Abstract
Community-based interventions in prevention and control of leptospirosis, have been uniformly unsuccessful. Individual counseling and health education play an important role in the prevention and control of the disease. The aim of this study was to compare the effect of intervention on the knowledge, attitude and practice (KAP) score on leptospirosis among the army personnel after receiving a health education given. A validated questionnaire was used to assess knowledge, attitude and practice at pre- and post-intervention. A total of 188 army personnel from the two camps involved in this study with 94 respondents in control and intervention groups respectively. Leptospirosis Health Education Module (LHEM) was given to the intervention group. There was significant improvement in knowledge score before and after intervention done (mean difference = 24.25, 95% CI: 21.93, 26.56; p −14.13, 95% CI: −15.82, −12.45; p −0.72, 1.55; p > 0.05). For the intervention effect, the subjects in intervention group had significantly higher mean attitude score as compared to the subjects in control group (mean difference = −2.12, 95% CI: −2.99, −1.24; p −0.47, 1.98; p > 0.05). For the intervention effect regardless of time, the subjects in intervention group had significantly higher mean practice score as compared to the subjects in control group (mean difference = 4.16, 95% CI: 2.80, 5.52; p < 0.001). The leptospirosis health education module was found to cause improvement in KAP score in the intervention group.
Highlights
Leptospirosis is a zoonotic bacterial disease caused by infection of the bacteria which belongs to genus leptospira that affects human as well as other mammals, birds, amphibians and reptiles
For the control camp, there was no significant improvement in knowledge score before and after intervention
Of the 188 army personnel participated in the study, 94 subjects were in intervention and control group respectively
Summary
Leptospirosis is a zoonotic bacterial disease caused by infection of the bacteria which belongs to genus leptospira that affects human as well as other mammals, birds, amphibians and reptiles. It can be transmitted from animals to humans [1] [2]. Attitude and practice (KAP) surveys are a common strategy done by researchers to gather the information on leptospirosis and to assess the safe work practice among populations at risk [5]. Researchers around the world especially those who are at the endemic region for leptospiral infections, had done various researches to assess the knowledge of the community and high-risk groups [6]. Review of literature revealed that very little information regarding KAP study on leptospirosis among army personnel
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