix that entail uterine cervicalneoplasm.Methods: Descriptive study carried out in Pinillos, Bolívar, Colombia. A survey was filledout by 260 women who had had sexual life.Results: 85.4% of the polled patients know what an uterine cervical cytology is.Practically all the polled women know what the usefulness of cytology is. 99.6%recognizes that cytology is important. 88.5% has done the cytology during her life, witha median of 4 done cytologies.Conclusions: The ignorance, the lack of practice and the bad attitude towards therealization of the cytology are not the main causes of that uterine cervical neoplasm hadnot diminished. Rev.cienc.biomed. 2013;4(1:54-59RESUMENIntroducción: existe preocupación en América Latina por el poco o ningún impacto enreducción de casos, que han tenido los programas de prevención del cáncer del cuellouterino. Diferentes aspectos se deben analizar.Objetivo: determinar el conocimiento, práctica y actitud de las mujeres del municipiode Pinillos, Colombia, sobre el uso de la citología cérvico-uterina como método dediagnóstico de las lesiones tempranas del cuello uterino, que conlleven al cáncer decérvix.Metodología: estudio descriptivo realizado en el municipio de Pinillos, Bolívar, Colombia.Se realizó una encuesta a 260 mujeres que habían tenido vida sexual.Resultados: el 85.4% de las pacientes encuestadas saben que es la citología cérvicouterina.Prácticamente todas las mujeres encuestadas saben para qué sirve la citología.El 99.6% reconoce que realizarse la citología es importante. El 88.5% si se ha realizadola citología durante su vida, con una mediana de 4 citologías realizadas.Conclusiones: el desconocimiento, la falta de práctica y la mala actitud hacia larealización de la citología no es la principal causa que el cáncer de cérvix no hayadisminuido. Rev.cienc.biomed. 2013;4(1:54-59
Full Text Available Adolescence is a transitional period during which a child matures into an adult. Menstrual related problem contribute to school absenteeism. beliefs, concepts, hygiene , and knowledge attitude about menstruation is objectively analysed and found that menarche was attained by 70% girls at 12 - 13 years and the mother helped the girls with information , 76% used the old clothes and reused them . 10% of the girls had school absenteeism. There is a need for imparting knowledge by including in the school curriculum.
Conclusions: The reasons for self-medication were similar among medical and non-medical students, but positive attitude and knowledge toward self-medication was more among the medical students. [Int J Basic Clin Pharmacol 2014; 3(6.000: 988-994
Preeti,; Amaresh; Bhargavi; Himabindu; Lakshmi,; Alimelu; Kalyani; Gopal
Adolescence is a transitional period during which a child matures into an adult. Menstrual related problem contribute to school absenteeism. beliefs, concepts, hygiene , and knowledge attitude about menstruation is objectively analysed and found that menarche was attained by 70% girls at 12 - 13 years and the mother helped the girls with ...
Nihal; Fateh; Shivkumar; Faiz Akram; Azfar; Anant
This study explored medical studentsâ knowledge and attitude on the medico - legal autopsy demonstrations which formed part of their training in Forensic Medicine. 300 students of 2010, 2011 and 2012 batch of college were obtained by asking them to answer a questionnaire on the subject. The students were asked to respond anonymously to ...
Al-Binali Ali Mohamed
Full Text Available Abstract Background Inadequate knowledge, or inappropriate practice, of breastfeeding may lead to undesirable consequences. The aim of this study was to assess breastfeeding knowledge, attitude and practice (KAP among female teachers in the Abha Female Educational District and identify factors that may affect breastfeeding practice in the study population. Methods A cross-sectional study using a self-administered questionnaire was conducted among school teachers in Abha Female Educational District during the months of April to June, 2011. Breastfeeding KAP of participants who had at least one child aged five years or younger at the time of the study were assessed using a self-administered questionnaire, based on their experience with the last child. Results A total of 384 women made up of 246 (61.1% primary-, 89 (23.2% intermediate- and 49 (12.8% high-school teachers participated in the study. One hundred and nineteen participants (31% started breastfeeding their children within one hour of delivery, while exclusive breastfeeding for 6âmonths was reported only by 32 (8.3% participants. Insufficient breast milk and work related problems were the main reasons given by 169 (44% and 148 (38.5% of participants, respectively, for stopping breastfeeding before two years. Only 33 participants (8.6% had attended classes related to breastfeeding. However, 261 participants (68% indicated the willingness to attend such classes, if available, in future pregnancies. Conclusions This study revealed that breast milk insufficiency and adverse work related issues were the main reasons for a very low rate of exclusive breastfeeding among female school teachers in Abha female educational district, Saudi Arabia. A very low rate of attending classes addressing the breastfeeding issues during pregnancy, and an alarming finding of a high percentage of babies receiving readymade liquid formula while still in hospital, were also brought out by the present study. Such findings, if addressed comprehensively by health care providers and decision-makers, will lead to the improvement of breastfeeding practices in the study community.
Gao, Qian; Liu, Guangcong; Liu, Yang
To assess the knowledge, attitudes and practices regarding the health effects of ultraviolet radiation (UVR) and sun exposure among medical university students in Northeast China, 385 subjects were investigated on October 2013 using a self-administered multiple-choice questionnaire. Most of the subjects knew the effects of UVR on skin cancer (95.6%) and sunburn (92.2%), but fewer knew of the eye damage that can result from UVR (27.8% cataract and 3.1% pterygium). Correspondingly, the main purpose of adopting sun protection was considered to be 'preventing sunburn' (55.4%), but 'preventing eye damage' was the least (1.8%). In actual behaviour, the eyes received the least protection as well. Although knowing the effects of UVR on vitamin D synthesis (87.3%), 66.8% of participants never or seldom increased sun exposure. Compared to men, women were more likely to reduce sun exposure (Ptanning was attractive. Considering the response variability to UVR in people with different skin colours, different sun protection programs should be provided. In China, especially in the North, the public should be educated to moderately increase sun exposure to maintain adequate vitamin D status while also protecting against eye damage from UVR. PMID:25063981
Full Text Available Research question: What is the level of knowledge , attitude, belief and practices of senior secondary students about AIDS? Objective: To document the knowledge, attitude, belief and practices about AIDS among senior secondary students. Study design: Cross- sectional. Setting: Four senior secondary schools including two boys and two girls schools of Rural Delhi. Participants: Students of senior secondary schools. Study variables: Knowledge, attitude, belief and practices regarding AIDS. Statistical analysis: Proportions. Results: A large majority (83.0% of students though had heard about AIDS, yet majority of them did not know the possible method of prevention of AIDS. Only 27.1 % girls knew about regular condom usage. Half of them had permissible attitude for pre- marital sex while sexual activity was observed in one- fourth students. Students were less reluctant to discuss about AIDS than sex and teachers were preferred as compared to parents in this regard. Conclusion: School is an ideal setting for adolescents for educating them regarding HIV/AIDS transmission and safer sex behaviour.
To assess the knowledge, attitude and practices of mothers regarding immunization of one year old child at Mawatch Goth, Kemari town, Karachi, Pakistan. A cross sectional study was conducted among mothers having one year old child at Mawatch Goth, Kemari town, Karachi in February 2007. All mothers having less than one year old child were interviewed through a semi structured questionnaire regarding immunization knowledge attitude and practices. The data collected through a questionnaire entered and analyzed by using SPSS program version 15. Majority of the mothers were illiterate, belonging to low-income group and not aware about the name of diseases in EPI Program. Majority (70%) of women started routine immunization of the child. The reasons for missing vaccination schedule were lack of understanding of next appointment, non availability of health staff, mild flu and others reasons like household work. About thirty one percent mothers quit immunization after missing one dose. Health care staff was the main source of information. A positive attitude was reflected from both the parents towards immunization. A significant number stated that vaccination is contraindicated in mild illness of child. The knowledge of our mothers about vaccination was found inadequate with strong positive attitude and limited practices. (author)
Rajendra N Gadhavi
Full Text Available Background: Breastfeeding is a widespread practice in though out India. However it has been changing over the years, particularly in the past few decades. We need to keep exploring Knowledge and practices of mother regarding breast feeding for timely intervention and maintenance of his valuable age old practice. Objective: This study was aimed to explore mother's knowledge, attitude and practice regarding breastfeeding. Methods: By using pre tested questioner, 200 mother delivered in last one year were interviewed to obtain information regarding knowledge, Attitude and practice of breast feeding. The study was conducted in area served by an Urban Health Clinic. Result: Knowledge on proper breast feeding technique was found inadequate in study participants. Only 10% women were aware about intitiation of breast feeding within half hour of delivery. Benefits of colostrums, importance of exclusive breast feeding and benefits of night feeding were known to 25%, 15% and 15% mothers respectively. Less than half (41.4% mother had started breast feeding within half hour of birth while 15% were practicing exclusive breast feeding. Attachment and positioning techniques of 60% mother were found improper. None of the mother interviewed in the study got counseling on breast feeding during ANC visits. Conclusion: Harmful socio-cultural practices like giving prelacteal feeds, delayed initiation of breastfeeding after birth, late introduction of weaning foods and avoidance of exclusive breastfeeding are still common among the mothers. [Natl J Med Res 2013; 3(4.000: 396-398
Full Text Available Introduction: Asthma being a chronic inflammatory disease needs treatment for prolonged duration. To increase treatment compliance, each patient should know the course of disease, its precipitating factors, and management protocol. Despite the magnitude of the asthma, very little is known about its public perception. Aim: This study was done to know the knowledge, attitude, and practices of patients of bronchial asthma. Materials and Methods: In this prospective study, subjects were asthmatic patients attending the department of pulmonary medicine, KGMU Lucknow, India. A questionnaire including general understanding of asthma, its triggers and management was given to each patient and results were recorded. Results: A total of 140 patients with confirmed diagnosis of asthma were included in this study. On an average, each patient had already visited 3.2 doctors prior to coming to us. Out of 140 patients, 64% patients were ignorant regarding disease etiology, 47.1% patients thought that their disease is fatal, 30% patients were reluctant to accept the diagnosis of asthma. Regarding precipitating factors, 25.71% patients could not relate to any cause with their disease exacerbation. A total of 62.14% patients used alternative system of medicine too in the hope of getting rid of their disease. Oral medications were preferred by 62.1% patients, while 73.6% were using inhalers and out of them 71.8% were using inhalers incorrectly. Conclusion: Patient education program should augment awareness; eliminate social stigma, and misconcepts in the community regarding asthma. Knowledge about the prevailing perception in community would be the first step in achieving this.
To assess the knowledge, attitude and practice of Polio among people in Khyber PakhtunKhwa and to recommend measures in order to improve the awareness of disease. Study Design: Descriptive cross sectional study. Place and Duration of Study: This study was conducted at CMH Nowshera, CMH Mardan and Kohat General Hospital from March to June 2013. Subjects and Methods: Persons presenting for consultation to tertiary care hospitals at medical reception rooms were approached by convenience sampling. Structured questionnaire was developed and data was collected by interviews. Results: The findings of the study revealed that out of 296 persons participated in study 57.4% were males while 42.2% were females. They were residents of Mardan, Nowshera, Kohat and Swabi districts of Khyber Pakhtukhwa. Persons who believed that vaccine is prohibited in religion were 13.9%, 81.1% persons knew about Polio disease and 84.5% persons believed that disease could be prevented by giving vaccines to children. Persons who gave vaccine to their children were 88.9% and 66.9% also knew the schedule of the vaccine. Pressure groups which included tribal elders stopped 19.3% people from giving vaccine to their children and for 11.1% persons the facility of giving vaccine was not available. Persons who believed that Polio can cause infertility were 11.5% and 20.9% believed that Polio vaccine cannot prevent Polio disease. Persons who have seen patient of Polio were 38.9% and 88.5 % persons wanted to eradicate disease from Pakistan. Conclusion: The results of the study revealed that people have adequate knowledge about Polio and wanted to eradicate it from Pakistan by participating in vaccination activities but still there are few people who believe that Polio vaccine cannot prevent disease resulting in failure to adminster vaccine for their children. (author)
Full Text Available Purpose : To assess the knowledge, attitudes and practices among the different health care workers (HCWs on nosocomial infections. Methods : A total of 150 HCWs, doctors (n=50, nurses (n=50 and ward aides (n=50 were included. A questionnaire was administered to the HCWs to assess their knowledge, attitudes and practices on nosocomial infections. A scoring system was devised to grade those (KAP score. They were further subjected to a series of similar questionnaires at intervals of 6, 12 and 24 months after an education module. Subjects in each category of staff (n=10 were observed for compliance to hand washing practices in the ward in the post-education period. Statistical analysis was done using statistical software. Results : The study showed an increase in the number of subjects in each category scoring good and excellent in the post-education questionnaire; however this declined with the progress of time. It was observed that the compliance level to hand washing practices differed among the different HCWs. Total compliance was 63.3% and ward aides were most compliant 76.7% (adjusted Wald 95% CI= 58.80-88.48. Conclusions : Education has a positive impact on retention of knowledge, attitudes and practices in all the categories of staff. There is a need to develop a system of continuous education for all the categories of staff. In order to reduce the incidence of nosocomial infections, compliance with interventions are mandatory.
Phalkey, Revati K.; Kroll, Mareike; Dutta, Sayani; Shukla, Sharvari; Butsch, Carsten; Bharucha, Erach; Kraas, Frauke
Background Participation of private practitioners in routine disease surveillance in India is minimal despite the fact that they account for over 70% of the primary healthcare provision. We aimed to investigate the knowledge, attitudes, and practices of private practitioners in the city of Pune toward disease surveillance. Our goal was to identify what barriers and facilitators determine their participation in current and future surveillance efforts. Design A questionnaire-based survey was conducted among 258 practitioners (response rate 86%). Data were processed using SPSS Inc., Chicago, IL, USA, version 17.0.1. Results Knowledge regarding surveillance, although limited, was better among allopathy practitioners. Surveillance practices did not differ significantly between allopathy and alternate medicine practitioners. Multivariable logistic regression suggested practicing allopathy [odds ratio (OR) 3.125, 95% confidence interval (CI) 1.2347.915, p=0.016] and availability of a computer (OR 3.670, 95% CI 1.23710.889, p=0.019) as significant determinants and the presence of a laboratory (OR 3.792, 95% CI 0.99814.557, p=0.052) as a marginal determinant of the practitioner's willingness to participate in routine disease surveillance systems. Lack of time (137, 55%) was identified as the main barrier at the individual level alongside inadequately trained subordinate staff (14, 6%). Main extrinsic barriers included lack of cooperation between government and the private sector (27, 11%) and legal issues involved in reporting data (15, 6%). There was a general agreement among respondents (239, 94%) that current surveillance efforts need strengthening. Over a third suggested that availability of detailed information and training about surveillance processes (70, 33%) would facilitate reporting. Conclusions The high response rate and the practitioners willingness to participate in a proposed pilot non-communicable disease surveillance system indicate that there is a general interest from the private sector in cooperating. Keeping reporting systems simple, preferably in electronic formats that minimize infrastructure and time requirements on behalf of the private practitioners, will go a long way in consolidating disease surveillance efforts in the state. Organizing training sessions, providing timely feedback, and awarding continuing medical education points for routine data reporting seem feasible options and should be piloted. PMID:26434690
Gaines, Joanna; Bulkow, Lisa R.; Kinzer, Michael H.; Hennessy, Thomas W.; Klejka, Joseph A.; Bruce, Michael G.
Background Community-acquired methicillin-resistant Staphylococcus aureus and methicillin-sensitive S. aureus infections are common to south-western Alaska and have been associated with traditional steambaths. More than a decade ago, recommendations were made to affected communities that included preventive skin care, cleaning methods for steambath surfaces, and the use of protective barriers while in steambaths to reduce the risk of S. aureus infection. Objective A review of community medical data suggested that the number of skin infection clinical encounters has increased steadily over the last 3 years and we designed a public health investigation to seek root causes. Study design Using a mixed methods approach with in-person surveys, a convenience sample (n=492) from 3 rural communities assessed the range of knowledge, attitudes and practices concerning skin infections, skin infection education messaging, prevention activities and home self-care of skin infections. Results We described barriers to implementing previous recommendations and evaluated the acceptability of potential interventions. Prior public health messages appear to have been effective in reaching community members and appear to have been understood and accepted. We found no major misconceptions regarding what a boil was or how someone got one. Overall, respondents seemed concerned about boils as a health problem and reported that they were motivated to prevent boils. We identified current practices used to avoid skin infections, such as the disinfection of steambaths. We also identified barriers to engaging in protective behaviours, such as lack of access to laundry facilities. Conclusions These findings can be used to help guide public health strategic planning and identify appropriate evidence-based interventions tailored to the specific needs of the region. PMID:26928370
Full Text Available Abstract Background Studies have revealed that visiting poultry markets and direct contact with sick or dead poultry are significant risk factors for H5N1 infection, the practices of which could possibly be influenced by people's knowledge, attitudes and practices (KAPs associated with avian influenza (AI. To determine the KAPs associated with AI among the Chinese general population, a cross-sectional survey was conducted in China. Methods We used standardized, structured questionnaires distributed in both an urban area (Shenzhen, Guangdong Province; n = 1,826 and a rural area (Xiuning, Anhui Province; n = 2,572 using the probability proportional to size (PPS sampling technique. Results Approximately three-quarters of participants in both groups requested more information about AI. The preferred source of information for both groups was television. Almost three-quarters of all participants were aware of AI as an infectious disease; the urban group was more aware that it could be transmitted through poultry, that it could be prevented, and was more familiar with the relationship between AI and human infection. The villagers in Xiuning were more concerned than Shenzhen residents about human AI viral infection. Regarding preventative measures, a higher percentage of the urban group used soap for hand washing whereas the rural group preferred water only. Almost half of the participants in both groups had continued to eat poultry after being informed about the disease. Conclusions Our study shows a high degree of awareness of human AI in both urban and rural populations, and could provide scientific support to assist the Chinese government in developing strategies and health-education campaigns to prevent AI infection among the general population.
Full Text Available Background: Pharmacovigilance is a useful to assure the safety of medicines and protect consumers from their harmful effects. Healthcare professionals should consider Adverse Drug Reaction (ADR reporting as part of their professional obligation and participate in the existent pharmacovigilance programs in their countries. In India, the National PV Program was re-launched in July 2010. Objectives: This survey was conducted in order to assess the knowledge, attitude and practice of Indian pharmacists with the aim of exploring the pharmacists? participation in ADR reporting system, identifying the reasons of under reporting and determining the steps that could be adopted to increase reporting rates. Materials and Methods: A cross-sectional survey was carried out among the pharmacists in India using a pretested questionnaire with 33 questions (10 questions on knowledge, 6 on attitude, 7 on practice, 7 on future of ADR reporting in India and 3 on benefits of reporting ADRs.. The study was conducted, over a period of 3 months from May 2012 to July 2012. Results: Out of the 600 participants to whom the survey was administered, a total of 400 were filled. The response rate of the survey was 67%. 95% responders were knowledgeable about ADRs. 90% participants had a positive attitude towards making ADRs reporting mandatory for practicing pharmacists. 87.5% participants were interested in participating in the National Pharmacovigilance program, in India. 47.5% respondents had observed ADRs in their practice, and 37% had reported it to the national pharmacovigilance center. 92% pharmacists believed reporting ADRs immensely helped in providing quality care to patients. Conclusion : The Indian pharmacists have poor knowledge, attitude, and practice (KAP towards ADR reporting and pharmacovigilance. Pharmacists with higher qualifications such as the pharmacists with a PharmD have better KAP. With additional training on Pharmacovigilance, the Indian Pharmacists working in different sectors can become part of ADR reporting system.
Farotimi, Adekunbi A; Nwozichi, Chinomso Ugochukwu; Ojediran, Tolulope D
Background: One of the reported obstacles to the achievement of universal access to Human Immunodeficiency Virus (HIV) prevention, treatment, care, and support programs includes stigma and discrimination from health workers, particularly nurses. Since nursing students would become future practising nurses and are most likely exposed to caring for people living with HIV/AIDS (PL WHA) during their training, it is of great importance to assess the knowledge, attitude, and practice of student nurses toward the reduction of HIV/AIDS-related stigma and discrimination. Materials and Methods: A descriptive survey research design was used. A total of 150 nursing students were selected using the simple random sampling technique of fish bowl method with replacement. Data were obtained using a self-administered (33-item) validated questionnaire to assess the knowledge, attitude, and practice of student nurses with regard to HIV/AIDS-related stigma and discrimination reduction strategies. Reliability of the tool was tested using Cronbach alpha (R) yielding a reliability value of 0.72. Data collected were analyzed with descriptive statistics of frequencies and percentages. Results: Majority (76.0%) of the respondents were females and 82.7% were married. Respondents were found to have high knowledge (94.0%) of strategies for reducing HIV/AIDS-related stigma and discrimination. Also, 64% had moderate discriminatory attitude, 74% engaged in low discriminatory practice, while 26% engaged in high discriminatory practice. Conclusions: Student nurses had adequate knowledge about strategies for reducing HIV/AIDS-related stigma and discrimination; negative discriminatory attitude toward PLWHA and some form of discriminatory practices exist in participants training schools. It is, therefore, recommended that an educational package on reduction of HIV/AIDS-related stigma and discrimination be developed and implemented for the participants. PMID:26793257
Full Text Available Abstract Background Although dietary supplements (DS are widely sold in pharmacies, the legal, ethical, and practice responsibilities of pharmacists with respect to these products have not been well defined. This systematic review of pharmacists' attitudes, knowledge, and professional practice behaviours toward DS is intended to inform pharmacy regulators' and educators' decision making around this topic. Methods Eligible studies were identified through a systematic database search for all available years through to March 2006. Articles were analyzed for this review if they included survey data on U.S. or Canadian pharmacists' attitudes, knowledge, or professional practice behaviors toward DS published in 1990 or later. Results Due to the heterogeneity of the data, it was not possible to draw a conclusion with respect to pharmacists' general attitudes toward DS. Approximately equal numbers of pharmacists report positive as well as negative attitudes about the safety and efficacy of DS. There is strong agreement among pharmacists for the need to have additional training on DS, increased regulation of DS, and quality information on DS. In addition, survey data indicate that pharmacists do not perceive their knowledge of DS to be adequate and that pharmacists do not routinely document, monitor, or inquire about patients' use of DS. Despite this, a large proportion of pharmacists reported receiving questions about DS from patients and other health care practitioners. Conclusion Further research is needed to explore the factors that influence pharmacists' beliefs and attitudes about DS, to accurately evaluate pharmacists' knowledge of DS, and to uncover the reasons why pharmacists do not routinely document, monitor, or inquire about patients' use of DS.
Objectives: To assess knowledge, attitude and practices about needle stick Injuries in health care workers. Study type, settings and duration: Hospital based study carried out at Pakistan Institute of Medical Sciences, Islamabad, from August 2010 to November 2010. Subjects and Methods: A self administered 19 items questionnaire was prepared which contained information about needle stick injuries, its awareness, frequency of injury and the protocols that were followed after an injury had occurred. These questionnaires were given to 500 health care workers working in different wards and theaters of the hospital after obtaining their informed written consent. The health care workers included doctors, nurses and paramedical staff of Pakistan Institute of Medical Sciences, Islamabad. The data was entered and analyzed using SPSS version 15. Results: A total of 500 health care workers filled the questionnaire and returned it. Out of these 416(83.2%) reported ever experiencing needle stick injuries in their professional life. Health care workers working in Emergency department were most frequently affected (65%) followed by those working in different wards (27%) and operation theatre (8%). Most (93.6%) workers had knowledge about needle stick injuries and only 6.4% were not aware of it. Needle stick injury occurred from a brand new (unused) syringe in 51.2% cases, while in 32.8% cases, the needle caused an injury after it had been used for an injection. In 5% cases, injury occurred with blood stained needles. The commonest reasons for needle injury in stick injuries were heavy work load (36.8%) followed by hasty work (33.6%) and needle recapping (18.6%). About 66% health care workers were already vaccinated against hepatitis B. Only 13% workers followed universal guidelines of needle stick injuries and no case was reported to hospital authorities. Conclusions: Health care workers had inadequate knowledge about the risk associated with needle stick injuries and do not follow standard preventive measures. Policy message: A standard protocol regarding the training and compliance to follow preventive measures should be followed in all health care institutions. (author)
Kouam Luc; Wiysonge Charles; Fomulu Nelson; Ngassa Pius; Kongnyuy Eugene J; Doh Anderson S
Abstract Background Unsafe abortion is a major public health problem in low-and-middle income countries. Young and unmarried women constitute a high risk group for unsafe abortions. It has been estimated that widespread use of emergency contraception may significantly reduce the number of abortion-related morbidity and mortality. The purpose of this study was to evaluate the knowledge, attitudes and experiences on emergency contraceptive pills by the university students in Cameroon in order t...
Full Text Available Abstract Background Unsafe abortion is a major public health problem in low-and-middle income countries. Young and unmarried women constitute a high risk group for unsafe abortions. It has been estimated that widespread use of emergency contraception may significantly reduce the number of abortion-related morbidity and mortality. The purpose of this study was to evaluate the knowledge, attitudes and experiences on emergency contraceptive pills by the university students in Cameroon in order to develop and refine a national health programme for reducing unwanted pregnancies and their associated morbidity and mortality. Methods A convenient sample of 700 students of the University of Buea (Cameroon was selected for the study. Data was collected by a self-administered, anonymous and pre-tested questionnaire. Results The response rate was 94.9% (664/700. General level of awareness of emergency contraceptive pills was 63.0% (418/664. However, knowledge of the general features of emergency contraceptive pills was low and misinformation was high among these students. Knowledge differed according to the source of information: informal source was associated with misinformation, while medical and informational sources were associated with better knowledge. Although the students generally had positive attitudes regarding emergency contraceptive pills, up to 65.0% (465/664 believed that emergency contraceptive pills were unsafe. Those with adequate knowledge generally showed favourable attitudes with regards to emergency contraceptive pills (Mann-Whitney U = 2592.5, p = 0.000. Forty-nine students (7.4% had used emergency contraceptive pills themselves or had a partner who had used them. Conclusion Awareness of emergency contraception pills by Cameroonian students is low and the method is still underused. Strategies to promote use of emergency contraception should be focused on spreading accurate information through medical and informational sources, which have been found to be reliable and associated with good knowledge on emergency contraceptive pills.
Barikani, Ameneh; Beheshti, Akram; Javadi, Maryam; Yasi, Marzieh
Orientation of public and physicians to the complementary and alternative medicine (CAM) is one of the most prominent symbols of structural changes in the health service system. The aim of his study was a determination of knowledge, attitude, and practice of general practitioners in complementary and alternative medicine. This cross- sectional study was conducted in Qazvin, Iran in 2013. A self-administered questionnaire was used for collecting data including four information parts: population information, physicians' attitude and knowledge, methods of getting information and their function. A total of 228 physicians in Qazvin comprised the population of study according to the deputy of treatment's report of Qazvin University of Medical Sciences. A total of 150 physicians were selected randomly, and SPSS Statistical program was used to enter questionnaires' data. Results were analyzed as descriptive statistics and statistical analysis. Sixty percent of all responders were male. About sixty (59.4) percent of participating practitioners had worked less than 10 years.96.4 percent had a positive attitude towards complementary and alternative medicine. Knowledge of practitioners about traditional medicine in 11 percent was good, 36.3% and 52.7% had average and little information, respectively. 17.9% of practitioners offered their patients complementary and alternative medicine for treatment. Although there was little knowledge among practitioners about traditional medicine and complementary approaches, a significant percentage of them had attitude higher than the lower limit. PMID:26545995
Kasabe Gauri H, Tiwari Smita A, Ghongane Balasaheb B
Full Text Available Background: Paucity of drug related information and easy accessibility to over-the-counter drugs has contributed to the high incidence of self-medication. Strict regulations regarding drug dispensing and community awareness of related issues is need of the hour. Aim: To do the Survey of Knowledge, Attitudes and Practices about self medication in medical, non medical and patients group in Pune region. Methods: This questionnaire based study was carried out in postgraduate medical students,non-medical graduate students and patients.Results: 30 from each group- Postgraduate medical students, non-medical graduate students and patients participated in the study. All of the post graduate medical students and non-medical graduate students self medicate, 90% of patients self medicate. The reason for self medication of 87% of post-graduate students is convenience and that form on-medical graduate students and patients is commonly cost saving. Conclusion: Media and pharmacists play an important role in decision of self-medication in lesser educated population; this can be modified into an advantage by utilizing it for creating awareness about the growing antibiotic resistance in the society amongst the common population and also making them aware of certain drug schedules of primary concern to them. The awareness needs to be created in the common population , that certain patient sub-groups e.g. Patients on polypharmacy, pregnant patients, those with liver/ kidney disorders and extremes of age should possibly consult a physician before self-medicating even with OTC for safety concerns. Therefore future research may be needed to study the outcome of such patient education and its impact.
Full Text Available Abstract Background Gemstones have been in use as part of alternative and complementary medicine for years. However, our understanding of the perceived healing powers of gemstones is limited. An extensive literature search revealed that there is a dearth of validated information on this subject. This study was therefore undertaken to explore the various aspects of the knowledge, attitudes, and practices of the public towards gemstone therapeutics. Methods A survey was performed in the Community Health Centre of a tertiary care teaching hospital in Pakistan. Data collection was done via a face-to-face interview based on a structured, pre-tested questionnaire. Participants included all willing persons between 1875 years of age approached prior to their appointments at the Community Health Centre. Results The survey response rate was 86% (400/465. More than half (63% of the study population was aware of the use of gemstone therapy. One hundred fifty-six individuals believed that gemstone use impacts health. Of this group, 39% believed that gemstone use increases physical strength. 62% believed that gemstone use is based on superstitious beliefs, whereas 28% opined that it is based on religious beliefs. 38% had used gemstones therapeutics formerly, while 24% were current users. Multiple logistic regression analysis revealed that age status and education status were significant (p Conclusion More than half of our sample population is aware of the use of the gemstones for their various effects. Willingness to use gemstones is associated with the beliefs about the impact of gemstone therapy on health. Friends and family seem to be the major role players influencing people's willingness to use gemstones. CAM modalities should be recognized and considered as an important therapeutic option. We feel that gemstone therapy is a relatively unexplored area and more studies should, therefore, be conducted to gather more validated information on the subject.
Full Text Available Background: smoking is a very important public health problem, urgently requiring immediate and effective measures due to its harmful effect on health. The purpose of this study was to collect baseline information about the magnitude of smoking problem, knowledge, attitude, and practice among family members of primary school students in the northwest region of Iran.Methods: of 55 680 primary school students (the 3th, 4th and 5th grades, 7.1% (n=3 954 were selected using randomized multi-stage cluster sampling. Data collection was conducted in April, May, and June 2011, by means of a self-administered two-page questionnaire.Results: a total of 3 954 students (57.6% boys and 42.3% girls with the mean age of 10.46Â±1.09 years were evaluated. According to our data, the prevalence of cigarette smoking among fathers was more than other family members (27.1% versus 17.8% whereas the prevalence of water pipe smoking among fathers and other family members was almost similar (9.2% and 9.7% respectively. None of the smoking type was prevalent among mothers (cigarette: 1% and water pipe: 1.1%. Considerable numbers of all students under study had been exposed to secondhand smoke at home (cigarette: 19.8% and water pipe: 7.7%.Conclusions: considering our findings, two procedures recommended to prevail the problem are to provide greater education about hazards of tobacco consumption among students and their family; and to legislate new laws by officials to ban tobacco use at home.
Mavilla Anuradha; Rahul Hanumant Dandekar
Title: Knowledge, Attitude and Practice among food handlers on food borne diseases: A hospital based study in tertiary care hospital.Running title: KAP study among food handlers in a Hospital at Perambalur.Background: Food handlers play an important role in ensuring food safety throughout the chain of production, processing, storage and preparation.Staphylococcus aureus infections used to respond to Ã-lactam and related group of antibiotics but the emergence of Methicillin-resistant S. Aureus...
George Amponsah Annor; Ekua Anamoaba Baiden
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 busin...
Presenjit Raut; D Vamsi; Rao, B. V.
Introduction- This study was undertaken to determine the knowledge, attitude and practice of self-medication among second-year nursing students of the NRIIMS, Visakhapatnam. Materials & methods: This was an anonymous, questionnaire-based, descriptive study. A prevalidated questionnaire, containing open-ended and close-ended questions, was administered to the subjects. Data were analyzed using MS-Excel and the results were expressed as counts and percentages. Results: Out of the 35 responde...
Abate, Meskerem; Assefa, Nega; Alemayehu, Tadesse
Background Unplanned pregnancy from casual sex, unplanned sexual activity, and sexual violence are increasing. Emergency Contraceptives (EC) are used to prevent unplanned pregnancies thereby preventing the occurrence and consequences of unplanned pregnancy. Emergency contraception is widely available in Ethiopia particularly in major cities. Yet the use of EC is very low and abortion rate in cities is high compared to the national average. Objectives To assess knowledge, attitude and practice...
Upadhyaya, Het B.; Vora, Mukeshkumar B.; Nagar, Jatin G.; Patel, Pruthvish B.
Being key health care professional, physicians, pharmacist and nurses have immense responsibility in reporting adverse drug reaction (ADR). Therefore, the study objective was to evaluate the knowledge, attitude and practices (KAP) toward pharmacovigilance and ADRs of postgraduate students of our institute. A cross-sectional questionnaires based study was carried out in postgraduate students of the clinical department at tertiary care hospital attached with Govt. Medical College, Vadodara, Guj...
Mehdikhani, Bahar; Eslami, Ahmadreza; Qorbani, Mostafa; Azarkeivan, Azita; Mohammadi, Zahra; Khashayar, Patricia; Keshtkar, Abbasali
Objectives: Many Iranian studies have reported the high prevalence of osteoporosis and low bone mass in patients with thalassemia. Considering the importance of prevention in lowering the risk of osteoporosis and its complications in patients with thalassemia major (TM), the present study was conducted to assess the knowledge, attitude and preventive practice (KAP) of a group of TM patients regarding the importance of calcium and Vitamin D supplementation and its role in preventing osteoporos...
Aziz Sulaiman Ismael; Jwan M. Sabir Zangana
Background and Objectives: Globally, condom is an important method of family planning and prevention of sexually transmitted infections especially human immune deficiency virus HIV/ acquired immune deficiency syndrome AIDS. Family planning saves lives of women and children and improves the quality of life. This study was conducted to assess knowledge, attitudes and practices in addition to socio-demographic factors of condom use among males in Erbil governorate. Subjects and method: A cross s...
Margaret S. Chisolm; Brigham, Emily P.; Lookatch, Samantha J.; Tuten, Michelle; Strain, Eric C.; Jones, Hendrée E.
This study compares cigarette smoking knowledge, attitudes, and practices (S-KAP) of opioid- and other substance-dependent patients and their multidisciplinary staff at an outpatient perinatal substance abuse treatment center. Consenting patients (n=95) and staff (n=41) concurrently completed a modified form of the S-KAP survey instrument. 95% of patients reported currently smoking, and half endorsed wanting to quit smoking now. This patient desire to quit smoking was significantly underrat...
Werner, Erik L
This thesis is a scientific evaluation of an implementation project of the Norwegian Guidelines on acute back pain in two Norwegian counties, Aust-Agder and Vestfold, during 2002 to 2005. The project consisted of specific interventions towards the general public, the professional health care providers, and 6 cooperating work places. The aim of this study was to investigate whether these interventions had any influence on knowledge, attitudes, and practices held by the target gr...
Moyer Cheryl A; Aborigo Raymond; Logonia Gideon; Affah Gideon; Rominski Sarah; Adongo Philip B; Williams John; Hodgson Abraham; Engmann Cyril
Abstract Background Knowledge, attitudes and practices of community members and healthcare providers in rural northern Ghana regarding clean delivery are not well understood. This study explores hand washing/use of gloves during delivery, delivering on a clean surface, sterile cord cutting, appropriate cord tying, proper cord care following delivery, and infant bathing and cleanliness. Methods In-depth interviews and focus group discussions were audiotaped, transcribed, and analyzed using NVi...
von Roenne Anna; Kollie Sarah; Souare Yaya; Howard Natasha; Woodward Aniek; Borchert Matthias
Abstract Background Both conflict and HIV affect sub-Saharan Africa, and supportive approaches for HIV prevention among refugees are crucial. Peer education has been associated with improved HIV outcomes, though relatively little research has been published on refugee settings. The primary objective of this study was to assess whether exposure to refugee peer education was associated with improved HIV knowledge, attitudes, or practice outcomes among refugees in Guinea. Secondary objectives we...
Rosen, Brittany L.; Goodson, Patricia; Thompson, Bruce; Wilson, Kelly L.
Background: Because human papillomavirus (HPV) vaccine rates remain low, we evaluated US school nurses' knowledge, attitudes, perceptions of their role as opinion leaders, and professional practice regarding HPV vaccine, and assessed whether knowledge, attitudes, and perceptions of being an opinion leader influenced their professional
William Kiberenge Maina
Full Text Available BACKGROUND: This cross-sectional study sought to establish the level of knowledge of diabetes among community members in rural and urban setups in Kenya and determine how this impacts on their attitude and practices towards diabetes. METHODS: A face-to-face interview was done for selected respondents using a structured questionnaire for data collection. RESULTS: 1982 respondents, 1151 (58.1% female and 831 (41.9% males aged between 13 and 65 years were interviewed. 539 (27.2% of all the respondents had good knowledge of diabetes; of these 52% had tertiary education; 25% had secondary education while 14% and 9% had primary and no education, respectively. Only 971(49% of the respondents had a positive attitude towards diabetes while 813 (41% demonstrated good practices towards diabetes. CONCLUSION: This study indicates that the level of knowledge of diabetes in all regions in the country is very poor. It also indicates very poor attitudes and practices of the community towards diabetes. A comprehensive nationwide diabetes education programme is necessary to improve this situation.
Full Text Available Introduction- This study was undertaken to determine the knowledge, attitude and practice of self-medication among second-year nursing students of the NRIIMS, Visakhapatnam. Materials & methods: This was an anonymous, questionnaire-based, descriptive study. A prevalidated questionnaire, containing open-ended and close-ended questions, was administered to the subjects. Data were analyzed using MS-Excel and the results were expressed as counts and percentages. Results: Out of the 35 respondents, everyone responded with one or the other drug. The respondents' knowledge about appropriate self-medication was poor, but knowledge of the benefits and risks of self-medication was adequate. The respondents found self-medication to be time-saving, economical, convenient and providing quick relief in common illnesses. Important disadvantages of self-medication mentioned were the risk of making a wrong diagnosis, inappropriate drug use and adverse effects. The majority (40% of the respondents had a positive attitude favoring self-medication. The most common indications for self-medication were to relieve the symptoms of headache (31.43%, fever (31.43%, cough & cold (22.83%.Analgesics ( were the most common drugs used for self-medication. Knowledge about appropriate self-medication was adequate, attitude towards self-medication was positive, and the practice of self-medication was common and often inappropriate.
Mallela, Kiran Kumar; Walia, Rachit; TM, Chaitra Devi; Das, Maneesha; Sepolia, Shipra; Sethi, Priyank
Background: Research activities in dentistry are increased greatly in India during the recent decade, but there is limited of information about the knowledge and attitude of dental faculty for research ethics. To assess the knowledge and attitudes of dental faculty of North India regarding research ethics. Materials and Methods: Through convenience sampling, a questionnaire was sent either via printed copies or E-mails to 1240 dental faculty, while protecting confidentiality and anonymity of all the participants. Results: Our response rate was 76% (942). Majority (>90%) are aware of ethical committee but have poor knowledge (8-35%) about various ethical guidelines laid down at international level; however almost 20% believe that research ethics committees would delay research. A large number of researchers (78%) want some training in research ethics. There is fair knowledge about informed consent among researchers. Conclusions: We conclude that ethical norms should be strictly followed by giving due respect to confidentiality or privacy of research participants to achieve the goal of minimal risks and maximum benefits to patients and there is need of training to researchers and students to make them aware about various research principles.
Full Text Available Lizzie Moore,1 Mags Beksinska,1,2 Alnecia Rumphs,3 Mario Festin,4 Erica L Gollub3 1MatCH Research (Maternal, Adolescent and Child Health Research, Department of Obstetrics and Gynaecology, University of the Witwatersrand, Westville, Durban, South Africa; 2Faculty of Epidemiology and Population Health, London School of Hygiene and Tropical Medicine, London, UK; 3Florida International University, Department of Epidemiology, Stempel College of Public Health and Social Work, Miami, FL, USA; 4World Health Organization, Special Program of Research, Development and Research Training in Human Reproduction, Department of Reproductive Health and Research, World Health Organization, Geneva, Switzerland Abstract: Women in developing countries are at high risk of HIV, sexually transmitted infections, and unplanned pregnancy. The female condom (FC is an effective dual protective method regarded as a tool for woman's empowerment, yet supply and uptake are limited. Numerous individual, socioeconomic, and cultural factors influence uptake of new contraceptive methods. We reviewed studies of FC knowledge, attitudes, practices, and behaviors across developing countries, as well as available country-level survey data, in order to identify overarching trends and themes. High acceptability was documented in studies conducted in diverse settings among male and female FC users, with FCs frequently compared favorably to male condoms. Furthermore, FC introduction has been shown to increase the proportion of "protected" sex acts in study populations, by offering couples additional choice. However, available national survey data showed low uptake with no strong association with method awareness, as well as inconsistent patterns of use between countries. We identified a large number of method attributes and contextual factors influencing FC use/nonuse, most of which were perceived both positively and negatively by different groups and between settings. Male partner objection was the most pervasive factor preventing initial and continued use. Importantly, most problems could be overcome with practice and adequate support. These findings demonstrate the importance of accounting for contextual factors impacting demand in FC programming at a local level. Ongoing access to counseling for initial FC users and adopters is likely to play a critical role in successful introduction. Keywords: condoms, HIV prevention, contraception, female condom, developing countries, behavior
Miah, M. Mizanur Rahman; Olivero, J. Michael
A survey of 33 male and 5 female prisoners examined their knowledge of AIDS and HIV transmission modes, current sexual behavior and safe sex practices, and sources of AIDS information and degree of trust in these sources. Discusses implications for social work practices and development of AIDS education for prisoners. (SV)
Full Text Available The purpose of this study is to investigate the knowledge, attitudes and practices related to HIV and AIDS among teenagers in rural schools in Vhembe district. This study focused on teenagers sources of knowledge about HIV/AIDS; their knowledge of how to avoid contracting HIV/AIDS; their knowledge of the methods of transmission of the disease; their knowledge of condoms and usage levels; and people with whom they are comfortable to talk about HIV/AIDS. This was a quantitative descriptive research design where a random sample of 128 participants between the ages of 14 and 19 years was selected. The participants were in grades 8 to 12. The study recommended that holistic HIV/AIDS preventive programmes which were culture and gender sensitive be developed. Custodians of culture should be involved in dealing with HIV/AIDS. Parents should also play their role in discussing HIV/AIDS with their children in a non-threatening environment.
Abdulrahman Musaiger; Nisreen Zagzoog
The objective of this study is to explore the knowledge, attitudes and intake of energy drinks among adolescents in Saudi Arabia. A multi-stage stratified sampling procedure was carried out to select 1061 school children aged 1219 years, from Jeddah city, Saudi Arabia. A short self-reported questionnaire was administrated in order to collect the data. Of adolescents in the study, 45% drank energy drinks (71.3% males and 35.9% females; P<0.001). Advertisements were the main source of infor...
Objective: To assess the knowledge, attitude and practice regarding medical law and ethics among doctors of a medical unit in a tertiary care teaching hospital in Lahore. Study Design: Descriptive cross sectional study. Methodology: A three part self - administered structured questionnaire designed to test the knowledge and practices regarding medical law and ethics was distributed among doctors in a medical unit in Mayo Hospital, Lahore during September - October, 2012. Results: The 52 respondent doctors included in the study comprised of 20 (38.5%) house officers, 22 (42.3%) postgraduate residents and 10 (19.2%) consultants. In keeping with the Pakistan Medical and Den-tal Council code of ethics, the correct responses of house officers, postgraduate residents and consultants regarding knowledge of medical law and ethics were respectively 50%, 27.3% and 10% for patient's autonomy, 40%, 36.4% and 10% for adhering to patient's wishes, 10%, 63.6% and 50% for breaching confidentiality, 35%, 36.4% and 0% for informed consent, 10%, 22.7% and 10% for doing best regardless of patient's opinion, 5%, 31.8% and 10% for informing patient's relatives, 15%, 4.5% and 0% for treating violent patients. The practical application part of the questionnaire was a general reflection of the knowledge and attitudes. Conclusion: Most of the doctors were poorly acquainted with PMDC code of ethics. (author)
Bisung, Elijah; Elliott, Susan J; Abudho, Bernard; Schuster-Wallace, Corinne J; Karanja, Diana M
As part of a knowledge, attitudes, practices and empowerment (KAPE) project implemented by the United Nations University Institute for Water, Environment and Health (UNU-INWEH) in the Lake Victoria Basin, this paper reports findings from a photovoice study with women in Usoma, a lakeshore community in Western Kenya. Drawing on ecosocial and political ecology theory, findings reveal that access to water, perceptions and practices were shaped by ecological and broader structural factors. Further, collective actions to improve access were constrained by institutional and economic structures, thus (re)enforcing inequalities. PMID:25576836
Full Text Available Background: The school oral health education program is believed to be a cost-effective method for promoting oral health. The KAP (knowledgeâattitudeâpractice model of oral health education is often the foundation of most health education programs. Objectives: To assess the existing knowledge, attitude, and oral health care practices among 11- to 13-year-old children and the association of knowledge with attitude, oral health care practices, and dental caries prevalence. Design: Cross-sectional design, involving 858 children studying in class seven at various schools in the city of Mangalore, India. The children were selected using stratified random sampling method. Prevalence of dental caries was determined using decayed, missing, and filled permanent teeth (DMFT index. A self-administered questionnaire on self-care practices in oral health, knowledge, and attitude toward oral health care was filled by children. The association of different variables with knowledge was analyzed using binary logistic regression analysis. Results: The dental caries prevalence was 59.4%, and 54.5% had low knowledge. They lacked knowledge regarding use of fluoridated toothpaste and did not use them. Children with low knowledge had significantly higher odds of having DMFT â¥ 1, not using fluoridated toothpaste, and being afraid of going to the dentist due to possible pain. There was no association of other oral health care practices and attitudes with knowledge. Conclusion: Oral health care practices and attitudes are not fully explained by knowledge, and other models of health education need to be considered.
Full Text Available Background: Emergency Contraceptive (EC is a type of modern contraception that is indicated after unprotected sexual intercourse or contraceptive failure. Use of EC with in a defined time period could prevent unwanted pregnancy and its damaging consequences like unintended child birth and unsafe abortion. The objective of this study was to assess the knowledge, attitude and practices of emergency contraceptives among female preparatory students in Mekelle, North Ethiopia. Method: A cross sectional study was conducted among 366 female students at Atse Yohanesse preparatory school from January to May 2013. A stratified random sampling technique was used to select study participants. Data processing and analyzing was done using statistical package for social sciences version 20. Result: In this study, about 90.7% of the respondents had heard about emergency contraceptives. The major sources of information were mass media, club in school and friends. About 277 (75.7% of the students had good knowledge about EC. The older age was significantly associated with the studentsâ awareness (AOR = 2.32, 95% CI: 1.23-4.37. The majority (229(64.9% of respondents had a positive attitude towards EC. Age and ethnic group were significantly associated with the studentsâ attitude towards EC. Among those respondents who used contraceptives, 60.5% of them responded to use EC. About two-third (67.4% of ever users of EC had good knowledge of the correct time of taking EC after unprotected sexual intercourse. Conclusion: Although the findings of this study showed high prevalence of knowledge and attitude towards EC among respondents, the improvement of female studentsâ knowledge about specific details of the method and timely utilization of emergency contraception is still required.
Amarasekara, Priyanwada; de Silva, Angela; Swarnamali, Hasinthi; Senarath, Upul; Katulanda, Prasad
Metabolic syndrome (MetS) is a significant predictor of cardiovascular diseases (CVDs). A pretested questionnaire was used to assess knowledge, attitudes, and practice (KAP) of CVD and its risks among Sri Lankan urban adults (35-55 years) with MetS. KAP scores were predefined as high, moderate, and low. Of the participants (n = 423), 13% were males and 87% were females. Attitudes scores were high among this population, though their knowledge and practices scores on CVD risk factors were moderate. Participants with high mean knowledge scores had significantly lower waist circumference (WC) and showed a trend toward reduced fasting blood glucose levels. Participants with high practice scores had significantly lower BMI and WC, which signify that better knowledge and practices are associated with decrease in CVD risk markers in these patients. The study reveals that urban MetS patients have a moderate knowledge and practice score, though their attitude score is high regarding CVD risk factors. PMID:26512029
Grose, J; Richardson, J; Mills, I; Moles, D; Nasser, M
Objective To understand the attitudes and behaviour of staff in dental practice towards adopting a reduce, reuse, recycle approach to resource management.Design A qualitative interview study.Setting The site for the study was a mixed NHS/private dental practice in North Devon.Subjects All disciplines from one dental practice.Methods (1) A practice scoping exercise - provided context and identified an interview sample. (2) Qualitative interviews with practice staff - explored knowledge and attitudes about sustainability and identified opportunities and limitations for the sustainable management of resources.Results The main issue raised by staff was the amount of waste generated. There was a strong desire to implement changes, but deep concerns were expressed about the impact of challenging current guidance on infection control.Conclusions Primary care dentistry provides both surgical and non-surgical care to more than half the UK population. Therefore, lessons learned from general dental practice can encourage positive change. More research is needed across dental practice in order to generalise these findings. PMID:26917307
Gedeon Jino Bahemuka; Cyprien Munyanshongore; Francine Birungi
This study aims at determining the knowledge, attitudes and practices of urban refugee women regarding the exclusive breastfeeding (EBF) in order to promote its practice among this group of population and increase the number of women who adhere to it for achieving a better development of their children. The specific objectives of the study are to determine the urban refugee womens knowledge regarding EBF, to identify their source of information about EBF, to assess their attitudes towards EB...
Lindahl, Elisabeth; Sattorov, Nosirjon; Boqvist, Sofia; Magnusson, Ulf
Improvement of knowledge, attitudes and practices among urban livestock farmers could have a significant impact on the reduction of many zoonotic infections in urban farming. This study aimed to describe and evaluate weak areas in knowledge, attitudes and practices with regards to brucellosis among urban and peri-urban small-scale dairy farmers in a low income country to generate information essential for control programmes and public health interventions. The cross-sectional study was conduc...
Abdi, Ismail H; Affognon, Hippolyte D; Wanjoya, Anthony K; Onyango-Ouma, Washington; Sang, Rosemary
Outbreaks of Rift Valley fever (RVF), a mosquito-borne viral zoonosis, have previously been associated with unusually heavy rainfall and extensive flooding. The disease is a serious public health problem in Africa and the Middle East, and is a potential global health threat. In Kenya, outbreaks of the disease have disproportionately affected impoverished pastoralist communities. This study sought to assess the knowledge, attitudes and practices (KAP) regarding RVF among the pastoralists of North Eastern Kenya, and to establish the determinants of KAP on RVF. A cross-sectional study involving 392 pastoralists living in Ijara district (Masalani and Ijara wards) was carried out using an interview questionnaire. All respondents interviewed (100%) had heard about RVF disease. They recognized that the disease is dangerous (99%), and had a positive attitude towards vaccination of animals (77%). However, few respondents knew that abortion (11%) and high mortality of young animals (10%) were key signs of RVF in animals. Very few (4%) use any form of protection when handling sick animals to avoid infection. Significant factors associated with knowledge were being in a household with a history of RVF infection (OR = 1.262, 95% CI = 1.099-1.447), having more livestock (OR = 1.285, 95% CI = 1.175-1.404) and the place of residence, Masalani (OR = 0.526, 95% CI = 0.480-0.576). Overall knowledge score on RVF was found to be a significant predictor of good preventive practice of the disease (OR = 1.073, 95% CI = 1.047-1.101). Despite the positive attitude that pastoralist communities have towards the prevention of RVF, there exist gaps in knowledge and good practices on the disease. Therefore there is need for public health education to address these gaps, and to identify and facilitate the removal of barriers to behavioural change related to the prevention of RVF. PMID:26566218
Abdi, Ismail H.; Affognon, Hippolyte D.; Wanjoya, Anthony K.; Onyango-Ouma, Washington; Sang, Rosemary
Outbreaks of Rift Valley fever (RVF), a mosquito-borne viral zoonosis, have previously been associated with unusually heavy rainfall and extensive flooding. The disease is a serious public health problem in Africa and the Middle East, and is a potential global health threat. In Kenya, outbreaks of the disease have disproportionately affected impoverished pastoralist communities. This study sought to assess the knowledge, attitudes and practices (KAP) regarding RVF among the pastoralists of North Eastern Kenya, and to establish the determinants of KAP on RVF. A cross-sectional study involving 392 pastoralists living in Ijara district (Masalani and Ijara wards) was carried out using an interview questionnaire. All respondents interviewed (100%) had heard about RVF disease. They recognized that the disease is dangerous (99%), and had a positive attitude towards vaccination of animals (77%). However, few respondents knew that abortion (11%) and high mortality of young animals (10%) were key signs of RVF in animals. Very few (4%) use any form of protection when handling sick animals to avoid infection. Significant factors associated with knowledge were being in a household with a history of RVF infection (OR = 1.262, 95% CI = 1.0991.447), having more livestock (OR = 1.285, 95% CI = 1.1751.404) and the place of residence, Masalani (OR = 0.526, 95% CI = 0.4800.576). Overall knowledge score on RVF was found to be a significant predictor of good preventive practice of the disease (OR = 1.073, 95% CI = 1.0471.101). Despite the positive attitude that pastoralist communities have towards the prevention of RVF, there exist gaps in knowledge and good practices on the disease. Therefore there is need for public health education to address these gaps, and to identify and facilitate the removal of barriers to behavioural change related to the prevention of RVF. PMID:26566218
Jabulani Ray Gumbo
Full Text Available This study assessed the knowledge, attitude and practices (KAP of learners on issues related to water, sanitation and hygiene in selected schools in Vhembe District, South Africa. The methodology relied on a questionnaire, an inspection of sanitary facilities and discussion with the school authorities. The data was analyzed using the Statistical Package for Social Science. The study revealed that the level of knowledge about waterborne diseases was relatively high (76.7 ± 1.75%, but knowledge on transmission routes was inadequate. The majority of the respondents had no knowledge when it comes to water-based diseases and their prevention (78.4 ± 1.71%.The attitude and practice on hygiene was also found to be high (91.40 ± 1.16%. Some schools from the urban area had proper handwashing facilities, but there was no soap available. The borehole water quality for rural schools appeared clear, but the microbial quality was unknown. The water supply and sanitation facilities were inadequate in rural schools, with no handwashing areas and no sanitary bins for girls. Some schools had toilets with broken doors which did not offer privacy. The only water tap, located at the centre of the school premises, was not enough for the whole school community.
Anshula Neeraj Deshpande
Full Text Available Context: Gynecologists the Primary Health Care providers, for pregnant mothers bear the unique responsibility to detect and diagnose oral health problems for timely and effective interventions. Aim: The aim of the study was to assess the impact of Perinatal Oral Health Care (POHC education program on the knowledge, attitude and practice behavior amongst Gynaecologists of Vadodara City. Settings and Design: An analytical cross sectional study was conducted amongst Gynecologists practicing in Vadodara city, registered under Indian Medical Association (IMA, Baroda, Gujarat. Materials and Methods: A validated questionnaire survey was conducted to establish a baseline level of knowledge, attitude and practice behavior of 46 Gynecologists. After that education and awareness regarding POHC to Gynecologists was provided with the help of flip charts and resource brochures. To determine the impact of recent provision of education and awareness a post-test was conducted. Statistical analysis used: Data was analyzed by paired t-test using the SPSS Version 20. Results: The results after evaluating the data from pretest and posttest showed a mean increase of correct answers in knowledge (from 7.304-9.891; P = 0.00, Attitude (from 3.978-4.108; P = 0.49 and practice behavior (from 4.130-5.521; P = 0.00 in POHC amongst Gynecologists following the education program. Conclusions: It can be concluded that there is a need for provision of education and awareness to the primary health care providers which would help in improving pregnant women and infant?s oral health status along with establishment of dental home.
Burcharth, Ana Luiza Lara de Araújo; Fosfuri, Andrea
The management literature has highlighted several potential benefits of socialization practices within companies. By contrast, this paper posits that socialization practices, by fostering a higher degree of company identity, contribute to generate a greater reluctance to the adoption of external knowledge, the so-called Not-Invented-Here (NIH) syndrome. Drawing on multi-informant survey data of small and medium-sized Danish enterprises, the paper finds that socialization practices are an important driver of the NIH syndrome with such an effect being attenuated in technologically highly specialized companies, but particularly aggravated in technologically sophisticated ones.
Full Text Available Aim: Spontaneous voluntary adverse drug reaction (ADR reporting is paramount to the success of the Pharmacovigilance Programme of India. There has however been minimal and sporadic voluntary reporting of ADR's at the ADR Monitoring Centre (AMC Gangtok, Sikkim. Knowledge, perception, attitude, and awareness of health professionals are determinants of reporting practices. This questionnaire study aims at evaluating these indicators in the teaching hospital attached to the Medical Institute and find out methods to improve existing reporting practices. Materials and Methods: This is a cross-sectional questionnaire-based observational study carried out in the Medical, Surgical and Pathology Departments of the Teaching Hospital, Gangtok, Sikkim over a period of 2 months. The questionnaires were filled by the respondents and returned back to us within the next 24 h. Data obtained from filled questionnaires were thereby analyzed. Results: The overall correct response rate to the knowledge-based questions was 56.3%. While 97% of respondents were of the view that ADR reporting was necessary, 35% of the respondents felt that the difficulty in deciding the causality of an ADR discouraged them from reporting. 79% of the respondents were not aware of the presence of an AMC affiliated to the hospital, and 87% of the respondents admitted that they were not sending filled ADR forms to the AMC. Conclusions: The study indicates that the respondents have an average knowledge and positive attitude toward ADR reporting and pharmacovigilance. There is however a lack of awareness and poor ADR reporting practices. Efforts are required to enhance awareness and attitude toward pharmacovigilance and ADR reporting.
Guevara, N; Pineda, M; Dorotan, M; Ghimire, K; Co, M; Guzman, A; Postrano, L
The Philippines is currently the world's leading supplier of seafarers aboard foreign vessels, accounting for nearly a quarter of the world's maritime industry. Seafarers, being mobile, have a significant contribution impact on the worldwide spread of infectious diseases such as sexually transmitted infections (STIs). This study aims to determine the level of knowledge, as well as the attitudes and practices (KAP) of male Filipino seafarers regarding sexual health. A cross-sectional survey was administered through convenience sampling of male Filipino seafarers. The respondents showed the least knowledge about prevention, followed by transmission of STIs. The respondents showed adequate knowledge about risk factors such as multiple sex partners, and about transmission such as vertical spread. In addition, the respondents indicated their attitude and level of responsibility in informing their sexual partners in case they contract STIs and avoidance of high-risk partners. They also showed attitudes that predispose them to high-risk behaviour such as decreased sexual sensation caused by use of condoms and added pleasure in having intercourse with strangers. The majority of respondents were sexually active. Most have STI/HIV screening as part of their pre-employment medical exam. Positive practices include use of condoms, voluntary medical evaluation for STI's, and avoidance of high-risk partners. Negative practices include going to bars closely linked with prostitution, and most of the respondents had had sexual intercourse with sex workers overseas. Male seafarers appear to have double standards regarding women as sexual partners - about half had intercourse outside their stable relationships. They perceive protection as their sole discretion. PMID:21348016
Full Text Available A cross-sectional survey was done among students of four senior secondary schools including two boys and two girls schools of rural Delhi to know the knowledge, attitude, belief and practices regarding AIDS. A large majority (83.0% of students though had heard about AIDS, yet majority of them did not know the possible methods for prevention of AIDS. There were only 27.1% girls who knew about regular condom usage. Half of them had permissible attitude for pre-maritial sex, while sexual activity was observed in one-fourth students. Students were less reluctant to discuss about AIDS than sex, and teachers were preferred as compared to parents in this regard. School is an ideal setting to educate adolescents regarding HIV/AIDS transmission and safer sex behaviour.
Conclusions: The present study shows that literacy status of an individual is not associated with adequate knowledge and its application. The study population had insufficient information about dengue while the preventive measures which were known to them for limiting the spread of dengue was not satisfactorily practiced. We as health care professionals should undertake more of these studies to know about the knowledge status of the community and hold health awareness camps. The government should also adopt frequent measures to spread such information through television, newspapers, posters and campaigns. [Int J Basic Clin Pharmacol 2016; 5(1.000: 38-44
H. O. Kaya
Full Text Available The necessity of AIDS educational campaigns is to reduce the spread of HIV infection by changing attitudes and practices related to high-risk behaviours. However, before such programmes are implemented a needs assessment should be conducted This includes the existing knowledge and attitudes and sexual practices of the specific risk-group. In this study the risk-group were social science students at the University of Bophuthatswana. The majority of the respondents showed a general knowledge about AIDS in terms of its main symptoms, common modes of transmission and the non-availability of a cure. They, however, expressed the need for more information about AIDS. Lack of enough knowledge was shown by their negative altitudes towards those who had already contracted the disease and the number of sexual partners they had Furthermore, despite the realization of the necessity to use condoms during sexual intercourse, the majority of them did not use them. The study also revealed the minimal role parents, teachers and lecturers play in the dissemination of information about AIDS. The findings call for more AIDS educational programmes to clear away misconceptions about the transmission of the HIV/AIDS virus; and the need to involve parents, schools and universities actively in the dissemination of information about AIDS.
Casuccio, Alessandra; Bonanno, Valentina; Catalano, Rosanna; Cracchiolo, Manuela; Giugno, Sara; Sciuto, Valentina; Immordino, Palmira
The purpose of this study was to evaluate knowledge, attitudes, and practices concerning energy drink consumption and the prevalence of side effects among medical students. Twenty-two percent of respondents were regular users, particularly men (p energy drinks. Forty-five percent of medical students declared side effects after energy drink consumption, such as palpitations (35%), insomnia (21%), and irritability (20%). The study confirms a large use of energy drinks among students and the occurrence of side effects. The use of energy drinks may influence the ingestion of large amounts of alcohol. PMID:26466517
Maha Hamad Mohammed Ali
Full Text Available Background: Peer education seeks to enroll students in persuasive communication programs aiming at AIDS prevention. Providing information about AIDS prevention methods can lead to behavioral change and also a potential reduction in unsafe sexual behavior, particularly among young people.Objective: This study aims to assess the role of peer education interventions in improving awareness, attitudes, and practices of secondary school students and peer educators towards AIDS.Methods: This is a pre-and post-study. The study was conducted among 400 students who were randomly selected from 10 gender-balanced schools. They received the information from trained peer educators. 200 peers carried out the intervention (20 peers from each school, which was conducted in phases. The intervention required coordinating with official concerned stakeholders, preparing teaching aids, and four days of training workshops for the peer educators. The data was analyzed using the Statistical Package for Social Science program (SPSS. A paired sample t-test was obtained and utilized to interpret the changes observed in pre- and post-intervention knowledge, attitude, and practice.Results: The study showed that the intervention program improved participants' knowledge from 75.5% to 83.2%. This improvement was with specific regard to the following: the causative agent of AIDs (p = 0.017, which improved from 77.7% to 81.5%; the spread of HIV through mosquitos (p = 0.001, which showed an increase from 12.7% to 23.8%; the program focused on the concept of the HIV carrier (p = 0.001, and also on the AIDS risk when having multiple sex partners, (p = 0.001, showing an increase of 47.5% to 83.5%. Following the knowledge test, the attitudes of students significantly increased from 70% to 83% with regards to youth vulnerability to HIV (p = 0.001, while scored dropped from 15.7% to 8.5% concerning the topic of HIV voluntary testing (p = 0.001. The practices of students changed from 70% to 83% when prompted about shaking the hands of an HIV infected person and also from 84.8% to 87.7% about sharing food with an HIV infected person (p > 0.05.Conclusion: The study concluded that school peer education is an effective approach to inform students of unsafe sexual behavior with regards to HIV/AIDS. It is clear that peer education enables significant improvements to be made with regards to the knowledge, attitudes, and practices of the students.
L. Nare; N. Potgieter
The Health Belief model says for communities to take part in an activity, they need to perceive the risk of failing to take part and the benefits associated with taking part. A study was carried out in Luvuvhu catchment of South Africa to evaluate community knowledge, attitudes, practices and perceptions relating to water quality and safety. The study was divided into two parts. The first part involved a population of over 8000 people and participatory tools were used to speed up the data col...
Dhimal, Meghnath; Aryal, Krishna Kumar; Dhimal, Mandira Lamichhane; Gautam, Ishan; Singh, Shanker Pratap; Bhusal, Chop Lal; Kuch, Ulrich
BACKGROUND: Dengue fever (DF) is the most rapidly spreading mosquito-borne viral disease in the world. In this decade it has expanded to new countries and from urban to rural areas. Nepal was regarded DF free until 2004. Since then dengue virus (DENV) has rapidly expanded its range even in mountain regions of Nepal, and major outbreaks occurred in 2006 and 2010. However, no data on the local knowledge, attitude and practice (KAP) of DF in Nepal exist although such information is required for ...
Hoke, Mary M; Robbins, Leslie K
Numerous training and education programs have evolved to address culturally competent health care delivery. This article describes an exemplar educational approach used to teach cultural competency to beginning graduate psychiatric mental health nursing students. Using interactive strategies delivered within the 4 phases of the curriculum, the approach has been shown to facilitate students' ongoing journey to cultural competence. Building on baccalaureate nursing competencies, the course addresses attitudes, knowledge, skills, and cultural humility to strengthen cultural self-assessment, cross-cultural clinical practice expertise, and the use of culturally appropriate research for graduate students. PMID:21501731
Full Text Available Health professionals play crucial roles on the self-confidence of nursing mothers and their knowledge of breastfeeding. The aim of this study was a comparison of two different breastfeeding workshops on participantsâ knowledge, attitude, practice (KAP and related factors. A cross-sectional study took place in Fetal and neonatal Research Centre (2011- 2012. The intervention composed of two different training courses in breastfeeding. Two workshops were held during three days in two parts: lectures and practical. Each speech regarded the most important aspects of breastfeeding. In training part, a breastfeeding consultant managed the practical exercises. In the second workshop the lecturers used different methods (didactic, strategies to enhance active involvement, educational devices and so on. A questionnaire was used to evaluate participants' KAP before and after each workshop. Among 40 participants in the first workshop, the average age was 37.78 years old, 32 were midwives-nurses and 8 were GPs-residents.Â Â Twenty six had children from which 19 breastfed successfully. Of 27 participants in a second workshop with an average age of 38.59 years, 19 were midwifes- nurses.Â Â Fourteen reported having children from which 11 breastfed successfully. Our data showed that both workshops improved participantsâ KAP scores significantly. No significant differences were seen between two groupsâ attitude before workshops (P. Value =0.093 but this difference, after the workshop was noticeable (P. Value =0.000. The pertained background factors in changing KAP were: having children, successful breastfeeding experience and age (P. Value< 0.05. In-service breastfeeding training program improves KAP; however, the interactive, practical method is much more effective in changing attitudes of participants.
Full Text Available Background: Leprosy is a chronic infectious disease that is associated with serious morbidity and is a disease of public health concern because of the case load and the social stigma attached to the disease. Aim: To understand the knowledge of, and attitudes towards, leprosy amongst healthcare providers in Assam, India. Settings and Design: This cross-sectional study was conducted during March to June 2007 in different health institutions of the Kamrup district of Assam. Results: Among the program managers interviewed, only half were organizing training sessions, and 37.5% were involved in supervision of the program activities at the periphery level. Among the program managers who were involved with leprosy elimination, only half were organizing training session and 37.5% were involved in supervision of the program activities at the periphery level. Medical officers consistently demonstrated higher knowledge about leprosy, followed by health supervisors and multipurpose workers (MPWs, including nursing staff. Regarding training status with regard to leprosy, 90% of medical officers, 80% of health supervisors and around 87% of MPWs (83% of male MPWs and 89% of female MPWs had attended training programs on leprosy. Regarding WHO MDT, 80% of health supervisors, 84.8% of male MPWs and 86.2% of female MPWs had an idea of MDT and treatment duration of various categories of patients. Conclusions: These observations suggest that there appear to be adequate knowledge and positive behavior among healthcare providers with regard to leprosy in this part of India. However, there is still a need to organize training programs at regular intervals to train new recruits, as well as reinforce and update the knowledge of those already trained.
Haworth, Rebecca J.; Margalit, Ruth; Ross, Christine; Nepal, Tikka; Soliman, Amr S.
Cervical cancer is the second most common cause of cancer mortality among women with the vast majority of patients in developing countries. Bhutanese refugees in the United States are from South Central Asia, the 4th leading region of the world for cervical cancer incidence. Over the past few years, Bhutanese refugees have increased significantly in Nebraska. This study evaluates current knowledge of cervical cancer and screening practices among the Bhutanese refugee women in Omaha, Nebraska....
Nielsen, Steen; Melander, Preben
There have been several studies of the diffusion of new management accounting practices. This study adds a new dimension: in order to indicate the number of practices associated with the respondents, their interrelationships, the respondents, were asked to answer questions in a questionnaire covering four variables: level of knowledge, level of attitude, priority of usage, and level of benefit for 15 new accounting practices. The survey includes a sample of 119 large and medium-sized privately owned manufacturing and non-manufacturing companies, comprising 15 new or recently developed management accounting practices. Our results reveal that companies in general experience a high level of benefit from the practices. However, significance differences between low priority of usage and high number of practices associated with the company are very likely to contribute to a more modest level of benefits. About 20 percent of the companies associate themselves with four to six projects on new accounting practices intheir organization, which might lead to poor performance and high failure rates. Comments from the respondents also show that companies have mixed feelings concerning the practices and those companies seldom use a theoretical concept but are inspired to design home-made models. This also confirms that accounting practices are used for inspiration of design. The findings can provide a further basis for the discussion and development of a theory for new management accounting models.
Full Text Available Abstract Background Epidemiological surveillance of infectious diseases through the mandatory-reporting system is crucial in the planning and evaluation of disease control and prevention program. This study investigated the reporting behavior, knowledge, and attitude to reporting communicable disease in private doctors in Taiwan. The differences between the reporting and non-reporting doctors were also explored. Methods A total of 1250 clinics were randomly sampled nationwide by a 2-stage process. Data were collected from 1093 private doctors (87.4% response rate using a self-administered structured questionnaire. Four hundred and six (37.2% doctors reported having diagnosed reportable communicable diseases. Among them, 340 (83.5% have the experiences of reporting. Results The most common reasons for not reporting were "do not want to violate the patient's privacy", "reporting procedure is troublesome", and "not sure whether the diagnosed disease is reportable". Significantly higher proportions of the non-reporting doctors considered the reporting system inconvenient or were not familiar with the system. The highest percentage (65.2% of the non-reporting doctors considered that a simplified reporting procedure, among all measures, would increase their willingness to report. In addition, a significantly higher proportion of the non-reporting doctors would increase their willingness to report if there has been a good reward for reporting or a penalty for not reporting. Conclusion The most effective way to improve reporting rate may be to modify doctor's attitude to disease reporting. The development of a convenient and widely-accepted reporting system and the establishment of a reward/penalty system may be essential in improving disease reporting compliance in private doctors.
Sarkari, Bahador; Qasem, Asgari; Shafaf, Mohammad Reza
Objective To assess knowledge, attitudes, and practices (KAP) of inhabitants of an endemic area in Fars province toward cutaneous leishmaniasis (CL). Methods The study was carried out in Lapui district in Fars province, south of Iran, one of the most important foci of CL in this province. Sample size (237 residents) was calculated based on population. House-to-house survey was done to collect the data regarding knowledge, attitudes, and practices of the inhabitants. The head of each household was interviewed by a trained staff to assess his/her KAP related to CL. A semi-structured KAP questionnaire was used for data collection. Results Mean age of participants was 39 and more than half of the respondents were in the age group of 31-40. Males constituted 172 (72.5%) of subjects. Most of the respondents (84.3%) were literate. The majority of the study population (83%) had heard about Salak (local name for CL) and most of these respondents (91%) were aware that CL is presented with a cutaneous lesion. Nearly two-third of the participants (63.5%) stated the bite of mosquito (not specifically sandflies) for CL transmission. The respondents' attitude regarding the treatment of CL was not satisfactory since only 48% believed that CL can be treated by medicine. A noticeable proportion of respondents (21%) believed in indigenous medicine for the treatment of CL. A small proportion of respondents (14%) stated that traditional healers are good at treating this disease. More than two-third (69%) of respondents believed that the disease is preventable although most of interviewees did not know about preventive measures. Conclusions In this study, insufficient knowledge of community about infection nature, vector, transmission mode and preventive measures of CL, highlights the needs for a health education initiative to enhance the awareness of people about CL. This would improve inhabitants' contribution in control program of CL in this area. PMID:25183278
Nisha Relwani, Ajeet Saoji, N.B.Kasturwar, Jaydeep.Nayse, Mohd.Junaid, Poonam Dhatrak
Full Text Available Background: The major factor limiting the use of EC may be inadequate information about their effectiveness and availability or unfavourable opinions about their safety due to misinformation. So the study was carried to assess the knowledge, attitude and practice of EC among engineering college girls. Methods: A cross-sectional survey was conducted in an engineering college. All girls from a field were included in the study. Data was collected by a predesigned, pre-tested, self-administered multiple response questionnaires. Results: A total of 8(5.7% reported that they had previously used ECPs. An association was found between users and their level of knowledge. Users had Average/Good knowledge as compared to nonusers (OR-12.51. A strong association was found between source of information and level of knowledge. In other words, respondent receiving information from the Health Personnel (OR 21.49 and Audio-Visual Media (OR 10.2 were more likely to have good or average knowledge as compared to family and friends (OR 6. Conclusion: Knowledge of emergency contraception by students is low and the method is still underused. Strategies to promote use of emergency contraception should be focused on spreading accurate information through medical sources, which have been found to be reliable and associated with good knowledge on emergency contraception.
Full Text Available In this article a study between the university population of Centro Regional Chontales in Universidad Nacional AutÃ³noma of Nicaragua is presented. The attitudes facing with the HIV are analyzed and the knowledge that the lecturers and students have about this topic, also the risky practices that they usually realize.Method:Only one ad hoc questionnaire was used with questions about sexual orientation, sexual habits and birth control, knowledge about HIV, other sexually transmitted diseases, attitudes, perceptions and risky practices. A proportional stratified sampling was used to select the samples. Descriptive analysis (percentage, correlation analysis (correlation coefficient and contrast of the non-parametric hypothesis bymeans of the correlation coefficient test. Results: Fromthe analysis realized we can deduce that there is still a lack of awareness about the transmission routes of the disease (just the 14,57 % of the students and the 8,43 % of the lecturers knows that the spread is possible by blood transfusion in certain conditions. There are problems by means of attitudes and risky practices (almost the 59 % of the students states that they do not use any type of birth control in their sexual relations also the persistency of social discrimination elements (almost the 42%of the students states that theywould not livewith a person with AIDS or they say that they do not know if they would do it or not due to fear of transmission.Conclusions: It has been considered necessary to develop social and educational initiatives of healthy promotion in this environment, a multisectorial questions approach facing with the HIV, where the social and educational has a prevailing place
Yogendra V, Shuaib Ahmed, Sana Jaweriya, Sagorika Mullick
Full Text Available Background: Contraception is as old as mankind.In view of increasing population theres need for awareness regarding the use of various contraceptive methods. Aims and Objectives: To assess the Knowledge, Attitude & Practice regarding the various contraceptive methods in a rural setup of Hoskote. Materials & Methods: A cross sectional study was carried out at MVJ, UHC & PHC of Hoskote Taluk on OPD basis. Data was collected by a pre-designed questionnaire at the OPD. Statistical analysis was done using SPSS software. People were simultaneously educated regarding the various contraceptive methods. Results: Total sample size was 150 of which 75 were males and 75 females. Knowledge about contraceptives was seen more in males (93.3% when compared to females (72%. 95.2% of gradates had knowledge regarding the methods of contraception. This suggests that the knowledge about contraception is better perceived and understood among the literate group. Most common method of contraceptive practiced was barrier methods (40%, followed by sterilization procedure (20%, IUCD (18.67%, OCP (12%, coitus interruptus (8.67% and emergency contraception (0.67%. Conclusion: There has been a considerable improvement among the people even in rural setup regarding the contraceptive use, but there still exists lack of awareness and knowledge regarding the use of contraceptive methods in some small groups of people. IEC activities have to be increased especially for females of this rural setup.
Full Text Available Background: Adolescent sexuality is leading to adolescent pregnancy, unsafe abortion, Reproductive Tract Infections, Sexually transmitted infections. Therefore, studying knowledge, attitude and practice regarding this problem among school adolescents is an essential issue, which can support to overcome young people from sexual related problems. Methods: This study was cross sectional study conducted in Wardha district of Maharashtra among school going adolescents. Data was collected by the means of anonymous questionnaire after taking the informed consent. Results: In our study total 375 students were included in the study, amongst 192 were girls and 183 were boys. Majority of students belong to age group of 13-15 years. Nearly 50% of students were knowing about basic reproductive physiology. Amongst the total 375 participants, 184 (49% students had ever heard about any of contraceptive method while 51 % of totally unaware. Among total students having knowledge of contraception, 38.7% knew about condoms, oral contraceptive pills as method of contraception were known to 88 students (23.5% while knowledge of emergency contraception was very low. The knowledge of females was higher as compared to males regarding oral and emergency contraception. 15% of total adolescents accepted that they have used condom. The proportion of males using condoms was higher as compared to females. Conclusions: The adolescents need to be provided with correct knowledge for behavior change, to stop their undesirable practices for healthy life. There was an evident gap between knowledge and practices with respect to the sexual practices of youth which needs to be bridged. [Int J Reprod Contracept Obstet Gynecol 2014; 3(4.000: 903-908
Haworth, Rebecca J; Margalit, Ruth; Ross, Christine; Nepal, Tikka; Soliman, Amr S
Cervical cancer is the second most common cause of cancer mortality among women with the vast majority of patients in developing countries. Bhutanese refugees in the United States are from South Central Asia, the 4th leading region of the world for cervical cancer incidence. Over the past few years, Bhutanese refugees have increased significantly in Nebraska. This study evaluates current knowledge of cervical cancer and screening practices among the Bhutanese refugee women in Omaha, Nebraska. The study aimed to investigate cervical cancer and screening knowledge and perceptions about the susceptibility and severity of cervical cancer and perceived benefits and barriers to screening. Self-administered questionnaires and focus groups based on the Health Belief Model were conducted among 42 healthy women from the Bhutanese refugee community in Omaha. The study revealed a significant lack of knowledge in this community regarding cervical cancer and screening practices, with only 22.2 % reporting ever hearing of a Pap test and 13.9 % reporting ever having one. Only 33.3 % of women were in agreement with their own perceived susceptibility to cervical cancer. Women who reported ever hearing about the Pap test tended to believe more strongly about curability of the disease if discovered early than women who never heard about the test (71.4 vs. 45.0 %, for the two groups. respectively). Refugee populations in the United States are in need for tailored cancer education programs especially when being resettled from countries with high risk for cancer. PMID:25060231
AlGhamdi, Khalid M.; Moussa, Noura A.
BACKGROUND AND OBJECTIVES: Use of hair dye is extremely common worldwide. However, our literature search failed to find studies concerning the knowledge and attitudes of the public with regard to hair dyes. We sought to explore the knowledge and practices of, and attitudes towards, the use of hair dye among females. DESIGN AND SETTING: A cross-sectional survey conducted on females who attended various outpatient clinics at King Khalid University Hospital in Riyadh, Saudi Arabia, a tertiary re...
Fernandez, Ritin; Rolley, John X.; Rajaratnam, Rohan; Everett, Bronwyn; Davidson, Patricia M.
Background Australia has a growing number of Asian Indian immigrants. Unfortunately, this population has an increased risk for coronary heart disease (CHD). Dietary adherence is an important strategy in reducing risk for CHD. This study aimed to gain greater understanding of the knowledge, attitudes and beliefs relating to food practices in Asian Indian Australians. Methods Two focus groups with six participants in each were recruited using a convenience sampling technique. Verbatim transcriptions were made and thematic content analysis undertaken. Results Four main themes that emerged from the data included: migration as a pervasive factor for diet and health; importance of food in maintaining the social fabric; knowledge and understanding of health and diet; and elements of effective interventions. Discussion Diet is a complex constructed factor in how people express themselves individually, in families and communities. There are many interconnected factors influencing diet choice that goes beyond culture and religion to include migration and acculturation. Conclusions Food and associated behaviors are an important aspect of the social fabric. Entrenched and inherent knowledge, attitudes, beliefs and traditions frame individuals point of reference around food and recommendations for an optimal diet. PMID:26051008
Full Text Available Background: Australia has a growing number of Asian Indian immigrants. Unfortunately, this population has an increased risk for coronary heart disease (CHD. Dietary adherence is an important strategy in reducing risk for CHD. This study aimed to gain greater understanding of the knowledge, attitudes and beliefs relating to food practices in Asian Indian Australians. Methods: Two focus groups with six participants in each were recruited using a convenience sampling technique. Verbatim transcriptions were made and thematic content analysis undertaken. Results: Four main themes that emerged from the data included: migration as a pervasive factor for diet and health; importance of food in maintaining the social fabric; knowledge and understanding of health and diet; and elements of effective interventions. Discussion: Diet is a complex constructed factor in how people express themselves individually, in families and communities. There are many interconnected factors influencing diet choice that goes beyond culture and religion to include migration and acculturation. Conclusions: Food and associated behaviors are an important aspect of the social fabric. Entrenched and inherent knowledge, attitudes, beliefs and traditions frame individuals point of reference around food and recommendations for an optimal diet.
Adekunle, A O; Arowojolu, A O; Adedimeji, A A; Okunlola, M A
This survey was conducted to determine the knowledge, and prescribing attitudes of emergency contraception among healthcare professionals in Ibadan, Nigeria. A questionnaire was administered to 735 health care professionals in selected healthcare facilities in Ibadan. These facilities were randomly selected as part of an ongoing programme designed to introduce emergency contraceptive pills (ECPs) as a clinic based method of family planning in service delivery outlets in the city. The response rate was 87.5%, comprising nurses (59.3%) and physicians (25.0%). Others were pharmacists, social workers and administrators. The results revealed that healthcare professionals' knowledge of various methods that can be used emergency contraception is very low. Less than half (35.1%) of the respondents were aware that combined oestrogen/progestin or progestin-only pills can be used as emergency contraception. Similarly, only 26.7% and 13.3% of the respondents were aware that intrauterine contraceptive devices and mifepristone respectively could be used as emergency contraception. While only 16.3% of the respondents had ever prescribed the combined pills as emergency contraception, 10.9% and 8.2% had prescribed progestin-only pills and intrauterine contraceptive devices for this purpose in the past. Circumstances under which emergency contraception could be used vary among the respondents but 71.4% and 64.4% were of the opinion that condom breakage and sexual assault would be appropriate indications for its use. Two main sources, hospitals (68.4%) and pharmacies (8.8%) were identified by participants. It is apparent that one of the major barriers to frequent use of emergency contraception in Ibadan is the lack of awareness of its use by healthcare professionals. Therefore, there is an urgent need to educate these practitioners and include emergency contraception in the family planning curriculum of nursing and medical schools. PMID:15512554
Abdulateef, Darya Saeed; Ali, Azheen Jamil; Abdulateef, Darwn Saeed; Mohesh, M.I. Glad
BACKGROUND Smoking is a serious risk to health globally. Health care professionals play a key role in the prevention of smoking as they are considered a role model by patients. OBJECTIVES The aims of this study are to evaluate smoking rate among physicians and dentists from Sulaymaniyah, Iraqi Kurdistan, Iraq, and to understand their knowledge and attitudes toward tobacco smoking. METHODS A cross-sectional web-based survey was conducted involving physicians and dentists working in both University of Sulaimani and Sulaymaniyah Teaching Hospitals. A questionnaire created based on World Health Organization Global Health Professional Survey with slight modifications was emailed to the study participants and the responses received were analyzed. RESULTS Incidence of smoking among physicians and dentists was 26.5%, with a significantly higher rate among male compared to female health care professionals. The mean age of starting smoking was 22.3 (±4.8) years. Only 7.3% of health care professionals received formal training on smoking cessation. All responders agreed that smoking is harmful to health. However, ever smokers compared to never smokers were less likely to agree that health care professionals should set a positive impact by not smoking. CONCLUSION Smoking rate is high among physicians and dentists from Sulaymaniyah city/Iraq, and at the same time, there is a low rate of training on smoking cessation.
Dr.Mukeshkumar B Vora
Full Text Available Purpose: Adverse drug reactions (ADRs are adverse consequences of drug therapy. ADRs are representing a major concern of health systems in terms of early recognition, proper management and prevention. Under reporting of Adverse Drug Reactions (ADRs is a common problem in Pharmacovigilance programs. Poor perceptions of doctors about ADRs and risk management have contributed to high rate of ADR under-reporting in India. Underreporting has also been attributed to lack of time to doctor, misconceptions about spontaneous reporting and lack of information on how to report, where to report and a lack of availability of report forms, and also physicians' attitudes to ADRs. The objective of our study was to evaluate the knowledge, attitude and practices (KAP of health care professional towards Pharmacovigilance and adverse drug reactions in a tertiary care hospital, Bhavnagar, Gujarat, India. Methods: A cross-sectional questionnaires based study was carried out in Post graduate students and faculties of tertiary care hospital attached with Govt. Medical College, Bhavnagar, Gujarat. Post graduate students and faculties of different clinical subjects working in the tertiary care teaching hospital, Bhavnagar, Gujarat (India were enrolled and present throughout in study. 22 questionnaires about knowledge, attitude and practices towards ADRs and Pharmacovigilance were developed and peer viewed of all questionnaires by expert faculties from Pharmacology department. We were contacted directly to post graduate students and faculties of respective clinical department, questionnaires were distributed, 30 minutes time given to filled form. Any clarification and extra time was needed, provided to them. The filled KAP questionnaires were analyzed in question wise and their percentage value was calculated by using Microsoft excel spread sheet and online statistical software. Results: In study, postgraduate residents (n=81 and faculties (n=63 from different clinical departments were present throughout study. Of all post graduate students, an average 27.82% and 40.76% faculties were true knowledge about ADRs and Pharmacovigilance. From attitude of students and faculties towards reporting ADRs, an average 91.77% and 91.53% were agreed to reporting ADRs is necessary, mandatory and increased patients safety. In practice based questionnaires, 74.07% students and 71.43% faculties found difficulty like non-availability of ADR form, do not have time, patient co-operation etc. to report ADR. 47.62% in faculties and 43.21% in students said managing patient are more important than reporting ADR. Only 11.11% and 12.35% of faculties and students were found the factors like how to report, where to report etc. discouraging factors for reporting ADRs. Conclusion: From our study, we concluded that post graduate students and faculties of tertiary care hospital have better attitude towards reporting ADRs, but have lack of knowledge and practices of ADRs. The majority of postgraduate students and faculties were felt ADR reporting and monitoring is very important but few had ever reported ADRs because lack of motivation and knowledge about ADR.
Full Text Available BACKGROUND: Dengue is the major public health problem leading to increase in disease burden in terms of disability and deaths. Despite the magnitude of problem no documented evidence exists in India, which reveals the awareness and practices of countryâs adult population regarding dengue fever, its spread, symptoms, treatment and prevention. OBJECTIVES: To access the knowledge, attitude and practices among the people living in urban area of Jhansi city. MATERIAL AND METHODS: A field based cross-sectional study was conducted during April âJuly 2014 among 100 respondents (>18 years from 223 households of green park colony of urban area of Jhansi city. Simple random sampling was used for interview by using a pretested, structured questionnaire. Knowledge was recorded and classified. Data obtained were collected and analysed statistically by simple proportions and chi-square test. RESULTS: Of the total 100 respondents (59% were male. When the socio-demographic characteristics of the study population were analysed, majority were young adults (20-40 years and were literate. Majority of participants cited mosquito bite as the commonest mode of spread. About 80% of the respondents identify fever as the most common clinical symptom. Nearly half of the respondents had insufficient knowledge about the causative agent of dengue. Television and media were important source of information. Around 60% of respondents correctly reported biting time of mosquito vector. Most prevalent preventive method was coils, liquid vaporisers. CONCLUSION: The study indicated that the respondents were quite familiar with dengue. Need for information, education, and communication programme to identify barrier and provide positive preventive practices about dengue. We conclude that there is need to increase health promotion activities to increase knowledge which forms the basis for preventive practices as a part to control dengue.
Torabi, Mohammad R; Yang, Jingzhen; Li, Jianjun
The purpose of this study was to compare the knowledge, attitudes and practice regarding tobacco use of college students in China and the United States (US). A modified existing questionnaire originally developed for use in the US was adopted. A Chinese version of the final questionnaire was approved by a bilingual panel of scholars. American participants were students at a large Midwestern University, while Chinese participants were selected from a large south-east China university. A total of 2131 usable surveys were collected. Both descriptive and inferential statistical tests were employed in data analysis. Compared with Chinese college students, American students scored higher in knowledge but lower on the attitude scale of the questionnaire. American respondents also were more likely to smoke cigarettes and use other tobacco products. Chinese students, on the other hand, had a higher rate of starting smoking at age 13 years or younger and were less likely to have tried to quit. The findings should provide exploratory information for health educators in understanding tobacco use and its prevention. PMID:12147639
Ezeome Emma R
Full Text Available Abstract Background The incidence of HIV infection and AIDS is rising in Nigeria. Surgeons are at risk of occupationally acquired infection as a result of intimate contact with the blood and body fluids of patients. This study set out to determine the knowledge, attitude and risk perception of Nigerian surgery residents to HIV infection and AIDS. Methods A self-administered postal questionnaire was sent to all surgery trainees in Nigeria in 1997. Results Parenteral exposure to patients' blood was reported as occurring 92.5% times, and most respondents assessed their risk of becoming infected with HIV as being moderate at 15%. The majority of the respondents were not aware of the CDC guidelines on universal precautions against blood-borne pathogens. Most support a policy of routinely testing all surgical patients for HIV infection but 76.8% work in centers where there is no policy on parenteral exposure to patients' blood and body fluids. Most (85.6% do not routinely use all the protective measures advocated for the reduction of transmission of blood borne pathogens during surgery, with the majority ascribing this to non-availability. Most want surgeons to be the primary formulators of policy on HIV and surgery while not completely excluding other stakeholders. Conclusions The study demonstrates the level of knowledge, attitude and practice of Nigerian surgery trainees in 1997 and the need for policy guidelines to manage all aspects of the healthcare worker (HCW, patients, and HIV/AIDS interaction.
Adebamowo, Clement A; Ezeome, Emma R; Ajuwon, Johnson A; Ogundiran, Temidayo O
Background The incidence of HIV infection and AIDS is rising in Nigeria. Surgeons are at risk of occupationally acquired infection as a result of intimate contact with the blood and body fluids of patients. This study set out to determine the knowledge, attitude and risk perception of Nigerian surgery residents to HIV infection and AIDS. Methods A self-administered postal questionnaire was sent to all surgery trainees in Nigeria in 1997. Results Parenteral exposure to patients' blood was reported as occurring 92.5% times, and most respondents assessed their risk of becoming infected with HIV as being moderate at 15%. The majority of the respondents were not aware of the CDC guidelines on universal precautions against blood-borne pathogens. Most support a policy of routinely testing all surgical patients for HIV infection but 76.8% work in centers where there is no policy on parenteral exposure to patients' blood and body fluids. Most (85.6%) do not routinely use all the protective measures advocated for the reduction of transmission of blood borne pathogens during surgery, with the majority ascribing this to non-availability. Most want surgeons to be the primary formulators of policy on HIV and surgery while not completely excluding other stakeholders. Conclusions The study demonstrates the level of knowledge, attitude and practice of Nigerian surgery trainees in 1997 and the need for policy guidelines to manage all aspects of the healthcare worker (HCW), patients, and HIV/AIDS interaction. PMID:12201903
Demaio, Alessandro R; Dugee, Otgontuya
Background Mongolia is undergoing rapid epidemiological transition with increasing urbanisation and economic development. The lifestyle and health of Mongolians are changing as a result, shown by the 2005 and 2009 STEPS surveys (World Health Organization's STEPwise Approach to Chronic Disease Risk Factor Surveillance) that described a growing burden of Non-Communicable Diseases and injuries (NCDs). This study aimed to assess, describe and explore the knowledge, attitudes and practices of the Mongolian adult population around NCDs in order to better understand the drivers and therefore develop more appropriate solutions to this growing disease burden. In addition, it aimed to provide data for the evaluation of current public health programs and to assist in building effective, evidence-based health policy. Methods/design This national survey consisted of both quantitative and qualitative methods. A quantitative household-based questionnaire was conducted using a nationally representative sample of 3854 rural and urban households. Participants were selected using a multi-stage cluster sampling technique in 42 regions across Mongolia, including rural and urban sites. Permanent residents of sampled households were eligible for recruitment, if aged between 15-64 years. This quantitative arm was then complemented and triangulated with a qualitative component: twelve focus group discussions focusing on diet, exercise and alcohol consumption. Discussions took place in six sites across the country, facilitated by local, trained health workers. These six sites were chosen to reflect major Mongolian cultural and social groups. Discussion KAP surveys are well represented in the literature, but studies that aim to explore the knowledge, attitudes and practices of a population around NCDs remain scarce. This is despite the growing number of national epidemiological surveys, such as STEPS, which aim to quantify the burden of these diseases but do not explore the level of population-based awareness, understanding, risk-perception and possible motivation for change. Therefore this paper will contribute to building a knowledge base of NCD KAP survey methodology for future use in epidemiology and research worldwide.
Full Text Available Abstract Background Avian influenza is a considerable threat to global public health. Prevention and control depend on awareness and protective behaviours of the general population as well as high risk-groups. This study aims to explore the knowledge, attitudes and practices related to avian influenza among poultry workers in Nepal. Methods The study was based on a cross-sectional study design, using a structured questionnaire administered in face-to-face interviews with 96 poultry workers age 15 and above from the Rupandehi district in Nepal. Results The majority of respondents were male (80%, mean age was 35 (SD = 11.6. Nearly everybody was aware that AI cases had been detected in Nepal and that poultry workers were at risk for infection. The major sources of AI information were radio, TV and newspapers. Knowledge about preventive measures was high with regard to some behaviours (hand washing, but medium to low with regard to others (using cleaning and disinfecting procedures or protective clothing. Poultry workers who got their information from TV and newspapers and those who were more afraid of contracting AI had higher knowledge than those who did not. Being employed as compared to being an owner of a poultry farm as well as having a high level of knowledge was associated with practising more preventive behaviours. While on one hand many specific government control measures found a high degree of acceptance, a majority of study participants also thought that government control and compensation measures as a whole were insufficient. Conclusions The study provides information about knowledge and practices regarding avian influenza among poultry workers in Nepal. It highlights the importance of targeting lack of knowledge as well as structural-material barriers to successfully build preparedness for a major outbreak situation.
Full Text Available Prevention and management of obesity largely depends on patient motivation and education and these, in turn, can be greatly facilitated by adequate baseline data on the knowledge, attitude and practice (KAP of patients. The aim of this study is to assess KAP on obesity among Bangladeshi type 2 diabetics. Under a cross-sectional design 160 type 2 diabetics were selected from outpatient department of Bangladesh Institute of Research and Rehabilitation in Diabetes, Endocrine & Metabolic Disorders. A standard questionnaire was constructed in local language and interview was administrated. Age and body mass index (BMI of the respondents were 45.17±5.68 years and 25.6 ±4 kg/m2 respectively. Among them 45% were male, 38% had primary education, 25% belonged to normal weight, 1/2 of them were overweight and rest were obese. KAP score of the respondents was [mean ±SD(%] 60.03±13.82, 79.30±8.27, 55.50±19.21 respectively. Majority were unaware about ideal body weight, energy requirement and the weight measurement techniques. A substantial proportion of the respondents considered fast food, soft drinks, mayonnaise as healthier food. Majority of them positively agreed on willingness to follow proper diet, maintaining ideal body weight, dietary management and exercise. More than half of the normal weight and overweight respondents did exercise >45 min, while 1/3 obese did not do exercise (35%. KAP score were significantly associated with respondents level of education (P=0.0001, P=0.007, P=0.05 respectively practice score was significantly associated with sex (P=0.0001, occupation (P=0.003 and BMI (P=0.0001. There is a need for increased effort towards developing and making education programs focusing on empowering the persons to transform their knowledge and attitude into practice.
La Guardia Maurizio
Full Text Available Abstract Background Food hygiene in hospital poses peculiar problems, particularly given the presence of patients who could be more vulnerable than healthy subjects to microbiological and nutritional risks. Moreover, in nosocomial outbreaks of infectious intestinal disease, the mortality risk has been proved to be significantly higher than the community outbreaks and highest for foodborne outbreaks. On the other hand, the common involvement in the role of food handlers of nurses or domestic staff, not specifically trained about food hygiene and HACCP, may represent a further cause of concern. The purpose of this study was to evaluate knowledge, attitudes, and practices concerning food safety of the nursing staff of two hospitals in Palermo, Italy. Association with some demographic and work-related determinants was also investigated. Methods The survey was conducted, by using a semi-structured questionnaire, in March-November 2005 in an acute general hospital and a paediatric hospital, where nursing staff is routinely involved in food service functions. Results Overall, 401 nurses (279, 37.1%, of the General Hospital and 122, 53.5%, of the Paediatric Hospital, respectively answered. Among the respondents there was a generalized lack of knowledge about etiologic agents and food vehicles associated to foodborne diseases and proper temperatures of storage of hot and cold ready to eat foods. A general positive attitude towards temperature control and using clothing and gloves, when handling food, was shared by the respondents nurses, but questions about cross-contamination, refreezing and handling unwrapped food with cuts or abrasions on hands were frequently answered incorrectly. The practice section performed better, though sharing of utensils for raw and uncooked foods and thawing of frozen foods at room temperatures proved to be widely frequent among the respondents. Age, gender, educational level and length of service were inconsistently associated with the answer pattern. More than 80% of the respondent nurses did not attend any educational course on food hygiene. Those who attended at least one training course fared significantly better about some knowledge issues, but no difference was detected in both the attitude and practice sections. Conclusion Results strongly emphasize the need for a safer management of catering in the hospitals, where non professional food handlers, like nursing or domestic staff, are involved in food service functions.
Zhang, Ling; Gong, Rui-Long; Han, Qing-Rong; Shi, Yu-Qin; Jia, Quan-An; Xu, Shan-Dan; Wang, Le-Qun; Zhu, Chang-Cai
There has been little focus on men's reproductive health (RH) in China. This descriptive study conducted in Yiling District, Yichang, China, surveyed male knowledge of sexual physiology and RH to assess levels of knowledge, attitudes and practices (KAPs) regarding prevention of sexually transmitted diseases (STDs). A total of 3933 men, aged 18-59 years (mean, 40.3 years), were recruited by cluster random sampling. They completed a questionnaire in the presence of an interviewer, with items related to subject characteristics, RH knowledge, and subjective symptoms of the reproductive system. Physical examination and reproductive system disease diagnosis were performed. Participants' occupations were predominantly skilled labor (80.5%). Nearly four-fifths (78.5%) respondents had at least one reproductive disease. Over half of respondents were aware of and declared a positive attitude about sexual physiology and safe sex, and 70% of them selected to visit a doctor when they had a reproductive disorder. However, only 41.9% believed human immunodeficiency virus/acquired immunodeficiency syndrome could be transmitted through breastfeeding, and 64.6% incorrectly thought they could avoid contracting STDs by cleaning their genitals after intercourse. In addition, 45% discriminated against and were unwilling to be friends with infected persons. Nearly 45% of those with a reproductive system disorder refused to discuss it with friends or family members. These results indicate that this cohort of Chinese men had a certain degree of KAP about RH, whereas some aspects require further public health education in the general population. It is necessary to disseminate accurate knowledge of STD risk in China based on sociodemographic characteristics. PMID:25532571
Full Text Available There has been little focus on men's reproductive health (RH in China. This descriptive study conducted in Yiling District, Yichang, China, surveyed male knowledge of sexual physiology and RH to assess levels of knowledge, attitudes and practices (KAPs regarding prevention of sexually transmitted diseases (STDs. A total of 3933 men, aged 18-59 years (mean, 40.3 years, were recruited by cluster random sampling. They completed a questionnaire in the presence of an interviewer, with items related to subject characteristics, RH knowledge, and subjective symptoms of the reproductive system. Physical examination and reproductive system disease diagnosis were performed. Participants' occupations were predominantly skilled labor (80.5%. Nearly four-fifths (78.5% respondents had at least one reproductive disease. Over half of respondents were aware of and declared a positive attitude about sexual physiology and safe sex, and 70% of them selected to visit a doctor when they had a reproductive disorder. However, only 41.9% believed human immunodeficiency virus/acquired immunodeficiency syndrome could be transmitted through breastfeeding, and 64.6% incorrectly thought they could avoid contracting STDs by cleaning their genitals after intercourse. In addition, 45% discriminated against and were unwilling to be friends with infected persons. Nearly 45% of those with a reproductive system disorder refused to discuss it with friends or family members. These results indicate that this cohort of Chinese men had a certain degree of KAP about RH, whereas some aspects require further public health education in the general population. It is necessary to disseminate accurate knowledge of STD risk in China based on sociodemographic characteristics.
Haydar E Babikar
Full Text Available Objective: The attitudes toward school pupils with epilepsy are influenced by the degree of school teachers? knowledge of the disorder. Teachers usually do not receive any formal instructions on epilepsy during their training. This study aims to assess school teachers? knowledge, attitude and practice when dealing with epilepsy in school children. Materials and Methods: This study was part of a series mandated by the Gezira Epilepsy Care Programme (GECP, to obtain baseline data for a community-adapted epilepsy education program. A pretested, semi-structured, 35-items questionnaire was the investigational tool. It was used to evaluate the knowledge of the basic facts about epilepsy among school teachers in this cross-sectional study. The questionnaire allowed teachers to express their opinions by means of free answers. The schools were chosen at random but not in a systematic equiprobability design. Two hundred teachers from public primary (100 and secondary (100 schools in the rural area of south Gezira Locality, Gezira State, Central Sudan, were recruited. Results: In this study, the majority of respondents had never been informed about epilepsy and therefore gave evasive answers to many questions. Few of the respondents considered epilepsy as contagious. None of participants objected to having epileptic children in their classes. Only 47 teachers (47% in the primary schools had any knowledge of the initial procedures to help a child in seizure, presenting reasonable answers, compared to 64 (64% teachers in the secondary schools. Recommendations: All school teachers should be given some kind of training in health services. The GECP should involve teachers in its current training programs for caregivers and lay association to help epileptic patients.
Lujain A.A. Khazrajy
Full Text Available Problem statement: The aim of this survey was to show the knowingness and standings of infertile male patient that attending Kamal Al Samaraee fertility center, about IVF and IUI procedures in clinical practice. Approach: A cross sectional study done and data were collected during two months period using special form of questionnaire, the total sample was 203 male patients Were performed using descriptive rates and percentages, procedures included Pearson?s product- moment correlation were included. Results: The first part showed the demographic data and there was a significant positive correlation between the patient?s knowledge about (ART and level of education (r = 0.703988 and their knowledge and duration of infertility (r = 0.607133 respectively. The second part of the study showed lack of knowledge about some aspects of assisted reproductive technique as a procedure and as a technical details, most of the participant don?t know whether IUI need general anesthesia or not (41%, the same thing is true for (IVF technique, also 41% of the sample didn?t know whether fertilization of ova done outside the wife body or not., the third part showed the attitudes of participants were (80% of the participants refused gamete donation. Conclusion: it was obvious that there was lack of knowledge about many aspects of (ART, also the attitudes of the participants was highly influenced by cultural and religious believes therefore, education is needed to make the general community aware of the various aspects of (ART, on the other hand we recommended that a governmental legislative and financial support should be made for the promotion of assisted reproductive technique in Iraq.
Full Text Available Public health campaigns have improved knowledge on UVR-associated skin cancer risk and increased sun protection awareness. However, tanned skin is still a common beauty ideal. The relationship between knowledge, attitudes and protective behavior is not fully understood yet. A population-based survey was thus performed in the district of Erlangen involving 2,619 parents of 3- to 6-year old children. By means of a self-administered standardized questionnaire parental knowledge about risk factors for skin cancer, their attitudes towards tanning and details of protective measures taken for their children were assessed. The study analyzed specifically the impact of parental tanning attitudes on sun-protective measures for their children while controlling for parental knowledge about skin cancer risk factors. While parental knowledge was significantly (inversely associated with agreement to the statement Tanned skin is healthy skin, this was not the case for Tanning makes me look better. Overall, tanning affirmative attitudes were inversely associated with protective measures taken for the children, whereas parental knowledge had a positive impact on sun protection at the beach only. Multivariable analyses provided evidence for an effect of parental attitude on protective behavior independent of parental knowledge. Tanning attitudes and tanned skin as the misguided ideal of beauty need to be addressed in future public health campaigns to enhance the effectiveness of preventive activities in changing sun protective behavior.
Gefeller, Olaf; Li, Jiang; Uter, Wolfgang; Pfahlberg, Annette B
Public health campaigns have improved knowledge on UVR-associated skin cancer risk and increased sun protection awareness. However, tanned skin is still a common beauty ideal. The relationship between knowledge, attitudes and protective behavior is not fully understood yet. A population-based survey was thus performed in the district of Erlangen involving 2,619 parents of 3- to 6-year old children. By means of a self-administered standardized questionnaire parental knowledge about risk factors for skin cancer, their attitudes towards tanning and details of protective measures taken for their children were assessed. The study analyzed specifically the impact of parental tanning attitudes on sun-protective measures for their children while controlling for parental knowledge about skin cancer risk factors. While parental knowledge was significantly (inversely) associated with agreement to the statement "Tanned skin is healthy skin", this was not the case for "Tanning makes me look better". Overall, tanning affirmative attitudes were inversely associated with protective measures taken for the children, whereas parental knowledge had a positive impact on sun protection at the beach only. Multivariable analyses provided evidence for an effect of parental attitude on protective behavior independent of parental knowledge. Tanning attitudes and tanned skin as the misguided ideal of beauty need to be addressed in future public health campaigns to enhance the effectiveness of preventive activities in changing sun protective behavior. PMID:24802677
Full Text Available Zoonoses are common infections when there is close contact between humans and animals. In Nigeria, where safety at work is poorly regulated and enforced, most workers do whatever they consider appropriate safe work place practices. Thus, 263 abattoir workers across five North Central (NC states in Nigeria were evaluated on their knowledge of leptospirosis, work place attitudinal practices and other risks that could favor spread of Leptospira among them. Findings showed that most workers 252 (95.8% were ignorant of leptospirosis. Other identified risk factors for infection included age of workers, occupation, illiteracy and risks within, such as inadequate protective gear and outside the workplace, such as rodents in homes. All these factors gave a prevalence of 226 (89.7% Leptospira antibodies in the abattoir workers which they probably contracted through un-mindful handling of infected animal fluids and tissues. Surveys of Knowledge, Attitudes, Risk Factors and Practices (KARP is a common strategy for collecting information to assess safe work environments among high risk populations and is a good starting point for prevention and control programs for individuals at risk of infection by zoonotic agents, especially Nigerian abattoir workers.
Tuberculosis is prevailing in both urban and rural areas of Pakistan. Knowledge, attitude and practice (KAP) of private practitioners (PPs) regarding tuberculosis management have been reported only in urban areas of Pakistan. This survey was conducted for the first time in a rural area of Sindh, Pakistan. This survey was conducted in January 2007 at Thatta, a rural district of Sindh, Pakistan. Study subjects were twenty-two allopathic qualified (MBBS) doctors of district Thatta, who were practicing in private setups for at least last one year. Before TB-DOTS training PPs had filled the KAP questionnaire regarding tuberculosis (TB) diagnosis and management through DOTS. Survey data was analysed through SPSS version 11.05 software. On average, five TB suspects per month were seen by each PP. Only 14% of PPs advised sputum microscopy solely for pulmonary TB diagnosis, while 86% of PPs used different combination of tests (chest x-ray/sputum microscopy/ESR/tuberculin test) for TB diagnosis. Over 40% PPs did not prescribe TB treatment regimen according to TB-DOTS category. Majority PPs (85%) did not follow the treatment through sputum microscopy and instead relied on clinical improvement and x-ray clearance. Nearly 60% of TB patients at PPs clinic did not show compliance to the TB treatment and none of PPs were following the retrieval of default cases. A gross lack of PPs knowledge and right practice regarding TB diagnosis and management through DOTS was identified and needed to be addressed through providing DOTS training. (author)
Full Text Available Abstract Background Hepatitis B (HBV is the leading cause of cirrhosis and hepatocellular carcinoma worldwide. This study assessed the knowledge, attitudes and practices of people with chronic HBV and the associated factors. Methods This cross-sectional study was conducted at an outpatient adult hepatology clinic at a tertiary hospital in Kuala Lumpur. A self-administered questionnaire was administered on a one-to-one basis to assess knowledge, attitudes, and lifestyle practices of people with chronic HBV. Results The response rate was 89% (nâ=â483/543. Participants had a mean age of 46.3 (Â±14.7 years and the mean duration of HBV from time of diagnosis was 12.2 (Â±8.8 years. The mean knowledge score was 12.57/20 (standard deviation: Â±4.4, range: 0â19. Participants aged 30â39âyears, with higher educational attainment, employed in professional jobs, longer duration of diagnosis and those without cirrhosis had significantly higher knowledge scores. Age, education level and duration of diagnosis were significant predictors of the knowledge score on standard multiple regression analysis. More than half of the participants were worried of spreading HBV infection to family and friends and worried since the diagnosis. A third of the participants (33.5% were embarrassed to reveal their diagnosis to the public but most of them (93.6% would inform their family. Those who reported feeling worried since their diagnosis were more likely to be middle-aged, of Malay ethnicity, have shorter duration of diagnosis of less than 10âyears and have received therapy. About half of the participants (50.6% did not share dining utensils and the majority (93.2% believed that HBV can be transmitted by sharing of eating and drinking utensils. Older patients were significantly less likely to share utensils. Those who felt worried since diagnosis had significant higher knowledge of HBV. Conclusion The findings highlight the stigma and misconceptions that still exist among the HBV patients. More patient and public education about HBV and its prevention are essential to increase awareness and to demystify the disease.
Onabolu, B.; Jimoh, O. D.; Igboro, S. B.; Sridhar, M. K. C.; Onyilo, G.; Gege, A.; Ilya, R.
In many Sub-Saharan countries such as Nigeria, inadequate access to safe drinking water is a serious problem with 37% in the region and 58% of rural Nigeria using unimproved sources. The global challenge to measuring household water quality as a determinant of safety is further compounded in Nigeria by the possibility of deterioration from source to point of use. This is associated with the use of decentralised water supply systems in rural areas which are not fully reticulated to the household taps, creating a need for an integrated water quality monitoring system. As an initial step towards establishing the system in the north west and north central zones of Nigeria, The Katsina State Rural Water and Sanitation Agency, responsible for ensuring access to safe water and adequate sanitation to about 6 million people carried out a three pronged study with the support of UNICEF Nigeria. Part 1 was an assessment of the legislative and policy framework, institutional arrangements and capacity for drinking water quality monitoring through desk top reviews and Key Informant Interviews (KII) to ascertain the institutional capacity requirements for developing the water quality monitoring system. Part II was a water quality study in 700 households of 23 communities in four local government areas. The objectives were to assess the safety of drinking water, compare the safety at source and household level and assess the possible contributory role of end users Knowledge Attitudes and Practices. These were achieved through water analysis, household water quality tracking, KII and questionnaires. Part III was the production of a visual documentary as an advocacy tool to increase awareness of the policy makers of the linkages between source management, treatment and end user water quality. The results indicate that except for pH, conductivity and manganese, the improved water sources were safe at source. However there was a deterioration in water quality between source and point of use in 18%, 12.5%, 27% and 50% of hand pump fitted boreholes, motorised boreholes, hand dug wells and streams respectively. Although no statistical correlation could be drawn between water management practices and water quality deterioration, the survey of the study households gave an indication of the possible contributory role of their knowledge, attitudes and practices to water contamination after provision. Some of the potential water related sources of contamination were poor source protection and location, use of unimproved water source and poor knowledge and practice of household water treatment methods, poor hand washing practices in terms of percentage that wash hands and use soap. Consequently 34 WASH departments have been created at the local government level towards establishment of a community based monitoring system and piloting has begun in Kaita local government area.
Full Text Available Although in Colombia screening programs of cervical cancer have achieved high levelsof coverage, cervical cancer has the first places in incidence and mortality. There isthe need to identify factors influencing it, among them is to investigate the level ofawareness of women about the screening test, their attitudes to screening and itspractices. For this we made a survey of 505 women 13 to 60 years who have had sexual life, living in the cities of Cartagena and Sincelejo (Colombia.The results showthat virtually all women have knowledge of cervical cytology, 94.5% of women havemade at least once. This percentage is higher in the range of 40 to 60 years where itreaches 99% in younger women this percentage decrease. In defining its usefulness,only 73.8% responded accurately. 50% reported unpleasant aspects related to themaking of the cytology, such as fear, and fear of a cancer diagnosis. A fail to rememberis the main factor for not claiming the results.These data show that the percentage ofwomen with sexual life that ignores the usefulness of cytology or never have practicedis minimal, which leads to the conclusion that ineffective screening programs to reducecervical cancer rates depends on other factors that should be investigated.RESUMEN:Aunque en Colombia los programas de prevención del cáncer de cérvix han alcanzadoaltos niveles de cobertura, todavía este ocupa los primeros lugares en incidencia ymortalidad. Existe la necesidad de identificar los factores que influyen en ello, por tantoes importante investigar el nivel de conocimiento de las mujeres sobre la prueba detamizaje, su actitud frente a la misma y sus prácticas relacionadas. Se realizó encuestaa 505 mujeres entre 13 y 60 años edad, que habían tenido vida sexual, residentes en lasciudades de Cartagena y Sincelejo (Colombia. Los resultados revelan que prácticamentetodas las mujeres tienen conocimientos sobre citología cérvico-uterina. El 94.5% delas mujeres se la han realizado por lo menos una vez. Este porcentaje es mayor en elrango de 40 a 60 años donde alcanza el 99%, y en las de menor edad este porcentajedisminuye. Al definir su utilidad: solo el 73.8% respondió de manera acertada. El 50%refieren aspectos desagradables en relación con la toma de la citología, como el miedoy el temor a un diagnóstico de cáncer y el olvido es el principal factor para no reclamarlos resultados. Estos datos demuestran que el porcentaje de mujeres con vida sexualque desconocen la utilidad de la citología o nunca se la han practicado es mínimo, locual permite concluir que la ineficacia de los programas de tamizaje para disminuir lascifras de cáncer de cérvix en nuestro medio depende de otros factores que deben serevaluados.
Desalination has been considered as an essential way to solve water stress all over the world. Most of previous studies focused on its environmental impacts, energy consumption and desalination technologies rather than human health. However, the safety of desalinated water remains unclear. This study was undertaken to investigate the knowledge, attitude and practice (KAP) of the residents in an island county in eastern China to desalinated water. Seventeen people working in medical and water industries were recruited, and focus group discussion and in-depth interview were conducted among them. Our results showed that the majority of people interviewed knew the definition and local supply pattern of desalinated water, while some of them showed some concern about the safety and nutrition of desalinated water. Current drinking water standard has no specific item for desalination, so we strongly suggest issuing a standard for desalinated water. PMID:25874459
Demaio, Alessandro R; Dugee, Otgontuya; Amgalan, Gombodorj; Maximenco, Elena; Munkhtaivan, Adiya; Graeser, Silke; Kryger, Tine; Oyunbileg, Janchiv; Jousilahti, Pekka; de Courten, Maximilian; Enkhtuya, Palam
Surveillance) that described a growing burden of Non-Communicable Diseases and injuries (NCDs).This study aimed to assess, describe and explore the knowledge, attitudes and practices of the Mongolian adult population around NCDs in order to better understand the drivers and therefore develop more appropriate......Mongolia is undergoing rapid epidemiological transition with increasing urbanisation and economic development. The lifestyle and health of Mongolians are changing as a result, shown by the 2005 and 2009 STEPS surveys (World Health Organization's STEPwise Approach to Chronic Disease Risk Factor...... solutions to this growing disease burden. In addition, it aimed to provide data for the evaluation of current public health programs and to assist in building effective, evidence-based health policy....
Bray, F; Chapman, S
1130 dentists surveyed by mail from Australian capital cities (response rate 80%) answered a questionnaire on knowledge of clinical manifestations of AIDS and HIV, attitudes to treatment and referral of AIDS/HIV patients, infection control practices and personal risk factors for HIV. Despite a third of dentists being willing to treat HIV antibody-positive patients and 22% being willing to treat AIDS patients, over 50% believe AIDS to be a major problem for dentists, with two thirds claiming that their staff would not treat AIDS patients and 55% believing they would lose patients if word spread that they were treating HIV/AIDS patients. The perhaps irreconcilable tension between variable willingness to treat and the concerns of staff and other patients suggests that a policy of improving the dental referral network among people with AIDS may be in the best interests of the dental health and well-being of people with AIDS. PMID:2073777
Full Text Available Background: Female genital mutilation (FGM is a harmful traditional practice that is deeply rooted in Africa. It has been outlawed in Bayelsa state of Nigeria but there is evidence that its performance by traditional circumcisers and health professionals continues. Aim: The study aimed to determine the knowledge, attitude and practice of FGM among doctors and nurses/midwives practising in public secondary and tertiary hospitals in Bayelsa state. Methods: One hundred and ninety seven (197 structured questionnaires were administered to all available doctors and nurses/midwives in the study hospitals for self-completion. Epi-Info version 3.5.1 was used to analyse data. Results: All the respondents were aware of FGM. A higher proportion of nurses/midwives than doctors had ever been asked and had ever treated patients with complications of FGM. More than 90% of respondents said it was not a good practice. Out of the 70 female respondents, 19 (27.1% said they were circumcised. Only one nurse/midwife admitted to performing FGM presently. Conclusion: Doctors and nurses/midwives practicing in the study hospitals were well aware of FGM and were favourably disposed towards its elimination. Efforts should be made to reinforce this position.
David C. Schwebel
Full Text Available This study examines demographic, cognitive and behavioral factors that predict pediatric dog-bite injury risk in rural China. A total of 1,537 children (grades 46 in rural regions of Anhui, Hebei and Zhejiang Provinces, China completed self-report questionnaires assessing beliefs about and behaviors with dogs. The results showed that almost 30% of children reported a history of dog bites. Children answered 56% of dog-safety knowledge items correctly. Regressions revealed both demographic and cognitive/behavioral factors predicted childrens risky interactions with dogs and dog-bite history. Boys behaved more riskily with dogs and were more frequently bitten. Older children reported greater risks with dogs and more bites. With demographics controlled, attitudes/beliefs of invulnerability, exposure frequency, and dog ownership predicted childrens self-reported risky practice with dogs. Attitudes/beliefs of invulnerability, dog exposure, and dog ownership predicted dog bites. In conclusion, both demographic and cognitive/behavioral factors influenced rural Chinese childrens dog-bite injury risk. Theory-based, empirically-supported intervention programs might reduce dog-bite injuries in rural China.
Dawaki, Salwa; Al-Mekhlafi, Hesham M.; Ithoi, Init; Ibrahim, Jamaiah; Abdulsalam, Awatif M.; Ahmed, Abdulhamid; Sady, Hany; Nasr, Nabil A.; Atroosh, Wahib M.
Background Schistosomiasis is one of the most common neglected tropical diseases, especially in the developing countries in Africa, Asia and South America, with Nigeria having the greatest number of cases of schistosomiasis worldwide. This community-based study aims to evaluate the knowledge, attitude and practices (KAP) regarding schistosomiasis among rural Hausa communities in Kano State, Nigeria. Methods A cross-sectional study was carried out among 551 participants from Hausa communities in five local government areas in Kano State, North Central Nigeria. Demographic, socioeconomic and environmental information as well as KAP data were collected using a pre-tested questionnaire. Moreover, faecal and urine samples were collected and examined for the presence of Schistosoma mansoni and S. haematobium eggs respectively. Results The overall prevalence of schistosomiasis was 17.8%, with 8.9% and 8.3% infected with S. mansoni and S. haematobium respectively, and 0.5% had co-infection of both species. Moreover, 74.5% of the participants had prior knowledge about schistosomiasis with 67.0% of them how it is transmitted and 63.8% having no idea about the preventive measures. Three-quarters of the respondents considered schistosomiasis a serious disease while their practices to prevent infections were still inadequate, with only 34.7% of them seeking treatment from clinics/hospitals. Significant associations between the KAP and age, gender, education and employment status were reported. Multiple logistic regression analysis revealed that age, gender, history of infection and educational level of the respondents were the most important factors significantly associated with the KAP on schistosomiasis among this population. Conclusions Schistosomiasis is still prevalent among Hausa communities in Nigeria and participants knowledge about the disease was poor. Mass drug administration, community mobilization and health education regarding the cause, transmission and prevention of schistosomiasis and education about good personal and sanitary hygiene practices should be considered in order to significantly reduce the prevalence and morbidity of infection within these communities. PMID:26606264
Ayman S. Abdelhady
Full Text Available Introduction : Hypertension (HTN is a common serious health problem associated with high morbidity and mortality rates .At the same time ,HTN is widely prevalent all over the world including Egypt. For many people, the primary care physician is their first point of contact with the health care system, as well as their main source of preventive and essential care. Objective: Assessing knowledge, attitude and practices of primary health care physicians towards screening patients for hypertension in Cairo. Methodology:A cross-sectional study , conducted in the primary health care centres (PHCC in Nasr city, which was chosen randomly to represent Cairo city , where all doctors working in these centres were asked to complete a self administered structured and open ended questionnaire contained the relevant variables : Results: About 90% of the studied physicians were convinced with the importance of routine measuring blood pressure for risky patients and 79% stated that role of the PHC physician should be the early detection of HTN. As regards knowledge towards HTN items, only 23.5% knew the prevalence and 18.5% knew the most recent definition and grading. The practices of the doctors towards screening patients for HTN ,showed that only 63.9% of the doctors usually perform accurate and enough procedures to diagnose HTN patients and 46.2% routinely screen patients around forty years old while only 43.7% were regularly checking up the accuracy of the used sphygmomanometers . Conclusion: The participating physicians had poor knowledge towards some important items especially the prevalence and new classification of HTN. Their practices were not optimal as regards the accurate diagnosis of HTN and routine checkup and measuring blood pressure for people attending the PHC clinics. Recommendations to manage these defects were suggested.
Ahram, Mamoun; Soubani, Majd; Abu Salem, Lana; Saker, Haneen; Ahmad, Muayyad
Genetic testing has a potential in the prevention of genetic diseases, particularly in communities with high rates of consanguineous marriage. Therefore, knowledge, practice, and attitudes of the public in Jordan regarding genetic testing were investigated. Individuals (N?=?3,196) were questioned about the concepts of genetic testing and genetic counselors, if they underwent any genetic tests, the type of test, the method of consenting to the test, as well as their level of satisfaction with the privacy of the genetic testing service. The likelihood of pursuing predictive genetic testing for cancer was also investigated. Although almost 70 % of respondents knew the term "genetic testing," only 18 % had undergone genetic testing, primarily the mandatory premarital test. In addition, there was a lack of general knowledge about genetic counselors. Many of those who had genetic testing (45 %) indicated they did not go through a consent process, and a lack of consent was significantly related to dissatisfaction with the privacy of the service. Approximately 55 % of respondents indicated they would potentially pursue predictive genetic testing for cancer. Going for routine health checkups was not significantly correlated with either actual or potential uptake of genetic testing, suggesting health care providers do not play an influential role in patients' testing decisions. Our results show a gap between the knowledge and uptake of genetic testing and may help to guide the design of effective strategies to initiate successful genetic counseling and testing services. PMID:25851945
Full Text Available BACKGROUND: Diarrhoea is main cause of deaths in under fire age group, this can be prevent by just using sanitary latrines which were provided to villagers under T.S.C. By which provision of Rs. 8500 to every household to build a sanitary latrine in their respective house.(1 AIMS: The aim of this cross sectional study is to find out the knowledge attitude and practice of utility of sanitary latrines and its effect on the life of villager on their health and behaviour. MATERIAL & METHOD: This cross sectional study was carried out on 400 households of Khurdi village of Indore district Data was collected by using a semi structured questionnaire which ask information regarding the knowledge of villagers about diseases transmitted by or faecal route, prevention of Diarrhoea, source of infection of diarrhoea, causative organism of Diarrhoea, water borne diseases, food borne diseases, vector borne diseases and how fly transmit the diseases. RESULT: Out of 400 household interviewed 86% were literate, 100% were from low socioeconomic group 344 household knew the methods of transmission of disease and that can be prevent by using sanitary latrines and by hand washing practice after defecation and before taking any meals. It was also observed that 56 households have no knowledge of disease transmission by food, fingers, fluid, fomites or by fly. The health services providers like Asha, Usha, ANMs, LHVs. are the main source of information to the villagers. A.D.O.'s, Panchayat Sachiv are the main source of information for construction of sanitary latrines. Under Samagra Swachhata Abhiyaan(2. Additional information's they received by Radio and T.V. advertisement campaign of Govt. of India. CONCLUSION: The knowledge about utilisation of sanitary latrines to prevent faecal borne disease was found to be inadequate in this study. More efforts needed to create awareness better utilisation of sanitary latrines and make villagers aware regarding health aspect of sanitary latrines.
Full Text Available Abstract Background Prior to the availability of the specific pandemic vaccine, strategies to mitigate the impact of the disease typically involved antiviral treatment and non-pharmaceutical community interventions. However, compliance with these strategies is linked to risk perceptions, perceived severity and perceived effectiveness of the strategies. In 2010, we undertook a study to examine the knowledge, attitudes, risk perceptions, practices and barriers towards influenza and infection control strategies amongst domestic and international university students. Methods A study using qualitative methods that incorporated 20 semi-structured interviews was undertaken with domestic and international undergraduate and postgraduate university students based at one university in Sydney, Australia. Participants were invited to discuss their perceptions of influenza (seasonal vs. pandemic in terms of perceived severity and impact, and attitudes towards infection control measures including hand-washing and the use of social distancing, isolation or cough etiquette. Results While participants were generally knowledgeable about influenza transmission, they were unable to accurately define what pandemic influenza meant. While avian flu or SARS were mistaken as examples of past pandemics, almost all participants were able to associate the recent swine flu situation as an example of a pandemic event. Not surprisingly, it was uncommon for participants to identify university students as being at risk of catching pandemic influenza. Amongst those interviewed, it was felt that students were capable of fighting off any illness. The participants nominated hand washing as the most feasible and acceptable compared with social distancing and mask use. Conclusions Given the high levels of interaction that occurs in a university setting, it is really important that students are informed about disease transmission and about risk of infection. It may be necessary to emphasize that pandemic influenza could pose a real threat to them, that it is important to protect oneself from infection and that infection control measures can be effective.
Diana Camargo Rojas
Full Text Available Introduction: The social inclusion of people with disabilities (PWD, dependent on many economic, social, political and cultural factors that affect their social development. One factor that generates greater social exclusion, corresponding to attitudinal barriers identified in the immediate environment. Objective: To identify knowledge, attitudes and practices of primary caregivers, about disability and care they provide to PcD linked to services Outpatient Gustavo Escallon Cayzedo of Santa Fe de Bogota Foundation (CAGEC, municipality of Madrid, Cundinamarca. Material and methods: Research with mixed approach, descriptive study aimed at caregivers of PcD, whom a semi-structured interview was applied. The quantitative analysis was performed using descriptive statistics and qualitative analysis was performed by generating an array of established and emerging categories. Results: economic and labor conditions affecting significantly the lives of caregivers, who spend more than 10 hours a day to care PcD, resulting in some symptoms of caregiver syndrome are evident. Most caregivers do not know the rights and duties of the population, and those who know they associate with the access to services. Participation is associated with assistance to certain activities, and not from his political notion. These skills relate to the practices of caregivers which are oriented on the biomedical model. Discussion: Being studied the conditions of the caregiver barriers, attitudes and support networks, observed how are you affecting your life project. Despite this, the activities of public and private entities are directed to the PcD, so the implementation of actions that promote the health of the caregiver is suggested.
Amalraj Edwin R; Chandrasekaran Nirmala; Solomon Sunithi; Sumbandam Raja P
Research Question: What is the level of knowledge, sexual practices and attitude of medical students towards AIDS/ HIV. Objective: To assess the knowledge, sexual practices and attitudes of medical students in relation to HIV/AIDS. Study Design: Cross- sectional. Participants: 409 first year medical students. Study variables: Sex knowledge, sexual practices, Attitudes, Risk perception. Results: 92% of the students had heard about AIDS predominantly through mass media. Many students had...
Nielsen, Steen; Melander, Preben; Jakobsen, Morten
There have been several studies of the diffusion of new management accounting practices. This study adds a new dimension: in order to indicate the number of practices associated with the respondents, their interrelationships, the respondents, were asked to answer questions in a questionnaire...... management accounting practices. Our results reveal that companies in general experience a high level of benefit from the practices. However, significance differences between low priority of usage and high number of practices associated with the company are very likely to contribute to a more modest level of...... those companies seldom use a theoretical concept but are inspired to design home-made models. This also confirms that accounting practices are used for inspiration of design. The findings can provide a further basis for the discussion and development of a theory for new management accounting models....
Olaf Gefeller; Jiang Li; Wolfgang Uter; Annette B. Pfahlberg
Public health campaigns have improved knowledge on UVR-associated skin cancer risk and increased sun protection awareness. However, tanned skin is still a common beauty ideal. The relationship between knowledge, attitudes and protective behavior is not fully understood yet. A population-based survey was thus performed in the district of Erlangen involving 2,619 parents of 3- to 6-year old children. By means of a self-administered standardized questionnaire parental knowledge about risk facto...
M. Ahmady, M.Sc
Full Text Available Background and purpose: There are more than five million neonatal death around the world of which %19 was because of Asphyxia at birth time. In our country, there has been educational program in order to decrease the mortality caused by Asphyxia and to practice a scientific method for resuscitation. This study was conducted to determine the rate of knowledge, attitude and practice for every learner of neonatal resuscitation in the governmental hospitals of Mazandaran province in 2005(1384.Materials and Methods: current study was a descriptive cross sectional done on All Trainees who had professional direct contact with birth Asphyxia. We selected exactly 137 people who had attended Neonatal Resuscitation Workshop for three days.Results: The subjects under the study were %62/8 midwife and %89/8 women. Data show that % 44.5 had good knowledge and % 11.7 had very good knowledge on neonatal Resuscitation. The highest acknowledge was %93/4 and %89/1 on chest compression and breath stimulation way respectively. Data also suggested that totally % 96.34 of the subjects had good and very good attitudes towards neonatal resuscitation. The results show that only % 38.4 of the subjects under the study had a good level practice and their attitudes in terms of age were significantly different (P<0.01. Also, their practice on job showed a significant difference (P<0.017. In the study, there was a converse relation between age and professional experience which was r = 0.25 and r = 0.26, respectively.Conclusion: Results obtained suggest that the amount of knowledge and practice for the subjects under the study was average, but their attitudes towards neonatal resuscitation was good. There fore, according to the positive attitude of the subjects,there must be a trend to promote knowledge and practice.
Gupta, P; Kumar, P; Aggarwal, O P
To assess the knowledge and attitudes about dengue and practice of prevention followed by the residents of a rural area and an urban resettlement colony of East Delhi, an interview based cross sectional KAP study was undertaken in Jan 97 to Feb 97, a few months after the dengue epidemic in rural area and urban areas of East Delhi. A pre-structured and pre-tested format containing the relevant questions was administered to the subjects. A total of 687 subjects (334 rural and 353 urban) were interviewed. Nearly four fifth (82.3%) of these were aware of Dengue. Audiovisual media was the most common source of information in both the areas. Knowledge about the disease was fair to good. Fever was the commonest symptom of the disease known to 92% urban and 83% rural respondents followed by symptoms of bleeding and headache. Mosquito was known to spread the disease to 71% rural and 89% urban respondents. More than two third respondents in urban and two fifth in rural areas had used some method of mosquito control or personal protection during the epidemic. PMID:9914677
Sanou, Sobze Martin; Fokam, Joseph Martin; Mabvouna, Biguioh Rodriguez; Guetiya, Wadoum Raoul; Sali, Ben Bechir Adogaye; Teikeu, Tessa Vivaldi Vladimir; Nafack, Sonkeng Sonia; Panà, Augusto; Colizzi, Vittorio; Russo, Gianluca
The aim of our study was to assess knowledge, attitudes, and practices (KAP) regarding HIV/AIDS in the city of Kribi, southern region of Cameroon. In November 2012, a questionnaire composed of 20 items was administered by trained staff from the Biomedical Sciences Department of the University of Dschang to 200 students selected from four population groups: high school students, local traders, tourism personnel (staff of bars, restaurants, hotels, nightclubs), and motorcycle taxi drivers. A cluster sampling method was used to select the first three groups while motorcycle taxi drivers were selected by the method of all comers. KAP regarding HIV/AIDS was found to be fragmentary in the studied population. Only 6.5% systematically uses condoms, 59% believe that AIDS can be cured by traditional medicine and religious faith and 40.9% developed stigmatizing behaviour toward HIV infected people. Among participants there is a wide discrepancy between knowledge and social behaviours toward HIV/AIDS. Strategic and continuous awareness campaigns that are culturally and socially tailored are urgently needed. PMID:25353268
Di Piazza, F; Casuccio, A; Falletta, M; Di Benedetto, M A
The knowledge, attitude, and practice toward the use of ready-to-eat vegetables were evaluated in a sample of 701 (388 women and 313 men) potential consumers in Palermo, by answering to an anonymous questionnaire handed out. Food safety perceptions and behaviors were analysed; in general, interviewed consumers who perceived higher risks exhibited safer food behaviors. There weren't considerable differences in the use of these salads between two sexes; 81.4% of respondents uses these products to save a lot of time, particularly the graduates attach importance to saving in time (p = 0.001), and only 34.4% is worrying about high price. Statistical analysis showed a significant correlation between better food safety knowledge and female sex; for example, compared with women, men reported to buy ready-to-eat salads on sale at room temperature and at temperature of refrigerator without distinction (p = 0.015). This study confirms the IV range salads meet modern consumer's requirements and also suggests the need of food safety educational strategies for targeted groups. PMID:18210777
Yadav, S P; Tyagi, B K; Ramnath, T
In order to assess the knowledge, attitude and practice of the rural Thar Desert population about malaria and its vectors, a total of 345 heads of households, including housewives, suffering with malaria were surveyed randomly, along with the same number of healthy control subjects, in four villages of Jodhpur and Jaisalmer districts of Rajasthan, north-western India. Results showed that in the traditionally hypoendemic Thar Desert, with low levels of immunity against malaria particularly Plasmodium falciparum, a large segment of rural people were equally less aware about the dangers of the disease. About three-fourths of the studied population did not quite comprehend the purpose of the five decade-old National Anti Malaria Programme, while nearly 50% respondents were reluctant to accept the programme lacking the component of community participation but directly targetting on the control of the disease. Consequently, about 50% malaria patients and 60% healthy subjects lacked in taking initiative to resort to any anti-mosquito or anti-malaria measure to protect themselves, although 27% malaria patients and 2.9% healthy subjects acknowledge correct causes of malaria. This study, being the first of its kind in a desert community currently facing emergence of P. falciparum-dominated malaria outbreaks, is a testimony to the hitherto prevalent deep gaps in knowledge about the disease, and its results warrant sincere efforts to link up the malaria control programme with the community participation for protection against this scourage in future. PMID:10810601
Deepika Tikoo; Geeta Sharma; Meenakshi Gupta
Background: Dengue, a mosquito borne, arboviral disease has become a major cause of health concern in the recent times throughout the world. In India, we have been witnessing annual outbreaks for the past few years and lack of knowledge about prevention and treatment of dengue among majority of the population leads to increased mortality. Apart from Delhi, many cases of dengue have been reported from Punjab. In spite of this fact, very few studies have been done to know about the knowledge of...
James, Lyn; Roberts, Rebecca; Jones, Roderick C; Watson, John T; Hota, Bala N; Kampe, Linda M; Weinstein, Robert A; Gerber, Susan I
During the past decade, the incidence of certain bacterial pathogens that are commonly transmitted through food in the United States has decreased. Concurrently, the emergency department has become an increasingly common setting for health care. Because public health surveillance for bacterial foodborne diseases fundamentally depends on stool cultures, we conducted a survey of physicians who attended an emergency medicine conference to describe knowledge, attitudes, and practices among this provider population. A convenience sample of 162 physicians, representing 34 states, provided responses. Thirty-eight percent reported having ordered a stool culture for the most recent patient with acute diarrheal illness examined in the emergency department, but only 26% of the physicians subsequently received the stool culture results. For only 2 pathogens (Escherichia coli O157:H7 and Salmonella species) did at least one-half of the respondents provide the correct response regarding whether selected diarrheal disease pathogens were reportable in their state. Responses indicated familiarity with the Infectious Diseases Society of America's practice guidelines regarding stool cultures for patients with severe symptoms and a history of travel, but less so with characteristics of public health importance (i.e., attendance at day care and employment as a restaurant cook). We recommend that educational opportunities be made available to emergency care physicians that highlight the public health significance of acute diarrheal illness and that reinforce guidelines regarding culturing stool specimens, making recommendations to prevent further transmission, and reporting to local health authorities. PMID:18444866
Emergency contraception amongst female college students - knowledge, attitude and practice / La contraception d'urgence chez les étudiantes inscrites dans l'enseignement supérieur -connaissances, attitudes et pratiques
Wendwosen T., Nibabe; Tennyson, Mgutshini.
Full Text Available BACKGROUD: Unwanted teenage pregnancies have a notable detrimental impact on the learners' trajectory and have been associated with jeopardising the students' educational progress and future career prospects. These pregnancies are mostly unplanned and unintended and many are terminated, either legal [...] ly or illegally. AIM: The aim of this study was to explore the contributory role played by the knowledge, attitude and practices of female college students with respect to the utilisation of emergency contraceptives. SETTING: Three tertiary institutions in Dessie, Ethiopia. METHODS: Quantitative self-administered questionnaires were used to collect descriptive data from 352 female college students. RESULTS: The study revealed that there was a high percentage (78.3%) of unwanted pregnancies amongst those engaging in sex. Significantly, nearly half (43.3%) of these unwanted pregnancies resulted in abortion. Only 10% of the students sampled admitted to ever having used emergency contraception. Even though more than half (69.9%) of the students knew about emergency contraception, only 27% of them felt confident that they understood when it was most effective. CONCLUSION: These and other observed findings confirm the need for improvement of female college students' knowledge and timely utilisation of emergency contraception.
Modi Bhavesh, Patel Prakash, Sutariya Shailesh, Dave Paresh
Full Text Available Introduction: Iodine, vitamin A and iron are most important micronutrients in global public health terms; their lack represents a major threat to the health and development of populations the world over, particularly children in low-income countries. To combat the deficiency of micronutrients, awareness of their importance and their source plays vital role. Objective: to assess knowledge regarding important micronutrients in tribal students. Methodology: It is a cross sectional study conducted in 348 secondary school students of tribal area. Observations: Questionnaire regarding knowledge revealed that 83 (23.9% student had never heard of vitamin A, while 103 (29.6% and 72 (20.7% student had never heard of Iron and Iodine respectively. Gender wise analysis revealed that overall knowledge of micronutrients is comparatively higher among the girls. Recommendations: School children should be specially targeted in IEC campaign to decrease burden of micronutrient deficiency. Micronutrients should be included in school syllabus.
Sergio, Ferreira Junior; Helenice Bosco de, Oliveira; Leticia, Marin-Leon.
Full Text Available OBJETIVO: Analisar o conhecimento, atitudes e práticas sobre a TB em uma unidade prisional e na rede pública de saúde (RPS). METODOLOGIA: Foi realizado estudo transversal com aplicação do questionário KAP (knowledge, atittudes and practices) na coleta de dados. Part [...] iciparam 141 detentos, 115 funcionários do presídio e 158 da RPS. O programa Epi-Info versão 6.04 foi utilizado para comparação de proporções com significância estatística para p Abstract in english OBJECTIVE: To analyze the knowledge, attitudes and practices about TB in a prison and in public health services (PHS). METHODS: A cross sectional study was carried out and KAP (knowledge, attitudes and practices) questionnaire was applied to 141 prisoners, 115 priso [...] n's employees and 158 PHS workers. Epi-Info version 6.04 was used for comparison of proportions with statistic significance at p
Sérgio, Ferreira Júnior; Helenice Bosco de, Oliveira; Letícia, Marin-Léon.
Full Text Available OBJETIVO: Analisar o conhecimento, atitudes e práticas sobre a TB em uma unidade prisional e na rede pública de saúde (RPS). METODOLOGIA: Foi realizado estudo transversal com aplicação do questionário KAP (knowledge, atittudes and practices) na coleta de dados. Part [...] iciparam 141 detentos, 115 funcionários do presídio e 158 da RPS. O programa Epi-Info versão 6.04 foi utilizado para comparação de proporções com significância estatística para p Abstract in english OBJECTIVE: To analyze the knowledge, attitudes and practices about TB in a prison and in public health services (PHS). METHODS: A cross sectional study was carried out and KAP (knowledge, attitudes and practices) questionnaire was applied to 141 prisoners, 115 priso [...] n's employees and 158 PHS workers. Epi-Info version 6.04 was used for comparison of proportions with statistic significance at p
Priya Arora, Ram C Bajpai, Rajat Srivastava
Conclusion: Although the awareness about emergency contraceptive pills is quite high but the knowledge regarding the correct timing and usage is poor even among educated women. Apprehensions regarding the side-effects of these pills may limit their use by women. Information should be provided to women about the correct timing, side effects and precautions for using ECP.
Wong, Martin C. S.; Lee, Albert; Karry L. K. Ngai; Chor, Josette C. Y.; Chan, Paul K. S.
This study explored the knowledge, attitude, practice and barriers to prescribe human papillomavirus (HPV) vaccines among private primary care physicians in Hong Kong. A self-administered questionnaire survey was conducted by sending letters to doctors who had joined a vaccination program for school girls. From 720 surveys sent, 444 (61.7%) completed questionnaires were returned and analyzed. For knowledge, few responded to questions accurately on the prevalence of cervical HPV (27.9%) and ge...
Seong-Ting Chen; Kah-Leng Soo; Azriani Ab Rahman; Hans Van Rostenberghe; Sakinah Harith
Malnutrition and growth failure are prevalent among Persons with Disabilities (PWD) and most trainers or care givers in the Community-based Rehabilitation (CBR) centres had limited knowledge in nutrition management for this vulnerable population. The purpose of this study was to develop and examine the validity and reliability of an evaluation instrument, Nutrition Knowledge, Attitude and Practice Questionnaire in Persons with Disabilities (KAP-nOKU) among traine...
Biradar S S; Kapatae Rajashekhar; Reddy Srinivas; Raju S A
It is well known that the management of hypertension reduces the incidence further complications like myocardial infarction, stroke and vascular complications. Hypertension is a major health problem with individual, social and economical consequences. Knowledge, attitude and practice (KAP) surveys are important and effective in terms of providing baseline for evaluating intervention programmes. In this brief review the role of pharmacist in hypertension better understanding of knowledge attit...
Forhad Akhtar Zaman
Full Text Available Backgrounds: Recognized as an emerging disease only in the early 1980s, AIDS has rapidly established itself throughout the world, and is likely to endure and persist well into the 21 st century. India has the highest number of HIV-positive persons in the world. The geographical location of Assam adjoining high prevalence states like Manipur and Nagaland will probably make it a high-risk zone in the coming years if appropriate intervention measures are not taken adequately beforehand. Objective: To assess the impact of Information, Education, and Communication (IEC on Knowledge, Attitude, and Practice on HIV/AIDS among the slum dwellers of Dhubri town of Assam. Materials and Methods: A total of 492 slum dwellers aged 15-60 years were selected from all the slums of Dhubri by probability proportional to size (PPS sampling method. The study was conducted in three stages. First, a baseline KAP survey on HIV/AIDS was done followed by IEC intervention. Then, just after the intervention, another survey was conducted, and after six months period, the final survey was conducted. Results: Eighty-seven percent of the study subjects were found to have heard about HIV/AIDS. Baseline knowledge regarding prevention of transmission of HIV/AIDS by having one faithful sex partner was there among 65% of the respondents, which increased amongst 82.2% of the respondents just after the intervention and amongst 68.5% of the respondents after six months period; similarly, knowledge of prevention by using condom increased from 70.7% to 80.3% and 76.3% of the respondents; using safe blood increased from 57.7% to 75.4% and 62.9% of the respondents. Conclusions: From the above findings, it can be suggested that, intervention programs were useful in enhancing the awareness regarding HIV/AIDS among the underprivileged population.
Modi Bhavesh, Patel Prakash, Sutariya Shailesh, Dave Paresh
Introduction: Iodine, vitamin A and iron are most important micronutrients in global public health terms; their lack represents a major threat to the health and development of populations the world over, particularly children in low-income countries. To combat the deficiency of micronutrients, awareness of their importance and their source plays vital role. Objective: to assess knowledge regarding important micronutrients in tribal students. Methodology: It is a cross sectional study conducte...
Swati; Mishra; Gupta,; Agrawal,, N.; Shukla,, P.
Dengue fever (DF) is increasingly recognized as one of the worldâs major vector borne diseases and causes significant morbidity & mortality in most tropical & subtropical countries of the world & had become the most com mon arboviral diseases of human. Dengue fever is endemic in most part of India & continues to be a public health concern. Dengue vector, human knowledge & human behavior each have been reported to play an important role in the transmission of the diseases. OB...
Adenike O. Omosun; Odeyemi Kofoworola
Background: Child adoption is a recommended alternative form of infertility management. Infertility is of public health importance in Nigeria and many other developing nations. This is a result of its high prevalence and especially because of its serious social implications as the African society places a passionate premium on procreation in any family setting.
Objectives: The aim of this study was to determine the knowledge, ...
Despite scientific advances in pain management, inadequate pain relief in hospitalized patients continues to be an on-going phenomenon. Although nurses do not prescribe medication for pain, the decision to administer pharmacological or other interventions for pain relief is part of nursing practice. Nurses play a critical role in the relief of
Evans, Ellen W; Redmond, Elizabeth C
Consumer implementation of recommended food safety practices, specifically relating to time and temperature control of ready-to-eat (RTE) food products associated with listeriosis are crucial. This is particularly the case for at-risk consumers such as older adults, given the increased listeriosis incidence reported internationally among adults aged ?60 years. However, data detailing older adults' cognitive risk factors associated with listeriosis are lacking. Combining data about knowledge, self-reported practices, and attitudes can achieve a cumulative multilayered in-depth understanding of consumer food safety behavior and cognition. This study aims to ascertain older adults' cognition and behavior in relation to domestic food handling and storage practices that may increase the risks associated with L. monocytogenes. Older adults (?60 years) (n = 100) participated in an interview and questionnaire to determine knowledge, self-reported practices, and attitudes toward recommended practices. Although the majority (79%) had positive attitudes toward refrigeration, 84% were unaware of recommended temperatures (5°C) and 65% self-reported "never" checking their refrigerator temperature. Although most (72%) knew that "use-by" dates indicate food safety and 62% reported "always" taking note, neutral attitudes were held, with 67% believing it was safe to eat food beyond use-by dates and 57% reporting doing so. Attitudes toward consuming foods within the recommended 2 days of opening were neutral, with 55% aware of recommendations and , 84% reporting that they consume RTE foods beyond recommendations. Although knowledgeable of some key practices, older adults self-reported potentially unsafe practices when storing RTE foods at home, which may increase risks associated with L. monocytogenes. This study has determined that older adults' food safety cognition may affect their behaviors; understanding consumer food safety cognition is essential for developing targeted food safety education. PMID:26818987
Imaad Mohammed Ismail; Annarao G. Kulkarni; Suchith V. Kamble; Borker, Sagar A.; Rekha R; Amruth M
Introduction: The waste generated during the delivery of health care services carries a high potential of infection and injury than any other type of waste. Previous studies in India show that the awareness and practices on bio-medical waste management among health care personnel was dismal and hence studies are required to know the current status. Objectives: To assess the knowledge, attitude and practice about bio-medical waste management among health care personnel working in KVG Medical C...
Sunil Kumar K. S.
Conclusions: There is a great paucity of knowledge regarding the use of EC not only among the general public and clients, but also among the service providers and health professionals. This study concluded that there is lack of awareness and certain misconceptions about the use of EC even among the gynecologists, which has resulted in underutilization of EC. There is an urgent need for sensitizing all sections of people about EC through appropriate programs for curbing the population. [Int J Reprod Contracept Obstet Gynecol 2016; 5(1.000: 198-201
Ahmed Fatuma A
Full Text Available Abstract Background Emergency contraception (EC is a type of modern contraception which is indicated after unprotected sexual intercourse when regular contraception is not in use. The importance of EC is evident in preventing unintended pregnancies and its ill consequences like unintended child delivery or unsafe abortion, which are the most common causes of maternal mortality. Therefore, EC need to be available and used appropriately as a backup in case regular contraception is not used, misused or failed. Knowing that Ethiopia is one of the countries with highest maternal mortality rate, this study aimed to assess the knowledge, attitude and practice of EC, and to further elucidate the relationship between these factors and some socioeconomic and demographic characteristics among female undergraduate students of Addis Ababa University (AAU. This information will contribute substantially to interventions intended to combat maternal mortality. Methods A Cross-sectional quantitative study among 368 AAU undergraduate students was conducted using self-administered questionnaire. Study participants were selected by stratified random sampling. Data was entered and analyzed using SPSS Version 17. Results were presented using descriptive statistics, cross-tabulation and logistic regression. Results Among the total participants (n = 368, only 23.4% were sexually active. Majority (84.2% had heard of EC; 32.3% had a positive attitude towards it. The main source of information reported by the respondents was Media (69.3%. Among those who were sexually active, about 42% had unprotected sexual intercourse. Among those who had unprotected sexual intercourse, 75% had ever used EC. Sexually active participants had significantly better attitude towards EC than sexually inactive participants (crude OR 0.33(0.15-0.71; even after adjusting for possible confounders such as age, region, religion, ethnicity, marital status, department and family education and income (adj. OR 0.36(0.15-0.86. Conclusions The study showed high EC awareness and usage in contrast to other studies in the city, which could be due to the fact that university students are relatively in a better educational level. Therefore, it is highly recommended that interventions intended to combat maternal mortality through contraceptive usage need to be aware of such information specific to the target groups.
Full Text Available Abstract Background The increasing trend of premarital sexual experience and unintended pregnancies in Malaysia warrants sustained and serious attention. The sensitivities of sex-related issues in a Muslim-majority country create various types of barriers to sexual and reproductive health information, support and practices. This study aims to gain understanding of knowledge, attitudes and behaviours of young women in Malaysia concerning reproductive, contraception and premarital sexual practices. Methods A cross-sectional study was performed, using an anonymous self-administered questionnaire carried out among 1695 female university students in a public university in Malaysia. Results Respondents had low scores for knowledge of reproduction and pregnancy (median=4, of maximum score 10, contraceptive uses (median=6, of maximum score 16 and contraceptive availability (median=3, of maximum score 13. The majority of women surveyed do not have liberal values in relation to premarital sexual behaviour (median=37, of maximum 40; higher scores on this scale corresponded to opposing premarital sex. The multivariate analyses showed that ethnic group was the strongest correlate of knowledge and attitude scores; being of Malay Muslim ethnicity was associated significantly with lower knowledge scores and premarital sex permissiveness. Other significant correlates were year of study, maternal occupational groups, level of religious faith, dating status and urbanrural localities. Level of premarital sex permissiveness was inversely correlated with reproduction and pregnancy knowledge score, and contraceptive knowledge scores. Conclusion Reproductive health knowledge and attitudes were intricately linked to religious values and cultural norms differences surrounding sexual issues.
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Background: Young people are attracted by body art and consider it as a way of being different. Body art (tattoos, piercing, etc. represents an important socio-cultural phenomenon which is not risk free for health. Existing literature, moreover, points out that deviant behaviours and unhealthy lifestyles are significantly associated with body art.
Objective and methods: The research was aimed to describe the knowledge, attitudes, and practices of university students towards body art, highlighting the association between body art and some demographic variables, deviant behaviours, unhealthy lifestyles, knowledge of health risks and medical complications potentially involved. Data came from a cross-sectional study conducted on a sample, selected at random, of 1.200 undergraduate university students, (570, human sciences; 630, scientific areas. The instrument for the survey was a 21 item multiple choice questionnaire. Data was codified and statistical analysis was computed through Epi-Info and Openstat software.
Results: Students from a scientific background showed a higher rate of interest, (p<0.01 for the argument of body art. About one third of the surveyed individuals had at least one body art. Cultural choice and gender was associated with body art. Males, especially from the scientific area, were more attracted by temporary body art, while females preferred permanent tattoos. Students from humanistic backgrounds were associated with one body art and those from a scientific area with more than one (p<0.01. Unemployment, lack of partnership and family attitude towards body art, were positively associated with students body art. Body art was strictly associated with different unhealthy lifestyles, such as drug, alcohol and tobacco consumption, problem gambling and sexual activity before 18 years of age. A relevant part of students considered piercing and tattooing as having no consequences for infections and/or disease.
Conclusions: Body art was associated with unhealthy ifestyles and may be considered an indicator of risk taking behaviours. Individuals had no accurate idea of the consequences for their health and body, apart from a generic risk of infections. Education is a necessary tool for the modification of lifestyles and as a form of prevention ensuring the correct understanding and assessment of the health risk involved.
Full Text Available Introduction: In order to control serious pulpal pain following odontogenic infections in pregnant women, endodontic treatment may become necessary. The aim of this study was to assess the perception of dentists about rendering endodontic treatment to pregnant women. Materials and Methods: This was a cross-sectional study of resident doctors in the different dental specialties in Nigeria preparing for the various levels of the fellowship examinations of the West Africa College of Surgeons and the National Postgraduate Medical College of Nigeria. Data were collected by the means of a 17-itemed questionnaire which sought information on respondents' demography, their considerations while rendering endodontic treatment to the pregnant patients and their perceptions of the safety of endodontic treatment in pregnancy. The data collected were analyzed using the Statistical Package for Social Science version 21.0. Results: With regards to the safety of endodontic treatment during pregnancy, 91.8% considered it safe, and this was not statistically significant in relation to the specialty or status of the respondent. Majority (77.0% agreed they would undertake a root canal treatment on a pregnant patient with all respondents in restorative dentistry, prosthodontics, periodontics, and pedodontics in the affirmative while all in oral pathology would refuse to do such (P = 0.0001. Conclusion: Dental residents are aware of the safety of endodontic treatment in pregnant women. However, gaps exist in their knowledge, bringing to the fore, the need for inclusion of pregnancy-specific training in the dental postgraduate curriculum.
Full Text Available Abstract Background Intimate partner violence (IPV has consistently been found to afflict one in twenty pregnant women and is therefore considered a leading cause of physical injury, mental illness and adverse pregnancy outcome. A general antenatal screening policy has been advocated, though compliance with such guidelines tends to be low. We therefore attempted to identify potential barriers to IPV screening in a context where no guidelines have been instigated yet. Methods Questionnaire-based Knowledge, Attitude, and Practice survey among obstetrician-gynaecologists in Flanders, Belgium (n = 478. Results The response rate was 52.1% (249/478. Gynaecologists prove rather unfamiliar with IPV and therefore largely underestimate the extent of the problem. Merely 6.8% (17/249 of the respondents ever received or pursued any kind of education on IPV. Accordingly they do feel insufficiently skilled to deal with IPV, yet sufficiently capable of recognizing IPV among their patients. Survey participants largely refute the incentive of universal screening in favour of opportunistic screening and do not consider pregnancy as a window of opportunity for routine screening. They do consider screening for IPV as an issue of medical liability and therefore do not suffer from a lack of motivation to screen. In addition, obstetrician-gynaecologists do believe that screening for IPV may be an effective means to counteract abusive behaviours. Yet, their outcome expectancy is weighed down by their perceived lack of self-efficacy in dealing with IPV, by lack of familiarity with referral procedures and by their perceived lack of available referral services. Major external or patient-related barriers to IPV screening included a perceived lack of time and fear of offending or insulting patients. Overall, merely 8.4 % (21/245 of gynaecologists in this survey performed some kind of IPV questioning on a regular basis. Finally, physician education was found to be the strongest predictor of a positive attitude towards screening and of current screening practices. Conclusion Endorsement of physician training on IPV is an important first step towards successful implementation of screening guidelines for IPV. Additional introduction of enabling and reinforcement strategies such as screening tools, patient leaflets, formal referral pathways, and physician feedback may further enhance compliance with screening recommendations and guidelines.
Full Text Available Objective: To determine the knowledge, attitude and practices regarding the use of vitamin supplements among patients visiting Out-Patient clinics of a teaching hospital.Methods: Four hundred patients were interviewed during the period of July to September 2008, at the Out-patient clinics, Aga Khan University hospital, Karachi. A pre-tested and structured questionnaire was used to collect information. It consisted of questions regarding demographics, awareness of vitamin supplements and its consumption, reasons for usage and its effects. The purpose of the study was explained and assurance of confidentiality was given. After obtaining written consent, eligible individuals were interviewed. Statistical Package for the Social Sciences version 19.0 was used to analyze the data.Results: The results revealed that 98?0of the respondents were aware of vitamin supplements. The most known vitamin was found to be Vitamin C (16.9?20with Vitamin K being the least well known(0.4? while 51.8?0of the respondents were unaware of the harmful effects of vitamin supplements. The results also showed that 84.8?0of the study population had taken vitamin supplements, and 79?0of the participants considered that vitamin supplementsto be helpful. Taking vitamin supplements as a compensation for the deficiencies in the body was the most frequently chosen answer (17.7?20as the reason for use of vitamin supplements. On the other hand, a majority of the population was unaware of the indications for use of vitamin supplements.Conclusion: This study highlights a very significant yet ignored issue of vitamin supplementation in Pakistan. A need exists to inform the general population about the use of vitamin supplementation. The media and the medical community are required to play their role in this regard. Short/ refresher training courses are needed for doctors to update and disseminate adequate knowledge of vitamin supplementation to their patients.
This study was conducted to determine the knowledge, attitude and practice (KAP) about kidney diseases among medical officers working in different hospitals of Lahore.Doctors working on the medical floors of different tertiary care teaching hospitals (Mayo Hospital (MH), Sir Ganga Ram Hospital (SGRH), Service Institute of Medical Sciences (SIMS), Fatima Memoral Hospitals (FMH), Lahore General Hospitals (LGH), Shalamar Hospital (SH), Jinnah hospital (JH)) of Lahore were included in the study. Each doctor was given a questionnaire comprising of 28 questions. Each participant was given 10-15 minutes for completing the questionnaire at the spot. Categorization of doctors according to the KAP score was done as poor (70%).Results: One hundred eighty five doctors participated in the study who fulfilled the criteria. In this study majority 134 (62.6%) of the doctors were not taught about nephrology during their graduation which was statistically significant. Most of the doctors either had some knowledge or didn't know about procedures done in nephrology. Majority of the doctors 208(97.2%) know that nephrology deals with medical diseases of the kidney which was statistically significant. Most of the doctors 138(64.5) feel that nephrology services are insufficient in their hospital. More than 90% doctors want that kidney diseases should be taught during MBBS curriculum and separate nephrology department should be established which was statistically significant. Most of the doctors don't know the management of hyperkalemia very well. About 90% of the doctors know that there are five stages of CKD. Majority of the doctors know that ACE inhibitors are used in hypertension and diabetic nephropathy. They also know that urine complete examination help in early detection of diabetic nephropathy which was statistically significant.Conclusion:Most of the doctors have poor to average knowledge and practice about kidney diseases. Most of the doctors think that nephrology services are insufficient in their hospitals and it must be taught during graduation. Separate nephrology department should be established for creating awareness about kidney diseases. (author)
Moyer Cheryl A
Full Text Available Abstract Background Knowledge, attitudes and practices of community members and healthcare providers in rural northern Ghana regarding clean delivery are not well understood. This study explores hand washing/use of gloves during delivery, delivering on a clean surface, sterile cord cutting, appropriate cord tying, proper cord care following delivery, and infant bathing and cleanliness. Methods In-depth interviews and focus group discussions were audiotaped, transcribed, and analyzed using NVivo 9.0. Results 253 respondents participated, including women with newborn infants, grandmothers, household and compound heads, community leaders, traditional birth attendants, and formally trained health care providers. There is widespread understanding of the need for clean delivery to reduce the risk of infection to both mothers and their babies during and shortly after delivery. Despite this understanding, the use of gloves during delivery and hand washing during and after delivery were mentioned infrequently. The need for a clean delivery surface was raised repeatedly, including explicit discussion of avoiding delivering in the dirt. Many activities to do with cord care involved non-sterile materials and practices: 1 Cord cutting was done with a variety of tools, and the most commonly used were razor blades or scissors; 2 Cord tying utilized a variety of materials, including string, rope, thread, twigs, and clamps; and 3 Cord care often involved applying traditional salves to the cord - including shea butter, ground shea nuts, local herbs, local oil, or âred earth sand.â Keeping babies and their surroundings clean was mentioned repeatedly as an important way to keep babies from falling ill. Conclusions This study suggests a widespread understanding in rural northern Ghana of the need for clean delivery. Nonetheless, many recommended clean delivery practices are ignored. Overarching themes emerging from this study included the increasing use of facility-based delivery, the disconnect between healthcare providers and the community, and the critical role grandmothers play in ensuring clean delivery practices. Future interventions to address clean delivery and prevention of neonatal infections include educating healthcare providers about harmful traditional practices so they are specifically addressed, strengthening facilities, and incorporating influential community members such as grandmothers to ensure success.
Muhit, M A; Shahjahan, M; Hassan, A; Wazed, A; Ahmed, N
Early detection of blind children at the household and community level is critical in reducing the global burden of visual impairment and childhood blindness. The aim of the study is to identify a range of potential issues relating to parental awareness and perceptions of common eye diseases affecting children. It was a descriptive and cross sectional study. Parents were recruited from four selected Upazillas ('pouroshoba' - 25% and rural - 75%) in the Naogaon district of Bangladesh. The method used in this study to assess parental knowledge and belief was by means of a questionnaire. The selected subjects were interviewed in detail using a structured questionnaire. It is mentionable that among common eye disease, about three-fourth of the parents informed that vitamin-A deficiency was the leading cause of blindness and more than one quarter believed that eye infection was the important cause of childhood blindness. Very few reported that injury in eye was the cause of childhood blindness. Analysis of respondents of this study revealed that half of the parents believed that childhood cataract is untreatable. Approximately 90% those surveyed were unaware of schooling systems for blind children and only 5% sought treatment from an ophthalmologist. This study also demonstrates that the health seeking behavior of parents and their extended families is poor. The mean age of the parents was 32.5±9.3 years, about 75% of parents had education up to primary level, and only 3.7% of them had graduation degree and above. The findings reinforce the necessity of parental awareness of common eye diseases in children and the importance of seeking timely advice including treatment based on informed decisions. PMID:22081188
Paul Andrew Bourne
Full Text Available Background: Statistics have shown that since 1988, a significant percentage of males are unwilling to seek medical care. The question is if they had the knowledge, worked in the health system and were educated, would this be any different? Aim: The current study aims to fill this void in the literature by examining the perception of rural male health workers (from the Western Region about prostate examination, and why they are reluctant to inquire about the probability of having, or the likelihood of not having prostate cancer. Materials and Methods: The study utilized primary cross-sectional data that was collected during February and March 2008 from 170 males (ages 29 years and older, health-care workers who were employed in particular rural health institutions in Jamaica (i.e. Western Regional Health Authority. SPSS was used to analyze the data. Results: When the respondents were asked âHave you ever heard about the screening procedure for prostate?â 71.2% indicated yes, but only 27.1% had got their prostate checked by a health practitioner. When respondents were asked to state what influenced their choice of not doing a digital rectal examination, 20.6% indicated comfort level; 9.4% stated the gender of the health practitioner, 5.3% mentioned fear and others did not respond. Of those who had the examination 2 years ago, 96.5% did not state the choice of method. Conclusion: The current study is limited in terms of its generalizability to rural males or rural males in Western Jamaica, but it does provide an insight into the difficulty of men in breaking away from culture.
Evlampidou, I; Danis, K; Lenglet, A; Tseroni, M; Theocharopoulos, Y; Panagiotopoulos, T
Following re-emergence of malaria in Evrotas, Laconia, in 200912, a malaria-control programme was implemented in 201112 targeting migrants from malaria-endemic countries, including house-to-house active case detection, health education and distribution of mosquito protection items. In June 2013, we surveyed migrants in Evrotas to assess their malaria knowledge, attitudes and practices to guide prevention activities. We selected participants using simple random sampling and interviewed them, using structured questionnaires. We defined mosquito protection practices (MPPs) as the use of full-length clothes/topical repellent, mosquito screens, fans or air-conditioning, and insecticides. We calculated prevalence ratios (PRs) using Poisson regression and we allowed for clustering of participants in a residence. Of 654 migrants, we invited 132 and 130 participated (all men; 120 (92%) from Pakistan). Of the 130, 56 (43%) identified fever as a malaria symptom; those who were aware of this had higher level of education (PR: 3.2; 95% confidence interval (CI): 1.29.0). A total of 111 (85%) used insecticide-treated bednets and 95 (73%) used?more than two MPPs. Poor housing conditions (warehouses/shacks: PR: 0.8; 95% CI: 0.60.9), were associated with use of?up to two MPPs. Despite extensive interventions in Evrotas, the level of malaria awareness among migrants remained suboptimal and poor housing conditions hindered effective mosquito protection. We recommend culturally adapted health education and improvement of housing conditions to minimise the risk of new cases and re-establishment of malaria in Greece. PMID:26314403
Full Text Available BSTRACT: INTRODUCTION: Spirituality has been integral part of medicine and h ealth since ancient age. This has been accepted in various devel oped countries as evident by a plethora of published articles. However, the extent of spiritual component in medical practice in India is largely unknown. The present study is a questionnair e based study to assess the extent of knowledge (awareness, attitude and practices among medical professionals at a tertiary care Hospital regarding role of spirituality in management of health and diseases. METHODS: A pre- designed validated list of questionnaire was distri buted among 250 doctors of all specialties at the hospital along with brief introduction on purpos e and scope of the study. The questions were collected back personally after giving sufficie nt time to attempt them. Doctors were evaluated regarding their knowledge, attitude and pr actice about spirituality in medicine using multiple choice question format. RESULTS: The response rate from participants was 80% (200/250. More than 90% participants had a good deal of knowledge of spirituality but unable to distinguish between truly spiritual practices from traditionally followed religious rituals. More than 70% felt that there is relevance of spirit ual practices in health and diseases but pointed out lack of credible scientific data to inco rporate these in health management strategy. There was wide variation among participants regardi ng underlying mechanism/s responsible for spiritual healing. Most of them believed this to be Psychological (90%, Neuroendocrine (70% or Immunology (26% and only (4% attributed it to all these factors. Majority of the participants agreed that spirituality offers maximum h ealth benefits in chronic and incurable diseases. Participants vouched for introduction of spiritual m edicine in medical curriculum to be taught by medical professionals with expertise in spir ituality. They also opined that there is need to involve health care professionals in spiritua lity related research work. ORIGINAL ARTICLE Journal of Evolution of Medical and Dental Sciences/ Volume 2/ Issue 3/ January 21, 2013 Page-205 CONCLUSION: The KAP study shows a huge gap between physician's per ception and reality about spirituality. A comprehensive report on concept and application of spirituality in health is lacking. There is an urgent need to undertake conce rted and collaborative work by dedicated and qualified professionals to establish role of spir ituality in health and diseases
Full Text Available The Health Belief model says for communities to take part in an activity, they need to perceive the risk of failing to take part and the benefits associated with taking part. A study was carried out in Luvuvhu catchment of South Africa to evaluate community knowledge, attitudes, practices and perceptions relating to water quality and safety. The study was divided into two parts. The first part involved a population of over 8000 people and participatory tools were used to speed up the data collection process. The participants were divided into sessions of 45 people each. Each session was divided into 3 groups of 15 people each and each group was then given an assignment to work on and write the findings on flipcharts. Each group then presented at a plenary and the research assistants recorded the findings. The second part was based on the findings from the first part of the study. One major finding was that the communities relied on the physical appearance of water to decide whether the water is safe or not for domestic use. Therefore, the second study aimed at determining the point at which the communities would stop using water for various domestic uses based on the turbidity of the water. Samples of the water with predetermined turbidity values were shown to 1000 participants and each of the participants was asked to indicate where he or she would use the water for various domestic uses such as drinking, cooking, bathing and washing utensils. Although the communities had a wealth of knowledge and practices relating to water quality and safety, their perception of safety using turbidity as an indicator did not tally with scientifically accepted guidelines. Some participants were willing to accept water with turbidity values as high as 39 nephelometric turbidity units (NTU for drinking which is above the recommended maximum turbidity levels in water for domestic use in South African National Standards (SANS 241 of 5 NTU. The communities in Luvuvhu catchment are at risk of contracting water borne diseases and they require health education to raise their level of awareness regarding water quality and safety issues.
Wachira, J; Otieno-Nyunya, B; Ballidawa, J; Braitstein, P
Guidelines for infant feeding options among HIV-positive mothers are changing with informative research. Cultural factors, socialisation processes, gender dimensions and socio-economic status within communities should be considered in recommending feasible and sustainable options. The objective of this study was to assess the knowledge, attitudes and practices with regards to infant feeding in the context of HIV. A cross-sectional study was conducted between November 2003 and January 2004. The study was carried out in Kosirai Division, Nandi-North District, in western Kenya. The target population was community members aged 18 - 45 years and key informants aged 18 years and above. Structured questionnaires and in-depth interviews were used to collect data. Multistage and snowball sampling methods were used to identify study participants. Quantitative data were analysed using the SPSS statistical package for social scientists (Version 12). Cross-tabulations were calculated and Pearson's chi-square test used to test significance of relationships between categorical variables. Recorded qualitative data were transcribed and coded. Themes were developed and integrated. A generation of concepts was used to organise the presentation into summaries, interpretations and text. A total of 385 individuals participated in the survey, 50% of whom were women. There were 30 key informants. Farming was the main source of income but half of the women (49.7% ) had no income. Most of the respondents (85.5% ) knew of breastfeeding as a route of HIV transmission with sex (p=0.003) and age (p=0.000) being highly associated with this knowledge. Breastfeeding was the norm although exclusive breastfeeding was not practised. Cow's milk, the main breast milk substitute, was reported as being given to infants as early as two weeks. It was the most popular (93.5% ) infant feeding option in the context of HIV/AIDS. Heating expressed milk, wet nursing and milk banks were least preferred. Thus, the social, cultural and psychological complexity of infant feeding practices should be taken into account when advocating appropriate infant feeding options. Further research is required to determine the safety of using cow's milk as an infant feeding option. Community engagement, including education and awareness strategies, specific to the benefits of exclusive breastfeeding as a mechanism to reduce the risk of HIV transmission is urgently needed. PMID:20485852
Gao, Xue; Xu, Longchang; Lu, Ciyong; Wu, Jie; Wang, Zhijin; Decat, Peter; Zhang, Wei-Hong; Chen, Yimin; Moyer, Eileen; Wu, Shizhong; Minkauskiene, Meile; Van Braeckel, Dirk; Temmerman, Marleen
Background The sexual and reproductive health (SRH) knowledge and attitudes of female migrant workers are far from optimum in China. A worksite-based intervention program on SRH-related knowledge, attitude and practice (SRH KAP) modification may be an effective approach to improve the SRH status among migrant workers. This study aimed to identify better intervention approaches via the implementation and evaluation of two intervention packages. Methods: A worksite-based cluster-randomised intervention study was conducted from June to December 2008 in eight factories in Guangzhou, China. There were 1346 female migrant workers who participated in this study. Factories were randomly allocated to the standard package of interventions group (SPIG) or the intensive package of interventions group (IPIG). Questionnaires were administered to evaluate the effect of two interventions. Results: SRH knowledge scores were higher at follow up than at baseline for all participants of the SPIG; the knowledge scores increased from 6.50 (standard deviation (s.d.) 3.673) to 8.69 (s.d. 4.085), and from 5.98 (s.d. 3.581) to 11.14 (s.d. 3.855) for IPIG; SRH attitude scores increased among unmarried women: the attitude scores changed from 4.25 (s.d. 1.577) to 4.46 (s.d. 1.455) for SPIG, and from 3.99 (s.d. 1.620) to 4.64 (s.d. 1.690) for IPIG; most SRH-related practice was also modified (PConclusions: The interventions had positive influences on improvements in SRH knowledge, attitudes and behaviours. Additionally, IPIs were more effective than SPIs, indicating that a comprehensive intervention may achieve better results. PMID:25469517
Arun Kumar, Keerti, Chandra P Sharma, Chetan K Jain
Background: Emergency contraception is administered after unprotected intercourse to prevent unintended pregnancy. Sexually active young and adolescent women are at greatest risk of unintended pregnancy and thus unsafe abortion related morbidity and mortality. Objective: Purpose of this study was to evaluate knowledge, attitude and experiences on emergency contraceptive pill (ECP) by female college students of Udaipur. Study design: Cross-sectional, pre-structured questionnaire based study. M...
Full Text Available Background: Injuries from occupational accidents are associated with agents of biological risk, as they are the gateway to serious and potentially lethal infectious diseases that can be spread by contact between people. Several studies have demonstrated that dental students are among the most vulnerable to blood borne exposure. Materials and Methods: To assess the knowledge, attitude and practice regarding risk of HIV transmission through accidental needle stick injury amongst dental students and providing supportive and proper guidelines regarding needle stick injuries and HIV infection. Study Design: This was a cross sectional study done at a dental college attached to a tertiary care hospital which included third, fourth year students and interns. The results obtained were subjected to statistical analysis using Chi square test. Results: Of the 120 students 13(11% were not even aware that virus could be transmitted through infected needle. A significant proportion of the third year students i.e. 27 (67.5% were not aware of correct method of disposal of disposable needles and syringes as against interns 17(42.5%. Around 31(26% said that they would promote active bleeding at the site of injury and 37(30% said they would take post exposure prophylaxis. Conclusion: Dental professionals are at a risk of occupational acquisition of HIV primarily due to accidental exposure to infected blood and body fluids. There is a need of correcting the existing misconceptions through education programmes early in the course and providing supportive and proper guidelines regarding needle stick injuries and HIV infection.
Guruprasad, Yadavalli; Chauhan, Dinesh Singh
Background: Injuries from occupational accidents are associ-ated with agents of biological risk, as they are the gateway to serious and potentially lethal infectious diseases that can be spread by contact between people. Several studies have demonstrated that dental students are among the most vulnerable to blood-borne exposure. Objectives: To assess the knowledge, attitude and practice regarding risk of HIV transmission through accidental needlestick injury amongst dental students and providing supportive and proper guidelines regarding needlestick injuries and HIV infection. Study design: This was a cross-sectional study done at a dental college attached to a tertiary care hospital, which included third, fourth year students and interns. The results obtained were subjected to statistical analysis using Chi-square test. Results: Of the 120 students, 13 (11%) were not even aware that virus could be transmitted through infected needle. A significant proportion of the third year students i.e. 27 (67.5%) were not aware of correct method of disposal of disposable needles and syringes as against interns 17 (42.5%). Around 31 (26%) said that they would promote active bleeding at the site of injury and 37 (30%) said they would take post-exposure prophylaxis. Conclusion: Dental professionals are at a risk of occupational acquisition of HIV primarily due to accidental exposure to infected blood and body fluids. There is a need of correcting the existing misconceptions through education programs early in the course and providing supportive and proper guidelines regarding needlestick injuries and HIV infection. PMID:22639503
Background To provide quality care at the end of life or for chronically sick patients, nurses must have good knowledge, attitude and practice about palliative care (PC). In Ethiopia PC is new and very little is known about the type of services offered and the readiness of nurses to provide PC. Methods A cross sectional quantitative study design was carried out using 341 nurses working in selected hospitals in Addis Ababa from January 2012 to May 2012. Systematic random sampling was the method employed to select two governmental and two non-governmental hospitals. The researchers used triangulation in their study method making use of: Frommelts Attitude Toward Care of the Dying (FATCOD) Scale, Palliative Care Quiz for Nursing (PCQN) and practice questions. This led to enhanced validity of the data. EPI-INFO and SPSS software statistical packages were applied for data entry and analysis. Result Of the total 365 nurses selected, a response rate of 341 (94.2%) were registered. Out of the total study participants, 104 (30.5%) had good knowledge and 259 (76%) had favorable attitude towards PC. Medical and surgical wards as well as training on PC were positively associated with knowledge of nurses. Institution, individuals level of education, working in medical ward and the training they took part on PC were also significantly associated with the attitude the nurses had. Nurses working in Hayat Hospital (nongovernmental) had a 71.5% chance of having unfavorable attitude towards PC than those working in Black Lion Hospital (governmental). Regarding their knowledge aspect of practice, the majority of the respondents 260 (76.2%) had poor implementation, and nearly half of the respondents had reported that the diagnosis of patients was usually performed at the terminal stage. In line with this, spiritual and medical conditions were highly taken into consideration while dealing with terminally ill patients. Conclusion The nurses had poor knowledge and knowledge aspect of practice, but their attitude towards PC was favorable. Recommendations are that due attention should be given towards PC by the national health policy and needs to be incorporated in the national curriculum of nurse education. PMID:24593779
Sandeep Kumar Gupta; Nayak, Roopa P.; R Shivaranjani; Surendra Kumar Vidyarthi
Objective: The primary objective of this study was to evaluate the knowledge, attitude, and practices (KAP) of the healthcare professionals about pharmacovigilance in Dhanalakshmi Srinivasan Medical College and Hospital (DSMCH), Perambalur (Tamil Nadu), a tertiary care teaching hospital. The second primary objective was to assess the causation of underreporting of adverse drug reactions (ADRs) as it needs to be well-assessed in India. The secondary objective was to compare the findings of thi...
Abyot Endale Gurmu; Fitsum Sebsibe Teni
Objective: to assess the knowledge, attitude and practice of diabetic patients who were self-administering insulin towards their management of disease and medication. Materials and Methods: a cross-sectional study was done in the hospital from 1st of April to 16th of May 2013 by through a structured interview with 150 diabetes mellitus patients who were self administering insulin as part of their therapy. Data collected was analyzed descriptively using SPSS version 19.0. Results: majority (61...
Mayxay, Mayfong; Cui, Wanyuan; Thammavong, Sounthone; Khensakhou, Khamphong; Vongxay, Viengnakhone; Inthasoum, Latdaphone; Sychareun, Vanphanom; Armstrong, Gregory
Background Dengue remains an important cause of morbidity in Laos. Good knowledge, attitudes and practices (KAP) among the public regarding dengue prevention are required for the success of disease control. Very little is known about dengue KAP among the Lao general population. Methods This was a KAP household survey on dengue conducted in a peri-urban Pak-Ngum district of Vientiane capital, Laos. A two-stage cluster sampling method was used to select a sample of participants to represent the...
Milanez Helaine; Ribeiro Carmen P
Abstract Background Pregnancy is a good time to develop healthy lifestyle habits including regular exercise and good nutrition. Programs of physical exercise for pregnant women have been recommended; however, there are few references on this subject in the literature. The objective of this study was to evaluate the knowledge, attitude and practice of pregnant women with respect to appropriate physical exercise during pregnancy, and also to investigate why some women do not exercise during pre...
Nasr Nabil A; Al-Mekhlafi Hesham M; Ahmed Abdulhamid; Roslan Muhammad Aidil; Bulgiba Awang
Abstract Background In the first part of this study, we investigated the prevalence and associated key factors of soil-transmitted helminth (STH) infections among Orang Asli children in rural Malaysia; an alarming high prevalence and five key factors significantly associated with infections were reported. Part 2 of this study aims to evaluate the knowledge, attitude and practices (KAP) on STH infections among Orang Asli in Peninsular Malaysia. Methods A cross-sectional study was carried out a...
Szucs Thomas D; Hatz Christoph; Mütsch Margot; Pfeil Alena
Abstract Background Influenza is one of the most common vaccine-preventable diseases in travellers. By performing two cross-sectional questionnaire surveys during winter 2009 and winter 2010 among European travellers to resource-limited destinations, we aimed to investigate knowledge, attitudes and practices (KAP) regarding seasonal influenza vaccination. Methods Questionnaires were distributed in the waiting room to the visitors of the University of Zurich Centre for Travel' Health (CTH) in ...
VARMA SUSHIL KUMAR; KALE RANJANA; NAGPURE SHAILESH; BAHEKAR SATISH
To assess the awareness of Pharmacovigilance among the medical graduates and to evaluate the need of inclusion of KAP (Knowledge, Attitude and Practice) of Pharmacovigilance in Internship Training Programme as an educational intervention.Material and Methods: The present study was conducted in the Internship orientation program in a rural hospital of central India. It was a Hospital Based Cross Sectional Study in which 65 Interns (medical graduates) were participated. Semi-structured, Pre-Des...
Bakhoum, Atef Y.; Bachmann, Max O.; Ehab El Kharrat; Remon Talaat
Background. Rapidly growing youth population with changing sexual trend in Egypt raised HIV potential. The aim of this study is to assess knowledge, attitude, and practice regarding unsafe sexual behavior among Egyptian drug abusers. Methods. This cross-sectional study was conducted in 2008 in the Freedom Drugs and HIV Program on 410 drug abusers in Egypt. Included respondents were subanalyzed by gender, age, education, and intravenous drug usage. Results. KAP average scores on safe sexual be...
Brucella spp. infection in large ruminants in an endemic area of Egypt: cross-sectional study investigating seroprevalence, risk factors and livestock owner's knowledge, attitudes and practices (KAPs)
El-Tras Wael F; Hegazy Yamen M; Eltholth Mahmoud M; Holt Hannah R; Tayel Ahmed A; Guitian Javier
Abstract Background Brucellosis is regarded as one of the major zoonotic infections worldwide. It was first reported in Egypt in 1939 and is now endemic, the predominate species of Brucella in cattle and buffalo in Egypt is B. melitensis. The aim of the study was to estimate seroprevalence of Brucella spp. in cattle and buffalo reared in households in an Egyptian village, identify risk factors for animals testing seropositive and to assess the knowledge, attitudes and practices (KAPs) of live...
Abhishek Ghosh; Tirthankar Deb; Sanjana Ghosh
Background: Antimicrobial resistance is a worldwide problem. Reduction in antimicrobial use is necessary to limit this problem. This can be addressed through changes in prescribing behaviour. Information about the driving forces behind antimicrobial prescription can be obtained by KAP (knowledge, attitudes and practice) surveys. Methods: A self-administered 37 item questionnaire was distributed among doctors of different departments of College of Medicine and JNM Hospital, Kalyani. It fo...
Bhalla, Devender; Chea, Kimly; Hun, Chamroeun; Vannareth, Mey; Huc, Pierre; Chan, Samleng; Sebbag, Robert; GÃ©rard, Daniel; Dumas, Michel; Oum, Sophal; Druet-Cabanac, Michel; Preux, Pierre-Marie
Purpose Identify epilepsy-associated factors and calculate measures of impact, stigma, quality of life (QOL), knowledge-attitude-practice (KAP) and treatment gap in Prey Veng, Cambodia. Methods This first Cambodian population-based case-control study had 96 epileptologist-confirmed epilepsy cases and 192 randomly selected matched healthy controls. Standard questionnaires, which have been used in similar settings, were used for collecting data on various parameters. Univariate and multivariate...
Abstract Background The increasing trend of premarital sexual experience and unintended pregnancies in Malaysia warrants sustained and serious attention. The sensitivities of sex-related issues in a Muslim-majority country create various types of barriers to sexual and reproductive health information, support and practices. This study aims to gain understanding of knowledge, attitudes and behaviours of young women in Malaysia concerning reproductive, contraception and premarital sexual practi...
Al-Mekhlafi Hesham M; Nor Zurainee M; Al-Adhroey Abdulelah H; Mahmud Rohela
Abstract Background Despite continuous efforts by the government and private sectors, malaria is still a public health problem in rural Peninsular Malaysia. This study investigated household knowledge, attitude and practices (KAP) regarding malaria in two malaria endemic communities, forest-aboriginal and rural communities, in the Lipis district of Pahang state, Malaysia. Methods A descriptive cross-sectional study with a semi-structured questionnaire was carried out among 100 and 123 househo...
James O Adisa
Full Text Available Background: The involvement of communities in control of cervical cancer cannot be overemphasized, but this must take cognizance of their current knowledge, attitudes/beliefs, and practices (KABP of the people if it will be sustainable. This study assessed the prevalence of cervical intraepithelial neoplasia (CIN among university students and their level of KABP concerning cervical screening in Maiduguri North-Eastern, Nigeria. Materials and Methods: Two hundred and fifty-two subjects (age range: 18-69 years were screened using pap smear screening method and acetowhite method. A structured questionnaire was administered on each subject to elicit information on KABP that could predispose them to the disease. Results: CIN was recorded in 12.8% of subjects with low-grade squamous intraepithelial lesion in 10.8% and high-grade squamous intraepithelial lesion 2.0% of the women, respectively. The average general level of knowledge of various aspect of was 43.3% average positive attitudes/beliefs about the disease was recorded in 17.1% of subject, while positive practices that could lead to prevention of the disease was obtained in 30.0%. Conclusion: The level of knowledge of the disease and screening is very low and together with high levels of negative attitudes and practices, will adversely affect control measures and therefore have to be addressed.
von Roenne Anna
Full Text Available Abstract Background Both conflict and HIV affect sub-Saharan Africa, and supportive approaches for HIV prevention among refugees are crucial. Peer education has been associated with improved HIV outcomes, though relatively little research has been published on refugee settings. The primary objective of this study was to assess whether exposure to refugee peer education was associated with improved HIV knowledge, attitudes, or practice outcomes among refugees in Guinea. Secondary objectives were to assess whether gender, age, or formal education were more strongly associated than peer education with improved HIV outcomes. Methods Data was collected by cross-sectional survey from 889 reproductive-age men and women in 23 camps in the Forest Region of Guinea. Selected exposures (i.e. peer education, gender, formal education, age were analysed for associations with HIV outcomes using logistic regression odds ratios (OR. Results Most participants (88% had heard of HIV, particularly those exposed to peer or formal education. Most correctly identified ways to protect themselves, while maintaining misconceptions about HIV transmission. Women and those exposed to either peer or formal education had significantly fewer misconceptions. Half of participants considered themselves at risk of HIV, women with 52% higher odds than men (adjusted OR 1.52, 95%CI 1.01-2.29. Participants exposed to peer education had more than twice the odds of reporting having made HIV-avoidant behavioural changes than unexposed participants (72% versus 58%; adjusted OR 2.49, 95%CI 1.52-4.08. While women had 57% lower odds than men of reporting HIV-avoidant behavioural changes (OR 0.43, 95%CI 0.31-0.60, women exposed to peer education had greater odds than exposed men of reporting HIV-avoidant changes (OR 2.70 versus OR 1.95. Staying faithful (66% was the most frequent behavioural change reported. Conclusions Peer education was most strongly associated with reported HIV-avoidant behaviour change. Gender was most associated with HIV knowledge and risk perception. Refugee women had fewer misconceptions than men had, but were more likely to report HIV risk and less likely to report making behavioural changes. Peer education appears promising for HIV interventions in chronic-emergency settings, if gender disparities and related barriers to condom usage are also addressed.
Amalraj Edwin R
Full Text Available Research Question: What is the level of knowledge, sexual practices and attitude of medical students towards AIDS/ HIV. Objective: To assess the knowledge, sexual practices and attitudes of medical students in relation to HIV/AIDS. Study Design: Cross- sectional. Participants: 409 first year medical students. Study variables: Sex knowledge, sexual practices, Attitudes, Risk perception. Results: 92% of the students had heard about AIDS predominantly through mass media. Many students had misconception about transmission of HIV infection should not be allowed to work in the clinic or hospital. 36% of male and 9% of female students admitted indulging in safe sexual practices mostly with their friends.
Burcharth, Ana Luiza de Araújo; Fosfuri, Andrea
Management literature highlights several potential benefits of institutionalized socialization practices that attempt to increase cohesiveness among employees. This article posits that such practices might also contribute to a biased perception of internally generated knowledge and therefore to a greater reluctance to adopt external knowledge enhancing the so-called not-invented-here (NIH) syndrome. Drawing on multi-informant survey data, the authors find that institutionalized socialization practices are associated with the NIH syndrome. This association is however muted in highly technologically specialized companies.
Sattari, M; Mokhtari, Z; Jabari, H; Mashayekhi, S O
Despite the success of the Iranian family planning programme, the number of unwanted pregnancies remains high. To investigate whether health workers in Tabriz are providing correct information and counselling about OCP use, the current study was planned to examine the level of knowledge, attitude and practice of OCP providers. A sample of 150 health-care workers in health houses and 150 community/hospital pharmacists answered a questionnaire about knowledge of correct use of OCP, side-effects, contraindications, danger signs/symptoms and non-contraceptive benefits, and whether they counselled patients about these subjects. Knowledge of pharmacists and health workers was not as high as expected and in many topics they were counselling patients even when they had incorrect knowledge and in other areas they were not providing information to patients despite having the correct knowledge. Better continuing education for OCP providers and especially for pharmacists seems necessary. PMID:24975184
Gedeon Jino Bahemuka
Full Text Available This study aims at determining the knowledge, attitudes and practices of urban refugee women regarding the exclusive breastfeeding (EBF in order to promote its practice among this group of population and increase the number of women who adhere to it for achieving a better development of their children. The specific objectives of the study are to determine the urban refugee womens knowledge regarding EBF, to identify their source of information about EBF, to assess their attitudes towards EBF and to determine EBF practice rate among these women. This is a descriptive crosssectional study. It involves 90 urban refugee women who had children aged six months to two years during the period of the study. The study was conducted between January 2011 and mid-February of the same year.The main results are the following: 74.4% of the mothers have correct knowledge about the EBF, and the health facilities are reported to at 90 % their main source of the information 71.1% of the mothers have positive attitude towards EBF, but 34.4 % practised EBF up to 6 months. There is no significant correlation between the dependant and the independent variables (p > 0.05.The factors leading the mothers in the study to such low practice of EBF, which are not captured by this study, might be anchored in their cultural or traditional practices. For almost all of the mothers come from the same country: the Democratic Republic of the Congo; mainly from the East of the country.Therefore, as a recommendation, a qualitative research should diligently be conducted in order to dig up the reasons for these womens failure in practising EBF to six months. In addition, the womens sensitisation for EBF practice should continue and be enhanced.
Ghada El Khoury
Full Text Available Background: Influenza is a common preventable infectious disease associated with high mortality and morbidity. Vaccination is the most cost-effective measure to prevent influenza, yet the vaccine uptake is known to be low. No previous studies have assessed the rate of seasonal influenza vaccination use among the Lebanese population, nor examined the knowledge and attitudes towards the influenza vaccine. Methods: A cross-sectional survey was performed in 30 pharmacies randomly selected across Lebanon. A 19-item questionnaire was used to record influenza vaccination status, knowledge and attitudes towards the influenza vaccine among the Lebanese general population. Results: The survey response rate was 93%. Among the 640 study participants, the overall 2014-2015 seasonal influenza vaccination rate was 27.6%. The majority of participants (72.4% reported irregular uptake of the vaccine. Results of the multivariate analysis revealed that elderly people (OR = 2.25, CI = 1.084.71, with higher education (OR = 1.42, CI = 1.091.84, higher physical activity (OR significantly higher than 1 for all categories, and chronic respiratory disease (OR = 3.24, CI = 1.586.62 were more regularly vaccinated, while those who visit the doctor only when needed (OR = 0.55, CI = 0.340.88 and those who consume more than seven drinks/week (OR = 0.24, CI = 0.090.65 were less regularly vaccinated. When introducing knowledge and attitude variables to the model, thinking that the vaccine was not needed was the only correlate that demonstrated a significant inverse association with regular influenza vaccination (OR = 0.15; p = 0.017. Conclusions: Suboptimal vaccination rates exist among the Lebanese ambulatory adult population. Clear misinformation on the importance of regular influenza immunization is also highlighted. This evidence underscores a compelling need to raise public awareness regarding the efficacy of the influenza vaccine.
Full Text Available OBJECTIVE: The aim and object of the present study is to assess the knowledge, attitude and practice of ADRs among the 2 nd professional MBBS students and also to find out the ways for implementation of Pharmacovigilance Programme of India (PvPi. MATERIAL AND METHOD : The material is the pretested questionnaire on knowledge, attitude , and practice on Pharmacovigila nce. The design of the study is cross sectional study. Percentage, proportions and means are used for descriptive statistics while the associations are calc ulated using corresponding tests for the associations . RESULTS: The knowledge of the students on Pharmacovig ilence in connection with Over t he Counter/self - medication (52%; minimum need of surveillance on marketing (74%; present surveillance on marketing as low as 60%; need of CME on ADRs along with Pharmacovigil a nce among student at least (64% as the ADRs on elderly (57%, children(58%, Pregnancy (64%. Similarly out of 24 questions on Attitude, only 7 questions on Reporting, Multi National Company, Dr ug Controller of India, Disability and Compensation are selected for statistical analysis. The percentage of the students who has heard and seen ADRs 64.5. CONCLUSION: Most of the ADRs are avoidable if there is good communication and reports which plays a pivotal role in minimizing the ADRs. Drugs must be prescribed rationally and polypharmacy should be avoided as much as possible. To avoid the iatrogenic diseases, Pharm acovigilance is a matter of great concern for the health care providers and for the general mass too.
Vijayamahantesh. M. Bijapur
Full Text Available Background: Corneal diseases constitute a significant cause of visual impairment and blindness in the developing world. Corneal transplantation remains a major treatment option for restoring sight among those suffering from corneal blindness. The number of corneal transplants done is far less than the actual requirement in India. This is largely due to the inadequate numbers of corneas collected. Factors affecting procurement of corneas and public attitude towards eye donation has recently received much attention in our country. Tertiary care hospitals with ICUs and trauma centers have high morbidity rates and cornea procurement rates can be higher with readily available patient investigation, previous treatment and other data to consider suitability of cornea for transplantation. Aims and Objectives: To assess awareness regarding eye donation, eye banking and corneal transplant among patient attendants in ICU, Casualty and Eye Out Patient Department in a Tertiary Care Hospital. Materials and Methods: The prospective analysis from August 2014 to May 2015 of 1100 proforma of relatives found in waiting areas of ICU, casualty and eye out Patient Department were asked to fill a pretested questionnaire containing questions on demographic details, awareness regarding eye donation, intention to donate eyes, reasons for donating or pledging and not, and sources of information. The data collected was studied and analyzed. Results: Of the 1100 participants, 570 were males and 530 females. 1052 people (95.6% knew about eye donation, 406 (36.9% people knew that eye to be collected within 6-8 hours of death, 829 subjects (75.36% knew that one eye donation benefits two blind people. The contact place for donation was known to only 413 subjects (37.55%.483 subjects (43.9% agreed to donate eye of their relative in case of demise. Newspaper was most common source of information for 1005 participants (91.4%, followed by television (76.4%, doctors (68.6%, Pamphlets (59.2%, Friends (57.8%, Radio (52.7%, posters (51.3%, nursing and other staff (47.8% and others (25.5%. Of those 888 willing to donate 95.2% (845 subjects would be doing as a noble deed, 745 (83.9% for pleasure to help blind, 690 (77.7% were motivated by the idea of giving vision to someone after their death. Of 212 unwilling, 178 participants (83.9% disliked the idea of body being tampered with and 124 participants (58.5% had objection by family members. Conclusion: The reasons for not donating need to be considered while creating awareness about eye donation in the community. Knowledge, attitude and practice in the context of eye donation may not complement each other and need to be addressed to bring about a change in patterns observed.
Lindahl, Elisabeth; Sattorov, Nosirjon; Boqvist, Sofia; Magnusson, Ulf
Improvement of knowledge, attitudes and practices among urban livestock farmers could have a significant impact on the reduction of many zoonotic infections in urban farming. This study aimed to describe and evaluate weak areas in knowledge, attitudes and practices with regards to brucellosis among urban and peri-urban small-scale dairy farmers in a low income country to generate information essential for control programmes and public health interventions. The cross-sectional study was conducted during six weeks in 2011. The study subjects were small-scale dairy farmers living in the urban and peri-urban area of the capital Dushanbe in Tajikistan. In total, 441 farmers were interviewed using a questionnaire with questions about demographic characteristics, knowledge, attitudes and practices relating to brucellosis. Descriptive statistics were used and a logistic regression model applied to evaluate potential predictors to knowledge about brucellosis. The majority (85%) of the farmers had never heard of brucellosis. Low educational level was found to be associated with low awareness of brucellosis (P = < 0.001). Respondents who talked about animal health issues with family members or friends were less likely to have heard of brucellosis compared to those who often talked to veterinarians (P = 0.03). Sixty three per cent of the participants wanted more information about brucellosis. Seventeen per cent sold unpasteurized dairy products on a regular basis direct to consumers. Almost 30% of the households consumed unpasteurized dairy products on regular basis. A majority of the respondents did not use any protection when handling cows having an abortion or when dealing with aborted materials. Poor knowledge, high-risk behaviours and a willingness to learn more strengthens the logic for including health education as part of control programmes. PMID:25668783
Gibney, J; Wright, C; Sharma, A; Naganathan, V
This study aimed to identify nurses' knowledge, attitudes, and current practice in relation to oral hygiene (OH) by means of a questionnaire. It was conducted on the aged care wards of two acute tertiary referral hospitals in New South Wales, Australia. We found that 74% of nurses have a set OH practice. Fifty-four percent of nurses learn their OH practice at university or TAFE. The main nurse qualification is a registered nurse (72%). Denture cleaning, toothbrushing, and swabbing the mouth with a toothette are the main OH practices. Nurses (99%) considered OH to be important. The main barriers to conducting OH practices were patient behaviors, lack of time and staff, and patient physical difficulties. Nurses considered OH important however patient behaviors impact on their ability to undertake the task. Education institutions and hospitals should consider the joint development of a formal OH procedure and training package that can be used on acute geriatric care wards. PMID:26297474
Background: Breast cancer is the commonest cancer modality in female worldwide. Avoiding the risk factors can reduce its incidence and adhering to screening and early detection can reduce its mortality. A sufficient knowledge regarding the risk factors and screening modalities is therefore essential. We assessed the knowledge level about these parameters in our staff nurses. Methods: A self-administered questionnaire survey was performed. Knowledge regarding the risk factors and screening modalities were categorised into good, fair, poor and very poor categories. Results: Knowledge regarding most of the factors was found to be fair. A few things were termed as good knowledge like role of breast-feeding in protecting against breast cancer. Practice regarding the screening modalities was not satisfactory. Only a few nurses had good knowledge of the risk factors and screening modalities. Practice of the Screening modalities was also poor. Conclusion: There is a need to improve the nursing curriculum, training at the workplace and motivate them for screening practices. They should be encouraged to talk to their patients and their female attendants about prevention and early detection of breast cancer. (author)
Full Text Available Aim: Caretakers in day-care centers play a significant role in imparting good oral hygiene practices and also extend a working relationship with parents with regard to their children?s oral health. As a result of this, caregiver?s dental knowledge, attitudes, beliefs and practices affect the child?s oral condition. Settings and Design: A descriptive cross-sectional study involved caretakers working in day-care centers of Bangalore. Fifty-two day-care centers were randomly selected from the different zones of Bangalore city, from which 246 caretakers provided consent for participation. Materials and Methods: A comprehensive, closed-ended, self-administered questionnaire was employed which was designed to collect the sociodemographic details and to evaluate the oral health knowledge, attitudes, practice of caretakers. The institutional review committee approved the study. Data were entered using SPSS 13.01. Results: Seventy-nine percent of the subjects had good knowledge of child?s tooth eruption time, clinical presentation of dental caries and the role of fluoride in caries prevention. Yet, half of the subjects found routine dental examination after all the milk teeth have erupted in the oral cavity insignificant and 41% strongly agreed that dentist should be consulted only when the child has a toothache. In spite of the good knowledge, 77% preferred to use pacifier dipped in honey/sugar if the children acted troublesome. Analogous to this, 45% gave milk/juice with sugar before the child?s nap time. Conclusions: The results of this study indicate that caretaker?s attitude toward oral health care needs is far from acceptable standards to mirror any positive impact on the children.
Full Text Available Abstract Background Evidence exists regarding the full prevention of HCV transmission to hemodialysis patients by implementing universal precaution. However, little information is available regarding the frequency with which hospitals have adopted evidence-based practices for preventing HCV infection among hemodialysis patients. A cross-sectional survey has been conducted among nurses in Calabria region (Italy in order to acquire information about the level of knowledge, the attitudes and the frequencies of evidence-based practices that prevent hospital transmission of HCV. Methods All 37 hemodialysis units (HDU of Calabria were included in the study and all nurses were invited to participate in the study and to fill in a self-administered questionnaire. Results 90% of the nurses working in HDU participated in the study. Correct answers about HCV pattern of transmission ranged from 73.7% to 99.3% and were significantly higher in respondents who knew that isolation of HCV-infected patients is not recommended and among those who knew that previous bloodstream infections should be included in medical record and among nurses with fewer years of practice. Most correctly thought that evidence-based infection control measures provide adequate protection against transmission of bloodborne pathogens among healthcare workers. Positive attitude was significantly higher among more knowledgeable nurses. Self-reporting of appropriate handwashing procedures were significantly more likely in nurses who were aware that transmission of bloodborne pathogens among healthcare workers may be prevented through adoption of evidence-based practices and with a correct knowledge about HCV transmission patterns. Conclusions Behavior changes should be aimed at abandoning outdated practices and adopting and maintaining evidence-based practices. Initiatives focused at enabling and reinforcing adherence to effective prevention practices among nurses in HDU are strongly needed.
Full Text Available Objective: Based on the survey of the knowledge-attitude-belief and practice to tobacco control between Chinese and foreign medical students in Soochow University, the authors intended to explore the current situation, differences and influencing factors of Chinese and foreign medical students, in order to provide a reference for tobacco control policies and measures set by the Medical College of Soochow University. Methods: By stratified sampling, we selected 200 Chinese medical students and 200 foreign medical students of Medical College in different grades and different majors, and adopted anonymous questionnaires to investigate. Results: The smoking rates of Chinese and foreign male medical students were 7.4%, 15.5% respectively , while female medical students' smoking rates were 0.0, 8.1% respectively. Foreign medical students daily smoking was mostly 4~10, which was significantly greater than the Chinese medical students ?P<0.05?; besides, the identification degree to the responsibilities and duties for smoking control of the professional medical staff were both higher. The influence of the different smoking rates between Chinese and foreign medical students was mainly ethnic background, and the influences of the different smoking behavior mainly depended on their knowledge and attitude towards tobacco control. Conclusion: There is a need for schools to adopt health education measure to promote the school tobacco control based on the differences of the knowledge-attitude-belief and practice to tobacco control between Chinese and Foreign Medical students. Help medical students to translate knowledge of tobacco control they have already mastered into belief, and further affect their behavior.
Full Text Available Background: AIDS epidemic is major public health emergency and young people are bearing the main brunt of the new infection worldwide. MSM constitute a high risk group for sexually transmitted infections including HIV in many parts of the world. Objectives: To assess knowledge, attitude of HIV/AIDS and sexual practices among MSM residing in city of Belgaum. Methodology: Cross sectional study was conducted at Sweekar NGO for MSM. Based on the Sampling Procedure and inclusion Criteria 50% of MSM were selected for the study. Therefore the sample size for this study was 416. Data collection was done using pre-designed and pre-tested questionnaire. Results: A total of 416 MSM were interviewed by the trained peer workers. Majority of them (27.64% were in 25-30 years of age. Majority of them had good knowledge of modes of transmission of HIV(90.38%, its prevention (98.09%, availability of treatment (89.66%. 61.30% were having good knowledge of symptoms. Friend was the first sexual partner for 67.89% participants. Half of the participants were performing both anal and oral form sex. Conclusion: Although the knowledge of modes of transmission, symptoms, investigations, treatment and prevention of HIV/AIDS has been good among the MSM but prevention was not been practiced by most. NGOs working with MSM need to organize some interventions aimed at changing the harmful sexual practices into healthy practices.
Full Text Available Objectives: To compare adolescents? sexual knowledge, attitudes and practice in Serbia presently and eight years ago with the aim of establishing the progress in education and plan further actions for improving reproductive health of our adolescents. Methods: 933 high school adolescents in Northern part of Serbia, in eight high schools were involved in the study conducted in year 2008. Questionnaire made for this survey included questions about knowledge, attitudes and practices of adolescents in reproductive health (sexuality, contraception and STI. Comparison is made with the situation in year 2000. Results: Almost half of the high school adolescents are sexually active ? 44 %, the mean age of first intercourse being16 years. Only 57.3 % of adolescents use contraception regularly, 40.7 % use it sometimes and 2 % have never used it. Majority of adolescents used condom ? 58.1 %, and one quarter used a combination of several means of contraception ? 26.1 %. There is not enough knowledge about significant STIs (Chlamydia, HPV, herpes. Half of adolescents want more education on sexuality, STIs and contraception, in schools, from experts. Conclusions: There are actions being conducted in Serbia with the aim of improvement of reproductive health of young people, but organized sexual education in the schools is not yet mandatory.
Ahmad Filza Ismail; Aziah Daud; Zaliha Ismail; Baharudin Abdullah
Objectives: Noise is known to be one of the environmental and occupational hazards listed in the Factory and Machinery Act 1967. Quarries with loud deafening sounds from trucks and machineries pose the risk of noise-induced hearing loss to workers. This study was designed to assess the knowledge, attitude and practice towards noise-induced hearing loss and to determine the prevalence of noise-induced hearing loss and its associated factors among quarry workers in a north-eastern state of Mala...
Gupta, Pooja; Anvikar, Anupkumar R; Valecha, Neena; Gupta, Yogendra K
Objective. With large scale rollout of artemisinin based therapy in the National Malaria Control Programme of India, a risk management plan is needed. This depends on adverse drug reaction (ADR) reporting by the healthcare professionals (HCPs). For the programme to be successful, an understanding of the mindset of HCPs is critical. Hence, the present study was designed to assess and compare the ADR reporting beliefs of HCPs involved in the National Malaria Control Programme of India. Methods. A cross-sectional survey was conducted amongst the HCPs who manage malaria up to the district level in India. A 5-point Likert scale-based questionnaire was developed as a study tool. Results. A total of 154 HCPs participated in the study (age: 42.4 ± 10.1 years with 33.8% being females). About 61% felt that only medically qualified HCPs are responsible for ADR reporting. Likeliness to report in future was mentioned by 45% HCPs. The knowledge score was relatively lower for life science graduates (P = 0.09). Knowledge correlated positively with attitude (r (2) = 0.114; P real time pharmacovigilance in India. PMID:25302133
Koley, Munmun; Saha, Subhranil; Arya, Jogendra Singh; Choubey, Gurudev; Ghosh, Shubhamoy; Chattopadhyay, Rajat; Das, Kaushik Deb; Ghosh, Aloke; Hait, Himangsu; Mukherjee, Rajarshi; Banerjee, Tanapa
High prevalence of undiagnosed cases of diabetes mellitus and poor knowledge, awareness, and practice has increased premature death, costly complications, and financial burden. A cross-sectional survey was conducted in November 2014 on 273 diabetics and 355 nondiabetics in 3 government homeopathic hospitals in West Bengal, India. A self-administered questionnaire assessing knowledge, awareness, and practice related to diabetes was used. A total of 17.5% to 29.3% of the participants were aware of the normal blood sugar level. Lack of insulin, frequent urination, hypertension, and poor wound healing were identified most frequently as the cause, symptom, association, and complications. A total of 35.5% to 46.5% said that diabetes was preventable; 14.1% to 31.9% knew that diabetes was controllable rather than curable. Consumption of planned diet, avoiding sugar, and testing blood sugar were the most frequently identified components of healthy lifestyle, diabetic diet, and diagnostic domain. Diabetics had higher knowledge and awareness than nondiabetics (P < .0001); still the latter need to be made aware and knowledgeable to curtail the ever-increasing burden of diabetes. PMID:26156145
Full Text Available BACKGROUND : Breast feeding is almost universal , but there are many barriers for proper breast feeding practices. Despite the well - recognized importance of exclusive breast feeding (EBF , this practice is not widespread i n the developing countries like India. This is mainly due to lack of understanding and poor adherence of mothers to EBF practices for the first 6 months postpartum. Also , the knowledge and practices of early breast feeding are suboptimal among mothers. OBJ ECTIVE : To know knowledge , attitude and practices of nourishing rural mothers about breast feeding and their association with demographic variables. MATERIALS AND METHODS : The study was a cross - sectional study , performed in M.G.M.M.C. & L.S.K Hospital , Kishanganj , Bihar , between December - 2013 to January - 2014. A total of 129 nourishing mothers of children between 0 - 2 years of age were selected. Breast feeding knowledge of the mothers was evaluated by giving them a printed structured questionnaire containi ng different types of questions regarding breast feeding. RESULT : Among 129 nourishing mothers , 100% knew that mothers milk is the best food for the baby. 71.3% of the mothers were having knowledge that breast feeding should be started within ½ hr. of bir th. 86.8% of the mothers were having knowledge that EBF should be given upto 6 months. CONCLUSION : This study showed a lack of understanding of the importance of breast feeding and poor adherence to EBF for the first 6 months of babys life. A lot of gap i s present between literate and illiterate mothers in breast feeding practices , which need to be changed
Katherine, Arrieta Vergara; Shyrley, Díaz Cárdenas; Farith, González Martínez.
Full Text Available Introducción: el uso de instrumentos cortopunzantes durante la formación odontológica y la inexperiencia que tienen los estudiantes para su buen manejo incrementan el riesgo de accidentes ocupacionales. Objetivos: describir la ocurrencia de accidentes ocupacionales en estudiantes de odontología y su [...] relación con conocimientos, actitudes y prácticas sobre los riesgos a los que están expuestos. Métodos: la muestra estuvo conformada por 210 estudiantes que se encontraban en prácticas preclínicas y clínicas en la Universidad de Cartagena, durante el primer periodo académico de 2011. Se utilizó una encuesta estructurada para evaluar las variables de estudio. Los datos fueron analizados a través de distribuciones de frecuencia y proporciones. Para establecer relaciones entre los conocimientos, las actitudes y las prácticas con la ocurrencia de los accidentes y las variables sociodemográficas, se utilizó la prueba Ji cuadrada con un límite de significación de 0,05. Resultados: los accidentes ocupacionales estuvieron presentes en 95 (45,2 %) estudiantes, se registró un nivel bueno de conocimientos en 111 (52,8 %) participantes, actitudes favorables en 182 (86,6 %) estudiantes y 190 (90,4 %), presentaron prácticas desfavorables; no se observaron relaciones estadísticamente significativas entre la ocurrencia de los accidentes y los conocimientos, actitudes y las practicas de los estudiantes. Conclusiones: la ocurrencia de accidentes ocupacionales se considera alta y no se relaciona con los conocimientos, actitudes y prácticas, lo que permite suponer la necesidad de un ambiente y una cultura saludable que continuamente esté educando y velando por el cumplimiento de las medidas de bioseguridad desde las practicas estudiantiles. Abstract in english Introduction: both the use of sharp cutting instruments for dental training and the lack of experience of the students in properly handling them increase the risk of occupational accidents. Objective: to describe the occurrence of occupational accidents in dentistry students and its relationship wit [...] h the knowledge, attitudes and practices regarding the risks they are exposed to. Methods: the sample included 210 dentistry students, who were in pre-clinical and clinical practices in the University of Cartagena, during the first academic period of 2011. A structured survey to evaluate the study variables was used. Frequency and ratio distributions served to analyze data. The Chi square test was used to establish relationships between knowledge, attitudes and practices and the prevalence of occupational accidents and the socio demographic variables, assuming a significance limit of 0,05. Results: ninety five students (45.2 %) suffered occupational accidents; a good level of knowledge was found in 111 students (52.8 %); favorable attitudes were seen in 182 (86,6%) whereas 190 (90.4 %) students presented with negative practices. There was no statistically significant relationship between the occurrence of accidents and the knowledge, attitudes and practices of the students. Conclusions: the prevalence of occupational accidents is high, but unrelated to the knowledge, attitudes and practices, which allows assuming that healthy environment and culture are required to continue educating the students and ensuring compliance with the biosafety measures since the stage of student practices.
Background HIV/AIDS infection in health care facility has become a major health problem. Especially in resource poor setting health care workers are managing huge number of HIV infected patients that made them to be more exposed to HIV infection. This situation makes the use of post exposure prophylaxis for HIV very important. Therefore the aim of the study was to assess knowledge, attitude and practice of health care workers towards post exposure prophylaxis for HIV. Methods Cross-sectional study was conducted among 195 health care workers from February 15 to June 20, 2012. Data was collected using self-administered questionnaire and entered and analyzed using SPSS-20 version. Results were summarized in percentages and presented in tables. Results Significant proportions of respondents, 72 (36.9%), were found to have inadequate knowledge about post exposure prophylaxis for HIV. However the majority of respondent 147 (75.4%) had good attitude toward the PEP and significant number of the respondents, 66 (33.8%), had been exposed to blood, body fluids, needles or sharp objects once or more times while giving care for patients. Among these exposed, 49 (74.2%) took PEP but the rest 17 (25.7%) didnt take PEP. From these exposed respondents that took PEP, 23 (46.9%) correctly started taking of PEP at exact initiation time, but the rest started after the recommended initiation time. Among those who took PEP, 39 (79 .6%) completed taking the drug, however 10 (20.4%) didnt complete the PEP regimen. Conclusion As a conclusion, significant proportion of study subjects had less knowledge and practice even though the majority of respondents had favorable attitude towards PEP. Therefore, a formal training for all HCWs regarding PEP for HIV and also establishing a 24 hour accessible formal PEP centre with proper guideline is recommended. PMID:23705668
Olowookere, Samuel Anu; Abioye-Kuteyi, Emmanuel Akintunde; Adepoju, Olusegun Kayode; Esan, Oluwaseun Taiwo; Adeolu, Temitope Michael; Adeoye, Tolulope Kola; Adepoju, Adesola Adebayo; Aderogba, Adedayo Titilayo
Background. Health workers are more prone to Ebola viral disease (EVD) than the general population. This study assessed the preparedness of health workers in the control and management of EVD. Methods. A descriptive cross-sectional study. Consenting 400 health workers completed a semistructured questionnaire that assessed participants' general knowledge, emergency preparedness, and control and management of EVD. Data were analysed using descriptive and inferential statistics. Results. The mean age (SD) was 34.5 ± 8.62 years ranging from 20 to 59 years. Most participants were medical doctors (24.6%) and nurses (52.2%). The majority had practised <10 years (73.8%) and were aware of the EVD outbreak in the West African subregion (85.5%). Colleagues (40%) and radio (37.2%) were their major sources of information. Only 42% had good knowledge while 27% knew that there was no vaccine presently to prevent EVD. About one-quarter (24.2%) had low risk perception. The majority (89%) felt the hospital infection control policy was inadequate to protect against EVD. The only predictor of good knowledge was participants' occupation. Conclusion. There is knowledge gap and poor infection control preparedness among respondents. Thus, knowledge and practices of health workers towards EVD need improvement. PMID:26576160
Full Text Available Aims: One of the potential hazards for health care workers (HCWs is needle-stick and sharp injuries (NSSIs. The objective of the study was to assess the knowledge and attitude of health care workers about the NSSIs. Settings and Design: This was a cross-sectional survey conducted in the tertiary care cardiac center. The participants were health care workers including doctors, nurses, technicians, and housekeeping staff from the different areas of the hospital. Methods and Materials: This cross-sectional survey was conducted in the institute using a self-administered validated questionnaire. The participants consisted of a total of 190 HCWs namely doctors, nurses, technicians, and housekeeping staff. Statistical Analysis Used: Nil. Results: Results showed maximum participant were in the age group of 20-30 years. 94.7% were aware about standard precautions. 91.5% knew about the procedure for reporting of NSSIs. Only 50.2% HCWs gave correct answers regarding disease transmission through needle stick and sharp injury. The prevalence of NSSIs was highest among nurses (38.4%, and needle on the disposable syringe (76.9% was the most common source of NSSIs. Conclusions: The survey revealed few gaps in the knowledge amongst HCWs about NSSIs like risks associated with needle-stick injuries and use of preventive measures, disassembling of needles prior to disposal. These gaps can be addressed by extensive education. As nurses were the most affected victim for the NSSIs, more emphasis should be given towards them for reducing the NSSIs.
Full Text Available Knowledge and attitude are important factors for successful breastfeeding practice. The objective of this study was to examine the influence of knowledge and attitude on breastfeeding among Indonesian mothers who joined mother support group (MSG program. This was a community based cross-sectional study. There were 221 mothers participated on this study. Multiple regression was used to asses the influence of knowledge and attitude on breastfeeding. Result of the study showed that knowledge and attitude influence breastfeeding practice.
Wole M. Olatokun; Isioma N. Elueze
Objectives: The study examined and identified the factors that affect lawyers attitudes to knowledge sharing, and their knowledge sharing behaviour. Specifically, it investigated the relationship between the salient beliefs affecting the knowledge sharing attitude of lawyers, and applied a modified version of the Theory of Reasoned Action (TRA) in the knowledge sharing context, to predict how these factors affect their knowledge sharing behaviour.Method: A field survey of 273 lawyers was ca...
Mda, Pamela; Yogeswaran, Parimalarani; Wright, Graham
Background In South Africa the teenage fertility rate is high. About 42% of women have their sexual debut by 18 years of age and 5% by 15. These young women are also at risk of sexually transmitted infections (STIs) and human immunodeficiency virus (HIV) infection. Despite widespread availability of contraception, 18% of sexually active teenagers do not use any. Previous research on the knowledge of, attitudes to and practices of contraception by teenagers has focused on older adolescents. Objectives This study explored knowledge, attitudes and practices about contraception amongst 1214 year old unmarried schoolgirls with a view to inform planning of programmes to assist in reducing teenage pregnancies. Methods A qualitative study design with purposive sampling was used to select participants from two government-run schools in King Sabata Dalindyebo Municipality. In-depth and focus group interviews were conducted after obtaining written consent from parents and assent from participants. Interviews were audiotaped, transcribed verbatim, translated and analysed thematically. Findings Participants reported that young adolescents were sexually active, which included high-risk sexual behaviour such as multiple partners and casual and transactional sex. Knowledge about contraceptives varied widely. Condoms were the most preferred method of contraception, but it is unknown whether they ever used condoms as they professed to talk about the behaviour of others rather than themselves. Injectable contraceptives were believed to have long-term negative effects. Common sources of contraceptive information were friends or peers, school curriculum and to a lesser extent family members. Conclusions Findings of the study suggest that young adolescents are sexually active and have inadequate knowledge and misconceptions about contraception. These findings should inform educational programmes about risks of early sexual activity and about contraception.
Al.Hazmi Ahmad Homoud
Full Text Available Background: Primary health care (PHC physicians manage most patients with osteoarthritis (OA. In Saudi Arabia, very little is known about the management of OA by PHC physicians. This study aims to assess knowledge, attitude, and practice of PHC physicians in the management of OA. Materials and Methods: During October 2011, a cross-sectional survey was conducted on physicians who were practicing at the primary care centers in AlJouf province of Saudi Arabia. The physicians were asked to fill a valid questionnaire comprised of 35 closed ended questions, 6 items about their socio-demographic characters, and a very well modified 29 questions about their knowledge, attitude, and practice in the management of OA. Data was processed and analysed using SPSS (version 16 program, the level of significance was set as Chi-square test was applied for analysis of categorical data. Results: Response rate (77/90=85.6% yielded 77 questionnaires for analysis. The mean ± SD age of respondents was 38 (12.3 years. Majority of the physicians surveyed, 58 (75.3% considered OA as a common health problem in Saudi Arabia. Only 28 (36.4% physicians surveyed will achieve continuity of care for OA, whereas more than half (n=44; 57.1% will refer OA immediately or later to the specialists. The proportion of continuity of care for OA among physicians with diplomas was more than that found among general practitioner (57.1% vs 34.1%; <.05. Only 30 (39% of physicians appeared to know the radiographic changes associated with OA. 21 (27.3% of physicians manage an average of 5-10 patients with OA per week. Almost 3/4 th of the physicians ( n=57; 74% prescribe NSAIDs, and only (n=14; 18.2% prescribe acetaminophen for OA. Less than 1/5 th of the physicians surveyed ( n=12; 15.6% prescribe herbal medicine for OA. Almost all physicians subscribe to regular training programs about OA. Conclusions: Appropriate attitude with lack of knowledge was found, and practice of our physicians with regards to this disorder appeared inappropriate. More education focusing on the disorder is recommended.
This book provides knowledge engineers with practical methods for initiating, designing, building, managing, and demonstrating successful commercial expert systems. It is a record of what actually works (and does not work) in the construction of expert systems, drawn from the author's decade of experience in building expert systems in all major areas of application for American, European, and Japanese organizations.The book features:* knowledge engineering programming techniques* useful skills for demonstrating expert systems * practical costing and metrics* guidelines for using knowledge repr
Maltrato infantil: conocimientos, actitudes y prácticas de estudiantes de Odontología de Cartagena, Colombia / Child abuse: knowledge, attitudes and practices of dental students in Cartagena, Colombia
Katherine M., Arrieta Vergara; Shyrley, Díaz Cárdenas; Farith, González Martínez.
Full Text Available Objetivo: Describir los conocimientos, actitudes y prácticas sobre maltrato infantil en estudiantes de odontología en una universidad pública de Cartagena, Colombia. Diseño del estudio: Estudio descriptivo. Emplazamiento: Universidad pública de Cartagena, Colombia. Participantes: 208 estudiantes de [...] odontología de Cartagena (Colombia), seleccionados a través de un muestreo probabilístico. Mediciones principales: Se diseñó y utilizó un instrumento tipo cuestionario estructurado anónimo de auto-reporte para evaluar las variables: sociodemográficas, conocimientos (relacionados con maltrato físico, abuso sexual, negligencia, maltrato psicológico, indicadores de maltrato infantil y responsabilidades), actitudes, prácticas y prevalencia de posibles sospechas de casos de maltrato infantil detectados en la práctica odontológica. Los datos fueron analizados a través de distribuciones de frecuencia y proporciones. Para establecer relaciones entre la sospecha de maltrato infantil con algunas variables de interés se utilizó la prueba ?² asumiendo un límite de 0,05 para la significación. Resultados: La prevalencia actual de casos de sospecha de maltrato infantil fue del 2,4 %, y la de alguna vez del 20 %. Los conocimientos fueron buenos para el 54,3 % de los sujetos y aceptable en el 44,7 %; las actitudes favorables en el 96,1 %. De 42 estudiantes que tuvieron alguna sospecha durante su práctica, 15 manifestaron como primera acción comunicarla a su docente, seguida por comentarla a un compañero y guardar silencio. Las tres cuartas partes de los que manifestaron haber tenido una sospecha de maltrato no la consignaron en la historia clínica. Conclusiones: La prevalencia de posibles casos de maltrato infantil identificados por los estudiantes de odontología fue alta; sus conocimientos y actitudes fueron adecuados. Sin embargo, existe incongruencia con las prácticas reportadas; por esto es necesario realizar entrenamientos en la temática que brinden una mayor seguridad al estudiante en el momento de identificar y reportar los posibles casos de maltrato infantil desde la práctica odontológica. Abstract in english Objetive: to describe the knowledge, attitudes and practices in dental students at the Cartagena state university, Colombia regarding child abuse. Study design: descriptive study. Location: Cartagena state university, Colombia. Participants: 208 dental students from Cartagena (Colombia), selected th [...] rough probability sampling. Main analysed data: a self-reporting anonymous structured questionnaire-type instrument was designed and used to evaluate socio-demographic variables, knowledge (related to physical abuse, sexual abuse, negligence, psychological abuse, signs of child abuse and responsibilities), attitudes, practices and prevalence of possible suspicion of cases of child abuse detected in dental practice). The data were analysed through frequency distributions and proportions. In order to determine relationships between suspicion of child abuse and some variables of interest, test ?2 was used, assuming a limit of 0.05 for significance. Results: current prevalence of suspected cases of child abuse was 2.4% and that of it occurring at sometime, 20%. Knowledge was good for 54.3% of the subjects and acceptable for 44.7%; favourable attitudes, 96.1%. Of 42 students who had some kind of suspicion during their practice, 15 stated that their first action was to report it to their teacher, followed by telling a classmate and keeping quiet. Three quarters of those who stated they had suspected abuse did not enter it in the clinical record. Conclusions: the prevalence of possible cases of child abuse identified by dental students was high; their knowledge and attitudes were appropriate. However, there is incongruence in reported practices; for this reason, it is necessary to carry out training on the subject to provide the student with greater certainty on identifying and reporting possible cases of child abuse from the position of dental practice.
Knowledge, attitudes, and practices regarding antiretroviral management, reproductive health, sexually transmitted infections, and sexual risk behavior among perinatally HIV-infected youth in Thailand.
Lolekha, Rangsima; Boon-Yasidhi, Vitharon; Leowsrisook, Pimsiri; Naiwatanakul, Thananda; Durier, Yuitiang; Nuchanard, Wipada; Tarugsa, Jariya; Punpanich, Warunee; Pattanasin, Sarika; Chokephaibulkit, Kulkanya
More than 30% of perinatally HIV-infected children in Thailand are 12 years and older. As these youth become sexually active, there is a risk that they will transmit HIV to their partners. Data on the knowledge, attitudes, and practices (KAP) of HIV-infected youth in Thailand are limited. Therefore, we assessed the KAP of perinatally HIV-infected youth and youth reporting sexual risk behaviors receiving care at two tertiary care hospitals in Bangkok, Thailand and living in an orphanage in Lopburi, Thailand. From October 2010 to July 2011, 197 HIV-infected youth completed an audio computer-assisted self-interview to assess their KAP regarding antiretroviral (ARV) management, reproductive health, sexual risk behaviors, and sexually transmitted infections (STIs). A majority of youth in this study correctly answered questions about HIV transmission and prevention and the importance of taking ARVs regularly. More than half of the youth in this study demonstrated a lack of family planning, reproductive health, and STI knowledge. Girls had more appropriate attitudes toward safe sex and risk behaviors than boys. Although only 5% of the youth reported that they had engaged in sexual intercourse, about a third reported sexual risk behaviors (e.g., having or kissing boy/girlfriend or consuming an alcoholic beverage). We found low condom use and other family planning practices, increasing the risk of HIV and/or STI transmission to sexual partners. Additional resources are needed to improve reproductive health knowledge and reduce risk behavior among HIV-infected youth in Thailand. PMID:25506754
Oyewole C Durojaiye
Full Text Available Background : Globally, the spread of HIV/AIDS remains on the rise with young people at increased risk of infection. Sexual behavior change remains the most effective way of preventing further transmission. Aim: To gain the knowledge needed to develop appropriate interventions that will enable young people to adopt safe sexual practices. Materials and Methods: A cross-sectional study was conducted using structured questionnaires among 315 randomly selected students enrolled at a tertiary institution in Lagos State, Nigeria. Results: The mean age of the respondents was 23 years. Although the mean score of the participants? responses to ten HIV/AIDS knowledge questions was 8.3 of 10 points, 73.5% of them did not perceive themselves at risk of being infected. Majority (53.8% had not changed their dating behaviors as a result of concerns for HIV/AIDS and 70.3% had multiple lifetime sexual partners. Those who perceived themselves at risk of infection are significantly (P = 0.019 more likely to always use condoms. Using the AIDS Risk Reduction Model (ARRM, it was found that the students are in the first stage of behavior change process: recognition of the problem. The low risk perception has prevented movement to the second stage of making commitment to change behavior. Conclusion: The awareness and knowledge of HIV/AIDS is high among tertiary education students in Lagos, Nigeria. However, risk perception is low with high-risk sexual behaviors. The failure to perceive HIV/AIDS as a personal risk has prevented commitment to behavior change. Interventions aimed at influencing risk perception are paramount to curb the spread of this dreaded disease.
VARMA SUSHIL KUMAR
Full Text Available To assess the awareness of Pharmacovigilance among the medical graduates and to evaluate the need of inclusion of KAP (Knowledge, Attitude and Practice of Pharmacovigilance in Internship Training Programme as an educational intervention.Material and Methods: The present study was conducted in the Internship orientation program in a rural hospital of central India. It was a Hospital Based Cross Sectional Study in which 65 Interns (medical graduates were participated. Semi-structured, Pre-Designed, Pre-tested Questionnaire was used for data collection. Data was entered and analyzed using statistical software âEPI INFO 3.5.3â.Results: In our study a total of 65 medical graduates were responded and involved in the pre KAP and post KAP survey questionnaires. The overall response rate between pre intervention and post intervention was statistically significant and that shows effectiveness of educational intervention for improving awareness of Pharmacovigilance among medical graduates.Conclusion: Imparting the knowledge and awareness of Pharmacovigilance among the medical graduates by mean of continuous educational intervention would bring update of knowledge for drug safety into their everyday clinical practice and also bring the adverse drug reactions(ADRs reporting culture among them.
Nasr Nabil A
Full Text Available Abstract Background In the first part of this study, we investigated the prevalence and associated key factors of soil-transmitted helminth (STH infections among Orang Asli children in rural Malaysia; an alarming high prevalence and five key factors significantly associated with infections were reported. Part 2 of this study aims to evaluate the knowledge, attitude and practices (KAP on STH infections among Orang Asli in Peninsular Malaysia. Methods A cross-sectional study was carried out among 215 households from 13 villages in Lipis district, Pahang, Malaysia. Demographic and socioeconomic information of the participants and their KAP on STH were collected by using a pre-tested questionnaire. Results Overall, 61.4% of the participants had prior knowledge about intestinal helminths with a lack of knowledge on the transmission (28.8%, signs and symptoms (29.3% as well as the prevention (16.3%. Half of the respondents considered STH as harmful, while their practices to prevent infections were still inadequate. Significant associations between the KAP and age, gender, educational and employment status, family size, and household monthly income were reported. Moreover, significantly lower prevalence of STH infections was reported among children of respondents who wear shoes/slippers when outside the house (72.8%; 95% CI= 62.6, 80.5 vs 87.0%; 95% CI= 81.4, 91.1, wash their hands before eating (32.4%; 95% CI= 24.3, 42.2 vs 51.4%; 95% CI= 44.7, 60.1, and wash their hands after defecation (47.8%; 95% CI= 35.7, 57.1 vs 69.2%; 95% CI= 63.7, 78.7 as compared to their counterparts. Multiple logistic regression analysis indicated that the educational level of the respondents was the most important factor significantly associated with the KAP on STH among this population. Conclusion This study reveals inadequate knowledge, attitude and practices on STH infections among Orang Asli in rural Malaysia. Hence, there is a great need for a proper health education programme and community mobilisation to enhance prevention and instil better knowledge on STH transmission and prevention. This is crucial for an effective and sustainable STH control programme to save the lives and future of the most vulnerable children in rural Malaysia.
Full Text Available Abstract Background China is at greatest risk of the Pandemic (H1N1 2009 due to its huge population and high residential density. The unclear comprehension and negative attitudes towards the emerging infectious disease among general population may lead to unnecessary worry and even panic. The objective of this study was to investigate the Chinese public response to H1N1 pandemic and provide baseline data to develop public education campaigns in response to future outbreaks. Methods A close-ended questionnaire developed by the Chinese Center for Disease Control and Prevention was applied to assess the knowledge, attitudes and practices (KAP of pandemic (H1N1 2009 among 10,669 responders recruited from seven urban and two rural areas of China sampled by using the probability proportional to size (PPS method. Results 30.0% respondents were not clear whether food spread H1N1 virusand. 65.7% reported that the pandemic had no impact on their life. The immunization rates of the seasonal flu and H1N1vaccine were 7.5% and 10.8%, respectively. Farmers and those with lower education level were less likely to know the main transmission route (cough or talk face to face. Female and those with college and above education had higher perception of risk and more compliance with preventive behaviors. Relationships between knowledge and risk perception (OR = 1.69; 95%CI 1.54-1.86, and knowledge and practices (OR = 1.57; 95%CI 1.42-1.73 were found among the study subjects. With regard to the behavior of taking up A/H1N1 vaccination, there are several related factors found in the current study population, including the perception of life disturbed (OR = 1.29; 95%CI 1.11-1.50, the safety of A/H1N1 vaccine (OR = 0.07; 95%CI 0.04-0.11, the knowledge of free vaccination policy (OR = 7.20; 95%CI 5.91-8.78, the state's priority vaccination strategy(OR = 1.33; 95%CI 1.08-1.64, and taking up seasonal influenza vaccine behavior (OR = 4.69; 95%CI 3.53-6.23. Conclusions This A/H1N1 epidemic has not caused public panic yet, but the knowledge of A/H1N1 in residents is not optimistic. Public education campaign may take the side effects of vaccine and the knowledge about the state's vaccination strategy into account.
Wole M. Olatokun
Full Text Available Objectives: The study examined and identified the factors that affect lawyers attitudes to knowledge sharing, and their knowledge sharing behaviour. Specifically, it investigated the relationship between the salient beliefs affecting the knowledge sharing attitude of lawyers, and applied a modified version of the Theory of Reasoned Action (TRA in the knowledge sharing context, to predict how these factors affect their knowledge sharing behaviour.Method: A field survey of 273 lawyers was carried out, using questionnaire for data collection. Collected data on all variables were structured into grouped frequency distributions. Principal Component Factor Analysis was applied to reduce the constructs and Simple Regression was applied to test the hypotheses. These were tested at 0.05% level of significance.Results: Results showed that expected associations and contributions were the major determinants of lawyers attitudes towards knowledge sharing. Expected reward was not significantly related to lawyers attitudes towards knowledge sharing. A positive attitude towards knowledge sharing was found to lead to a positive intention to share knowledge, although a positive intention to share knowledge did not significantly predict a positive knowledge sharing behaviour. The level of Information Technology (IT usage was also found to significantly affect the knowledge sharing behaviour of lawyers.Conclusion: It was recommended that law firms in the study area should deploy more IT infrastructure and services that encourage effective knowledge sharing amongst lawyers.
Sandeep Kumar Gupta
Full Text Available Objective: The primary objective of this study was to evaluate the knowledge, attitude, and practices (KAP of the healthcare professionals about pharmacovigilance in Dhanalakshmi Srinivasan Medical College and Hospital (DSMCH, Perambalur (Tamil Nadu, a tertiary care teaching hospital. The second primary objective was to assess the causation of underreporting of adverse drug reactions (ADRs as it needs to be well-assessed in India. The secondary objective was to compare the findings of this study with the results of the published studies from India on evaluation of the KAP of pharmacovigilance among healthcare professional. Materials and Methods: A cross-sectional study was carried out using a pretested questionnaire. The questionnaire was designed to assess the KAP regarding pharmacovigilance. The healthcare professionals (doctors, nurses, and pharmacists working in the DSMCH, Perambalur (Tamil Nadu during the study period were included. Only those who gave their consent to participate were included in the study. The data was analyzed by using the Statistical Package for Social Sciences (SPSS statistical software, version 16. Results: One hundred and fifty pretested questionnaires were distributed among the healthcare professionals and 101 responded. 62.4% healthcare workers gave correct response regarding the definition of pharmacovigilance. 75.2% of healthcare workers were aware regarding the existence of a National Pharmacovigilance Program of India. 69.3% healthcare professional agreed that ADR reporting is a professional obligation for them. Among the participants, 64.4% have experienced ADRs in patients, but only 22.8% have ever reported ADR to pharmacovigilance center. Unfortunately only 53.5% healthcare workers have been trained for reporting adverse reactions. But, 97% healthcare professionals agreed that reporting of ADR is necessary and 92.1% were of the view that pharmacovigilance should be taught in detail to healthcare professional. Conclusion: This study demonstrated that knowledge and attitude towards pharmacovigilance is gradually improving among healthcare professionals, but unfortunately the actual practice of ADR reporting is still deficient among them.
Full Text Available INTRODUCTION: Food safety describes handling, prep aration and storage of food in ways to prevent foodborne illness . The contamination of food may occur at any stage in the process from food production to consumption (farm to plate - theme for World Health Day 2015.Unsafe food creates a vicious cycle of disease and malnutrition, particularly affecting infants, young children, elderly and the sick. Foodborne diseases include a wide spectrum of illnesses and a growing public health problem worldwide. METHODOLOGY: A cross - sectional community based study was done among 150 women in the field practice area of urban health training centre, Andhra Medical College, Visakhapatnam. Data was collected by administering questionnaire after taking informed consent. Data was entered in Epi data version 3.1 and analysed by usi ng SPSS version 16.Results were represented in form of proportions and Fischers Exact test was used to find significant association between variables. RESULTS: Among 150 participants, most of them were in age group of 21 - 30 years with mean age 33±11years.Ab out 68% belonged to low socioeconomic status, 76.7% were housewives, and 79.3% were literates. Among the participants, 94.7% had good knowledge regarding food safety, 30.7% had good practices showing gap between knowledge and practices. In 12% of cases ther e was history of foodborne illness. There was significant association between knowledge and literacy status; knowledge and past history of foodborne diseases (p<0.05. CONCLUSION: There is need for an education program in the community to improve the pract ices among women regarding food safety to fill the observed gap between knowledge and practices.
Objectives: To determine the vaccination status for hepatitis B and knowledge, attitude and practice (KAP) regarding hepatitis B and C among medical students of Karachi and to evaluate the effects of gender and age on the responses, regarding vaccination and KAP for Hepatitis B and C. Methods: This cross sectional study was conducted in 7 medical colleges/ universities of Karachi. Convenient sampling was used to collect the information. Questionnaire regarding awareness about prevention, transmission, diagnosis, treatment and vaccination availability for hepatitis B and C was completed from each individual. In addition, vaccination status of hepatitis B and the awareness of students regarding post exposure prophylaxis was also documented. One thousand five hundred and nine students participated in this study. Results: The mean age of medical students (1509) was 20.35 +- 1.72 years. Female participants were 1075 (71.2%) and 937 62.1%) of the respondents were studying in public institutions. Eighty five percent of the respondents indicated that they were aware of availability of a vaccine for hepatitis B. Only 57.1% medical students showed excellent knowledge regarding the route of spread of hepatitis B and C. Students showing good knowledge of treatment procedures for hepatitis B and C were 48.2%. Half of the respondents (49.8%) showed good knowledge regarding spread of hepatitis by dental procedures. Seventy six percent of participating medical students did not have any knowledge about the post exposure prophylaxis for hepatitis B and C. Seventy four percent indicated that the hepatitis patients should not be isolated. Seventy nine percent of the students reported that they were vaccinated for hepatitis B and 70.6% of them were completely vaccinated (3 doses). About half of the respondents (49.4%) indicated that they were screened for hepatitis B and only 27.1% were screened for hepatitis C. Half of the students reported that they have had needle pricks in their students career. Conclusion: The overall KAP of studied group showed satisfactory outcomes. However, some areas of knowledge and attitude need to be modified or changed altogether. (author)
Attitudes, knowledge and practices of healthcare workers regarding occupational exposure of pulmonary tuberculosis / Attitudes, connaissances et pratiques des membres du personnel soignant relatives à l'exposition du personnel soignant à la tuberculose pulmonaire
Lesley T., Bhebhe; Cornel, Van Rooyen; Wilhelm J., Steinberg.
Full Text Available BACKGROUND: Healthcare-associated tuberculosis (TB) has become a major occupational hazard for healthcare workers (HCWs). HCWs are inevitably exposed to TB, due to frequent interaction with patients with undiagnosed and potentially contagious TB. Whenever there is a possibility of exposure, implemen [...] tation of infection prevention and control (IPC) practices is critical. OBJECTIVE: Following a high incidence of TB among HCWs at Maluti Adventist Hospital in Lesotho, a study was carried out to assess the knowledge, attitudes and practices of HCWs regarding healthcare-associated TB infection and infection controls. METHODS: This was a cross-sectional study performed in June 2011; it involved HCWs at Maluti Adventist Hospital who were involved with patients and/or sputum. Stratified sampling of 140 HCWs was performed, of whom, 129 (92.0%) took part. A self-administered, semi-structured questionnaire was used. RESULTS: Most respondents (89.2%) had appropriate knowledge of transmission, diagnosis and prevention of TB; however, only 22.0% of the respondents knew the appropriate method of sputum collection. All of the respondents (100.0%) were motivated and willing to implement IPC measures. A significant proportion of participants (36.4%) reported poor infection control practices, with the majority of inappropriate practices being the administrative infection controls (> 80.0%). Only 38.8% of the participants reported to be using the appropriate N-95 respirator. CONCLUSION: Poor infection control practices regarding occupational TB exposure were demonstrated, the worst being the first-line administrative infection controls. Critical knowledge gaps were identified; however, there was encouraging willingness by HCWs to adapt to recommended infection control measures. Healthcare workers are inevitably exposed to TB, due to frequent interaction with patients with undiagnosed and potentially contagious TB. Implementation of infection prevention and control practices is critical whenever there is a possibility of exposure.
Carla Lorenna Ferreira de, Albuquerque; Marla da Paschoa, Costa; Felipe Moreira, Nunes; Roberto Wagner Junior Freire de, Freitas; Paulo Roberto Medeiros de, Azevedo; Jose Verissimo, Fernandes; Juciane Vaz, Rego; Humberto Medeiros, Barreto.
Full Text Available CONTEXTO E OBJETIVO: O exame de Papanicolaou já mostrou efetividade na prevenção de câncer do colo do útero. A literatura nacional e internacional tem mostrado que o exame de Papanicolaou não tem alcançado o índice de cobertura desejado. O objetivo deste estudo foi avaliar os conhecimentos, atitud [...] es e práticas entre mulheres em relação ao exame de Papanicolaou e verificar se existe associação entre esses comportamentos e as características sociodemográficas. TIPO DE ESTUDO E LOCAL: Estudo descritivo e transversal realizado em Floriano, Piauí. MÉTODOS: O estudo foi conduzido com 493 mulheres no período de novembro de 2009 a dezembro de 2010. Utilizou-se m questionário com perguntas precodificadas, cujas respostas foram analisadas quanto à adequação dos comportamentos em relação ao exame. RESULTADOS: Os graus de adequação dos conhecimentos, atitudes e práticas em relação ao exame foram de 36,7%, 67,2% e 69,6%, respectivamente. Dentre as principais barreiras para a sua realização, destacaram-se a ausência de sintomas e a vergonha. CONCLUSÃO: As mulheres que realizam consultas periodicamente apresentam prática mais adequada, porém com baixa adequação de conhecimentos frente ao procedimento, sugerindo que não estejam recebendo as informações adequadas sobre os benefícios da realização periódica do exame de Papanicolaou. Abstract in english CONTEXT AND OBJECTIVE: The Papanicolaou (Pap) test has been shown to be effective in preventing cervical cancer. However, both the national and international literature shows that Pap testing has not reached the level of coverage desired. The objective of this study was to assess women's knowledge [...] , attitudes and practices regarding the Pap test and to investigate whether there are any associations between these three factors and the women's sociodemographic characteristics. DESIGN AND SETTING: Cross-sectional descriptive study conducted in Floriano, Piauí. METHODS : The study was conducted among 493 women between November 2009 and December 2010. A questionnaire with precoded questions was sed, and the responses were analyzed in terms of appropriateness in relation to the Pap test. RESULTS : The degrees of adequacy of knowledge, attitudes and practices regarding the Pap test were 36.7%, 67.2% and 69.6%, respectively. Among the main barriers against testing, absence of symptoms and a sense of embarrassment were the most notable. CONCLUSIONS: Women who visit doctors periodically had the most appropriate practices regarding the Pap test, but their knowledge of the procedure was poor. This suggests that these women were not receiving adequate information about the benefits of periodic testing.
Human Immunodeficiency Virus (HIV) infection is a global problem of extraordinary dimensions and has so far resulted in nearly 25 million deaths worldwide. Health care providers (HCPs) are considered to play a pivotal role in the provision of preventive and curative services to individuals suffering from HIV/AIDS and sexually transmitted infections. Pakistan, which was previously categorised as having a low-prevalence, high-risk HIV epidemic, is now facing a concentrated HIV epidemic among its most at-risk populations such as injecting drug users. The objective of this study was to assess the knowledge, attitudes and reported practices relating to HIV/AIDS and STIs among private and public sector health care providers providing clinical services in areas where women sell sex. This was an exploratory quantitative study, where a structured questionnaire was administered in face-to-face interviews with 200 HCPs from the public and private sectors. Knowledge about AIDS and correct diagnosis of STIs were defined as according to the national guidelines of NACP. Pearson's chi-square analysis was performed to test associations between predictors and level of knowledge of STIs in each group separately. Multivariate logistic regression analysis was employed to indicate predicting factors for correct management of STIs. Forty-five percent of the HCPs had correct knowledge about the transmission and prevention of HIV, whereas 21% had seen a patient with advanced HIV infection, only two HCPs had been trained to manage such cases and 82% were not aware of syndromic management of STIs. Only 10% could cite the 'correct treatment' of gonorrhoea, syphilis and vaginal discharge. The odds of having the 'correct knowledge' of diagnosing gonorrhoea and syphilis were 2.1 (CI 95%, 1.2-3.8) if the HCP was a female medical doctor working in public sector. Further intensive training is needed to improve the ability of relevant HCPs to correctly diagnose and effectively treat patients infected with HIV and STIs. (author)
van Genderen Perry JJ
Full Text Available Abstract Background Previous studies investigating the travellers knowledge, attitudes and practices (KAP profile indicated an important educational need among those travelling to risk destinations. Initiatives to improve such education should target all groups of travellers, including business travellers, those visiting friends and relatives (VFRs, and elderly travellers. Methods In the years 2002 to 2009, a questionnaire-based survey was conducted at the Dutch Schiphol Airport with the aim to study trends in KAP of travel risk groups towards prevention of malaria. The risk groups last-minute travellers, solo-travellers, business travellers, VFRs and elderly travellers were specifically studied. Results A total of 3,045 respondents were included in the survey. Travellers to destinations with a high risk for malaria had significantly more accurate risk perceptions (knowledge than travellers to low-risk destinations. The relative risk for malaria in travellers to high-risk destinations was probably mitigated by higher protection rates against malaria as compared with travellers to low risk destinations. There were no significant differences in intended risk-taking behaviour. Trend analyses showed a significant change over time in attitude towards more risk-avoiding behaviour and towards higher protection rates against malaria in travellers to high-risk destinations. The KAP profile of last-minute travellers substantially increased their relative risk for malaria, which contrasts to the slight increase in relative risk of solo travellers, business travellers and VFRs for malaria. Conclusions The results of this sequential cohort survey in Dutch travellers suggest an annual 1.8% increase in protection rates against malaria coinciding with an annual 2.5% decrease in intended risk-seeking behaviour. This improvement may reflect the continuous efforts of travel health advice providers to create awareness and to propagate safe and healthy travel. The KAP profile of last-minute travellers, in particular, substantially increased their relative risk for malaria, underlining the continuous need for personal protective measures and malaria chemoprophylaxis for this risk group.
Oesterlund, Anna H; Thomsen, Jane F
BACKGROUND: Over the past years there has been an increase in the use of pesticides in developing countries. This study describes pesticide use among small-scale farmers in Uganda and analyses predictors of pesticide poisoning (intoxication) symptoms. METHOD: A cross-sectional study was conducted using a standardized questionnaire. Some 317 small-scale farmers in two districts in Uganda were interviewed about pesticide use, knowledge and attitude, symptoms of intoxication, personal protective equipment (PPE) and hygiene. The risk of reporting symptoms was analysed using logistic regression analysis. RESULTS: The most frequently used pesticides belonged to WHO class II. The farmers had poor knowledge about pesticide toxicity, and the majority did not use appropriate PPE nor good hygiene when handling pesticides. There was no significant association between the number of times of spraying with pesticides and self-reported symptoms of pesticide poisoning. The only significant association was between blowing and sucking the nozzle of the knapsack sprayer and self-reported symptoms of pesticide intoxication (OR: 2.13. 95% CI: 1.09 - 4.18). CONCLUSION: Unlike the practice in several other developing countries, small-scale farmers in Uganda do not use the most hazardous pesticides (WHO class 1a and 1b). However use of WHO class II pesticides and those of lower toxicity is seen in combination with inadequate knowledge and practice among the farmers. This poses a danger of acute intoxications, chronic health problems and environmental pollution. Training of farmers in Integrated Pest Management (IPM) methods, use of proper hygiene and personal protective equipment when handling pesticides should be promoted.
Al Mansour MA
Full Text Available Mohammed Abdullah Al Mansour,1 Abdullah MN Al-Bedah,2 Mohammed Othman AlRukban,3 Ibrahim S Elsubai,2 Elsadiq Yousif Mohamed,4 Ahmed Tawfik El Olemy,2 Asim AH Khalil,2 Mohamed KM Khalil,2 Meshari Saleh Alqaed,2 Abdullah Almudaiheem,2 Waqas Sami Mahmoud,4 Khalid Altohami Medani,4 Naseem Akhtar Qureshi2 1College of Medicine, Majmaah University, Al Majmaah, 2National Center of Complementary and Alternative Medicine, Ministry of Health, 3Department of Family Medicine and Community Medicine, College of Medicine, King Saud University, Riyadh, 4Department of Community Medicine and Public Health, College of Medicine, Majmaah University, Al Majmaah, Saudi Arabia Background: Evidently, complementary and alternative medicine (CAM is a recognized medical practice that efficiently uses multiple treatment therapies and techniques in the prevention and management of a variety of human disorders. Many medical schools have integrated CAM curriculum in medical education system worldwide. Research in knowledge, attitude, and practice (KAP of diverse health professionals exposed to CAM courses is important from many perspectives including improvement in KAP and teaching skills of faculty, together with capacity building and curriculum development.Objective and setting: This pre- and post-design cross-sectional study aimed to assess CAM-KAP of two intakes of medical students in Majmaah University, Saudi Arabia.Methods: The second-year medical students of the first (year 20122013 and second (year 20132014 intake (n=26 and 39, respectively were selected for this study. A reliable, 16-item self-administered questionnaire was distributed among all the students for answering before and after the 48-hour CAM course. The data were analyzed using appropriate statistical test of significance.Results: Medical students knowledge and attitude toward CAM significantly improved across some subitems of CAM questionnaire with a positive trend in the rest of its items including their views on CAM practices.Conclusion: CAM course tends to have a positive impact on KAP of medical students. The preliminary results of this study call for further research with a larger sample in academic settings across the nation.Keywords: traditional medical system, medical schools, undergraduate medical students, curriculum, Saudi Arabia
Mustafa, Ghulam; Azmat, Syed Khurram; Hameed, Waqas; Ali, Safdar; Ishaque, Muhammad; Hussain, Wajahat; Ahmed, Aftab; Munroe, Erik
This paper presents the findings of a qualitative assessment aimed at exploring knowledge, attitudes, and practices regarding family planning and factors that influence the need for and use of modern contraceptives. A descriptive exploratory study was conducted with married women and men aged between 15 and 40. Overall, 24 focus group discussions were conducted with male and female participants in three provinces of Pakistan. The findings reveal that the majority knew about some modern contraceptive methods, but the overall contraceptive use was very low. Knowledge and use of any contraceptive method were particularly low. Reasons for not using family planning and modern contraception included incomplete family size, negative perceptions, in-laws' disapproval, religious concerns, side-effects, and lack of access to quality services. The majority preferred private facilities over the government health facilities as the later were cited as derided. The study concluded the need for qualified female healthcare providers, especially for long term family planning services at health facilities instead of camps arranged occasionally. Addressing issues around access, affordability, availability, and sociocultural barriers about modern contraception as well as involving men will help to meet the needs and ensure that the women and couples fulfill their childbearing and reproductive health goals. PMID:26421316
Full Text Available Background: In India, low knowledge of HIV/AIDS and low utilization of voluntary counseling and testing (VCT, is a problem especially in the rural areas. Aims: To assess the knowledge, attitude, behaviour and practices (KABP of HIV seropositive and HIV seronegative clients attending Integrated and testing centre (ICTC in a tertiary hospital of Shimla, Himachal Pradesh. Settings and Design: Cross-sectional study. Material and Methods: A total of 525 attendees, in the age group of 15 to < 50 years, who attended ICTC consecutively either voluntarily or referred from different departments of tertiary hospital and from other districts were included as study subjects. After counselling and confirmation of HIV status according to NACO; diagnosis of TB was done as per RNTCP guidelines. The questionnaire was administered to each client to evaluate risky behaviour and KABP about HIV/AIDS. Statistical analysis: SPSS version 11 was used. Results: 53.5% of seropositives; wherein 35.2% seronegatives demonstrated good knowledge and modes of transmission of HIV/AIDS. However, 15.6% of seropositives whereas 22% seronegatives did not know how HIV/AIDS spreads. 21.4% seronegatives, whereas 15.7% seropositives knew about protection imparted by condom. All the seropositives were sexually active and 63.4% of them had multiple partners in comparison to 82.2% of seronegatives had sexual experience and 8% multiple sexual partners (P < .00001. Moreover, condom usage was nil among both the groups. 20% of seropositives; only 2.8% of seronegatives had sex with commercial sex workers (CSWs (p < .00001. Conclusions: There is need to enhance knowledge and scale up VCT services.
Singh Ajai; Srivastava Rajeshwar Nath
Back Ground: Today about one fourth of biomedical waste is considered as hazardous and may affect the health of both medical personnel and general community. As medical students are going to be one of the important components of health care system, they should have proper and sufficient knowledge on biomedical waste management. So awareness about various aspects of biomedical waste management has to be assessed frequently. Objective: To know the existing awareness and knowledge about biomedic...
Márcio Alves Vieira Belo
Full Text Available OBJETIVO: Estudar o conhecimento, a atitude e a prática em relação ao uso prévio de métodos anticoncepcionais em adolescentes gestantes, bem como algumas de suas características sociodemográficas e da sua vida sexual. MÉTODOS: Estudo observacional, associado a inquérito conhecimento, atitude e prática. Envolveu 156 adolescentes grávidas com idade menor ou igual a 19 anos, que responderam a questionário antes da primeira consulta pré-natal, entre outubro de 1999 a agosto de 2000. Foram realizadas análises univariada e bivariada.Para esta foram utilizados os testes qui-quadrado de Pearson e de Yates e de regressão logística. RESULTADOS: As adolescentes apresentaram média de idade de 16,1 anos. Houve predomínio de primigestas (78,8%. A idade média da menarca foi 12,2 anos, sendo 14,5 anos para a primeira relação sexual. Condom (99,4% e anticoncepcional oral hormonal (98% foram os métodos anticoncepcionais mais conhecidos. Cerca de 67,3% não estavam utilizando qualquer método antes de ficar grávida. O principal motivo isolado alegado para o não uso foi o desejo de engravidar (24,5%. As adolescentes mais velhas, as que informaram professar alguma religião e as que pertenciam a uma classe socioeconômica mais alta tinham um maior conhecimento dos métodos. As adolescentes multíparas usaram com maior freqüência contraceptivos antes de ficar grávidas. CONCLUSÕES: As adolescentes mostraram ter conhecimento adequado sobre os métodos anticoncepcionais e concordaram com seu uso durante o período da adolescência. A religião, a idade e a classe socioeconômica estão relacionadas ao maior ou mais adequado conhecimento dos métodos, enquanto a multiparidade a seu maior uso. Cinqüenta e quatro por cento de adolescentes usaram algum contraceptivo na primeira relação sexual. Ocorreu um decréscimo de utilização de contraceptivos, havendo um período de tempo curto entre o início da vida sexual e a gravidez.OBJECTIVE: To describe the knowledge, attitudes and practices related to previous contraceptive methods used among pregnant teenagers as well as to outline some sociodemographic characteristics and sexual practices. METHODS: An observational study associated to the KAP (Knowledge, Attitudes, and Practices survey was carried out in 156 pregnant teenagers aged 19 years or more. A structured questionnaire was applied before their first prenatal visit from October 1999 to August 2000. Univariate and bivariate analyses were performed using Pearson's and Yates' chi-square test and logistic regression. RESULTS: The adolescents had an average age of 16.1 years and most were in their first pregnancy (78.8%. Average age of menarche was 12.2 years and their first sexual intercourse was at the age of 14.5 years. Condoms (99.4% and oral contraceptives (98% were the most common contraceptive methods known. Of all, 67.3% were not using any contraceptive method before getting pregnant. The main reason reported for not using any contraceptive method was wanting to get pregnant (24.5%. The older ones who reported having religious beliefs and had a higher socioeconomic status had better knowledge on contraceptive methods. Teenagers who had had previous pregnancies reported more often use of contraceptive methods before getting pregnant. CONCLUSIONS: The pregnant teenagers showed to have adequate knowledge of contraceptive methods and agreed to use them throughout their teenage years. Religion, age group, and socioeconomic status were directly related to their knowledge on contraceptive methods, and multiple pregnancies brought more awareness on that. Of all, 54% had used any contraceptive on first sexual intercourse but their use decreased over time and shortly after their first intercourse the studied teenagers got pregnant.
Diferenças regionais de conhecimento, opinião e uso de contraceptivo de emergência entre universitários brasileiros de cursos da área de saúde Regional differences in knowledge, attitudes, and practice in emergency contraceptive use among health sciences university students in Brazil
Flávia Calanca da Silva
Full Text Available O objetivo deste estudo foi avaliar as diferenças regionais de conhecimento, opinião e uso de anticoncepção de emergência entre universitários brasileiros. Questionário semi-estruturado abordando conhecimento, opinião, experiência com anticoncepção de emergência e comportamento sexual foi aplicado a adolescentes de universidades brasileiras. Para análise estatística utilizou-se o teste exato de Fisher e ANOVA. Diferenças foram significantes quando o valor de p The aim of this study was to evaluate regional differences in knowledge, attitudes, and practice in emergency contraception use among Brazilian university students. A sample of university students answered a semi-structured questionnaire on knowledge, attitudes, and practice related to emergency contraception and sexual behavior. Fisher's exact test and ANOVA were used for statistical analysis. Statistical significance was set at p < 0.05. Ninety-six percent (n = 588 of the students had heard of emergency contraception, and 19% (n = 111 knew all the situations in which emergency contraception is indicated, with statistical differences between regions of the country. Forty-two percent of sexually active women in the sample had already used emergency contraception; 35% (n = 207 of students equated emergency contraception with abortion; and 81% (n = 473 thought emergency contraception involves health risks. No significant difference was observed between regions of the country regarding use and attitudes towards emergency contraception. Inter-regional differences in knowledge had no impact on students' attitudes and practice in emergency contraception. National awareness-raising campaigns are needed to improve knowledge on emergency contraception.
Sanjay Kumar Gupta
Full Text Available Research question: What is the knowledge, attitude and practice towards HIV/AIDS in a general population? Objectives: (1 To assess the knowledge about mode of transmission, treatment and prevention of HIV/AIDS. (2 To study the socio demographic pattern, myths and misconceptions. Study design: Community based cross sectional study. Setting: Chunampett Village, Tamilnadu. Duration: March to May 2007. Participants: 845 both males and females above the age of 18 years interviewed at home. Results: Population surveyed was 845, comprising of 482 (57.04% males and 363 (42.96% females. Most of them were Hindus (96.10%. Main occupation was agriculture (39.41% among males and house wives (33.73% among females. 40.35% respondents belonged to low socioeconomic status. Illiteracy rate was high especially among females (43%.Source of information about HIV/AIDS was mass media in about 85% of the population. Majority of individuals (58.5% were not aware that the disease was contagious. An overwhelming majority (98.59% were aware about the mode of transmission of HIV/AIDS through sexual route. However about 20% had myths regarding transmission of disease. 65% knew that HIV/AIDS is preventable, yet only 4% used condoms. A vast majority (60-65% were not aware that treatment and PEP were available free of cost in government hospitals. A majority of about 54.22% were of the opinion that the diagnosis of HIV/AIDS should not be kept confidential. Conclusion: The awareness about HIV / AIDS is high among the study population but the implementation of preventive measures is low. The knowledge about availability of prophylactic and therapeutic measures against HIV / AIDS in Govt. hospitals is also low.
Conhecimentos, atitudes e práticas dos médicos pediatras quanto ao desenvolvimento da comunicação oral / Knowledge, attitudes and practices of pediatricians regarding the development of oral communication
Luciana Paula, Maximino; Marina Viotti, Ferreira; Danielle Tavares, Oliveira; Dionísia Aparecida Cusin, Lamônica; Mariza Ribeiro, Feniman; Ana Carulina Pereira, Spinardi; Simone Aparecida, Lopes-Herrera.
Full Text Available OBJETIVO: investigar os conhecimentos e as atitudes práticas de pediatras em relação à comunicação oral de crianças. MÉTODOS: foram entrevistados 79 pediatras por meio de questionário específico. O conteúdo do questionário buscava informações sobre o profissional, conhecimento das etapas do desenvol [...] vimento da comunicação infantil, sua conduta frente a alguma queixa de suspeita de alterações da comunicação, encaminhamentos profissionais e o método utilizado como avaliação destas crianças. Os questionários foram entregues pessoalmente e respondidos manualmente pelos médicos. RESULTADOS: a maioria dos pediatras entrevistados tem conhecimento, embora básico, das alterações da comunicação infantil e o desenvolvimento da linguagem. Porém, muitos pediatras desconhecem a real atuação do fonoaudiólogo. Além disso, embora haja uma preocupação com a idade da criança falar corretamente, os médicos não realizam o encaminhamento no período adequado. CONCLUSÃO: este estudo mostra a importância da divulgação do trabalho fonoaudiológico em outros meios que não os restritos a ambientes acadêmico, científico ou clínico apenas frequentado por fonoaudiólogos, mas também por profissionais da área médica. Abstract in english PURPOSE: to investigate the knowledge, attitudes and practices of pediatricians regarding the development of oral communication in children. METHODS: a total of 79 pediatricians answered a specific questionnaire. This questionnaire searched information about the professional, professional knowledge [...] of the stages of the children communication development, the behavior before some complaint of communication disorders, referring and method used for evaluating these children. The questionnaires were delivered personally and answered manually by the doctors. RESULTS: most interviewed pediatricians have knowledge, though basic, on some language disorders. However, many pediatricians are not aware on the role played by speech pathologists. Moreover, even though there is concern on the correct speech of children, pediatricians do not refer them at adequate time. CONCLUSION: this study shows the importance to publish the role of speech pathologists not only in academic, scientific or clinical environments attended by speech pathologists, but also in the working places of medical professionals.
Vallet Bellmunt, Teresa; Rivera Torres, Pilar
Purpose: This work has two main objectives: 1) to obtain a set of scales for measuring the patterns, attitudes and practices of integration that can be extrapolated to different scopes (both internal and external) and participants (supplier and customer) within the supply chain; and 2) to evaluate the relations between the different components of integration. Design/methodology/approach: Based on previous literature on the content, measurement and scope of the concept of integration, a mod...
Full Text Available The Mentawai Archipelago (West-Sumatra, Indonesia harbours a wealth of endemic animals and plants including six unique primate species, all threatened by habitat loss and hunting. Although hunting is known to be widespread, little systematic work has been carried out to examine its scale and impact on Mentawai´s primate populations. Here we report an island-wide survey carried out on Siberut, the archipelagos largest island, to assess hunting behaviour with respect to the four locally-occurring primate species, as well as the attitudes of indigenous inhabitants to resource utilization. Face-to-face interviews were conducted in mid-2012 with 390 respondents from 50 villages using a structured questionnaire. Overall, ca. one quarter of the respondents (24% are still active hunters, generally targeting Simias concolor (77%, Macaca siberu (71% and Presbytis siberu (68%; Hylobates klossii is rarely hunted (3%. Mostly, a single animal is captured per hunt, with average numbers per three months ranging from 1.9-2.3 individuals (for S. concolor, M. siberu and P. siberu. We found that in many aspects our data did not differ between the protected area (Siberut National Park and the rest of the island, although hunting was significantly more prevalent within the protected areas boundaries. Our approximation of annual offtake leads us to conclude that no less than 4,800 primates are taken every year (min. 6.4 % of the population. We provide recommendations on how to reduce hunting as a driver for population decline.
Full Text Available Emmanuelle Careau,1 Gjin Biba,1 Rosemary Brander,2 Janice P Van Dijk,2 Sarita Verma,3 Margo Paterson,2 Maria Tassone31Center for Interdisciplinary Research in Rehabilitation and Social Integration, Université Laval, Québec, QC, 2Office of Interprofessional Education and Practice, Queen's University, Kingston, ON, 3Centre for Interprofessional Education, University of Toronto, Toronto, ON, CanadaBackground: A review of the literature was undertaken by the Canadian Interprofessional Health Leadership Collaborative to investigate the content and competencies of health education programs that teach collaborative leadership and to inform the development of an international collaborative leadership curriculum.Methods: A PubMed and Google Scholar search identified the frequency of key leadership education program terms and was adjusted for six major databases. From the 2,119 references, 250 were selected in a double-blinded manner. A descriptive statistical analysis was performed to determine the patterns, types, learners, models, and competencies addressed. Cross-tabulation and analysis of correlation identified best practices and impacts on learners' knowledge, skills, attitudes/behaviors, and on health system change.Results: Four types of leadership models were formally identified, ie, traditional leadership, transformational leadership, clinical leadership, and collaborative leadership. The most identified competencies were interprofessional communication, knowledge on how to work in teams and across disciplines, and financial knowledge. The least addressed topics were social accountability and community engagement. Only 6.8% of the articles reviewed assessed the effectiveness of their program based on patient-centered outcomes and 3.6% on system change.Conclusion: This literature review focused on 250 health leadership education programs reported in peer-reviewed journals to address important questions about the competencies, best practices taught, and evaluation of effectiveness of health system change in health leadership educational programs. This review provides information that may encourage the development, implementation, and evaluation of new collaborative leadership programs. The Lancet Commission report in 2010 called for a new breed of collaborative health leader who can work across health professions in community, hospital, and primary care settings. Collaborative leaders must lead change in the face of uncertainty and ambiguity, and must strengthen and build relationships to navigate complex systems. Existing leadership programs do not adequately address the key competencies to prepare future health leaders to rise to these challenges.Keywords: leadership, health education, collaboration, curriculum, interprofessional relationships, peer review research
Problem Statement/ Objective: Severe dehydration due to diarrhoea leads to 19.8% of deaths among children under 5 years of age in Madagascar (1). The Ministry of Health identified infant diarrhoea as a public health priority. Several studies show that there is an association between infant and young child feeding practices and diarrhoea morbidity (2,3). A conceptual framework allowed a description of child undernutrition as immediately linked to poverty with diarrhoea as a short-term conseque...
Haftom Gebrehiwot*, Berhane Gebrekidan, Haftu Berhe and Kalayou Kidanu
Background: Death related to unintended pregnancy associated events is a series public health concern in Ethiopia. This is very common in young adolescents for whom life is full of adventure and temptation with very little knowledge about the consequences of their reckless activities. Emergency contraceptives are the only method that can be used within short time after sexual intercourse, offering a second chance to prevent unwanted pregnancy. Objectives: To assess the knowledge, attitude and...
Márcio Alves Vieira, Belo; João Luiz Pinto e, Silva.
Full Text Available OBJETIVO: Estudar o conhecimento, a atitude e a prática em relação ao uso prévio de métodos anticoncepcionais em adolescentes gestantes, bem como algumas de suas características sociodemográficas e da sua vida sexual. MÉTODOS: Estudo observacional, associado a inquérito conhecimento, atitude e práti [...] ca. Envolveu 156 adolescentes grávidas com idade menor ou igual a 19 anos, que responderam a questionário antes da primeira consulta pré-natal, entre outubro de 1999 a agosto de 2000. Foram realizadas análises univariada e bivariada.Para esta foram utilizados os testes qui-quadrado de Pearson e de Yates e de regressão logística. RESULTADOS: As adolescentes apresentaram média de idade de 16,1 anos. Houve predomínio de primigestas (78,8%). A idade média da menarca foi 12,2 anos, sendo 14,5 anos para a primeira relação sexual. Condom (99,4%) e anticoncepcional oral hormonal (98%) foram os métodos anticoncepcionais mais conhecidos. Cerca de 67,3% não estavam utilizando qualquer método antes de ficar grávida. O principal motivo isolado alegado para o não uso foi o desejo de engravidar (24,5%). As adolescentes mais velhas, as que informaram professar alguma religião e as que pertenciam a uma classe socioeconômica mais alta tinham um maior conhecimento dos métodos. As adolescentes multíparas usaram com maior freqüência contraceptivos antes de ficar grávidas. CONCLUSÕES: As adolescentes mostraram ter conhecimento adequado sobre os métodos anticoncepcionais e concordaram com seu uso durante o período da adolescência. A religião, a idade e a classe socioeconômica estão relacionadas ao maior ou mais adequado conhecimento dos métodos, enquanto a multiparidade a seu maior uso. Cinqüenta e quatro por cento de adolescentes usaram algum contraceptivo na primeira relação sexual. Ocorreu um decréscimo de utilização de contraceptivos, havendo um período de tempo curto entre o início da vida sexual e a gravidez. Abstract in english OBJECTIVE: To describe the knowledge, attitudes and practices related to previous contraceptive methods used among pregnant teenagers as well as to outline some sociodemographic characteristics and sexual practices. METHODS: An observational study associated to the KAP (Knowledge, Attitudes, and Pra [...] ctices) survey was carried out in 156 pregnant teenagers aged 19 years or more. A structured questionnaire was applied before their first prenatal visit from October 1999 to August 2000. Univariate and bivariate analyses were performed using Pearson's and Yates' chi-square test and logistic regression. RESULTS: The adolescents had an average age of 16.1 years and most were in their first pregnancy (78.8%). Average age of menarche was 12.2 years and their first sexual intercourse was at the age of 14.5 years. Condoms (99.4%) and oral contraceptives (98%) were the most common contraceptive methods known. Of all, 67.3% were not using any contraceptive method before getting pregnant. The main reason reported for not using any contraceptive method was wanting to get pregnant (24.5%). The older ones who reported having religious beliefs and had a higher socioeconomic status had better knowledge on contraceptive methods. Teenagers who had had previous pregnancies reported more often use of contraceptive methods before getting pregnant. CONCLUSIONS: The pregnant teenagers showed to have adequate knowledge of contraceptive methods and agreed to use them throughout their teenage years. Religion, age group, and socioeconomic status were directly related to their knowledge on contraceptive methods, and multiple pregnancies brought more awareness on that. Of all, 54% had used any contraceptive on first sexual intercourse but their use decreased over time and shortly after their first intercourse the studied teenagers got pregnant.
Full Text Available Upper respiratory tract infections (URTIs are common in children and represent a significant cause of antibiotic abuse which contributes to the development of antibiotic resistance. A survey was conducted in Cyprus in 2006 to assess parents and pediatricians Knowledge, Attitude and Practices (KAP concerning the role of antibiotics in children with URTIs. A school-based stratified geographic clustering sampling was used and a pre-tested KAP questionnaire was distributed. A different questionnaire was distributed to paediatricians. Demographic factors associated with antibiotic misuse were identified by backward logistic regression analysis. The parental overall response rate was 69.3%. Parents (N = 1,462 follow pediatricians advice and rarely administer antibiotics acquired over the counter. Although a third expects an antibiotic prescription for URTI symptoms, most deny pressuring their doctors. Low parental education was the most important independent risk factor positively related to antibiotic misuse (OR = 2.88, 95%CI 2.02 to 4.12, p < 0.001. Pediatricians (N = 33 denied prescribing antibiotics after parental pressure but admit that parents ask for antibiotics and believe they expect antibiotic prescriptions even when not needed. In conclusion, Cypriotic parents trust their primary care providers. Although it appears that antibiotic misuse is not driven by parental pressure, the pediatricians view differs.
Tuyet-Hanh, Tran Thi; Vu-Anh, Le; Dunne, Michael; Toms, Leisa-Maree; Tenkate, Thomas; Harden, Fiona
Bien Hoa Airbase was one of the bulk storage and supply facilities for defoliants during the Vietnam War. Environmental and biological samples taken around the airbase have elevated levels of dioxin. In 2007, a pre-intervention knowledge, attitude and practice (KAP) survey of local residents living in Trung Dung and Tan Phong wards was undertaken regarding appropriate strategies to reduce dioxin exposure. A risk reduction programme was implemented in 2008 and post-intervention KAP surveys were undertaken in 2009 and 2013 to evaluate the longer term impacts. Quantitative assessment was undertaken via a KAP survey in 2013 among 600 local residents randomly selected from the two intervention wards and one control ward (Buu Long). Eight in-depth interviews and two focus group discussions were also undertaken for qualitative assessment. Most programme activities had ceased and dioxin risk communication activities had not been integrated into local routine health education programmes; however, main results generally remained and were better than that in Buu Long. In total, 48.2% of households undertook measures to prevent exposure, higher than those in pre- and post-intervention surveys (25.8% and 39.7%) and the control ward (7.7%). Migration and the sensitive nature of dioxin issues were the main challenges for the programme's sustainability. PMID:26234818
Juan C González
Full Text Available Objetivo Estimar la relación entre conocimientos, actitudes y prácticas (comportamientos de riesgo en la sexualidad juvenil y la estructura y percepción de funcionalidad familiar. Metodología Se realizó un estudio observacional de corte trasversal entre 13 699 adolescentes (10 a 19 años de edad de 12 colegios públicos de la localidad de Suba. Se aplicó una encuesta autodiligenciada donde se interrogó por conocimientos, actitudes y comportamientos sexuales y la estructura y percepción del funcionamiento familiar. Resultados Edad media de los adolescentes 13,5 años. Prevalencia de relaciones sexuales de 17 %. El 8 % de los hogares presentan disfunción severa y 39 % son nucleares incompletos. Las mujeres tienen menos relaciones sexuales que los hombres (OR 0.53; IC 95 %; 0.47-0.59. Se presenta más relaciones sexuales cuando los adolescentes perciben de manera disfuncional a su familia (OR 2.06; IC 95 %; 1.72-2.48. Conclusiones Es más importante la percepción de función familiar que la estructura como factor de riesgo en la sexualidad de los jóvenes.Objective Assessing the relationship between knowledge, attitudes and practice regarding high-risk sexual behaviour in adolescent sexuality as well as the structure and perception of family functionality. Methods Cross-sectional research was carried out on a population of 13,699 adolescents (ages ranging from 10 to 19 attending 12 public schools from the conurbation of Suba. A self-questionnaire was administered, focusing on sexual behaviour, knowledge, attitudes and the structure and perception of family dynamics. Results Average age was 13.5. Sexual activity prevalence was 17%. 8% of households suffered from severe dysfunction. 39% of households were incomplete nuclear ones. Females reported less sexual activity than males (0.53 OR; 0.47-0.59 95%CI. Sexual activity was more common when adolescents perceived family dysfunction (2.06 OR; 1.72-2.48 95%CI. Conclusions Perception of family function was more important than structure as a risk factor in youngsters' sexuality.
Juan C, González.
Full Text Available Objetivo Estimar la relación entre conocimientos, actitudes y prácticas (comportamientos) de riesgo en la sexualidad juvenil y la estructura y percepción de funcionalidad familiar. Metodología Se realizó un estudio observacional de corte trasversal entre 13 699 adolescentes (10 a 19 años de edad) de [...] 12 colegios públicos de la localidad de Suba. Se aplicó una encuesta autodiligenciada donde se interrogó por conocimientos, actitudes y comportamientos sexuales y la estructura y percepción del funcionamiento familiar. Resultados Edad media de los adolescentes 13,5 años. Prevalencia de relaciones sexuales de 17 %. El 8 % de los hogares presentan disfunción severa y 39 % son nucleares incompletos. Las mujeres tienen menos relaciones sexuales que los hombres (OR 0.53; IC 95 %; 0.47-0.59). Se presenta más relaciones sexuales cuando los adolescentes perciben de manera disfuncional a su familia (OR 2.06; IC 95 %; 1.72-2.48). Conclusiones Es más importante la percepción de función familiar que la estructura como factor de riesgo en la sexualidad de los jóvenes. Abstract in english Objective Assessing the relationship between knowledge, attitudes and practice regarding high-risk sexual behaviour in adolescent sexuality as well as the structure and perception of family functionality. Methods Cross-sectional research was carried out on a population of 13,699 adolescents (ages ra [...] nging from 10 to 19) attending 12 public schools from the conurbation of Suba. A self-questionnaire was administered, focusing on sexual behaviour, knowledge, attitudes and the structure and perception of family dynamics. Results Average age was 13.5. Sexual activity prevalence was 17%. 8% of households suffered from severe dysfunction. 39% of households were incomplete nuclear ones. Females reported less sexual activity than males (0.53 OR; 0.47-0.59 95%CI). Sexual activity was more common when adolescents perceived family dysfunction (2.06 OR; 1.72-2.48 95%CI). Conclusions Perception of family function was more important than structure as a risk factor in youngsters' sexuality.
John S. Bimba
Full Text Available Cervical cancer is the leading cancer-related cause of death among women in Nigeria. An estimated 70,700 new cases occur each year, representing one quarter of all female cancers in sub Saharan Africa. The magnitude of the problem has been under recognised and under prioritised compared with the competing health priorities of infectious diseases such as HIV/ AIDS, tuberculosis and malaria. Studies in the United States and Nigeria have indicated that the disease has the highest incidence among the lowest socio-economic groups especially residing in rural areas. The peak age for the disease has been shown to be within 35-45 years age group. Knowledge of the risk factors of the disease is deemed important in its early detection and prevention. The objective of this study was to assess the knowledge, attitude and practice of rural women with cancer of the cervix. A cross sectional descriptive study was conducted among 1600 rural women aged 15-55 years (randomly selected from 28 villages who were interviewed using a structured questionnaire between April and June, 2010. The majority (82.2% were married before the age of 20 years and 19.3% before 15 years, 40% in polygamous union, 22.6% have had 2 or more sexual partners, 71.3% were primi and grand multiparous, 7.5% have had previous treatment for STIs and 10.1% were on various types of contraceptive. 454 (28.4% have heard of Ca cervix, 358 (22.4% knew the location of the cervix. 2.3% had Pap smear test of which 72.6% were within 2 years. The majority (89.9% will avail themselves for screening.
Contribuições recentes sobre conhecimentos, atitudes e práticas da população brasileira acerca da dengue / Recent contributions about the Brazilian population's knowledge, attitudes and practices regarding dengue
Ronaldo Pinheiro, Gonçalves; Edilmar Carvalho de, Lima; José Wellington de Oliveira, Lima; Marcelo Gurgel Carlos da, Silva; Andrea, Caprara.
Full Text Available O modelo tradicional de controle da dengue no Brasil elegeu como um dos seus principais eixos estratégicos a participação popular. Na prática, essa estratégia tem se mostrado incapaz de promover o envolvimento e a mudança de comportamento da população, considerados essenciais para o controle dessa e [...] ndemia. No presente estudo, realizou-se uma revisão integrativa de artigos publicados na literatura científica sobre conhecimentos, atitudes e práticas da população acerca da doença. Esse método foi escolhido porque permite reunir e sintetizar resultados de pesquisas sobre o tema selecionado, contribuindo para o aprofundamento do conhecimento em relação ao assunto investigado. Conclui-se que há um distanciamento entre as ações governamentais e a realidade da população, a sugerir a necessidade de implantação de uma política de prevenção e controle menos verticalizada, na qual os conhecimentos sociais possam nortear as estratégias de controle da doença de acordo com os interesses, necessidades, desejos e visões de mundo da comunidade. Nesta perspectiva, a população deixa de ser mera espectadora e dependente de ações previamente definidas para ocupar posição privilegiada nesse processo, assegurando a efetividade e a sustentabilidade das ações do programa. Abstract in english The traditional model for dengue control in Brazil has established that community participation is one of its main strategic pillars. In practice, this strategy has been unable to promote the involvement and behaviour change of the population, which are considered essential to control this endemic d [...] isease. In the present study, we carried out an integrative review of articles published in the scientific literature on knowledge, attitudes and practices of the population about the disease. This method was chosen because it allows gathering and synthesizing research findings on the selected theme, thus contributing to enhance knowledge on the investigated subject. We conclude that there is a gap between the government's actions and the population's reality, which suggests the need to implement a less vertical prevention and control policy, in which social knowledge can guide strategies for disease control in accordance with the community's interests, needs, desires and worldviews. In this perspective, the population ceases to be a mere spectator, dependent on previously defined actions, and occupies a prominent position in the process, ensuring the effectiveness and sustainability of the program's activities.
The Effect of the Theoretical Course of Community Oral Health on the Oral Health Prevention Knowledge, Attitude and Self-Reported Practice in Dental School Students at Tehran University of Medical Sciences
Full Text Available Background and Aims: Evaluation of the training is a principle for successful education. This study evaluated the effect of the theoretical course of community oral health on knowledge, attitude and self-reported practice of preventive dentistry in dental students at Tehran University of Medical Sciences and assessed the students' satisfaction from the course.Materials and Methods: The intervention group comprised the forth-year students of Tehran University of Medical Sciences, Dental School and the controls were the forth year students of Shahid Beheshti Medical University. The questionnaire included questions on backgrounds, knowledge, attitude and practice of students towards preventive dentistry, and students' satisfaction from the course. The intervention was 17 weekly sessions (hours of the community oral health course. The sum of scores for questions on backgrounds, knowledge, attitude and practice were calculated and changes were analyzed by General Linear Model.Results: The mean baseline knowledge score in the intervention group was 16.9 (SD=4.0 and for the control group 16.3 (SD=3.5. Corresponding figures were 23.7 (SD=3.4 and 17 (SD=3.3 after intervention. General linear model showed the intervention to be successful in increasing the students' knowledge scores on preventive dentistry (P<0.0001. Most students (92% were satisfied with learning several new items during the course.Conclusion: The students' knowledge was successfully increased by passing the theoretical course of community oral health delivered by teacher-centered method of lecture. Student-centered methods may help in changing the students' attitude and practice of preventive dentistry.
Paul A Bourne
Full Text Available Background : South and Southeast Asia represent the largest number of new HIV infections, while Sub-Saharan Africa represents the highest rate of new infections, followed by Latin America and the Caribbean. Yet no study that has emerged in the Caribbean has comprehensively examined young people?s sexual and reproductive health attitudes, knowledge and practices, comparing the result with those who are HIV infected. Aim : The present study examines core issues of sexual and reproductive health among youths, particularly with respect to HIV. Material and Methods : The sample was 1,800 respondents ages 15-49 years. Multivariate logistic regressions were fitted using one outcome measure: self-reported confirmed positive HIV test results. Results : Almost 34% of the sample had been tested for HIV, and 16.9% had done this in the past 12 months. Only 0.2% of the sample knew that they were HIV positive and 4% had positive HIV test results when they did the test. Of those with a positive HIV test result, 58.1% were females. Approximately 16% of those with HIV have had an STI infection in the past, and 61% were actively practicing religion. The mean age of first sexual relations for the sample was 15.4 years (SD = 3.2 years, and 15.6 years for those infected with HIV. Four variables emerged as statistically significant factors of Jamaicans? willingness to do an HIV test in the future. Conclusion : The findings of this research are far-reaching and can be used to guide public health policy formulation.
K J, Ramphoma; S, Naidoo.
Full Text Available Lesotho has the third highest prevalence of HIV In the world with an estimated 23% of the adult population infected. At least 70% of people living with HIV/AIDS (PLWHA) have presented with oral manifestation of HIV as the first sign of the disease. Oral health workers regularly encounter patients pr [...] esenting with oral lesions associated with HIV disease and therefore need to have adequate knowledge of these conditions for diagnosis and management. The aim of the present study was to determine the knowledge, attitudes and practices of oral health care workers (OHCW) of Lesotho regarding the management of oral manifestations of HIV/AIDS. A descriptive cross-sectional survey was conducted on all 46 OHCW in 26 public and private care facilities in all ten districts of Lesotho. A self-administered questionnaire was used to gather information. The response rate was 100%. Nearly all (94.7%) agreed that oral lesions are common in people living with HIV and/or AIDS. The majority (91.3%) named oral candidiasis (OC) as the most common lesion found in PLWHA while Kaposi's Sarcoma (KS) (34.7%) and Oral Hairy Leukoplakia (OHL) (32.6%) were mentioned as the least common oral lesions of HIV. Most correctly identified the images of oral candidiasis (97.8%), angular cheilitis (86.9%) and herpes zoster (80.4%). Only 16.7% felt they had comprehensive knowledge of oral HIV lesions, although 84.8% reported having previously received training. Almost three quarters (71%) reported that there was no need to treat HIV positive patients differently from HIV negative patients. OHCW in Lesotho demonstrated high confidence levels in their competence in managing dental patients with oral lesions associated with HIV, however, they lacked an in-depth knowledge in this regard. Amongst this group there is a need for comprehensive training with regards to diagnosis and management of oral lesions of HIV including the training of other cadres of health care workers together with nurses and community health workers.
The purpose of this research is to develop an understanding of the factors that support or constrain the individual's sharing knowledge in the organization. The current study seeks to explore whether personality (self-efficacy and self-esteem) and situational (cognitive appraisal: threat versus challenge) characteristics influence participants'
Alexis Ntumba; Vera Scott; Ehimario Igumbor
Background: Namibia bears a large burden of Human Immunodeficiency Virus (HIV), and the youth are disproportionately affected.Objectives: To explore the current knowledge, attitudes and behaviour of female adolescents attending family planning to HIV prevention.Methods: A cross-sectional study design was used on a sample 251 unmarried female adolescents aged from 13 years to 19 years accessing primary care services for contraception using an interviewer- administered questionnaire. Data were ...
Conclusion: In this study very low rate of PEP utilization up on exposure to HIV risk conditions was seen even though the significant proportion of these professionals had adequate knowledge and positive attitude toward PEP. Much work had to be done by policy makers to increase the uptake of the method by health care workers to mitigate the rising epidemic of HIV/AIDS in the country. [Int J Res Med Sci 2014; 2(2.000: 468-471
Nutritional knowledges, attitudes and practices in HIV patients who were receiving pharmacological treatment CONOCIMIENTOS, ACTITUDES Y PRÁCTICAS ALIMENTARIAS EN PACIENTES DIAGNOSTICADOS CON VIH EN TRATAMIENTO FARMACOLÓGICO
Jhon Jairo Bejarano-Roncancio
Full Text Available Background. Research related to nutritional habits during the asymptomatic phase of HIV has not been well documented or is very scarce; this would include understanding the importance of nutritional status regarding disease progression and that suitable nutritional status may slow transition to symptomatic stages or AIDS stage. No studies have yet been carried out in Colombia describing nutritional habits in HIV-positive patients who have been receiving pharmacological treatment; no records have thus been kept and no advances have been made regarding this topic. Objective. Describing nutritional knowledge, attitudes and practice in asymptomatic patients diagnosed as suffering from clinical phase HIV infection receiving pharmacological treatment. Materials and methods. A descriptive exploratory study was carried out using a care and prevention (CAP-based approach; the survey was voluntarily filled out by 108 patients who were attending outpatient consultation in two private institutions in Bogotá. Results. Three components were analysed in the 108 surveys. Knowledge. 58.7% of the patients referred to having received information about what their diet should have been like; 32.3% had their diet supplied by a nutritionist. Fibre was the main component taken into account when choosing food (65% and protein was considered to be the most beneficial nutrient (52%. Attitude: 61.8% of the patients stated that their diagnosis hampered selecting and buying food due to a lack of information. Appetite had not undergone changes in 49.5% of the participants following reflecting on their diagnosis. Practice. 75% of the patients recognised the importance of consuming nutritional supplements and complements; however, only 35.7% of them took them. When buying industrialised/processed food, 66.4% of the patients verified the products' expiry date and/or nutritional data on the label. Conclusions. The food customarily consumed by the patients was that forming part of the average Colombian population's basic weekly food basket; their habits did not significantly differ from those of the rest of the population. Dietary and nutritional information was being obtained from non-professional sources. General practitioners or specialists were referring patients to professional nutritionists; however, self-medication and dosage were common regarding the use and consumption of nutritional complements and supplements.Antecedentes. Los hábitos alimentarios de esta población no ha sido materia de una amplia investigación, incluso concibiendo la importancia que tiene el estado nutricional en la evolución de la enfermedad y que este puede retardar el periodo de transición de la misma a etapas sintomáticas o la fase SIDA. Objetivo. Describir los conocimientos, actitudes y prácticas alimentarias de los pacientes diagnosticados con la infección por VIH, asintomáticos, en fase clínica con tratamiento farmacológico. Material y métodos. Se realizó un estudio exploratorio descriptivo utilizando una encuesta de CAP que diligenciaron voluntariamente 108 pacientes en consulta externa ambulatoria de dos instituciones privadas de Bogotá. Resultados. Se analizaron 108 encuestas en tres componentes. Conocimientos: el 58,7% refirió haber recibido información acerca de cómo debe ser su alimentación; el 32,3% fue suministrado por nutricionista. La fibra es el principal componente que tienen en cuenta a la hora de escoger alimentos (65% y la proteína la consideran como el nutriente más benéfico (52%. Actitudes: el 61,8% manifestaron que el diagnóstico dificulta la selección y compra de alimentos por falta de información. El apetito, luego de reflexionar sobre el diagnóstico no ha sufrido cambios en el 49,5% de los participantes. Prácticas: el 75% reconoció la importancia de consumir suplementos y complementos; tan solo el 35,7% los consume. Cuando compran alimentos industrializados, el 66,4% verifica la fecha de vencimiento y el rotulado nutricional. Conclusiones. Los alimentos que más consumen son aquellos que hacen parte de
Nutritional knowledges, attitudes and practices in HIV patients who were receiving pharmacological treatment / CONOCIMIENTOS, ACTITUDES Y PRÁCTICAS ALIMENTARIAS EN PACIENTES DIAGNOSTICADOS CON VIH EN TRATAMIENTO FARMACOLÓGICO
Jhon Jairo, Bejarano-Roncancio; Ramírez, Martha Eugenia; Valerín, Saurith-López; Otto Alberto, Sussman-Peña.
Full Text Available Antecedentes. Los hábitos alimentarios de esta población no ha sido materia de una amplia investigación, incluso concibiendo la importancia que tiene el estado nutricional en la evolución de la enfermedad y que este puede retardar el periodo de transición de la misma a etapas sintomáticas o la fase [...] SIDA. Objetivo. Describir los conocimientos, actitudes y prácticas alimentarias de los pacientes diagnosticados con la infección por VIH, asintomáticos, en fase clínica con tratamiento farmacológico. Material y métodos. Se realizó un estudio exploratorio descriptivo utilizando una encuesta de CAP que diligenciaron voluntariamente 108 pacientes en consulta externa ambulatoria de dos instituciones privadas de Bogotá. Resultados. Se analizaron 108 encuestas en tres componentes. Conocimientos: el 58,7% refirió haber recibido información acerca de cómo debe ser su alimentación; el 32,3% fue suministrado por nutricionista. La fibra es el principal componente que tienen en cuenta a la hora de escoger alimentos (65%) y la proteína la consideran como el nutriente más benéfico (52%). Actitudes: el 61,8% manifestaron que el diagnóstico dificulta la selección y compra de alimentos por falta de información. El apetito, luego de reflexionar sobre el diagnóstico no ha sufrido cambios en el 49,5% de los participantes. Prácticas: el 75% reconoció la importancia de consumir suplementos y complementos; tan solo el 35,7% los consume. Cuando compran alimentos industrializados, el 66,4% verifica la fecha de vencimiento y el rotulado nutricional. Conclusiones. Los alimentos que más consumen son aquellos que hacen parte de la canasta básica para la población colombiana; sus hábitos no difieren significativamente del resto de población. La información en alimentación y nutrición la obtienen de fuentes no profesionales. Se evidencia una regular remisión por el médico general o tratante hacia el profesional nutricionista. Es común la práctica de automedicación y dosificación en el uso y consumo de complementos y suplementos alimenticios. Abstract in english Background. Research related to nutritional habits during the asymptomatic phase of HIV has not been well documented or is very scarce; this would include understanding the importance of nutritional status regarding disease progression and that suitable nutritional status may slow transition to symp [...] tomatic stages or AIDS stage. No studies have yet been carried out in Colombia describing nutritional habits in HIV-positive patients who have been receiving pharmacological treatment; no records have thus been kept and no advances have been made regarding this topic. Objective. Describing nutritional knowledge, attitudes and practice in asymptomatic patients diagnosed as suffering from clinical phase HIV infection receiving pharmacological treatment. Materials and methods. A descriptive exploratory study was carried out using a care and prevention (CAP)-based approach; the survey was voluntarily filled out by 108 patients who were attending outpatient consultation in two private institutions in Bogotá. Results. Three components were analysed in the 108 surveys. Knowledge. 58.7% of the patients referred to having received information about what their diet should have been like; 32.3% had their diet supplied by a nutritionist. Fibre was the main component taken into account when choosing food (65%) and protein was considered to be the most beneficial nutrient (52%). Attitude: 61.8% of the patients stated that their diagnosis hampered selecting and buying food due to a lack of information. Appetite had not undergone changes in 49.5% of the participants following reflecting on their diagnosis. Practice. 75% of the patients recognised the importance of consuming nutritional supplements and complements; however, only 35.7% of them took them. When buying industrialised/processed food, 66.4% of the patients verified the products' expiry date and/or nutritional data on the label. Conclusions. The food customarily consumed by the patients wa
S., Palaian; M.I., Ibrahim; P., Mishra.
Full Text Available La farmacovigilancia puede ser útil para proteger a los consumidores de los efectos dañinos de los medicamentos. Los profesionales de la salud deberían considerar la comunicación de reacciones adversas de medicamentos (RAM) como una obligación profesional y deberían conocer los mecanismos de farmaco [...] vigilancia que existen en sus países. En Nepal, las actividades de farmacovigilancia comenzaron en 2004. Objetivos: El presente estudio evaluó el conocimiento, actitudes y prácticas (KAP) de los profesionales de la salud hacia las RAM y la farmacovigilancia en el Hospital Universitario de Manipal (MTH), un hospital universitario terciario ligado al centro regional de farmacovigilancia del Oeste de Nepal. Métodos: Se realizó un estudio transversal en 2007 usando un cuestionario pre-evaluado (alfa de Cronbach=0,72) que tenía 25 preguntas (15 sobre conocimiento, 5 sobre actitudes y 5 sobre práctica). A las preguntas correctas se les dio una puntuación de "2' y a las respuestas incorrectas/negativas se les dio un "1', con una puntuación máxima de 50. Resultados: Se obtuvieron un total de 131 respuestas de las que 42 estaban incompletas y las restantes 89 se analizaron [49 mujeres (55,1%)]. De los 89 profesionales, 29 (33,6%) eran médicos, 46 (51,8%= enfermeras y 14 (15,7%) farmacéuticos. La media de edad era de 28,32 años (DE=8,46) y la media (rango intercuartílico) de la duración en el servicio fue 14,5 meses (6-36). Las puntuaciones totales de KAP fueron 40,06 (DE=3,51) para médicos, 39,92 (DE=4,83) para farmacéuticos y 35,82 (DE=3,75) para enfermeras. Entre los 89 profesionales, 59 (62,3%) no comunicaron ni una sola RAM al centro de farmacovigilancia. Conclusión: Los profesionales de la saludo del MTH tienen pobre KAP sobre las RAM y la farmacovigilancia, y se necesita una intervención educativa y sobre el conocimiento para estos profesionales. Abstract in english Pharmacovigilance can be helpful in protecting consumers from harmful effects of medicines. Healthcare professionals should consider Adverse Drug Reaction (ADR) reporting as their professional obligation and should be aware of the existing pharmacovigilance mechanisms in their countries. In Nepal, p [...] harmacovigilance activities were initiated in 2004. Objectives: The present study evaluated the knowledge, attitude and practices (KAP) of the healthcare professionals towards ADRs and pharmacovigilance in Manipal Teaching Hospital (MTH), a tertiary care teaching hospital attached to the regional pharmacovigilance center in western Nepal. Methods: A cross-sectional study was carried out in 2007 using a pretested (Cronbach alpha=0.72) questionnaire having 25 questions (15 questions on knowledge, 5 on attitude and 5 on practice). The correct/positive responses were given a score of "2' and the wrong/negative responses "1', maximum possible score of "50'. Results: A total of 131 responses were obtained among which 42 were incomplete and remaining 89 [females 49 (55.1%)] were analyzed. Of the 89 professionals, 29 (32.6%) were doctors, 46 (51.8) nurses and 14 (15.7%) pharmacists. The mean age was 28.32 (SD=8.46) years and the median (interquartile range) of duration of the service 14.5 (6-36) months. The total KAP scores was 40.06 (SD=3.51) for doctors, 38.92 (SD=4.83) for pharmacists, and 35.82 (SD=3.75) for nurses. Among the 89 professionals, 59 (62.3%) had not reported even a single ADR to the pharmacovigilance center. Conclusion: The healthcare professionals at the MTH had a poor KAP towards ADRs and pharmacovigilance and there is a need for educational and awareness intervention for these professionals.
Flor de María, Cáceres-Manrique; Celmira, Vesga-Gómez; Xiomara, Perea-Florez; Mónica, Ruitorte; Yves, Talbot.
Full Text Available Objetivo Identificar conocimientos, actitudes y prácticas sobre dengue para orientar medidas de prevención y control. Metodología Encuesta realizada, en dos barrios de alta incidencia de dengue en Bucaramanga, mayo de 2007, mediante visita domiciliaria. Se identificaron criaderos y se brindó educaci [...] ón sobre prevención y control. La información fue analizada en EPI-INFO. Resultados En 643 de las 780 viviendas (82,4 %) se logró respuesta. La mayoría de los entrevistadas eran mujeres, 518 (80,6 %), con edad promedio 39,6 años, desviación estándar (DE) 16,8, escolaridad 6,2 años (DE 3.5) y 5 habitantes por vivienda. En cuanto al dengue, 433 (67,3%) lo describieron como una enfermedad: muy grave 545 (84,8 %), transmitida por zancudo 242 (37,6 %) y producida por virus 59 (9,2 %). Síntomas reconocidos: fiebre 570 (88,6 %), vómito 352 (54,7 %), diarrea 275 (43,0 %), cefalea 243 (37,8 %), dolor óseo 196 (30,5 %) y muscular 109 (17,0 %). Para prevenirlo: evitan agua estancada 288 (44,7 %), lavan la pila 174 (27,2 %), limpian la casa 101 (15,8 %) y fumigan 91 (14,2 %). Cuando alguien tiene dengue: lo llevan al médico 410 (63,8 %), al hospital 129 (20,1 %) o automedica 78 (12,0 %). El índice larvario fue de 26,1 % y en 8,4 % de las viviendas hubo casos de dengue el mes anterior a la encuesta. Discusión Los conocimientos sobre dengue son escasos, las actitudes favorables al control, pero las prácticas son insuficientes. Se requiere educar y empoderar la comunidad para que participe activamente en los programas de prevención y control. Abstract in english Objective Identifying knowledge, attitudes and practice regarding dengue control for guiding prevention and control measures. Methods A community survey was carried out using house inspection visits during May 2007 in two neighbourhoods in Bucaramanga having a high incidence of dengue. Mosquito bree [...] ding places were identified and education concerning dengue prevention and control measures was provided. EPI-INFO was used for analysing the information so collected. Results 643 of the 780 households (82.4%) responded to the survey. Most people responding (518) were female (80.6%), average age being 39.6 (16.8 standard deviation (SD)), average schooling lasted 6.2 years (3.5 SD) and average household size was 5 people per house. Regarding dengue, 433 people (67.3%) described it as being a very serious disease; 545 (84.8%) stated that it was transmitted by a mosquito vector and 242 (37.6%) said that it was produced by a virus 59 (9.2%). The symptoms recognised were: fever by 570 people (88.6%), vomiting by 352 (54.7%), diarrhoea by 275 (43.0%), headache by 243 (37.8%), bone pain by 196 (30.5%) and muscle pain by 109 (17.0%). For prevention, 288 (44.7%) avoided stagnant water, 174 (27.2%) washed out their water tanks, 91 (14.2%) fumigated and 101 (15.8%) cleaned their houses. When anybody had dengue, 410 of them (63.8%) would go to a doctor, 129 (20.1%) would go to a hospital and 78 (12.0%) would treat themselves. Larval rate was 26.6% and there had been cases of dengue in 8.4% of the households during the last month. Discussion Knowledge about dengue was sketchy. Attitudes were favourable regarding dengue control but preventative practice was inadequate. The community must be educated and empowered to ensure their active participation in prevention and control programmes.
Diferenças regionais de conhecimento, opinião e uso de contraceptivo de emergência entre universitários brasileiros de cursos da área de saúde / Regional differences in knowledge, attitudes, and practice in emergency contraceptive use among health sciences university students in Brazil
Flávia Calanca da, Silva; Maria Sylvia de Souza, Vitalle; Hélcio de Sousa, Maranhão; Maria Helena Alves, Canuto; Maria Marlene de Souza, Pires; Mauro, Fisberg.
Full Text Available O objetivo deste estudo foi avaliar as diferenças regionais de conhecimento, opinião e uso de anticoncepção de emergência entre universitários brasileiros. Questionário semi-estruturado abordando conhecimento, opinião, experiência com anticoncepção de emergência e comportamento sexual foi aplicado a [...] adolescentes de universidades brasileiras. Para análise estatística utilizou-se o teste exato de Fisher e ANOVA. Diferenças foram significantes quando o valor de p Abstract in english The aim of this study was to evaluate regional differences in knowledge, attitudes, and practice in emergency contraception use among Brazilian university students. A sample of university students answered a semi-structured questionnaire on knowledge, attitudes, and practice related to emergency con [...] traception and sexual behavior. Fisher's exact test and ANOVA were used for statistical analysis. Statistical significance was set at p
Luis Eugenio, Valdés García; María Dolores, Malfrán García; Yoire, Ferrer Savigne; Enma, Salazar Aguilera.
Full Text Available Se realizó un estudio descriptivo y transversal de 3 559 personas (15-35 años de edad), con vistas a caracterizar los conocimientos, las actitudes y prácticas sexuales y su relación con las manifestaciones de las enfermedades de transmisión sexual y el sida en la provincia de Santiago de Cuba. De lo [...] s integrantes de la casuística, 46,4 % de quienes iniciaron sus relaciones sexuales a los 10-14 años y 82,0 % de quienes las tuvieron con personas del mismo sexo, eran varones. Respecto al condón, 18,6 % de las mujeres y 17,6 % de los hombres refirieron haberlo usado en sus primeras relaciones sexuales; pero nunca lo utilizaron 31,8 y 30,2 % de los que practicaron coito anal y vaginal, respectivamente. Entre las prácticas sexuales predominaron la penetración vaginal (94,6 %) y el sexo oral (62,0 %). La tasa de no respuesta y no participación fue de 18 %, con un intervalo de confianza de 95 %. Abstract in english A descriptive and cross-sectional study of 3 559 people (15-35 years old) was carried out, with the objective of characterizing the knowledge, attitudes and sexual practices and their relation to the manifestations of sexually transmitted diseases and AIDS in Santiago de Cuba province. From the memb [...] ers of the case material, 46,4 % of those who began their sexual relations at 10-14 years and 82,0 % of those who began them with persons of the same sex, were males. Regarding condom, 18,6 % of the women and 17,6 % of the men, referred to have used it in their first sexual relations; but 31,8 and 30,2 % of those who practiced anal and vaginal coitus never used it. Among the sexual practices, vaginal penetration (94,6 %) and oral sex (62,0 %) prevailed. The rate for no answer and no participation was 18 %, with a confidence interval of 95 %.
Ockene, J. K.; Chiriboga, D. E.; Zevallos, J. C.
OBJECTIVE: To evaluate the prevalence of, attitudes towards, and knowledge about cigarette smoking in Ecuador in 1991. DESIGN: Survey using in-person interviews; stratified and multiple regression analyses. SUBJECTS AND SETTING: Eight hundred people (> or = 18 years old) representative of the adult populations in the cities of Quito and Guayaquil, Ecuador. MAIN OUTCOME MEASURES: Smoking prevalence, daily cigarette consumption, reasons for smoking, desire to quit smoking, knowledge about...
Adams O Peter
Full Text Available Abstract Background Deficiencies in the quality of diabetes and hypertension primary care and outcomes have been documented in Barbados. This study aimed to explore the knowledge, attitudes and practices, and the barriers faced by people with diabetes and hypertension in Barbados that might contribute to these deficiencies. Methods Five structured focus groups were conducted for randomly selected people with diabetes and hypertension. Results Twenty-one patients (5 diabetic, 5 hypertensive, and 11 with both diseases with a mean age of 59 years attended 5 focus group sessions. Patient factors that affected care included the difficulty in maintaining behaviour change. Practitioner factors included not considering the "whole person" and patient expectations, and not showing enough respect for patients. Health care system factors revolved around the amount of time spent accessing care because of long waiting times in public sector clinics and pharmacies. Society related barriers included the high cost and limited availability of appropriate food, the availability of exercise facilities, stigma of disease and difficulty taking time off work. Attendees were not familiar with guidelines for diabetes and hypertension management, but welcomed a patient version detailing a place to record results, the frequency of tests, and blood pressure and blood glucose targets. Appropriate education from practitioners during consultations, while waiting in clinic, through support and education groups, and for the general public through the schools, mass media and billboards were recommended. Conclusions Primary care providers should take a more patient centred approach to the care of those with diabetes and hypertension. The care system should provide better service by reducing waiting times. Patient self-management could be encouraged by a patient version of care guidelines and greater educational efforts.
Laxman; Kashif Shahnawaz; Gaurav; Sanjay Kumar1,; Avisek; Jitendra Bahadur
BACKGROUND : Breast feeding is almost universal , but there are many barriers for proper breast feeding practices. Despite the well - recognized importance of exclusive breast feeding (EBF) , this practice is not widespread i n the developing countries like India. This is mainly due to lack of understanding and poor adherence of mothers to EBF practices for the first 6 months postpartum. Also , the knowledge and practices of early breast feed...
Locus of control and contraceptive knowledge, attitude and practice among university students Locus de control y conocimiento, actitud y práctica contraceptivas entre adolescentes universitarios Lócus de controle e conhecimento, atitude e prática contraceptivas entre adolescentes universitários
Aline Salheb Alves; Maria Helena Baena Moraes Lopes
OBJECTIVE: To assess the relationship between locus of control and knowledge, attitude and practice regarding pill and condom use among university students. METHODS: The inquiry was developed in Campinas, a city in Southeastern Brazil, in 2006. A total of 295 adolescent newcomers to a public university answered a structured questionnaire and Levenson's multidimensional locus of control scale. The scores of the dimensions of locus of control were calculated and Spearman's correlation coefficie...
A study on the Rate of Knowledge, Attitude and Practice of Medical Students towards Method of Medical Records Documentation at Mazandaran University of Medical Sciences Affiliated Therapeutic and Teaching Centers 2003
Full Text Available Background and Objectives: History, clinical findings, procedures undertaken, and patients response to treatment are written in clinical records, hence their contents are indicators of physiciansâ evaluation. If clinical records are provided precisely, clear and systematized, they indicate the clinical thinking of the staff and facilitate patients diagnosis process. These records have an important role in coordinating professional staff involved in patient care. Since the physicians and medical students are involved more in medical records documentation than the other hospital staff, thus, a study on their knowledge, attitude and practice towards the principles of medical records documentation is undertaken.Materials and Methods: This is a descriptive study, which is done about the rate of knowledge, attitude and practice of 207 Medical students of Mazandaran University of Medical Sciences in university hospitals. Descriptive and inferential statistical analytic methods were used for the collected data. For comparison of the hospitals, regarding observing designed principals in the completion of medical files, according to the filled questionnaires the minimum and maximum score designated as 1-5 which is very poor to excellent. Then the mean score was calculated and considered for the comparison of hospitals. For the determination of the relationship between knowledge, attitude, and practice, Î² Kendallâs Tau Test was used.Results: The majority of the participants had low knowledge (77.8% about medical records documentation. Most of them did not have good attitude (54.1 about completion of medical records and significance and value of medical records documentation in treatment, education, and research.Conclusion: Results indicate that incompletion of medical records at the university affiliated hospitals are due to lack of awareness of the students towards the method of medical records documentation. In addition, not considering the completion of records in evaluation of the students can affect their practice
El-Tras Wael F
Full Text Available Abstract Background Brucellosis is regarded as one of the major zoonotic infections worldwide. It was first reported in Egypt in 1939 and is now endemic, the predominate species of Brucella in cattle and buffalo in Egypt is B. melitensis. The aim of the study was to estimate seroprevalence of Brucella spp. in cattle and buffalo reared in households in an Egyptian village, identify risk factors for animals testing seropositive and to assess the knowledge, attitudes and practices (KAPs of livestock owners with regards to brucellosis. Methods A cross-sectional study was carried out in a village in Menufiya Governorate of Egypt. In June and July 2009, 107 households were selected using systematic sample and all lactating cattle and buffalo present in the household were sampled and tested for antibodies against Brucella spp. In addition, a questionnaire collecting information on potential risk factors for Brucella spp. infection in cattle and buffalo was administered to the household member responsible for rearing the livestock. Between December 2009 and February 2010 households were revisited and a second questionnaire regarding KAPs associated with brucellosis was administered. Results True individual and household seroprevalence were estimated to be 11.0% (95% CI: 3.06% to 18.4% and 15.5% (95% CI: 6.61% to 24.7%, respectively. Cattle and buffalo kept in a household with sheep and goats had 6.32 (95% CI: 1.44 to 27.9 times the odds of testing seropositive for Brucella spp., compared to cattle and buffalo that were not. Most participants in the study stated that livestock owners assist in the parturition of ruminants without wearing gloves and that some farmers sell animals which they suspect are Brucella infected to butchers or at market. Many participants made their livestock's milk into cheese and other dairy products without pasteurising it. Conclusions Brucellosis was endemic at high levels, in the current study. Although livestock owners had good general knowledge of brucellosis, they still appeared to participate in high-risk behaviours, which may contribute to the high seroprevalence in the area. Veterinarians, public health authorities and other community leaders need to collaborate to control the disease in animals and to manage the risk of human exposure.
Full Text Available Acute infectious diseases are the main problem in undeveloped countries, but still an important sociomedical problem in the developed world, due to high morbidity and mortality rates, economical losses and the suffering they cause. The aim of this study was to determine specific risk factors connected with knowledge, attitudes and practice (KAP study of adult inhabitants of the Republic of Serbia, which contribute to the appearance of infectious diseases according to territory (Belgrade, Vojvodina and Central Serbia, gender and age. The research on health conditions, health needs and utilization of health care of the population of Serbia were realized by the Public Health Institute of Serbia âDr Milan Jovanovic Batutâ, all IPHs in Serbia, WHO and UNICEF. A cross-sectional study was conducted in 9921 persons (52% women and 48% men. Hygienic habits were on the higher level in the population of Belgrade and Vojvodina compared to the Central Serbia: washing hands before meal (88,5:90,6:87,5%, p < 0,00046, on entering home (83,1:68,6:67,5%, p < 0,50, before using the toilet (50,8:46,9:40,1%, p < 00000, after using the toilet (92,3:93,7:91,4%, p < 0,0031. Before meal, 11, 5% of adults wash hands almost never or sometimes; on coming home every third person does not wash hands, before using the toilet more than 50%, and after using the toilet almost 8%. In this way, some intestinal infectious diseases and sexually transmitted diseases such as gonorrhoea, syphilis, HPV can be disseminated. Women have better hygienic habits than men, and younger persons have better hygienic habits than older persons. Every fifth man and every fourth woman does not accept personal responsibility for health. Habits and behavior that decrease individual immunity presented in high percent of the population of Serbia are: inappropriate eating habits, tobacco smoking, alcohol consumption, stress (63,5% women and 53,3% men; only 7,9% women and 15,2% men use condom regularly for protection of STD and AIDS. The level of disease prevention knowledge is low. Utilization of health services is mostly present in the cases of illnes (44,1% and for preventive purposes in minor percent (29,9%.
Ntumba, Alexis; Igumbor, Ehimario
Abstract Background Namibia bears a large burden of Human Immunodeficiency Virus (HIV), and the youth are disproportionately affected. Objectives To explore the current knowledge, attitudes and behaviour of female adolescents attending family planning to HIV prevention. Methods A cross-sectional study design was used on a sample 251 unmarried female adolescents aged from 13 years to 19 years accessing primary care services for contraception using an interviewer-administered questionnaire. Data were analysed using Epi Info 2002. Crude associations were assessed using cross-tabulations of knowledge, attitude and behaviour scores against demographic variables. Chi-square tests and odds ratios were used to assess associations from the cross-tabulations. All p-values knowledge of HIV prevention strategies. Less than a quarter (23.9%) always used a condom. Most respondents (83.3%) started sexual intercourse when older than 16 years, but only 38.6% used a condom at their sexual debut. The older the girls were at sexual debut, the more likely they were to use a condom for the event (8% did so at age 13 years and 100% at age 19 years). Conclusions Knowledge of condom use as an HIV prevention strategy did not translate into consistent condom use. One alternate approach in family-planning facilities may be to encourage condom use as a dual protection method. Delayed onset of sexual activity and consistent use of condoms should be encouraged amongst schoolchildren, in the school setting.
Conhecimento, atitude e prática sobre o exame papanicolaou de prostitutas / Prostitutes' knowledge, attitude and practice concerning the papanicolaou test / Conocimiento, actitud y prática sobre el papanicolau de prostitutas
Érica de Alencar Rodrigues, Neri; Maria Sauanna Sany de, Moura; Jardeliny Corrêa da, Penha; Thaís Gomes Oliveira dos, Reis; Priscila de Souza, Aquino; Ana Karina Bezerra, Pinheiro.
Full Text Available Relações com múltiplos parceiros e não utilização do preservativo pelas prostitutas comprometem sua saúde sexual e reprodutiva. Objetivou-se no estudo identificar fatores de risco comportamentais associados ao câncer de colo uterino entre as prostitutas de Picos-PI e avaliar o conhecimento, a atitud [...] e e a prática dessas mulheres em relação ao exame Papanicolaou. Estudo exploratório e descritivo, realizado com 77 mulheres nos seus locais de trabalho, em setembro-outubro de 2010. Observou-se que existem riscos ligados à saúde sexual e reprodutiva que podem propiciar o câncer de colo uterino. Há inadequação no conhecimento, porém a atitude é apropriada, pois a quase totalidade (97,4%) afirmou que faria o exame Papanicolaou com maior frequência. Portanto, é necessário engajamento dos enfermeiros na formulação de estratégias educativas que minimizem o déficit de conhecimento da população estudada sobre Papanicolaou. Abstract in spanish Al mantener relaciones con múltiples parejas y no usar preservativo, las prostitutas ponen en peligro su salud sexual y reproductiva. El objetivo del estudio fue identificar los factores de riesgo de comportamiento asociados con el cáncer de cuello uterino entre prostitutas de Picos-PI y evaluar los [...] conocimientos, actitudes y prácticas en relación de estas mujeres con relación al Papanicolaou. Estudio exploratorio y descriptivo, realizado con 77 mujeres en sus lugares de trabajo, en septiembre/octubre de 2010. Se observó que existen riesgos directamente relacionados con la salud sexual y reproductiva de prostitutas que pueden promover la aparición del cáncer del cuello uterino. Hay una falta de conocimiento, pero la actitud es apropiada, porque casi todos dijeron que harían el examen de Papanicolaou con más frecuencia, 75 (97,4%). Por lo tanto, es necesaria la participación de las enfermeras en formulación de estrategias educativas que reduzcan al mínimo el déficit de conocimiento de la población estudiada sobre el Papanicolaou. Abstract in english Prostitutes' sexual relations with multiple partners and failure to use condoms compromise their sexual and reproductive health. This study aimed to identify behavioral risk factors associated with cervical cancer among prostitutes in Picos in the state of Piauí (PI) and to evaluate these women's kn [...] owledge, attitude and practice in relation to the Papanicolaou test. This study is exploratory and descriptive and was undertaken with 77 women in their workplaces in September - October 2010. Risks were observed linked to sexual and reproductive health which can lead to cervical cancer. Their knowledge is inadequate, but the attitude is appropriate, as nearly all (97.4%) asserted that they would undertake the Papanicolaou test with greater frequency. It is therefore necessary for the nurses to engage in the formulation of educational strategies which may minimize the knowledge deficit of the population studied in relation to the Papanicolaou test.
Daniel J. Whitaker
Full Text Available Little is known about how the knowledge, attitudes, and behaviors of the public child welfare work force influence implementation of evidence-based practice (EBP as most research has focused on the private workforce. This paper reports on public child welfare staff knowledge, attitudes, and practices in a state implementing the EBP, SafeCare®. A survey of public child welfare staff (N = 222 was conducted to assess knowledge, familiarity, and referral barriers and practices. Knowledge of and familiarity with SafeCarewere low, especially among front line staff (case managers. Attitudes toward SafeCare were fairly positive, but somewhat less so than attitudes toward a standard, non-evidenced based parenting program. Case managers were significantly less likely to have made a referral (15% than other staff (46%. Job tenure had few effects on familiarity, knowledge, attitudes, or referrals. The strongest predictors of having made referrals were familiarity with SafeCare and job position.
Fancovicova, Jana; Prokop, Pavol
Outdoor educational programmes are generally believed to be a suitable alternative to conventional biology settings that improve participants' environmental attitudes and knowledge. Here we examine whether outdoor educational programmes focused solely on practical work with plants influence participants' knowledge of and attitudes towards plants.
Ozel, Murat; Erdogan, Mehmet; Usak, Muhammet; Prokop, Pavol
The purpose of this study was to investigate high school students' knowledge and attitudes regarding biotechnology and its various applications. In addition, whether students' knowledge and attitudes differed according to age and gender were also explored. The Biotechnology Knowledge Questionnaire (BKQ) with 16 items and the Biotechnology Attitude
Elza Berger Salema Coelho
Full Text Available This study investigated the knowledge and attitudes in relation to AIDS in women over 50 years of age. The study included women from the Center for the Study of the Elderly - NETI, of the Federal University of Santa Catarina - UFSC. To achieve the proposed objectives, a descriptive-exploratory qualitative approach was chosen. A semi-structured interview was used as the data collection technique. It was identified that knowledge about AIDS and risk attitudes toward the disease, arise from the permanence of the concept of risk groups, from the dynamics of power inherent in gender relationships in our society, and from the lack of effectiveness and sustainability of public policies on AIDS prevention which effectively reach this segment of the population, as well as a lack of strategies to effectively make such policies operational.
Maria do Carmo Matias FREIRE
Full Text Available A equipe de saúde tem um importante papel na educação em saúde bucal da população. O objetivo do presente estudo foi investigar o nível de conhecimento, atitudes e práticas dos médicos pediatras em relação à cárie. Um total de 96 médicos pediatras que atuam no serviço público de Goiânia - GO responderam ao questionário. Destes, 94,8% e 96,9% relataram que possuem informação sobre a etiologia e prevenção da cárie, respectivamente; e 88,5% examinam os dentes durante suas consultas e orientam os pais das crianças. A higiene oral e o uso de flúor foram os métodos de prevenção mais citados, enquanto o papel do açúcar na etiologia da cárie foi reconhecido por poucos médicos. A maioria concordaram que os pediatras, juntamente com os cirurgiões-dentistas, devem atuar na educação em saúde bucal dos pacientes, mas apenas 24,0% da amostra consideraram seu próprio nível de informação satisfatório. Concluiu-se que há necessidade de um maior esclarecimento aos médicos pediatras sobre o papel da dieta na cárie dental, para que informações mais corretas sejam repassadas aos pais.Primary health workers have an important role in oral health promotion. The aim of this study was to investigate knowledge, attitudes and practice of pediatricians regarding dental caries. A total of 96 pediatricians working in the public health service of Goiânia - GO, Brazil, answered the questionnaire. From these, 94.8% and 96.9% reported that they were aware of dental caries etiology and prevention, respectively; and 89.6% examined children?s teeth in their consultations and gave advice to the parents. Oral hygiene and fluoride were the most commonly mentioned methods of prevention; only a few pediatricians were aware of the role of sugars in the etiology of dental caries. The majority agreed that pediatricians as well as dentists should play a role in oral health education of patients, but only 24.0% said that their own level of information was satisfactory. Pediatricians need to be better informed about the role of sugars in dental caries, so that more correct information can be given to the parents.
Szucs Thomas D
Full Text Available Abstract Background Influenza is one of the most common vaccine-preventable diseases in travellers. By performing two cross-sectional questionnaire surveys during winter 2009 and winter 2010 among European travellers to resource-limited destinations, we aimed to investigate knowledge, attitudes and practices (KAP regarding seasonal influenza vaccination. Methods Questionnaires were distributed in the waiting room to the visitors of the University of Zurich Centre for Travel' Health (CTH in January and February 2009 and January 2010 prior to travel health counselling (CTH09 and CTH10. Questions included demographic data, travel-related characteristics and KAP regarding influenza vaccination. Data were analysed by using SPSS® version 14.0 for Windows. Differences in proportions were compared using the Chi-square test and the significance level was set at p ? 0.05. Predictors for seasonal and pandemic influenza vaccination were determined by multiple logistic regression analyses. Results With a response rate of 96.6%, 906 individuals were enrolled and 868 (92.5% provided complete data. Seasonal influenza vaccination coverage was 13.7% (n = 119. Only 43 (14.2% participants were vaccinated against pandemic influenza A/H1N1, mostly having received both vaccines simultaneously, the seasonal and pandemic one. Job-related purposes (44, 37%, age > 64 yrs (25, 21% and recommendations of the family physician (27, 22.7% were the most often reported reasons for being vaccinated. In the multiple logistic regression analyses of the pooled data increasing age (OR = 1.03, 95% CI 1.01 - 1.04, a business trip (OR = 0.39, 95% CI 0.17 - 0.92 and seasonal influenza vaccination in the previous winter seasons (OR = 12.91, 95% CI 8.09 - 20.58 were independent predictors for seasonal influenza vaccination in 2009 or 2010. Influenza vaccination recommended by the family doctor (327, 37.7%, travel to regions with known high risk of influenza (305, 35.1%, and influenza vaccination required for job purposes (233, 26.8% were most frequently mentioned to consider influenza vaccination. Conclusions Risk perception and vaccination coverage concerning seasonal and pandemic influenza was very poor among travellers to resource-limited destinations when compared to traditional at-risk groups. Previous access to influenza vaccination substantially facilitated vaccinations in the subsequent year. Information strategies about influenza should be intensified and include health professionals, e.g. family physicians, travel medicine practitioners and business enterprises.
Carter Anne O
Full Text Available Abstract Background Audits have shown numerous deficiencies in the quality of hypertension and diabetes primary care in Barbados, despite distribution of regional guidelines. This study aimed to evaluate the knowledge, attitudes and practices, and the barriers faced by primary care practitioners in Barbados concerning the recommendations of available diabetes and hypertension guidelines. Methods Focus groups using a moderator's manual were conducted at all 8 public sector polyclinics, and 5 sessions were held for private practitioners. Results Polyclinic sessions were attended by 63 persons (17 physicians, 34 nurses, 3 dieticians, 3 podiatrists, 5 pharmacists, and 1 other, and private sector sessions by 20 persons (12 physicians, 1 nurse, 3 dieticians, 2 podiatrists and 2 pharmacists. Practitioners generally thought they gave a good quality of care. Commonwealth Caribbean Medical Research Council 1995 diabetes and 1998 hypertension guidelines, and the Ministry of Health 2001 diabetes protocol had been seen by 38%, 32% and 78% respectively of polyclinic practitioners, 67%, 83%, and 33% of private physicians, and 25%, 0% and 38% of non-physician private practitioners. Current guidelines were considered by some to be outdated, unavailable, difficult to remember and lacking in advice to tackle barriers. Practitioners thought that guidelines should be circulated widely, promoted with repeated educational sessions, and kept short. Patient oriented versions of the guidelines were welcomed. Patient factors causing barriers to ideal outcome included denial and fear of stigma; financial resources to access an appropriate diet, exercise and monitoring equipment; confusion over medication regimens, not valuing free medication, belief in alternative medicines, and being unable to change habits. System barriers included lack of access to blood investigations, clinic equipment and medication; the lack of human resources in polyclinics; and an uncoordinated team approach. Patients faced cultural barriers with regards to meals, exercise, appropriate body size, footwear, medication taking, and taking responsibility for one's health; and difficulty getting time off work to attend clinic. Conclusions Guidelines need to be promoted repeatedly, and implemented with strategies to overcome barriers. Their development and implementation must be guided by input from all providers on the primary health care team.
Conhecimento, atitude e prática sobre fototerapia entre profissionais de enfermagem de hospitais de ensino / Knowledge, attitude and practice about phototherapy among nursing professionals of teaching hospitals / Conocimiento, actitud y práctica en fototerapia entre profesionales de enfermería de hospitales de enseñanza
Simone Pires Cavalcanti, Machado; Isabella Chagas, Samico; Taciana Duque de Almeida, Braga.
Full Text Available Este artigo consiste em um estudo tipo inquérito CAP (Conhecimento, Atitude e Prática) com objetivo de avaliar o conhecimento, atitude e prática sobre fototerapia entre profissionais de Enfermagem de dois hospitais de ensino da cidade de Recife-PE, por meio de questionário semiestruturado aplicado a [...] 111 profissionais. Para comparação das médias de acertos, foi utilizado o teste t de Student. Assim, verificaram-se maiores médias para a prática, seguidas das relacionadas à atitude e menores percentuais de acertos para o conhecimento. Na comparação das médias entre conhecimento e prática, as diferenças se mostraram estatisticamente significantes para todas as variáveis (p Abstract in spanish Este artículo consiste en un estudio de tipo investigación CAP (conocimiento, actitud y práctica) con el objetivo de evaluar lo conocimiento, actitude y práctica sobre fototerapia entre profesionales de enfermería de dos hospitales de enseñanza de la ciudad de Recife, Brasil, mediante cuestionario s [...] emi-estructurado a 111 profesionales. Para la comparación de la media de respuestas correctas, se utilizó la prueba t de Student. Por lo tanto, se registraron mayores medios para la práctica, seguidos por los relacionados con la actitud y el menor porcentaje de respuestas correctas para el conocimiento. Al comparar las medias entre el conocimiento y la práctica, las diferencias fueron estadísticamente significativas para todas las variables (p Abstract in english This article consists of a KAP (Knowledge, Attitude and Practice) survey to evaluate knowledge, attitude and practice of phototherapy among nursing professionals from two teaching hospitals at the city of Recife, Brazil, through semi-structured questionnaire applied to 111 professionals. It was used [...] the T Student test to compare means of correct answers. Thus, there were higher means for practice, followed by those related to attitude and a lower percentage of correct answers for knowledge. When comparing the means between knowledge and practice the differences were statistically significant for all variables (p
Full Text Available Background: Namibia bears a large burden of Human Immunodeficiency Virus (HIV, and the youth are disproportionately affected. Objectives: To explore the current knowledge, attitudes and behaviour of female adolescents attending family planning to HIV prevention.Methods: A cross-sectional study design was used on a sample 251 unmarried female adolescents aged from 13 years to 19 years accessing primary care services for contraception using an interviewer-administered questionnaire. Data were analysed using Epi Info 2002. Crude associations were assessed using cross-tabulations of knowledge, attitude and behaviour scores against demographic variables. Chi-square tests and odds ratios were used to assess associations from the cross-tabulations. All p-values < 0.05 were considered statistically significant.Results: A quarter of sexually active teenagers attending the family-planning services did not have adequate knowledge of HIV prevention strategies. Less than a quarter (23.9% always used a condom. Most respondents (83.3% started sexual intercourse when older than 16 years, but only 38.6% used a condom at their sexual debut. The older the girls were at sexual debut, the more likely they were to use a condom for the event (8% did so at age 13 years and 100% at age 19 years.Conclusions: Knowledge of condom use as an HIV prevention strategy did not translate into consistent condom use. One alternate approach in family-planning facilities may be to encourage condom use as a dual protection method. Delayed onset of sexual activity and consistent use of condoms should be encouraged amongst schoolchildren, in the school setting.
Full Text Available Background: Namibia bears a large burden of Human Immunodeficiency Virus (HIV, and the youth are disproportionately affected.Objectives: To explore the current knowledge, attitudes and behaviour of female adolescents attending family planning to HIV prevention.Methods: A cross-sectional study design was used on a sample 251 unmarried female adolescents aged from 13 years to 19 years accessing primary care services for contraception using an interviewer- administered questionnaire. Data were analysed using Epi Info 2002.Crude associations were assessed using cross-tabulations of knowledge, attitude and behaviour scores against demographic variables. Chi-square tests and odds ratios were used to assess associations from the cross-tabulations. All p-values < 0.05 were considered statisticallysignificant.Results: A quarter of sexually active teenagers attending the family-planning services did not have adequate knowledge of HIV prevention strategies. Less than a quarter (23.9% always used a condom. Most respondents (83.3% started sexual intercourse when older than 16 years, but only 38.6% used a condom at their sexual debut. The older the girls were at sexual debut, the more likely they were to use a condom for the event (8% did so at age 13 years and 100% atage 19 years.Conclusions: Knowledge of condom use as an HIV prevention strategy did not translate into consistent condom use. One alternate approach in family-planning facilities may be to encourage condom use as a dual protection method. Delayed onset of sexual activity and consistent use of condoms should be encouraged amongst schoolchildren, in the school setting.
Interprofessional education (IPE) is well-established in the professional discipline of radiography and other health and social care professions, driven by central government policies promoting interprofessional, collaborative working. The development of an appropriate knowledge base for interprofessional work is therefore important and, as a starting point, the article investigates the concept and significance of professional knowledge as a means to unravel and shed light on the potential emergence of a new body of knowledge, 'interprofessional knowledge'. The paper discusses whether the term 'interprofessional knowledge' (IPK) is meaningful and its utility for interprofessional practice, arguing that such knowledge is located within the discourse of interprofessional learning and practice. As such it is fluid and contextualised. The implications of this for all health and social care professionals, including radiographers, are elaborated to assist in future curriculum development and enhance understanding of the knowledge that underpins effective, collaborative, interprofessional practice. The paper concludes by suggesting there are a number of key implications for professional practice namely, IPE cannot teach interprofessional knowledge, rather it should facilitate interprofessional practice, through which such knowledge is construed, and person-centred care can be more effectively achieved. Second, interprofessional practice is highly contextualised by practice setting and point of service delivery. Any attempt to decontextualise it for the purpose of curriculum development would be illogical; interprofessional knowledge is in a symbiotic relationship with its prior professional knowledge. Third, the organisation of IPE would be better driven by alliances of complementary professions in order to maximise its potential effectiveness and credibility with practitioners
Conocimientos, actitudes y prácticas en adolescentes universitarios entre 15 y 20 años sobre VIH/SIDA en Medellín, Colombia 2013 / Knowledge, Attitudes and Practices about HIV/AIDS in university adolescents in Medellín, Colombia 2013
Yesica, Mazo-Vélez; Luz Enid, Domínguez-Domínguez; Jaiberth Antonio, Cardona-Arias.
Full Text Available Introducción: el Plan Nacional de respuesta ante el VIH/SIDA en Colombia enfatiza la necesidad de fomentar conocimientos, actitudes, comportamientos y prácticas que propendan por el desarrollo de una sexualidad autónoma, responsable y placentera. Objetivo: analizar los conocimientos, actitudes y prá [...] cticas sobre VIH/SIDA en adolescentes universitarios de Medellín según aspectos sociodemográficos. Materiales y métodos: estudio transversal en 210 adolescentes universitarios de Medellín. Los datos fueron almacenados y analizados en SPSS 21.0®. Para la descripción de la población se realizaron medidas de resumen y frecuencias, para la identificación de factores asociados con el tema se usaron pruebas como la U de Mann-Whitney, H de Kruskal-Wallis y Coeficiente de Correlación de Spearman, y regresión lineal multivariante. Resultados: los conocimientos fueron regulares en el 14%, las actitudes en el 8% y las prácticas en el 41%; no se halló correlación significativa con el número de personas en el hogar, ni la edad y escolaridad de los padres. Los puntajes de Actitudes y Prácticas presentaron una correlación estadísticamente significativa con la edad y el semestre del estudiante. Los estudiantes de mayor edad y semestres más avanzados presentaron puntajes más altos en las Actitudes y más bajos en las Prácticas. Conclusión: los puntajes de conocimientos, actitudes y prácticas presentaron resultados desfavorables demostrando el riesgo de los jóvenes de adquirir VIH/SIDA y la necesidad de fortalecer los programas destinados a mejorar la salud sexual y reproductiva de este grupo. MÉD.UIS. 2014;27(3):35-45 Abstract in english Introduction: the National Plan response to HIV/AIDS in Colombia emphasizes the need to promote knowledge, attitudes, behaviors and practices which foster the development of an autonomous, responsible and pleasurable sexuality. Objective: to assess the knowledge, attitudes and practices on HIV / AID [...] S among university adolescents in Medellin according to socio-demographics aspects. Materials and methods: cross-sectional study of 210 students. Data were stored and analyzed by SPSS 21.0®. The description of the subjects was realized with summary measures and frequencies, the identification of associated factors with the tests UMann-Whitney, Kruskal-Wallis, Spearman's correlation coefficient and multivariate linear regression were performed. Results: the knowledge was regular in the 14%, attitudes in the 8% and the practices in the 41%. The knowledge, attitudes and practices showed no significant correlation with the number of members of the house, parent's age nor theeducation level of the parents. The scores of attitudes and practices showed a statistically significant correlation with age and current semester of the student. Older students and those in more advanced semesters had higher scores on the attitudes and lower in the practices. Conclusion: the knowledge, attitudes and practices score showed unfavorable results demonstrating the risk of the adolescent of acquiring HIV/AIDS and the need to strengthen programs to improve sexual and reproductive health of this group. MÉD.UIS. 2014;27(3):35-45
Brown, Glenn Russell
One commonly expressed goal of environmental education (EE) is to create positive attitudes. The dominant approaches emphasize factual information, assuming that attitudes will result, but results are mixed. I investigate conceptions of attitude, the psychology of attitude and how attitudes are learned. I also examine recent scholarship describing learning and teaching, since EE literature does not draw upon many of these ideas. I consider applications of these two perspectives to public schools while working within mainstream (Tbilisi) EE guidelines. It turns out to be important to identify specific, concrete objects and behaviours as targets for attitudes. "Environment" is general and abstract. Strongly related to attitudes, but little discussed, is the self-concept, which influences what one thinks, feels and does. I found that goals about attitudes can be more precisely phrased in terms of care, a positive concern for or interest in an object. I conclude that affective EE goals can be achieved through thoughtful and self-reflective care about local habitats and the species and individuals that inhabit them. Psychologists note that people are better able to manage their knowledge, to transfer ideas to new contexts, and to identify and solve problems if they learn within a group participating in realistic projects. Such interactions also integrate knowledge, skills and attitudes related to the group's work. Building on the Community of Learners model of teaching, I offer a framework for EE curriculum called Habitat Workshops. Its goals are knowledge of, care about and problem solving practices with habitats. Habitat Workshops engage classroom communities in the design and creation of local habitats within a group narrative of care and understanding. They involve both school subject knowledge as well as habitat-specific problems and responses that reflect real-world environmental issues. Habitat Workshops can be simple or progressively more complex. I provide an example of an elementary school Workshop creating habitats for Painted Lady caterpillars and butterflies. Habitat Workshops embody one conception of EE and can be integrated with other approaches. They are particularly appropriate for a student's first EE experience.
Full Text Available Maternal health services are provided in Pakistan through primary, secondary and tertiary care facilities and utilization for at least one visit is up to 61% in some areas. In most rural areas, however, antenatal coverage is closer to 10% and most of Balochistan Province is rural. This study assesses the provision and utilization of antenatal care (ANC services and identifies barriers that limit utilization of the Governments routine ANC services in a tribal community in Jhal Magsi District of Balochistan Province, Pakistan. The study was conducted in the Pattri Union Council of Jhal Magsi District with both qualitative and quantitative methodologies. Eight focus groups were conducted among married women and men separately in the villages of Pattri Union Council and a cross-sectional quantitative survey was conducted among 513 pregnant women aged 18 to 40 years. Only 14.4% of the study respondents ever had received ANC services at a government health facility. Short distance from residence to health facility, high income, less number of parity, any education, any perceived pregnancy related problem and knowledge about ANC were positively associated with ANC (p<0.001 utilization. However attitude toward government health facility showed negative association with such ANC. A multivariable logistic model also showed significant positive association of family income, education, parity, and distance from residence to health facility with accessing ANC services. Attitude showed a negative association.
Conocimientos, actitudes, prácticas y consumo de calcio en un grupo de mujeres adultas: Bogotá 2003-2004 Knowledge, attitudes, practice and consumption of calcium in a group of adult females: Bogota 2003-2004
Magda Joana Lagos Ruiz
Full Text Available Para determinar conocimientos, actitudes y prácticas en relación con el consumo de calcio en las mujeres usuarias del Servicio de Salud de la Universidad Nacional de Colombia, se realizó un estudio observacional, descriptivo y transversal. Se aplicó una encuesta a 173 mujeres con edades entre 20 y 50 años, muestreo no aleatorio y voluntad de participación. Se consideraron conocimientos, actitudes y prácticas frente al calcio, consumo de café y alcohol. El 52 % de las mujeres presentó un nivel medio de conocimientos y el 86 % actitudes negativas. El promedio de consumo calcio/día fue de 673,6 + 426,7 mg. El 66,6 % de participantes presentó subadecuación con respecto a la recomendación colombiana. Las mujeres se agruparon en cinco clases de acuerdo con las características comunes de sus conocimientos, actitudes o niveles de adecuación del mineral. La mayoría del grupo estudiado presentó baja ingesta de calcio, algunas veces relacionada con falta de conocimiento, actitudes negativas frente al calcio y consumo de más de 5 tazas de café al díaWith the aim of determining knowledge, attitudes and practice about calcium consumption in female users of the health care service of the National University of Colombia, an observational, descriptive and cross-sectional study was conducted in which a survey was administered to 173 women aged 20-50 years, willing to participate in the study, in a non-randomized sampling. Knowledge, attitudes and practices with respect to calcium, and also coffee and alcohol consumption were considered. Fifty-two percent of women showed average knowledge whereas 86% had negative attitudes. The average calcium consumption/day was 673,6 426,7 mg. 66.6% of participants reported low consumption in relation with the Colombian recommendation. The study women were grouped into 5 classes according to the common characteristics of their knowledge, attitudes or rates of calcium consumption. The majority of the studied group presented with low calcium intake, sometimes due to lack of knowledge, negative attitudes towards the use of calcium and consumption of over 5 cups of coffee per day
Conocimientos, actitudes y prácticas sobre el virus de la hepatitis B en estudiantes de medicina, Medellín, Colombia, 2012 / Knowledge, attitudes and practices about hepatitis B among medical students, Medellin, Colombia, 2012
Jaiberth Antonio, Cardona-Arias; Eliana, Higuita-Hernández.
Full Text Available Introducción: la hepatitis B es un problema de salud mundial, dada su elevada magnitud y la diversidad de factores y grupos de riesgo. Los estudiantes de medicina constituyen uno de sus principales grupos de riesgo, por su elevada frecuencia de prácticas sexuales de riesgo y baja adherencia a normas [...] de bioseguridad. Objetivo: evaluar los conocimientos, actitudes y prácticas sobre la hepatitis B y su asociación con aspectos demográficos, socio-económicos y académicos, en estudiantes de medicina de Medellín. Materiales y métodos: estudio transversal en 235 estudiantes de una facultad de medicina de Medellín, seleccionados mediante muestreo probabilístico estratificado con asignación proporcional. Se empleó fuente de información primaria y se creó una escala con 60 puntos; la descripción se realizó con medidas de resumen, frecuencias e intervalos de confianza, mientras que la identificación de factores asociados a los conocimientos, actitudes y prácticas con U de Mann Whitney, Anova de una vía, HSD Tukey, Rho de Spearman, según el cumplimiento o no del supuesto de normalidad, y regresiones lineales, en SPSS 20. Resultados: los conocimientos, actitudes y prácticas fueron insatisfactorios en una gran proporción de los estudiantes, solo 43% reconoce la infección por virus de la hepatitis B como un riesgo para el personal de la salud, 77% conoce el esquema de vacunación y menos del 90% identificó los grupos de mayor riesgo y las vías de transmisión. Los conocimientos, actitudes y prácticas presentaron asociación estadística con la edad y el ciclo de formación; se observó que las prácticas relacionadas con el virus de la hepatitis B presentan correlación positiva con los conocimientos y actitudes de los estudiantes. Conclusión: los conocimientos, actitudes y prácticas fueron insatisfactorios y el principal grupo de riesgo son los estudiantes del ciclo básico. Esto presenta gran utilidad para el desarrollo de estrategias costo-efectivas de reducción del riesgo de infección por el virus de la hepatitis B en grupos de riesgo como estudiantes de la salud. (MÉD.UIS. 2013;26(2):9-20). Abstract in english Introduction: hepatitis B is a global health problem due to its high magnitude and diversity of factors and risk groups. Medical students are one of the main risk groups because of their frequency of unsafe sex and low adherence to biosecurity standards. Objective: to assess the knowledge, attitudes [...] and practices about hepatitis B and its association with demographic, socio-economic and academic aspects, in medical students of Medellin. Materials and Methods: cross sectional study in 235 students of a medical school in Medellin, selected using stratified probability sampling with proportional allocation. We used primary source of information and we created a scale with 60 points. The description was made with summary measures, frequencies and confidence interval; the identification of factors associated with knowledge, attitudes and practices with U Mann Whitney, one-way ANOVA, Tukey, Rho Spearman, according to the fulfillment or not of normality assumption, and linear regressions in SPSS 20. Results: the knowledge, attitudes and practices were unsatisfactory in a high proportion of students, only 43% recognize Hepatitis B virus infection as hazardous to health personnel, 77% know the vaccination schedule and less than 90% identified the groups and transmission routes of most risk. The knowledge, attitudes and practices showed statistical association with age and semester; we showed that the practices related to HBV presented positive correlation with the knowledge and attitudes. Conclusion: the knowledge, attitudes and practices were unsatisfactory and the main risk group are the students of basic cycle. This presented are useful for the development of cost-effective strategies for reducing the risk of infection by the hepatitis B virus in risk groups such as health students and the general population. (MÉD.UIS. 2013;26(2):9-20).
Postpartum women in the Honduran health system: folic acid knowledge, attitudes, and practices / Conocimientos, actitudes y prácticas relacionados con el ácido fólico en mujeres recién paridas en Honduras
Gayle R., Milla; Alina L., Flores; Edgardo, Umaña; Mayes, Ileana; Jorge, Rosenthal.
Full Text Available OBJETIVOS: Este estudio tuvo dos propósitos: primero, determinar los conocimientos, las actitudes y las prácticas relacionados con el ácido fólico y las malformaciones congénitas en una muestra de conveniencia de mujeres hondureñas recién paridas; y segundo, identificar los patrones de consumo de al [...] imentos en esta población y determinar los productos básicos de alto consumo para su posible fortificación con ácido fólico. MÉTODOS: Se seleccionaron las posibles participantes mediante un muestreo de conveniencia. Participaron 2 619 mujeres hondureñas que habían tenido un parto normal en alguno de los 16 hospitales públicos del país o de dos hospitales de la seguridad social que prestan servicios a la clase trabajadora hondureña. En un período de 10 meses se realizaron entrevistas personales directas, orales y exhaustivas en los propios hospitales antes del alta médica. El coordinador y el equipo de investigación supervisaron las entrevistas. RESULTADOS: La mayoría de las mujeres tenían entre 16 y 29 años de edad. Aproximadamente la mitad de las encuestadas (46,4%) habían oído sobre el ácido fólico y más de la tercera parte (37,6%) sabía que era una vitamina relacionada con la prevención de malformaciones congénitas. Las mujeres encuestadas atribuyeron estas malformaciones principalmente al consumo de drogas y alcohol (20,6%) y a la insuficiente ingesta de vitaminas (18,1%); no obstante, 23,0% relacionó las malformaciones con causas místicas, míticas o religiosas. En esta población no se consumen muchos alimentos ricos en folatos, excepto frijoles colorados, naranjas y jugos de frutas naturales. Los alimentos básicos más frecuentes que podrían fortificarse con ácido fólico fueron el arroz, las pastas y las harinas de trigo y de maíz. CONCLUSIONES: Los resultados de este estudio abren una posible vía para la fortificación de alimentos y, además, subrayan la necesidad de una mayor educación sobre la importancia del ácido fólico en la prevención de malformaciones del tubo neural en los fetos. Los resultados destacan la necesidad de ofrecer una educación sanitaria estandarizada a las mujeres hondureñas en edad reproductiva si se implementa de manera exitosa y sostenible el consumo de ácido fólico mediante la fortificación y suplementación de alimentos. Abstract in english OBJECTIVES: This study had two purposes: first, to determine the knowledge, attitudes, and practices related to folic acid and birth defects among a convenience sample of postpartum Honduran women; and second, to identify food consumption patterns in this population and determine high-consumption st [...] aples for potential folic acid fortification. METHODS: Convenience sampling methodology was used to recruit potential study participants. Participants for this study were 2 619 postpartum Honduran women who had had a normal, in-hospital delivery in one of 16 public hospitals located throughout the country or the two social security hospitals that provide services to the Honduran working class population. Over a 10-month period, in-depth, face-to-face oral interviews, supervised by the research coordinator and staff, were conducted in-hospital prior to discharge. RESULTS: The majority of the women were between 16 and 29 years of age. Approximately half of the respondents (46.4%) had heard of folic acid and over one-third (37.6%) knew that it was a vitamin related to preventing birth defects. Birth defects were most often attributed to drug and alcohol use (20.6%) and lack of vitamin intake (18.1%), but 23.0% related defects to mystical, mythical, or religious causes. Aside from red beans, oranges, and natural fruit juices, folate-rich foods are not widely consumed by this population. The highest consumption frequency of staple foods with the potential to be fortified with folic acid were rice, white flour, corn flour, and pasta. CONCLUSIONS: Results from this study provide potential avenues for food fortification, as well as underscore the need for further education about the role
As teachers are one of the more important agents for disseminating information, a study was done to gauge the knowledge and attitude concerning Renewable Energy (RE) and Energy Efficiency (EE) amongst teachers in Malaysia. Results from the study have shown that teachers do not have adequate knowledge on the concept of RE. They also viewed education as the best strategy in ensuring the success of RE practices. Although there is an interest to know more about RE, the teachers felt that they were inadequately trained to teach this subject in schools, that there are not enough teachers to teach the subject in the schools and that this topic should be integrated as part of co-curricular activities. CETREE, as a centre for education and training in Renewable Energy and Energy Efficiency has already started a curriculum to train teachers on the awareness of Renewable Energy (RE) and Energy Efficiency (EE). Result of this study indicates that more training and campaigns need to be implemented at school levels to promote the awareness on RE and EE. This paper will also discuss knowledge and attitude as important factors to consider in creating awareness on RE for the next generation. Teachers need to acquire the knowledge and positive attitude toward these concepts to become successful change agents. Media preference amongst teachers concerning ways to educate the public on RE will also be highlighted