Good Practice Scores Research Articles

Assessment of rational use of antimicrobials: a cross-sectional study among people of Nepal.

It was a cross-sectional survey conducted among 385 participants visiting tertiary care center from all over Nepal from February 2022 to May 2022. Modified Bloom's cut-off point was utilized to categorize the participants' overall knowledge, behavior, and practice. The chi-square (χ 2) test and odds ratio (OR) using binary logistic regression at 95% CI and Spearman's rank correlation coefficient test (r) were calculated wherever appropriate. More than three-fifths of the participants (248, 64.42%) demonstrated good behavior, whereas less than half of the participants showed good knowledge (137, 35.58%) and practice (161, 41.82%) about rational use of antimicrobials. Health professionals had higher knowledge (OR: 1.07, 95% CI: 0.70-1.62) and good behavior (OR: 0.42, 95% CI: 0.27-0.64) than other professionals (P<0.05). Those with higher income [≥50000 NRS (Nepalese rupees)] had good behavior (OR: 3.37, 95% CI: 1.65-6.87) and good practice (OR: 2.58, 95% CI: 1.47-4.50) scores than those with less monthly income (P<0.05). Similarly, higher educational degrees, viz. master's and/or above, had good behavior (OR: 4.13, 95% CI: 2.62-6.49) and good practice scores (OR: 2.55, 95% CI: 1.68-3.87). Additionally, there were significant positive correlations between knowledge (K), behavior (B), and practice (P) scores (r=0.331 for K and B, r=0.259 for K and P, and r=0.618 for B and P, respectively; P<0.05). The findings imply the demand for effective legislature, strict enforcement of the drug act, and proper implementation of plans and policies to curb antimicrobials misuse. Lack of execution of existing laws and the unawareness of the public led to the extravagant use of antimicrobials.

Diabetic Foot Care: Knowledge and Practice – A Cross-sectional Study from a Tertiary Care Hospital in Southern India

Background: Diabetes mellitus is one of the major problems in health systems and a global public health threat and diabetic foot ulcers and lower extremity amputations are common, complex, costly, and disabling complications of diabetes. Poor foot care knowledge and practices are important risk factors for foot-related problems among diabetic people. Aims: The aim of the study is to assess the knowledge about foot care, foot care practices, the prevalence and risk factors of diabetic foot and foot-related complications in adult diabetic patients. Settings and Design: The cross-sectional study was conducted in 204 consecutive diabetic patients attending the outpatient department of a tertiary care hospital. Methods: A questionnaire including demographic details, knowledge questionnaire, attitude, and awareness for foot problems based on the Nottingham Assessment of Functional Foot Care Revised 2015 questionnaire was administered. This was followed by a foot examination for various aspects related to foot care and risk stratification. Statistical Analysis Used: Descriptive analysis with frequency distribution for knowledge and practice scores, univariate analysis, and multiple logistic regressions to find significant variables associated with good foot care knowledge and practice scores. Results: About 30.39% had good knowledge score. Rural background (adjusted odds ratio [OR]: 1.98, 95% confidence interval [CI]: 1.08–3.65), poor education status (adjusted OR: 4.63, 95% CI: 1.04–20.54), poor glycemic control (adjusted OR: 1.46, 95% CI: 0.83–2.58), and previous history of foot ulcer (adjusted OR: 3.05, 95% CI: 1.42–6.65) were significantly associated with poor knowledge on foot care. Conclusion: Our study shows that knowledge and practice of foot care of diabetic patients are still substandard. Poor communication between patients and nurses/physicians, rural background, poor education, and poor glycemic control were significant barriers of foot care. Policymakers should initiate foot care education programs throughout the regional state for increasing awareness about proper foot care practice in diabetic patients to reduce the incidence of complications.

A Study to Assess the Knowledge and Practice of Parents Regarding Home Management of Minor Ailments in Children Visiting Tertiary Care Hospital Mangaluru

Abstract Background The nation's future depends on its children. Minor illnesses are a common occurrence during childhood. It is crucial to evaluate parents' knowledge and practice when it comes to dealing with minor illnesses. This study aimed to assess the knowledge and practice of parents regarding home management of minor ailments in children. Methods The descriptive research design was adopted for this study. The sample consisted of 65 parents of under-5 children The sample was selected on the basis of the purposive sampling technique. Data was collected using a knowledge questionnaire and practice checklist related to the management of minor illnesses in children including fever, upper respiratory tract infection (URTI; cough, cold, sore throat), diarrhea, vomiting, abdominal colic, and superficial wound. Data collected from the subjects were analyzed by descriptive and inferential statistics. Results Study revealed that 80% had good knowledge, 20% had moderate knowledge, and none of them had poor knowledge on home management of minor ailments. In terms of practice, 55.4% of parents had moderate practice in the management of fever, 93.8% had good practice regarding the management of URTI, 43.1% had a good practice in managing diarrhea at home, 47.7% of parents had poor practice regarding home management of abdomen colic, 56.9% parents had a good practice on management of vomiting at home, and 92.3% had good practice score on managing superficial wounds at home. There was a significant association found with education status and knowledge score, as well as educational status and occupation with URTI practice and source of health information with fever at p-value less than 0.05 level of significance. Conclusion The results of this study showed that parents of under-5 children had good knowledge and practice regarding home management of minor ailments.

Publics' Knowledge, Perception and Practice on Management of Minor Ailment in Community Pharmacy in Malaysia.

Minor ailments can be defined as medical conditions that can be self-diagnosed, resolve on their own, and be self-managed with over-the-counter (OTC) medications. Nevertheless, minor ailment management was reported to consume much of the health care resources, which may burden the health care system as it increases patient waiting times and the doctors' workload. To evaluate the publics' knowledge, perceptions, and practice on the management of minor ailments in community pharmacies in Malaysia and factors that may influence it. A cross-sectional, self-administered survey was conducted between Dec 2020 and April 2021 among general population in Malaysia. The self-developed and validated survey form consisted of four sections included respondents' demographics, knowledge, perceptions and practices toward minor aliment management in community pharmacy and was distributed using Google Forms via social media platforms. Factors influencing good public practices and perceptions were modeled using binary logistic regression. A total of 562 respondents completed the survey. Majority (n = 354, 63.0%) have good knowledge (score of 9-10), good practice (n = 367, 65.3%) (score 18-30) and good perception score (n = 305, 54.3%) (score 41-60). Variables such as age, those with higher degree (master/PhD), and prior experience and frequency of using community pharmacy had significant influence on respondents' good perceptions, while age and frequency of visit were found to influence respondents' good practice on minor ailment management in community pharmacy. Public in Malaysia have good knowledge on management of minor ailments by community pharmacies. Nevertheless, the publics' perceptions and practice need to be further improved. More advocacy on community pharmacy's roles on minor ailment management among public is need to strengthen the Malaysia's healthcare system resources.

Effectiveness of training program by blended learning on knowledge and practices regarding first aid among preparatory year engineering students at Assiut University

First aid training is necessary for engineering students to increase their health and safety knowledge relating to reducing damage and suffering and improving their chances of survival. Objective: This study aims to evaluate the effectiveness of a training program by blended learning on knowledge and practices regarding first aid among preparatory year engineering students at Assiut University. A pretest, posttest design was used in this study. About 85 participants were selected randomly from the preparatory year of engineering students at Assiut University. Participants were randomly selected and provided with a first-aid training program. Data were collected via a self-administered knowledge questionnaire sheet and an observational checklist pre, post, and three months after the program intervention. The repeated measured ANOVA was used. Results: The study revealed that 61.2% of students had poor knowledge scores about first aid in the pre-test with a total mean of 65.16±24.41, which improved to 95.3% of students who had good knowledge scores in the post-test with a total mean of 121.89±10.27, and slightly declined to 77.6% having good knowledge scores in the follow-up test with a total mean of 110.93±27.38. Moreover, 85.9% of students had poor practice scores about first aid in the pre-test with a total mean of 19.19±4.71, which improved to 72.9% having good practice scores in the post-test with a total mean of 52.49±7.84, and 65.9% having good practices scores in the follow-up test with a total mean of 48.64±13.49. The study concluded that the training program by blended learning showed a positive effect on knowledge and practices of students at post and follow-up tests. This provides a safe learning environment for engineering students. Recommendation: Blended learning programs should be taken as a learning approach in the health training program implementation.

Assessment of the Knowledge and Practice of Doctors to Antibiotics Used in the Treatment of Diabetic Foot Ulcers at Alribat University Hospital, Khartoum 2019

Background: Generally, antibiotics misuse has serious effects on health. The main cause of bacterial resistance is the misuse of antibiotics. Also, the duration of antibiotic has a big role in treating the infection especially in diabetic foot infections. And this is the main problem for which this research is done for. Aim: In this study we tried to estimate the knowledge and practice of doctors in surgery unit to antibiotics in the treatment of diabetic foot ulcers and infections. Methodology: The study was a total coverage of Alribat university hospital at the surgery unit from the period 10th of June till 5th of August. A well-organized questionnaire was dispensed to the house officers, general practitioners, registrars and specialist. The results were analyzed using statistical package for social science. Results: We found that 76% of participants have a good knowledge score and 24% of them have a poor knowledge score. Also, 46% of doctors have poor practice while 54% of them have a good practice. Also, there is a significant and positive relation between the knowledge score and the position and age of participants. And regarding practice score there is a positive association between it and the gender, position and age group. Participants with good practice score have a higher knowledge score and vice versa. However, Specialists have the highest knowledge and practice score. Registrars’ knowledge and practice score is higher than general practitioners and house officers. Participants who are 35 years old and more have the highest knowledge and practice score. And the ones ranged from 26-35 years old have higher knowledge and practice score than those who are 21-25 years old and participants whose have more than 10 years of experience have the highest mean knowledge and practice score, then those with 6 to 10 years, then those with 2 to 5 years of experience and those with less than 2 years have the lowest mean knowledge and practice score. Conclusion: There is

Knowledge, attitudes, and practices (KAP) toward COVID-19: A cross-sectional study among university students in Lebanon

ABSTRACT The health crisis caused by COVID-19 pandemic has quickly evolved into an economic, cultural, and social crisis. Being an active entity in their communities, an evaluation of how much university students can contribute in raising awareness about the pandemic and in volunteering in their communities is deemed necessary. This study aims to assess the knowledge, attitudes, and practices toward COVID-19 pandemic among university students in Lebanon. An anonymous online self-reported questionnaire was conducted in March 2020 and a total of 193 university students participated. Scores were used to evaluate the knowledge, attitudes, and practices. Our results showed that the majority of the Lebanese University students have a good knowledge and practice score (0.82 and 0.64 respectively). However, the attitude score was relatively low and reflects a high cue to action score and a low Ministry Of Public Health (MOPH) satisfaction score. In addition, the KAP scores significantly differed between students majoring in health-related fields vs students majoring in non-health-related fields. The source of knowledge was associated with its score (p-value = .002). Finally, the statistical analysis proved that the study matches the KAP model which demonstrates that knowledge influences the attitudinal statements while attitude influences practice toward COVID-19. This assessment of the students’ understanding and awareness of the pandemic can help in the development of effective national strategies as well as envisage medium and long-term scenarios of preparedness.

Knowledge, attitudes and practices of healthcare professionals on the use of an electronic stock visibility and management tool in a middle-income country: Implications for access to medicines

BackgroundThe Stock Visibility System (SVS) is a mobile application and web-based management tool used at public primary health care (PHC) facilities in South Africa to capture and monitor medicines availability, providing visibility at national level. Medicine stock-outs are prevalent despite the implementation of SVS, compromising patient care. This study aimed to assess the knowledge, attitudes and practices (KAP) of healthcare professionals (HCPs) on the use of the SVS at PHC level to provide future guidance. MethodA cross-sectional study using a structured self-administered questionnaire among 206 HCPs at 21 randomly selected PHC facilities located in a health district in KwaZulu-Natal Province, South Africa. Closed-ended questions were used to collect data on socio-demographic characteristics, knowledge on the SVS and practices on its use. A Likert scale was used to determine attitudes towards the SVS. Cronbach's alpha (α) was used to assess the internal consistency of the questionnaire and independent samples t-test and one-way analysis of variance (ANOVA) was used to test statistical difference in the mean scores for KAP and socio-demographic variables. Association between knowledge and practices, and attitude and practices was determined using odds ratios (OR) and Chi-square. ResultsThe majority (99.5%) of HCPs had previous training on SVS. Nearly two thirds (62.1%; 128/206) generally had good knowledge about the SVS and 76.7% (158/206) had positive attitudes towards the SVS while only 17.0% had a good practice score. There was no statistically significant association between KAP of HCPs on the use of the SVS, and sociodemographic variables (HCP qualification, age and sex). There was a significant association between the knowledge and practice scores (aOR: 5.44; 95% CI: 1.92–15.4; p = 0.001). Although positive attitudes, was associated with good practices, it was not statistically significant (OR: 1.21; 95% CI: 0.46–3.22; p = 0.702). ConclusionsHCPs in this district had poor practices when using SVS despite good knowledge and positive attitudes towards SVS and the higher the HCPs knowledge of SVS, the more desirable the practices on SVS. This underscores the need for continuous training of HCPs to ensure a constant and efficient supply of medicines to meet the health needs of the population.

Assessment of knowledge and practices regarding prevention of COVID- 19 among adults residing in selected urban community Paschim Medinipur West Bengal

A descriptive survey study was conducted (2022) on assessment of knowledge and practices regarding prevention of COVID- 19 among adults residing in selected urban community, Paschim Medinipur, West Bengal with the objectives to assess the knowledge, to identify the practices, to find out the co-relation between knowledge and practices, to determine the association between knowledge and practices with selected demographic variables. 110 participants were selected by systematic random sampling technique. Semi structured and structured interview schedule, structured three point rating scale tools were used for collect data. The study findings revealed that 49.09% and 47.27% respondents had good knowledge and good practice score respectively regarding prevention of COVID-19. There were strong positive correlation (r = 0.718) between knowledge and practices at 0.01 level of significance. There were significant association between knowledge with educational status, monthly income of family and history of suffering from COVID-19 of family members and practices with type of family, educational status of respondents at 0.05 level. All respondents get information regarding COVID-19 and vaccinated. The study can be replicated in large population.

Knowledge, Attitude, and Practice on Pediatric Tuberculosis Management among Healthcare Workers in the Centre Region of Cameroon: A Cross-Sectional Study.

This study was designed to assess the level of knowledge, attitude, and practice (KAP) of healthcare workers (HCWs) on pediatric TB management and its associated factors in the Centre Region of Cameroon. A cross-sectional study was conducted between January and March 2022. HCWs, selected through a multistage sampling technique in 21 health facilities, were interviewed using a KAP questionnaire on pediatric TB management. Logistic regression analyses were used to test associations between HCWs' characteristics and knowledge, attitudes, and practice levels at a 0.05 level of significance. The median age of the participants was 35 years (IQR = 30-42), and the majority (73.2%) were females. About half (50.9%) of the participants (173/340) had good knowledge, 55.6% (189/340) had a good attitude, and 57.1% (194/340) had good practice scores on pediatric TB management. Having a bachelor's degree and above, working in the TB unit, and having received training on pediatric TB in the last five years were significantly associated with good knowledge of pediatric TB management. Similarly, having a bachelor's degree or higher and more than five years of experience providing TB services were significantly associated with a good attitude towards pediatric TB management. Being a general practitioner, nurse, and lab technician was significantly associated with good practice in pediatric TB management. The level of knowledge, attitude, and practice on pediatric TB management among HCWs was suboptimal, as substantial gaps were identified. The Ministry of Health and other international organizations need to prioritize training, coaching, and mentoring support to help HCWs improve their knowledge, attitude, and practice to detect, diagnose, and treat pediatric TB.

Knowledge, attitude and practice related to rabies among residents of Amhara region, Ethiopia

BackgroundRabies is an important viral zoonotic disease with high fatality rate and economic losses. The impact of rabies is considerably high in Asia and Africa. The study was designed to assess the community’s rabies knowledge, attitude and practice (KAP) and their determinants in Amhara region, Ethiopia. MethodsThe study was done based on a questionnaire survey of 899 participants in towns and rural districts of Amhara region. Multistage cluster sampling procedure was used to select participants. Quantitative score was generated for KAP and the scores were dichotomized as adequate and inadequate knowledge, desirable and undesirable attitude, and good and poor practice. Descriptive statics and mixed effect logistic regression considering kebele and villages as a random effect was used to see the association of predictor variables towards adequate knowledge, desirable attitude and good practice. ResultsAbout 61%, 72% and 45% of the respondents have adequate knowledge, desirable attitude and good practice scores, respectively. Almost all (99%) of the respondents rightly claimed that rabies is transmitted through bite of dogs. Majority of the participants (76.8%) strongly agree that rabies is an important zoonotic disease that can threaten the lives of humans and animals. Only 8% of the respondents had a practice of washing and rinsing dog bite wounds for the prevention of rabies. Female participants were less likely to have adequate knowledge than males (OR = 0.58, 95% CI = 0.35–0.96). Respondents in urban areas were more likely to have desirable attitude than rural residents (OR = 12.4, CI = 1.38–11.67). ConclusionThe study showed that participants have good knowledge and attitude towards rabies but poor rabies prevention and control practices. The community public health education should focus on translation of these good knowledge and favorable attitude into practices that effectively reduces rabies burden.

Knowledge, Attitude and Practice Regarding Kidney Diseases among Primary Care Physicians working in Nepal

Background: Medical officers and resident doctors as primary care physicians (PCPs) are the first contact health care providers to most of the kidney disease patients in Nepal. This study intends to assess knowledge, attitude and practice regarding kidney diseases among these nonnephrology doctors, working in different health institutes all over Nepal. Methods: This was a descriptive, cross sectional, questionnaire based study, conducted over the span of 12 weeks among the primary care physicians. The Ethical Review Board of Nepal Health Research Council had approved our protocol prior to starting the study. An arbitrary scoring system was used to classify knowledge, attitude and practice scores as: 0 to &lt;50% - Poor score, 50% to &lt;75% - Moderate score, ≥ 75% - Good score. Data was entered in Microsoft Excel and analyzed using IBM Statistical Package for the Social Sciences version 25. Results: Out of 239 PCPs enrolled in our study, 41 (17%) obtained good knowledge scores, 124 (51.8%) obtained good attitude scores and 198 (82.8%) obtained good practice scores. None of the study participants had negative attitude towards kidney diseases. The mean scores obtained in our study were 23.03±4.49 for knowledge, 17.64±2.30 for attitude and 6.27±1.24 for practice domains out of total score of 37, 24, and 8 respectively. Conclusions: Our study demonstrated that the majority of PCPs had obtained moderate to poor knowledge scores regarding kidney diseases. However, the majority had a positive attitude and good practice regarding kidney diseases in our study.

Increased Consumption of Sugar-Sweetened Beverages Among Malaysian University Students During the Covid-19

Excessive consumption of sugar-sweetened beverages (SSB) increases calories intake, unhealthy weight gain and eventually contributes to obesity. This study aims to determine the SSB intake pattern and the level of knowledge, attitude and practices (KAP) associated with SSB intake among private university students during the Covid-19. A total of 100 university students were enrolled in this study. Self-administered questionnaires were used to determine the SSB intake pattern and KAP. Data were analysed by using SPSS. The most frequently consumed SSB were milk and tea or coffee whereas energy drink being the least consumed. The mean daily sugar intake from SSB among the students was 59.14 ± 51.28 g/day, which is equal to 12 teaspoons of sugar. Multiple linear regression presented that practice is the only factor that significantly associated with SSB intake (adjusted R2= 0.137, F= 3.614, p= 0.003) after adjusting all the variables. In conclusion, the sugar intake from SSB of students was higher than the recommendation level during the Covid-19. Students with good practice scores tends to consume a lower amount of SSB. Effective interventions should focus on reducing SSB intake and practicing a healthy dietary pattern during the Covid-19.

Camping-related carbon monoxide poisoning: Knowledge and risk behaviours among young Saudi campers.

To evaluate the Saudi campers' knowledge and the applied safety practices regarding carbon monoxide poisoning during camping activities. The cross-sectional questionnaire-based study was conducted from December 1, 2018, to February 1, 2019, in Riyadh, Saudi Arabia, and comprised young male campers from recreational camps in the northern parts of the city. Data was collected from the participants regarding socio-demographic characteristics, knowledge regarding carbon monoxide poisoning, the applied safety measures to prevent carbon monoxide poisoning and the dealing with carbon monoxide poisoning during camping activities. Data was analysed using SPSS 22. There were 235 male subjects with mean age 24.47±1.139 years (range: 21-32 years). Of the total, 50(21.3%) participants had received civil defence education or training. Overall, 137(58.3%) participants had a good mean knowledge score, and 157(66.8%) participants had a good mean practice score for applying healthy measures in preventing and managing carbon monoxide poisoning. As a preventive measure against carbon monoxide poisoning, the use of carbon monoxide detectors was valued by 107(45.5%) participants. Having civil defence training, having a monthly income >10,000 Saudi Riyals, and having a good knowledge score were the elements that had significant association with the choice related to carbon monoxide detector usage. The campers had relatively high knowledge regarding carbon monoxide poisoning, but this knowledge was not fully translated into good health practice.

Knowledge, attitude, and practices of the community and meat industry workers towards Taenia saginata taeniosis and bovine cysticercosis in and around Jimma and Ambo towns of Ethiopia

Taenia saginata taeniosis and bovine cysticercosis are prevalent in Ethiopia, however, data on the knowledge/attitude, and practice (KAP) of the community and meat industry workers in this regard is scarce. The present study aimed to investigate the KAP of the community and meat industry workers about T. saginata taeniosis/cysticercosis in Jimma and Ambo towns of Ethiopia.A cross-sectional KAP survey was performed on 293 community members selected using multistage random sampling and 97 meat industry workers from the two study towns. A questionnaire was constructed to collect sociodemographic variables, knowledge/attitudes about taeniosis/cysticercosis, raw meat consumption, latrine usage, and taeniosis treatment practices. Mixed effect (generalized) linear models were used to assess the association of self-reported taeniosis as well as the KAP scores with the demographic variables. The predicted proportion of self-reported taeniosis was 54% and 75% for Jimma and 44% and 70% for Ambo community and meat industry workers, respectively. The odds of self-reported taeniosis was higher for men (ORadj, 1.68, 95%CI, 0.97–2.93), and elementary/illiterate (ORadj, 1.46, 95%CI, 0.75–2.86) and high school education level (ORadj, 2.65, 95%CI, 1.45–4.93) compared to their counterparts. Most of the community members and the vast majority of the meat industry workers were knowledgeable about taeniosis but less conscious about cysticercosis. The knowledge/attitude score of the community was positively associated with the Jimma community (βadj= 1.20, 95%CI 0.60–1.80), age (βadj=0.03 points higher per year, 95%CI 0.00– 0.04), and men (βadj = 1.20, 95%CI 0.64–1.76), while it was lower in elementary education/illiterate (βadj = −1.60, 95%CI −2.31 to −0.95) and secondary/high school (βadj = −0.83, 95%CI −1.46 to −0.23). The good practice scores of the community within both towns were negatively associated with increasing age (βadj=−0.01 per year, 95%CI, −0.02 to 0.00), elementary/illiterate (βadj = −0.60, 95%CI −1.01 to −0.19) and secondary/high school education (βadj = −0.09, 95%CI −0.45 to −0.28), and urban community (βadj = −0.47 95%CI, −0.82 to −0.12), while protestant/other (βadj = 0.76, 95%CI 0.36 1.16) religion had higher scores compared to Orthodox religion. In conclusion, the predicted self-reported taeniosis proportion was moderately high, and the knowledge/attitude was substantial whereas, the practice was inferior. The association between the knowledge/attitude score and practice score was very weak. Therefore, public education to improve hygienic practices, risky culinary habits, taeniosis treatment, and backyard slaughtering were suggested.

Knowledge, Attitudes and Practices Towards COVID-19: A Cross-Sectional Survey.

AimTo assess the knowledge, attitudes and practices (KAP) regarding the corona virus disease 2019 (COVID-19) pandemic among patients and their attendants visiting the gynaecologic oncology outpatient department (OPD) and to assess the factors associated with a KAP score.MethodologyA KAP cross-sectional survey was conducted over three months exploring KAP relevant to COVID-19. Mann–Whitney U test and Kruskal–Wallis test were used to compare the differences in knowledge, attitude and practice by demographic characteristics. Correlation between knowledge, attitude and practice was done using Spearman’s rank correlation test. Binary logistic regression analyses were applied to identify possible determinants of good knowledge, attitude and practice.ResultsA total of 521 completed questionnaires were included. The study revealed an overall good knowledge (16.09/20), attitude (8.34/10) and practice (12.73/14) scores. Education status, standard of living (rural/urban) and economic status determined an adequate overall knowledge, attitude and practice score, while an adequate practice score varied significantly by standard of living and education status. Significant positive linear correlations were found between knowledge–attitude (r = 0.513), knowledge–practice (r = 0.407) and attitude–practice (r = 0.407).ConclusionThe study demonstrated good overall knowledge, attitude and practices towards COVID-19 pandemic among gynaecological oncology OPD patients and their attendants.Supplementary InformationThe online version contains supplementary material available at 10.1007/s40944-022-00624-1.

Knowledge, Attitude, and Practice on Cervical Cancer and HPV Vaccination among Medical Students in Jakarta, Indonesia: A Cross-Sectional Study

BACKGROUND: Cervical cancer is the second-most common cancer in Indonesian women. While the cervical cancer screening has been integrated in Indonesian primary health-care facilities, the HPV vaccination has not yet become a national program. AIM: The objective of this research was to measure the knowledge, attitude, and behavior of medical students in Jakarta toward cervical cancer and its prevention. The result of this study could be implemented to develop a more comprehensive national educational program and public health policy. METHODS: We conducted a cross-sectional study on medical students at 10 different universities in Jakarta, Indonesia. Student’s knowledge, attitude, and behavior were collected through a self-administered online questionnaire consist of a total of 27 questions concerning cervical cancer epidemiology, pathogenesis, screening, diagnosis, and prevention. RESULTS: A total of 2159 medical students participated in this study. More than half (55%) of the students obtained satisfactory knowledge score. The students’ knowledge regarding HPV vaccination was low. However, 87.2% of them agreed to get the HPV vaccination. Only 7.0% had participated in cervical cancer screening program and only 16.8% had received HPV vaccination. Female gender, second or third year of study, and three universities had better odds to have good practice score. CONCLUSION: The knowledge and attitude score did not reflect on student’s practice on cervical cancer and its prevention. Effort to increase the awareness toward cervical cancer should be endorsed through university curriculum and public health policy.

A community cross-sectional study on knowledge attitude and practice of prevention of COVID-19 among traditional tribal healers in the tribal subpopulation zone of Sirohi district of Rajasthan

Background: Due to geographical location and limited health resources, tribal people in India still majorly consult traditional tribal healers of their community for their health needs. However, data regarding the knowledge, mode of practice, and utility of these tribal healers are not explored despite their significant role in the healthcare system. Our study assessed the levels of knowledge, attitude, and practices of traditional tribal healers toward the COVID-19 pandemic and its association with sociodemographic factors.Methods: Cross-sectional community based among the tribal healers of district Sirohi of Rajasthan. KAP study carried out with the help of a structured questionnaire about COVID-19, personal interviews, and community meetings among the tribal healers of district Sirohi of Rajasthan. A bivariate Pearson correlation analysis was performed, to identify factors related to knowledge, attitudes, and practices among socioeconomic data.Results: A total of 682 tribal healers participated in the study. Approximately, 55% of TH had a good knowledge score and 91% of TH had a good attitudinal score while 56% of TH had a good practice score. We observed that sociodemographic factors such as education status, education level, financial status in terms of income, marital status influenced the knowledge, attitude, and practices of tribal healers regarding COVID-19.Conclusions: With proper training, tribal healers can play the role of peer educators among the tribal population.

Facility and care provider emergency preparedness for neonatal resuscitation in Kano, Nigeria.

The knowledge, attitude, and practice of emergency neonatal resuscitation are critical requirements in any facility that offers obstetric and neonatal services. This study aims to conduct a needs assessment survey and obtain individual and facility-level data on expertise and readiness for neonatal resuscitation. We hypothesize that neonatal emergency preparedness among healthcare providers in Kano, Nigeria is associated with the level of knowledge, attitudinal disposition, practice and equipment availability at the facility level. A semi-structured, self-administered questionnaire was administered to a cross-section of health providers directly involved with neonatal care (n = 112) and attending a neonatal resuscitation workshop in Kano state. Information regarding knowledge, attitude, practice and facility preparedness for neonatal resuscitation was obtained. Bloom's cut-off score and a validated basic emergency obstetric and neonatal care assessment tool were adopted to categorize outcomes. Multivariable logistic regression was employed to determine independent predictors of knowledge and practice. Almost half (48% and 42% respectively) of the respondents reported average level of self-assessed knowledge and comfort during resuscitation. Only 7% (95% CI:3.2-13.7) and 5% (95% CI:2.0-11.4) of health providers demonstrated good knowledge and practice scores respectively, with an overall facility preparedness of 46%. Respondents' profession as a physician compared to nurses and midwives predicted good knowledge (aOR = 0.08, 95% CI: 0.01-0.69; p = 0.01), but not practice. Healthcare provider's knowledge and practice including facility preparedness for emergency neonatal resuscitation were suboptimal, despite the respondents' relatively high self-assessed attitudinal perception. Physicians demonstrated higher knowledge compared to other health professionals. The low level of respondents' awareness, practice, and facility readiness suggest the current weak state of secondary health systems in Kano.

Knowledge, attitude, and practices among front-line health-care workers in a COVID hospital: An online questionnaire-based cross-sectional study

Background and Objectives: COVID-19 pandemic has currently attacked the health-care system of the whole world. Prevention and collaboration are the key to its management. Our study aims to assess the knowledge, attitude, and practices (KAP) among front-line health-care workers (HCWs) of a COVID dedicated hospital regarding the infection. Materials and Methods: An online questionnaire based study was conducted. Participants were doctors and nursing staff working in a medical college. KAPs were assessed using a 26-item questionnaire with questions pertaining to knowledge (n = 13), attitude (n = 6), and practice (n = 7). Individual scores were generated and stratified as good (>10)/moderate (7–10)/poor knowledge (<7), positive (≥4)/negative (<4), attitude and good (≥4)/poor (<4) practice scores. Percentages of correct and incorrect responses were calculated for each question. Predictors of good overall scores were identified. Results: Response rate was 75%. Participants were interns (n = 45, 28.7%), junior residents (n = 7, 4.5%), postgraduate students (n = 58, 36.9%), clinicians (n = 9, 5.7%), and nursing staff (n = 38, 24%). Mean age was 26.13 ± 3.27 years. 8 (5%), 98 (62%), and 51 (32.5%) participants acquired good, moderate, and poor scores, respectively. Seventy-seven (49%) participants had positive attitude scores. Majority (n = 149, 94.9%) participants had good practice scores. Older age of HCWs was found significantly associated with better knowledge (adjusted odds ratio [aOR] = 3.81, 95% confidence interval [CI] = 1.29–11.22, P = 0.015). Similarly, HCWs who had personal experience of work in COVID area had more positive attitude than those who did not (aOR = 2.58, 95% CI = 1.23–5.42, P = 0.013). Good practices were evenly distributed among all subgroups. Interpretation and Conclusions: Repeated training sessions for correct dissemination of knowledge are essential in the fight against this novel pandemic. Collective efforts should be made regarding management.