Knowledge about human visceral leishmaniosis in an endemic area in Pernambuco, Brazil

Abstract

Abstract The timely detection and adequate attention of cases of Human Visceral Leishmaniasis can provide a reduction in the morbidity and mortality of this disease. This study evaluated the degree of knowledge about Human Visceral Leishmaniasis among professionals from basic health units in the municipality of Caruaru, an endemic area for Visceral Leishmaniasis in the state of Pernambuco-Brazil. From June to August 2017, questionnaires were applied to doctors and nurses of the units that presented cases and / or deaths due to LVH between the years 2006 and 2015. Regarding the results, it was possible to verify, from the analysis of multiple correspondence, important interdependence relations such as the lack of knowledge of the endemicity of the Municipality in question with the misinformation about treatment, in addition to the association between not knowing the etiologic agent of the disease and the lack of knowledge about the treatment and the municipal health unit, suggesting an impediment to the control of LVH. The results also demonstrated a general lack of knowledge regarding the etiological, epidemiological, assistance and surveillance aspects of this condition in the city and the need to train these professionals on the subject, considering that knowledge about visceral leishmaniasis is considered a protective factor and capable to reduce the risk of this disease occurring. Therefore, we emphasize the need to maintain, review and restructure the control and prevention measures already known and implemented. However, it is necessary to strengthen a valuable and fundamental area in the fight against the disease, that of health education, focusing mainly on primary care professionals, who are still the main source of welcome for sick individuals. These are fundamental to reduce the morbidity and mortality of human VL, as a link in the transmission chain, but also as perpetuators of information about the disease in order to prevent it through attitudes. Key messages One of the main impacts of this work is the applicability and utility in health services in Brazil and other countries that face neglected diseases such as visceral leishmaniasis. Another great contribution of this work is to demonstrate, in a practical example, how education is fundamental in prevention and health promotion strategies.