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Knowledge of Childhood Autism and Challenges of Management among Medical Doctors in Kaduna State, Northwest Nigeria

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Autism is a neurodevelopmental disorder with serious implications in childhood. There is a significant gap in the identification and provision of health and social services for autism in Africa. The knowledge of autism among health care providers and identifying challenges associated with its management could facilitate bridging the gap and ensuring better outcomes. A self-administered tool, the Knowledge about Childhood Autism among Health Workers (KCAHW) questionnaire, was used in assessing knowledge of autism among 175 medical doctors (participants) attending an annual scientific meeting in northwest Nigeria. Other parameters assessed were sociodemographic and professional characteristics of the participants and challenges encountered in the management of autism. Out of 175 questionnaires distributed, 167 (95.4%) were returned. Good knowledge (KCAHW score ≥15) was significantly associated with being a paediatrician or psychiatrist and practicing in a tertiary health facility (P < 0.05), while poor knowledge (KCAHW score <15) was significant among general practitioners (P < 0.05). The highest knowledge gap was associated with onset of autism and its comorbidities (KCAHW Domain 4) while the least was concerning communication impairments (KCAHW Domain 2). Major challenges encountered in autism management were dearth of specialist services, cost of evaluation, and poor caregiver perspectives of autism.

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  • Research Article
  • 10.5455/msm.2025.37.281-287
Evaluation of Pediatricians' Knowledge of Autism in Saudi Arabia.
  • Jan 1, 2025
  • Materia socio-medica
  • Faisal O Alqurashi + 11 more

Autism spectrum disorder (ASD) is a complex neurodevelopmental condition, and early detection is essential for improving outcomes. Pediatricians are often the first point of contact; however, their knowledge of ASD in Saudi Arabia remains unclear. The aim of this sudy was to evaluate the knowledge of pediatricians in Saudi Arabia regarding childhood autism using the validated Knowledge about Childhood Autism among Health Workers (KCAHW) questionnaire. A cross-sectional study was conducted among 357 pediatricians practicing in Saudi Arabia from September 2021 to August 2022. Participants completed the 19-item KCAHW questionnaire, which covered four knowledge domains: social interaction impairments, communication impairments, repetitive behaviors, and classification/comorbidities. Descriptive statistics and inferential analyses (t-tests, analysis of variance, and regression models) assessed associations between participant characteristics and knowledge scores. The mean overall knowledge score was 15.24 ± 2.23 out of 19. While most participants performed well in the communication domain (90.5% scored above average), only 49.6% scored above average in social interaction knowledge. Pediatricians trained abroad scored significantly higher in domains 1 and 2. Subspecialists, particularly those in developmental/behavioral pediatrics and neurology, scored the highest. Pediatricians with 4-6 years of experience showed a positive association with overall knowledge. Pediatricians in Saudi Arabia demonstrated above-average knowledge of ASD, significant gaps remain - particularly in social interaction and comorbidities. These findings highlight the need for enhanced ASD-focused training, particularly for locally trained and early-career pediatricians.

  • Research Article
  • Cite Count Icon 10
  • 10.1080/13603116.2022.2036829
Knowledge and barriers to inclusion of ASC pupils in Scottish mainstream schools: a mixed methods approach
  • Feb 15, 2022
  • International Journal of Inclusive Education
  • Carrie Ballantyne + 3 more

Inclusion of autistic pupils into mainstream schools is common practice and staff should have adequate knowledge on teaching and managing classroom behaviour. However, autism knowledge among teaching staff may be inconsistent. A mixed-methods design examined differences between school staff in autism knowledge, perceived barriers to inclusion and required support. 138 early years staff, school teachers and pupil support assistants took part. Knowledge and experience were assessed using Knowledge about Childhood Autism among Health Workers questionnaire (KCAHW; [Bakare, M. O., P. O. Ebigbo, A. O. Agomoh, and N. C. Menkiti. 2008. Knowledge about childhood autism among health workers (KCAHW) questionnaire: description, reliability and internal consistency. Clinical Practice and Epidemiology in Mental Health 4 (1): 17]). Qualitative measures addressed perceived barriers to inclusion and recommended supports. Significant differences in the knowledge of autism scores were shown.. Similar themes were identified across all staff, with five themes reflecting barriers to inclusion (Knowledge, Support, Training, Management of ASC features and Parent involvement) and four themes relating to required support (Individualising educational experience, Changes to learning spaces, Opportunities to learn about ASC and Communication). Government inclusion policy should take a whole school approach and consider staffs’ actual and perceived barriers to inclusion of autistic children.

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  • Cite Count Icon 138
  • 10.1186/1745-0179-4-17
Knowledge about childhood autism among health workers (KCAHW) questionnaire: description, reliability and internal consistency
  • Jan 1, 2008
  • Clinical Practice and Epidemiology in Mental Health : CP & EMH
  • Muideen O Bakare + 3 more

BackgroundKnowledge and awareness about childhood autism is low among health workers and the general community in Nigeria and other Sub-Saharan African countries. Poor knowledge and awareness about childhood autism, especially among health workers can compromise early recognition and interventions which had been known to improve prognosis in children with autism. In formulating policy and designing interventions for these children, there is need to develop a reliable tool that can be used in assessing baseline knowledge about childhood autism among health workers and the impact that future continued education and awareness campaign may have on such baseline knowledge. Knowledge about childhood autism among health workers (KCAHW) questionnaire was designed for this purpose.MethodsThe KCAHW questionnaire is a nineteen (19) item self-administered questionnaire that is divided into four domains. KCAHW questionnaires were distributed to fifty (50) psychiatric nurses involved in community mental health services in South-Eastern Nigeria to complete. After two weeks period, the KCAHW questionnaires were re-administered to the same fifty (50) psychiatric nurses to assess their knowledge about childhood autism and to assess the test-retest reliability and internal consistency of this questionnaire.ResultsKCAHW questionnaire showed good test-retest reliability when the mean domain and total scores at first and second time administration were compared. The four mean domain scores and the mean total scores at first and second time administration were significantly correlated. The questionnaire also had a good overall internal consistency when the mean scores of the four domains were correlated with mean total scores (Cronbach's alpha = 0.97).ConclusionThe KCAHW questionnaire is a reliable tool for assessing knowledge of health workers about childhood autism. It would be a useful tool in improving early recognition of features of autism among affected children in Sub-Saharan African and other developing countries of the world where knowledge and awareness about childhood autism is low.

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  • Cite Count Icon 119
  • 10.1186/1471-2431-9-12
Knowledge about childhood autism and opinion among healthcare workers on availability of facilities and law caring for the needs and rights of children with childhood autism and other developmental disorders in Nigeria
  • Feb 12, 2009
  • BMC Pediatrics
  • Muideen O Bakare + 9 more

BackgroundIn designing programs to raise the community level of awareness about childhood autism in sub-Saharan Africa, it is logical to use the primary healthcare workers as contact point for education of the general public. Tertiary healthcare workers could play the role of trainers on childhood autism at primary healthcare level. Assessing their baseline knowledge about childhood autism to detect areas of knowledge gap is an essential ingredient in starting off such programs that would be aimed at early diagnosis and interventions. Knowledge of the healthcare workers on availability of facilities and law that would promote the required interventions is also important. This study assessed the baseline knowledge about childhood autism and opinion among Nigerian healthcare workers on availability of facilities and law caring for the needs and rights of children with childhood autism and other developmental disorders.MethodA total of one hundred and thirty four (134) consented healthcare workers working in tertiary healthcare facilities located in south east and south-south regions of Nigeria were interviewed with Socio-demographic, Knowledge about Childhood Autism among Health Workers (KCAHW) and Opinion on availability of Facilities and Law caring for the needs and rights of children with Childhood Autism and other developmental disorders (OFLCA) questionnaires.ResultsThe total mean score of participated healthcare workers on KCAHW questionnaire was 12.35 ± 4.40 out of a total score of 19 possible. Knowledge gap was found to be higher in domain 3 (symptoms of obsessive and repetitive pattern of behavior), followed by domains 1 (symptoms of impairments in social interaction), 4 (type of disorder autism is and associated co-morbidity) and 2 (symptoms of communication impairments) of KCAHW respectively among the healthcare workers. Knowledge about childhood autism (KCA) as measured by scores on KCAHW questionnaire was significantly associated with age group distribution of the healthcare workers, with those age group of fourth decades and above more likely to have higher mean score (p = 0.004) and previous experience of managing children with autism spectrum disorders (ASD) (p = 0.000). KCA showed near significant association with area of specialty, with those healthcare workers in psychiatry compared to pediatrics having higher mean score (p = 0.071) and also with years of working experience of the healthcare workers (p = 0.056). More than half of the healthcare workers subscribed to the opinion that facilities and law caring for the needs and rights of children with childhood autism and other developmental disorders are lacking in Nigeria.ConclusionThe correlates of KCA may help in selection of those tertiary healthcare workers that would best fit the role of trainers. It is important to update the knowledge gaps of those healthcare workers who scored low in different domains of KCAHW questionnaire. It is imperative for policy makers in Nigeria to advocate and implement multidisciplinary healthcare service system that would ensure early diagnosis and interventions. Nationally representative baseline epidemiological data that would guide policy and planning are also desirable.

  • Research Article
  • 10.26444/aaem/200209
Knowledge and attitudes toward Autism Spectrum Disorder in Poland - results of a national survey and identification of key areas for educational initiatives.
  • Mar 4, 2025
  • Annals of agricultural and environmental medicine : AAEM
  • Beata Maja Gellert + 4 more

Autism Spectrum Disorder (ASD) is a neurodevelopmental condition characterized by social communication difficulties, repetitive behaviours, and atypical sensory responses. Despite increasing recognition, comprehensive understanding of ASD is lacking among the public and healthcare professionals. The aim of the study was to assess the knowledge and opinions of Polish society on ASD, identifying the weakest areas to inform future educational initiatives. A cross-sectional survey was conducted from May to June 2024, involving 1,098 respondents, representative of the Polish population. Three questionnaires were used: an author-designed autism knowledge questionnaire, the Polish Autism Knowledge Questionnaire, and the Knowledge about Childhood Autism among Health Workers (KCAHW). Socio-demographic data were also collected. 37% of respondents considered ASD rare, 34% had interacted with someone with ASD, and 18% had a family member with ASD. Genetics (26.5%), maternal alcohol use during pregnancy (10%), and vaccines (7%) were cited as causes. The Internet (85%) and social media (28%) were themain sources of information. The mean KCAHW score was 8.6 ± 5.5, indicating moderate ASD knowledge, with women, younger individuals, and those with higher education or personal contact scoring higher (p<0.001). Knowledge about ASD in Poland is moderate yet fragmented, with significant gaps that could impede early diagnosis and intervention. Targeted educational campaigns are needed, focusing on specific gaps, along with increased government support for early diagnosis.

  • Research Article
  • 10.5114/aoms/205165
Evaluating physician knowledge of autism spectrum disorder: addressing diagnostic challenges, comorbidities, and the need for targeted education.
  • Jun 25, 2025
  • Archives of medical science : AMS
  • Beata Maja Gellert + 4 more

Autism spectrum disorder (ASD) is a complex neurodevelopmental condition with diverse symptoms and frequent comorbidities, posing diagnostic challenges. Despite advances in ASD awareness and diagnostic methods, significant knowledge gaps persist among healthcare professionals. This study assessed physicians' knowledge of ASD, focusing on symptoms, comorbidities, and diagnostic challenges to enhance patient care. This study, conducted in 2024, involved physicians attending courses at the Center of Postgraduate Medical Education in Warsaw (CMKP). Participation was anonymous and voluntary. Respondents completed the author's own questionnaire and the Knowledge about Childhood Autism among Health Workers (KCAHW) questionnaire to assess autism knowledge across four domains: social interaction impairments, communication issues, obsessive behaviors, and disorder onset and comorbidities. Physicians also provided professional and demographic data. The study included 395 physicians, primarily young (mean age: 31), female (75%), and in early career stages, with most having up to 5 years of experience. While 75% had some contact with individuals on the autism spectrum, only 28% had close family or acquaintances with ASD. Knowledge about autism was moderate, averaging 74% correct responses, with higher accuracy in recognizing social interaction impairments (80%) and repetitive behaviors (78.5%), but lower accuracy regarding comorbidities (63%). Younger, less experienced physicians, women, and those with personal ASD contact had higher knowledge about autism. The study highlights the need for targeted ASD education to address specific knowledge gaps among healthcare professionals, essential for providing informed and compassionate care.

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  • Cite Count Icon 179
  • 10.1186/1753-2000-5-1
Assessment of knowledge about childhood autism among paediatric and psychiatric nurses in Ebonyi state, Nigeria
  • Jan 9, 2011
  • Child and Adolescent Psychiatry and Mental Health
  • Monday N Igwe + 4 more

BackgroundThere is increasing public and professional awareness of autism spectrum disorders with early recognition, diagnosis and interventions that are known to improve prognosis. Poor knowledge about childhood autism among paediatric and psychiatric nurses who are members of multidisciplinary teams that care for such children may be a major barrier to early interventions that could improve quality of life and prognosis in childhood autism. Factors that influence knowledge about childhood autism among these nurses are not known. This study assessed knowledge about childhood autism among paediatric and psychiatric nurses in Ebonyi state, Nigeria and determined the factors that could be influencing such knowledge.MethodsForty specialist paediatric and forty psychiatric nurses, making a total sample of eighty, were randomly selected from all the health care facilities in Ebonyi state, Nigeria. A socio-demographic questionnaire and knowledge about childhood autism among health workers (KCAHW) questionnaire were administered to them and the study was a point survey.ResultsThe total mean score on the KCAHW questionnaire among the nurses that participated in the study was 12.56 ± 3.23 out of a total of 19 possible. The mean score for the paediatric nurses was 11.78 ± 3.64 while psychiatric nurses had mean score of 13.35 ± 2.58. The mean scores in Domain 1 were 6.17 ± 1.75 for the paediatric nurses and 6.52 ± 1.43 for the psychiatric nurses. The mean scores in Domain 2 were 0.65 ± 0.48 for the paediatric nurses and 0.80 ± 0.41 for the psychiatric nurses. Domain 3 showed mean scores of 1.97 ± 1.25 for the paediatric nurses while psychiatric nurses scored 2.62 ± 1.23. Domain 4 yielded the mean scores of 2.97 ± 1.54 and 3.42 ± 0.98 for the paediatric and psychiatric nurses respectively.There was significant relationship between the total mean score on the KCAHW questionnaire for the two groups and the area of specialisation of the nurses (t = -2.23, df = 78, p = 0.03) and there was also significant relationship between previous involvement in managing children with childhood autism as a specialist paediatric or psychiatric nurse and the total mean score on the KCAHW questionnaire (t = 6.90, df = 78, p = 0.00).ConclusionThe scores reflect deficits in knowledge about childhood autism among the study cohorts. Paediatric and psychiatric nurses as members of multidisciplinary teams that care for children with childhood autism are expected to provide holistic care and adequate counselling to the families of these children. Unfortunately in this environment, they are not fully equipped with enough knowledge about childhood autism. Education on childhood autism is therefore needed and can be provided through continuing medical education and emphasizing childhood autism in their training curriculum. This will enhance early identification and diagnosis of childhood autism with early interventions that are known to improve prognosis.

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  • Research Article
  • Cite Count Icon 71
  • 10.1186/1824-7288-36-44
Factors influencing knowledge about childhood autism among final year undergraduate Medical, Nursing and Psychology students of University of Nigeria, Enugu State, Nigeria
  • Jan 1, 2010
  • Italian Journal of Pediatrics
  • Monday N Igwe + 4 more

BackgroundKnowledge and awareness about childhood autism is low among health care workers and the general populace in Nigeria. Poor knowledge about childhood autism among final year medical, nursing and psychology students who would form tomorrow's child health care professionals can compromise early recognition and interventions that are known to improve prognosis in childhood autism. Educational factors that could be influencing knowledge about childhood autism among these future health care professionals are unknown. This study assessed knowledge about childhood autism among final year undergraduate medical, nursing and psychology students in south-eastern Nigeria and determined the factors that could be influencing such knowledge.MethodsOne hundred final year undergraduate students were randomly selected from each of the Departments of Medicine, Nursing Science and Psychology respectively of University of Nigeria, Enugu State, Nigeria making a sample size of three hundred. A socio-demographic questionnaire and knowledge about childhood autism among health workers (KCAHW) questionnaire were administered to the students.ResultsThe total mean score for the three groups of students on the KCAHW questionnaire was 10.67 ± 3.73 out of a possible total score of 19, with medical, nursing and psychology students having total mean scores of 12.24 ± 3.24, 10.76 ± 3.50 and 9.01 ± 3.76 respectively. The mean scores for the three groups showed statistically significant difference for domain 1 (p = 0.000), domain 3 (p = 0.029), domain 4 (p = 0.000) and total score (p = 0.000), with medical students more likely to recognise symptoms and signs of autism compared to nursing and psychology students. The mean score in domain 2 did not show statistically significant difference among the three groups (p = 0.769). The total score on the KCAHW questionnaire is positively correlated with the number of weeks of posting in psychiatry (r = 0.319, p = 0.000) and the number of weeks of posting in paediatrics (r = 0.372, p = 0.000). The total score is also positively correlated with the number of credit hours of lectures in psychiatry/abnormal psychology (r = 0.324, p = 0.000) and the number of credit hours of lectures in paediatrics (r = 0.372, p = 0.000). The field of study also influenced knowledge about childhood autism (p = 0.000).ConclusionPeculiar situation in this environment as signified by inadequate human resources needed in the area of clinical psychology training often times necessitates employing first degree graduates in psychology into clinical positions. This calls for additional exposure of the undergraduate psychology students to training curriculum aimed at improving their early recognition of symptoms of autism spectrum disorders in this environment.

  • Research Article
  • 10.18203/2349-3291.ijcp20252224
Awareness among paediatricians in South India about symptoms and screening of autism spectrum disorders
  • Jul 24, 2025
  • International Journal of Contemporary Pediatrics
  • Serene Teres George + 3 more

Background: Autism spectrum disorder (ASD) is a neurodevelopmental disorder with a complex clinical presentation and rising frequency. When it comes to early detection and intervention, pediatricians are essential. This study evaluated the Awareness Among Pediatricians in South India About Symptoms and Screening of Autism Spectrum Disorders. Methods: Using a semi-structured questionnaire and the Knowledge about childhood autism among health workers (KCAHW) survey, 204 pediatricians from five South Indian states participated in a cross-sectional study. Using SPSS software, awareness was examined across professional experience, training exposure and demographic characteristics. Results: Most participants were under 45 years (52.9%), with female pediatricians constituting 54.4%. High awareness was noted for treatment modalities (91.7%), but misconceptions existed about screening tools 35.3% misclassified tools like M-CHAT and TABC as diagnostic. Those with 11–20 years of experience and those with autism-related training had significantly higher awareness scores. Participants over 60 and those with more than 30 years of practice had significantly lower awareness. Conclusions: There are still significant gaps in screening information, even though overall awareness of ASD therapy was sufficient. Awareness was greatly raised by taking part in autism-specific training, underscoring the necessity of ongoing professional development aimed at managing and identifying ASD.

  • Research Article
  • 10.53446/actamednicomedia.1753041
Knowledge And Awareness of Autism Spectrum Disorder Among Pediatricians: A Cross-Sectional Study from Turkey
  • Oct 22, 2025
  • Acta Medica Nicomedia
  • Zeynep Vatansever Pınar + 3 more

Objective: Autism Spectrum Disorder (ASD) is a neurodevelopmental disorder that requires early recognition and multidisciplinary management. Pediatricians play a key role in the early detection and referral of children with suspected ASD. This study aimed to assess the knowledge and awareness levels of pediatricians, pediatric subspecialists, and pediatric residents in Turkey regarding ASD, and to examine the influence of professional experience and educational background on these outcomes. Methods: A cross-sectional survey was conducted with 125 physicians using the validated Turkish version of the Knowledge about Childhood Autism among Health Workers (KCAHW) scale. Sociodemographic data, clinical experience, and educational exposure were recorded. Descriptive statistics, group comparisons, and logistic regression analyses were performed. Results: The mean KCAHW score was 15.19 ± 2.15. No significant differences were observed based on gender, age, academic title, or years of experience (p&gt;0.05). Higher scores were found among participants who had received ASD-related training during residency, were familiar with DSM-5 criteria, or had read ASD-related literature (p

  • Research Article
  • 10.1192/j.eurpsy.2025.741
Assessing Knowledge and Confidence in caring for Autistic Patients: An Observational Cross-Sectional Study of Maltese General Practitioners and Psychiatrists
  • Apr 1, 2025
  • European Psychiatry
  • N Borg + 3 more

IntroductionAutism is a neurodevelopmental condition affecting 1 in 36 people worldwide. Approximately one third of autistic individuals report a diagnosed mental health condition. Autistic people constitute 20% of referrals to outpatient psychiatry clinics. Limited knowledge and awareness of autism is the main barrier to receiving appropriate diagnostic and therapeutic support. Autistic individuals’ increased mental health needs coupled with greater barriers to accessing healthcare necessitate that both primary care physicians as well as specialised services are well versed in working with these patients.ObjectivesThis study aimed to evaluate knowledge of autism and self-reported confidence in caring for autistic patients amongst psychiatrists and general practitioners (GPs) in Malta. This will facilitate identification of lacunae in doctors’ knowledge and advocating for greater training and awareness.MethodsA online, anonymous questionnaire was distributed amongst psychiatrists and general practitioners in Malta as well as psychiatry and GP trainees. The questionnaire consisted of demographic questions, a 22-item modified Knowledge of Autism Scale as well as a 14-item Self-efficacy Scale targeting confidence in working with autistic patients. Data was analysed using SPSS and scores were adjusted for chance responses. Scores of the psychiatry group and the GP group were compared.ResultsThe questionnaire was answered by 98 participants of which 60% (n=59) were female. The mean score on the knowledge of autism scale was 89.2% (SD=7.7) for psychiatry and 83.1% (SD=8.5) for GP. Mann Whitney U test revealed that psychiatrists fared better than GPs with an effect size of 0.35 (p=0.0003). The mean self-efficacy score was 6.7 (SD=0.4) for psychiatry and 5.7 (SD=0.8) for GP. Independent sample t-test revealed that psychiatrists scored better than GP (p=0.0003, 95% CI [0.509,1.49]). In both groups, there was no significant correlation between knowledge of autism scales and self-efficacy scales (psychiatry p = 0.26; GP p = 0.14).ConclusionsGeneral practitioners, psychiatrists and their trainees overall have good knowledge about autism, and feel moderately confident in working with autistic patients. As expected, psychiatrists scored better than GPs for both knowledge and self-reported efficacy. The scores obtained are comparable to studies done on a similar population in the United Kingdom. Unfortunately, Malta stilll lacks autism diagnostic services in the public sector. Nonetheless, undergraduate medical education and postgraduate training must strive to prepare doctors for working with this common cohort of patients. This will ensure a high standard of care and avoidance of adverse health outcomes or iatrogenic harm.Disclosure of InterestNone Declared

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  • Cite Count Icon 2
  • 10.1186/s12875-024-02481-7
Optimizing primary healthcare experience: assessing client satisfaction in Kaduna State, Northwest Nigeria
  • Jun 26, 2024
  • BMC Primary Care
  • Muhammad Bashar Jibril + 8 more

BackgroundClient satisfaction is a multidimensional construct focusing on clients’ perceptions and evaluations of the treatment and care received. It is one of the factors affecting the outcomes of healthcare and the use of health services. Therefore, we aimed to assess clients’ satisfaction with PHC services in Kaduna State, Northwest Nigeria.MethodologyA cross–sectional descriptive study was conducted in Kaduna State, Northwest, Nigeria which evaluate the satisfaction of clients and caregivers accessing healthcare in PHC centres. A sample size of 217 was determined using Fisher’s formula, with a multi-stage sampling technique used to randomly select eligible respondents, who have accessed at least a PHC service in any of the PHCs in the State were included in the study, A semi-structured, interviewer-administered questionnaire was administered, and the data collected was analyzed using SPSS version 23.0. Appropriate statistical tests were used to examine the association between dependent and independent variables, while predictor variables that showed significant association with the outcome variables were further subjected to logistic regression analysis, to determine factors that affect clients’ satisfaction with PHC services. Statistical significance was determined at an alpha level set at 0.05 at a 95% confidence interval.ResultsThirty-one percent of the respondents were satisfied with PHC services in Kaduna State with a mean composite satisfaction score of 3.78 ± 0.67. Age, ethnicity, level of education, and occupational status were factors affecting clients’ satisfaction with PHC services among the respondents. On multivariate analysis, age, ethnicity, educational status, and occupational status were significant factors affecting clients' satisfaction with PHC services. Clients of Hausa/Fulani extraction are one and a half times less likely to be satisfied with PHC services when compared to clients from other tribes [aOR = 1.5, 95% CI (1.21–4.67); p = 0.003]. In terms of educational status, clients with formal education are one and a one-third times more likely to be satisfied [aOR = 1.3, 95% CI (0.17–0.94)] with PHC service when compared with their counterparts with informal education (p = 0.034).ConclusionClients’ satisfaction with PHC services in Kaduna State, Northwest Nigeria was sub-optimal. Healthcare providers were recommended to improve their attitude bearing in mind clients’ peculiarities.

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  • Research Article
  • Cite Count Icon 79
  • 10.1186/1744-859x-8-6
Etiological explanation, treatability and preventability of childhood autism: a survey of Nigerian healthcare workers' opinion
  • Jan 1, 2009
  • Annals of General Psychiatry
  • Muideen Bakare + 6 more

BackgroundBecause of their peculiar sociocultural background, healthcare workers in sub-Saharan African subcultures may have various conceptions on different aspects of autism spectrum disorders (ASD), such as etiology, treatment and issues of prognosis. These various conceptions, if different from current knowledge in literature about ASD, may negatively influence help-seeking behavior of parents of children with ASD who seek advice and information from the healthcare workers. This study assessed the opinions of healthcare workers in Nigeria on aspects of etiology, treatability and preventability of childhood autism, and relates their opinions to the sociodemographic variables.MethodsHealthcare workers working in four tertiary healthcare facilities located in the south-east and south-south regions of Nigeria were interviewed with a sociodemographic questionnaire, personal opinion on etiology, treatability and preventability of childhood autism (POETPCA) questionnaire and knowledge about childhood autism among health workers (KCAHW) questionnaire to assess their knowledge and opinions on various aspects of childhood autism.ResultsA total of 134 healthcare workers participated in the study. In all, 78 (58.2%), 19 (14.2%) and 36 (26.9%) of the healthcare workers were of the opinion that the etiology of childhood autism can be explained by natural, preternatural and supernatural causes, respectively. One (0.7%) of the healthcare workers was unsure of the explanation of the etiology. Knowledge about childhood autism as measured by scores on the KCAHW questionnaire was the only factor significantly associated with the opinions of the healthcare workers on etiology of childhood autism. In all, 73 (54.5%) and 43 (32.1%), of the healthcare workers subscribed to the opinion that childhood autism is treatable and preventable respectively. Previous involvement with managing children with ASD significantly influenced the opinion of the healthcare workers in subscribing to treatability of childhood autism, while working experience of less than 6 years among the healthcare workers significantly influenced the opinion of the healthcare workers in admitting to believing in the preventability of childhood autism.ConclusionIn designing policies and programs to change negative opinions or beliefs of healthcare workers about childhood autism, there is a need for baseline information such as this survey. Changing the negative opinions or beliefs of the healthcare workers about childhood autism should encourage appropriate help-seeking behavior among parents of children with ASD who may be seeking advice or information from the healthcare workers. This would encourage early interventions, which are essential to prognosis of childhood autism.

  • Research Article
  • 10.17352/jbm.000029
Medical social workers’ and clinical psychologists’ understanding of autism spectrum disorders: A Nigerian Study
  • Aug 30, 2022
  • Journal of Biology and Medicine
  • Igwe Monday Nwite + 5 more

Introduction: Autism is a neurodevelopmental disorder characterised by difficulties in social communication and interaction, repetitive patterns of behaviour and focused interests and activities. Medical social workers and Clinical psychologists play vital roles in identifying and supporting autistic children with their families. They may help with therapy, rehabilitation, crisis interventions and outreach services. Adequate knowledge about Autism Spectrum Disorders (ASD) among Medical social workers and Clinical psychologists may enhance early recognition, diagnosis, appropriate referral and interventions that are known to improve prognosis in autistic children. This study determined Medical social workers’ and Clinical psychologists’ understanding of ASD. Materials and methods: Socio-demographic and Knowledge About Childhood Autism among Health Workers (KCAHW) questionnaires were administered to consenting 63 Medical social workers and 35 Clinical psychologists. Results: Sixty-three Medical Social workers and 35 Clinical psychologists participated in the study. The mean age of Medical social workers was 42.1 ± 8.6 years and 41.0 ± 8.9 years for Clinical psychologists (P = 0.525). Clinical psychologists who were males were 42.9% and 41.3% were male Medical social workers (P = 0.879). Medical social workers who have ever managed a child with autism in the course of their career were 42.9% while Clinical psychologists were 40.0% (P = 0.784). The mean knowledge score for variables in domain 1 for Clinical psychologists was 6.34 ± 1.78 while Medical social workers scored 5.40 ± 2.30 (P = 0.038). The score in domain 2 for Clinical psychologists was 0.91 ± 0.28 while Medical social workers scored 0.71 ± 0.46 (P = 0.009). The mean total score for Clinical psychologists was13.00 ± 2.86 whereas Medical social workers scored 11.51 ± 3.43 (P = 0.031). Conclusion: Clinical psychologists significantly scored higher than Medical social workers in knowledge mean scores in domains 1 and 2 and total mean scores. The scores of Clinical Psychologists though higher than scores by Medical social workers are still considered inadequate. It is recommended that the training curriculum of Medical social workers and Clinical psychologists should involve more tutorials, teachings and clinical rotations that would expose them to different aspects of ASD.

  • Research Article
  • Cite Count Icon 16
  • 10.1177/20503121211049121
Knowledge of childhood autism among nurses working in governmental hospitals of Addis Ababa, Ethiopia.
  • Jan 1, 2021
  • SAGE Open Medicine
  • Salem Tasew + 2 more

Introduction:Autism is a neurodevelopmental disorder that occurs in the early childhood period and is characterized by altered social interaction, communication problems, repetitive, and stereotyped behavior. Genetic, environmental, or physical risk factors are associated with prenatal, natal, or postnatal complications, leading to the development of autism spectrum disorders. Prompt diagnosis and management should be an integral component of the care provision in countries like Ethiopia.Objective:This study aimed to assess knowledge of childhood autism among nurses working in governmental hospitals in Addis Ababa, Ethiopia.Methods:Institutional based cross-sectional study design was used. The sample size was calculated using the single population proportion formula, and the final sample size was 360. Final study subjects were selected by using the simple random sampling method. Data were collected using structured self-administered questionnaires and were then coded and entered into Epi-data version 3.1 and exported to SPSS version 21 for analysis. Descriptive statistics were utilized to show frequencies and percentages, and analysis of variance was carried out to compute the association between the dependent and independent variables. Independent t-test was also done to see the association between dependent variables and independent variables with two means. A p-value of less than 0.05 was considered statistically significant.Results:The mean score for knowledge-related items was 8.79 ± 0.4. In this study, out of 331 nurses, 180 (54.35%) had good knowledge. Significant mean score difference was observed among age distribution (F-Ratio = 2.8, p-value = 0.04), level of education (F-ratio = 13.97, p < 0.001) and work experience (F-Ratio = 3.07 p-value = 0.017).Conclusion:A significant gap was observed in the overall knowledge of childhood autism among nurses employed in the governmental hospitals of Addis Ababa. The respondents’ knowledge level was significantly different among age group distributions, education levels, and work experience.

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