Public Education Programs Research Articles

Prevalence of Malnutrition in Patients with Chronic Kidney Disease at the Guayaquil Naval Hospital, 2017-2020

Objective: To determine the prevalence of malnutrition in patients with CKD not requiring dialysis treatment at the Hospital Naval de Guayaquil (HOSNAG) during the period January 2017 to December 2020. Theoretical Framework: The research focuses on the prevalence and factors associated with malnutrition in patients with chronic kidney disease (CKD) who do not yet require dialysis. It is based on the premise that malnutrition is a common problem in patients with CKD, despite recommendations for low-protein diets. The research aims to explore whether the VGS, a subjective nutritional assessment tool, is useful to identify these malnourished patients and whether BMI can be a predictor of malnutrition in this population. Methods: Observational, descriptive, cross-sectional, retrospective, prevalence-type study. Malnutrition was considered as two definitions: a BMI <20; a GSV B/C. Results and Discussion: 205 cases were recovered, with a median age of 64 years, being 95 (46.3%) female. There were 12/205 (5.9%) cases which presented a BMI <20, equivalent to malnutrition. Subjective global assessment A, B and C was estimated in 95 (46.3%), 87 (42.4%) and 23 (11.2%), respectively. The prevalence of malnutrition in CKD patients not requiring dialysis treatment at HOSNAG between January/2017 to December/2020 was 5.9% (95% CI 3.3 - 10%) estimated using a BMI <20, and 53.6% (95% CI 46.8 - 60%) using a B/C VGS. BMI is not a useful marker in the prediction of malnutrition in patients with CKD not requiring dialysis treatment, according to the VGS. Research implications: By more accurately identifying malnourished patients and the factors associated with this condition, more effective nutritional strategies can be implemented to improve their quality of life and survival. In addition, the results of this study can serve as a basis for the development of public policies and health education programs that promote better nutritional care for these patients. Originality/value: This research presents a remarkable originality by focusing on a segment of the chronic kidney disease (CKD) population that has been less explored in previous studies: those patients who do not yet require dialysis.

A roadmap toward promoting and improving brain health in Europe and closing the awareness and funding gap.

The global burden of neurological diseases exceeds 43.1%, imposing a significant burden on patients, caregivers and society. This paper presents a roadmap to reduce this burden and improve brain health (BH) in Europe. The roadmap is based on the European Academy of Neurology's (EAN) five-pillar BH strategy: advancing a global BH approach (P1), supporting policymaking (P2), fostering research (P3), promoting education (P4), and raising awareness of prevention and treatment (P5). It reviews current efforts, collaborations and future directions aligned with the WHO Intersectoral Global Action Plan (iGAP) for Neurological Disorders and suggests future initiatives and call for action. P1: Support WHO-iGAP through defined action points, international collaborations, in particular, the WHO BH Unit, and the EAN Brain Health Mission. P2: Collaborate with 48 national neurological societies to promote National Brain Plans (NBPs), addressing local needs, and improving access to care. P3: Advocate for more research funding; identify determinants of BH; develop preventive measures. P4: Provide educational opportunities for neurologists, public education programs, and advocacy training, including tools to educate the public. P5: Spearhead global awareness campaigns, organize public educational activities, and train BH advocates to contribute toward sustainable and long-term public health campaigns and policy engagement. The paper highlights the importance of a unified approach, integrating international collaborations and local initiatives, to improve BH outcomes based on the WHO-iGAP, and support sustainable development goals, in particular SDG 3: Good Health and Well-being and SDG 4: Quality Education.

Effectiveness of cross-sector collaboration in strategy implementation and impact: Evaluation of the NSW Skin Cancer Prevention Strategy 2016-2022.

Australia continues to have one of the highest rates of skin cancer in the world. In NSW, melanoma is the third most common cancer diagnosed. At least 95% of skin cancers are caused by overexposure to ultraviolet radiation (UVR) from the sun, making it a highly preventable cancer. The NSW Skin Cancer Prevention Strategy (the Strategy) aims to reduce overexposure to UVR through collaborative efforts across government and non-government partners and the private sector. An evaluation was required to inform the Skin Cancer Prevention Strategy 2023-2030 development and implementation. The Strategy was evaluated using a mixed-methods approach, which included both process and outcome evaluation measures. Measures included population and campaign tracking surveys, administrative datasets, a document review of progress reports and meeting minutes, and semi-structured interviews and workshops with stakeholders. The evaluation outlined activities and achievements under each of the Strategy goals. Findings demonstrated improved understanding and awareness of sun protection policies and guidelines, improved access to adequate shade, increased measurability of shade availability and adequacy, and increased adoption of sun protection behaviours. Cross-agency collaboration and commitment were a key strength of the Strategy. The continued prioritisation of settings (e.g. schools, workplaces, etc.) and populations outlined in the Strategy were supported by the evaluation's findings. Additional focus areas for the new Strategy were highlighted, including secondary prevention or early detection. Continued skin cancer prevention activities, including social marketing campaigns and public education programs, are essential to ensure the adoption of sun protection behaviours by priority populations.

The association between the type of bystander and survival after an out-of-hospital cardiac arrest: A French nationwide study.

Early bystander interventions are associated with more favorable outcomes after out-of-hospital cardiac arrest (OHCA). The objective of the present study was to determine whether the type of bystander-patient relationship was associated with survival and neurological outcomes after OHCA in France. We analyzed data registered in the French National Cardiac Arrest Registry (RéAC) between July 1st, 2011, and April 30th, 2023. The study population comprised bystander-attended cases of OHCA managed by the emergency medical services. Bystanders were categorized as family members, other laypersons, off-duty professional first responders, or off-duty healthcare professionals. The primary outcome was 30-day survival with a favorable neurological outcome (Cerebral Performance Category 1 or 2). The secondary outcomes included the bystander cardiopulmonary resuscitation (CPR) initiation rate, return of spontaneous circulation, and survival upon admission to the hospital. Our statistical analyses were based on bivariate and multivariable logistic regressions analyses. Among the 89,861 OHCA cases analyzed, family members constituted the largest group of bystanders (69.2%). Compared with non-family-member bystanders, family bystander status was associated with a lower CPR initiation rate, a longer no-flow time, and lower 30-day survival rates. Specifically, cases of OHCA with non-family-member bystanders were 32% more likely to survive with a CPC of 1-2 at day 30 than cases with family member bystanders. Medically trained bystander status (off-duty professional first responders and healthcare professionals) was associated with higher CPR initiation and 30-day survival rates, relative to nontrained laypersons. Survival after an OHCA appears to be associated with the type of bystander. Although family members were the most common bystanders, they were less likely to initiate CPR and less likely to see the OHCA patient survive. Efforts to increase the post-OHCA survival rate should include targeted interventions (such as public education and training programs) that emphasize the importance of early CPR and automated external defibrillator use by family members.

GESTÃO FINANCEIRA DO POLICIAL MILITAR E O IMPACTO NA SUA ESTABILIDADE FINANCEIRA

The military police career is characterized by strenuous hours and unique responsibilities, requiring a balance between professional demands and personal life. In this context, financial management becomes a crucial element to ensure the emotional stability and well-being of public security professionals. This article aimed to analyze the importance of financial management for Military Police Officers, highlighting its influence on the quality of life and financial security of these professionals. The problem investigated was: how can financial management contribute to a safer and more stable future for military police officers? The methodology adopted consisted of a literature review, using scientific databases such as Portal CAPES, Science Direct and SciELO, with a focus on identifying the main difficulties faced by police officers in managing their financial resources and the most effective strategies to overcome them. The results indicate that the lack of financial planning is associated with high levels of stress and instability, affecting both personal life and professional performance. The study proposes the inclusion of financial education in the training and during the career of military police officers, in order to promote awareness about planning and healthy financial habits. The contributions of this research extend to the large area of public management and security, by proposing the implementation of public policies and financial education programs aimed at military police officers. These initiatives aim to improve the quality of life of professionals and strengthen the police institution, ensuring a greater balance between personal and professional life, in addition to ensuring a more stable and secure future.

Hypertension in Sri Lanka: a systematic review of prevalence, control, care delivery and challenges.

Hypertension (HTN) is recognized as a major modifiable risk factor for cardiovascular deaths in South Asia. Our aim was to furnish a comprehensive analysis of HTN prevalence, trends, control efforts, awareness, barriers in care delivery and associated factors, based on nationally derived evidence in Sri Lanka. A systematic search of online databases (PubMed, Web of Science, Scopus), local journals and repositories yielded 6704 results, of which 106 were included. Prevalence of HTN steadily increased from 23.7% (2005-2005) to 34.8% (2021). Associated factors identified were hyperhomocysteinaemia [odds ratio (OR) 2.80], overweight/obesity (OR 2.02), perceived job stress (OR 2.20-3.02), physical inactivity (OR 2.08-2.80), salt intake more than 5 g/day (OR 2.50), smoking (OR 2.31) and waist-to-height ratio more than 0.5 (OR 2.23). Cohort studies revealed poor blood pressure control and treatment adherence among patients. Pharmacological (n = 4) and nonpharmacological (n = 6) interventional studies were few. Studies on knowledge, attitudes and practices demonstrated a lack of public awareness. Despite the high prevalence of HTN in Sri Lanka, many cases remain undiagnosed, underscoring importance of targeted screening programmes and culture-specific public health education programmes.

Cultivating Ethical Leadership in Public Administration: Integrating Social Justice and Equity into Educational Programs in Sulu, Philippines

Ethical leadership is crucial in public administration, particularly in regions like Sulu, Philippines, which faces complex governance challenges, including poverty, inequality, and conflict. This study explores the integration of social justice and equity into public administration educational programs to cultivate ethical leaders who can address these challenges effectively. A mixed-methods approach was employed, including a survey of 100 public administration students and faculty members in Sulu, and in-depth interviews with 10 experienced public administrators. Quantitative data were analyzed using descriptive statistics and correlation analysis, while qualitative data were analyzed1 thematically. The findings revealed a strong awareness among students and faculty of the importance of social justice and equity in public administration. However, there were gaps in integrating these concepts into the curriculum and pedagogy. Experienced administrators emphasized the need for practical experience and mentorship to develop ethical leadership skills in the context of Sulu's unique challenges. In conclusion, this study highlights the need for educational reform in public administration programs in Sulu to strengthen the cultivation of ethical leadership. Recommendations include incorporating experiential learning opportunities, community engagement, and culturally relevant case studies to bridge the gap between theory and practice.

Public knowledge about and attitudes toward organ donation, and public barriers to donate in Jordan: A cross-sectional study.

Organ donation is a critical issue that is receiving greater attention worldwide. In Jordan, the public's knowledge about and attitudes toward organ donation play a significant role in the availability of organs for transplantation. To assess the public knowledge about and attitudes toward organ donation in Jordan. A cross-sectional design was used to collect data from 396 Jordanian citizens via an online self-reported questionnaire. Overall, 396 participants were recruited. Of the entire sample, 93.9% of the participants had heard about and had sufficient knowledge about organ donation but they had limited knowledge about brain death. The most common source of information about organ donation was social media networks. Females were found to score significantly higher than males for attitude. Those who had thought about organ donation or registered their names to donate scored significantly higher in terms of attitudes to donation than their counterparts who had not. The most common reasons for limited organ donation practices in Jordan were a lack of awareness programs and insufficient knowledge in society. Greater public understanding of organ donation appears to be associated with more positive attitudes toward organ donation. Most participants responded positively regarding their attitude toward organ donation as they believed that this action could give another person a chance to live. Moreover, most agreed that they would donate their organs after their death. Otherwise, the participants had limited general knowledge about brain death, and most had not registered their names to donate their organs. These findings indicate the need for public awareness campaigns and educational programs to encourage more people to become organ donors.

Individual Behaviour as a Community Resilience Factor: Lessons for Policy Making

The article links community resilience – the resilience of the political community, with the process of public policy-making. In the argumentation, the study investigates the formation of community resilience and the importance of individual attitudes, compared to the individualism-collectivism scale. The sample research is conducted among 669 respondents in Bulgaria, aged 15 to 77 years old (M=29.3; SD=13.39). The applied methodology is based on the New Ecological Paradigm (NEP) to measure people’s environmental attitudes, and the Ecological Consumer Behaviour Scale to measure eco-anxiety and pro-environmental behavioural intentions. Empirical study measures self-efficacy, Big Five personality traits, and values orientations. The results confirm that there were gender differences on the NEP scale, including that women show higher environmental attitudes. The research findings provide explanations how human values were positively related to one’s awareness of the environmental crisis. Finally, neuroticism correlated positively with realising the limit to growth. Therefore, it is important, that the design and the implementation of public policies and educational programs, consider various psychological aspects of individual human behaviour. This approach may have key implications for engaging in future sustainable behaviour and increasing the degree of resilience.

Evaluation of Human Resource Performance at the Regional Disaster Management Agency in West Nusa Tenggara Province

Drought is a recurring disaster in West Nusa Tenggara Province, and effective disaster management relies heavily on the performance of human resources. This study aims to evaluate the performance of the human resources at the Regional Disaster Management Agency (Badan Penanggulangan Bencana Daerah, BPBD) in addressing drought disasters in the province. The research employed a descriptive method with a qualitative approach, collecting data through direct observation and documentation. Data analysis followed the document analysis model developed by Miles and Huberman, which involves data reduction, data presentation, and conclusion. The findings indicate that the human resources of BPBD West Nusa Tenggara Province (BPBD-NTB) have been effective in preventing and recording the impacts of drought in the region. Furthermore, BPBD-NTB has implemented comprehensive emergency planning, infrastructure development projects such as dam construction, and public awareness initiatives, including socialization and education programs to enhance community knowledge about drought risks and preventive actions. Reporting mechanisms were also identified as an essential component of employee performance, particularly for addressing ongoing and future drought challenges. Over the past five years, the study found that Central Lombok Regency experienced the most significant impact, with 1,368,652 people affected by drought. This underscores the critical role of human resources in disaster management and mitigation efforts in West Nusa Tenggara Province.

The clinico-epidemiological, diagnostic, and therapeutic aspects of methadone poisoning: a registry-based clinical study.

Methadone is a long-acting synthetic agonist of opioid receptors, which is used as an analgesic and as an alternative treatment in opioid-dependent patients. Clinical manifestations of methadone poisoning include miotic pupils, low levels of consciousness (LOC), respiratory depression or apnea, and coma and death. Considering the high consumption of methadone in society and the prevalent instances of overdose and poisoning, whether accidental or intentional, the authors decided to investigate the clinico-epidemiological, diagnostic, and therapeutic characteristics of methadone poisoning in the Mazandaran province, northern Iran, from 2020 to 2022. This study was a retrospective and descriptive cross-sectional registry-based study, wherein data was collected from the Mazandaran Registry Center of Opioids Poisoning (MRCOP), on patients with methadone poisoning. Data based on various parameters such as individual characteristics, ingestion motivation, and clinical outcomes were collected in a checklist. Of the 385 patients, who entered the study, 264 were men and 121 were women. The mean age of the patients was 29.02 years. Two hundred forty-four patients had intentionally consumed methadone. The most common symptoms observed among individuals with methadone poisoning were decreased arterial blood oxygen (225 patients) and decreased LOC (173 patients). The length of hospitalization for most patients was less than 1 week. Except for seven of them who died, most of them were discharged in good general condition. The study identified sex, age, marital and employment status, and suicidal intent as the most significant factors influencing methadone poisoning, which should be considered in the design and implementation of public education and prevention programs.

Enhance Mothers' Knowledge and Skills in Choking First Aid through Self-Directed Learning with Video Resources

Choking represents a life-threatening emergency that necessitates immediate intervention, making bystanders' knowledge and skills essential for practical first aid. Traditional training methods, such as PowerPoint presentations and printed materials, are widely employed; however, technological advancements have prompted the exploration of self-directed learning through video (SDL-V) as a potentially more effective approach. This study aims to evaluate the impact of SDL-V-based choking first aid training on mothers' knowledge and skills concerning toddler choking in Kalisongo village. Employing a quasi-experimental pretest-posttest design with a control group, 30 participants from the intervention and control groups were selected through simple random sampling. Knowledge and skills were assessed before and after training, and differences were analyzed using independent and paired sample T-tests. The N-Gain Score test was employed to determine the effect size. The results revealed no significant differences in knowledge and skills between the groups before training (P > 0.05). Nonetheless, significant improvements were noted within each group following the training (P < 0.05). The intervention group exhibited significantly higher levels of knowledge and skills compared to the control group after training (P < 0.05), demonstrating a high N-Gain Score (>0.70). In conclusion, SDL-V-based choking first aid training significantly enhances mothers' knowledge and skills in Kalisongo village. Healthcare professionals should consider the integration of SDL-V into public education and training programs.

Eye Banking: An Overview

(harvesting) and processing donor corneas and for distributing them to trained corneal graft surgeons.3 It should be registered with the competent authority in the state under the Transplantation of Human Organs Act 1994. With the availability of MK medium and Optisol, eye banks should ideally switch over from enucleation to in situ corneal excision procedures. This will enable better viability of donated corneas during storage. Structurally, it has administrative and medical components. Functionally, the administrative section is responsible for public awareness programs, liaison with government, local voluntary and other health care agencies and fundraising. The medical section deals with the entire technical operation of the eye bank. Basically, the eye banking system has a three-tier approach. The different constituents are eye donation centers, eye banks and eye banking training centers. All of them have to be integrated. Networking of eye banks under the umbrella of a national organization allows better attempts at public education programs, an institution of newer eye banking procedures, and training programs. India needs 50 eye banks, five of which will also be eye banking training centers, 2000 eye donation centers, Cornea Retrieval Programmes in 500 hospitals and 1000 corneal specialists to make a real impact on the problem of this reversible form of corneal blindness. Let all of us involved in the fight against corneal blindness work together for a national goal.

Right to health: the association between ultra-processed foods and the development of Chronic Non-Communicable Diseases (CNCDs)

This research aimed to analyze the relationship between the consumption of ultra-processed foods and the increase in chronic diseases in Brazil. To this end, an integrative literature review was carried out, adhering to the PRISMA guidelines and making use of the Web Of Science, Google Scholar, Scielo and LILACs platforms. The selection covered only articles of Brazilian origin published between 2020 and 2023, whose themes were associated with the relationship between consumption of ultra-processed foods and chronic diseases among adults. After the initial and complete analysis of the articles, a sample of 11 articles was obtained. As a result, it was possible to verify the relationship between the presence of ultra-processed foods and a significant increase in the risk of various diseases, such as obesity, cardiovascular disease, diabetes, cancer, depression and even mortality. This relationship persists in different types of research, reinforcing the consistency of the evidence, and is particularly notable in the context of obesity, with a dose-response relationship. In addition, demographic factors such as gender, age, education and level of physical activity influence the consumption of these foods and, consequently, the risk of chronic diseases among adults. Thus, the nutritional transition and increased consumption of ultra-processed foods are contributing factors to the growth of chronic non-communicable diseases, and public policies and food education programs are urgently needed to combat this public health problem.

Assessing the prevalence of unused medicines at home and associated factors: a community-based cross-sectional study

BackgroundPrescriptions come with extensive instructions on taking medicines but provide little information about the burden of unused medicines. This issue centers around the vast quantities of unused medications accumulated in households. The study aimed to assess the prevalence of unused medicines and associated factors in Gondar City.MethodThe study was conducted through a community-based cross-sectional survey in Gondar City from July 30 to August 30, 2023. The data was collected using the Kobo toolbox, exported into an Excel sheet, and then analyzed using SPSS version 27 software. Both multivariate and bivariate binary logistic regressions were performed in the data analysis. A p-value of 0.05 with a 95% confidence interval was used to determine statistical significance.ResultThe study interviewed 786 participants, with a 92.8% response rate. 55% of the 786 households surveyed kept unused medications at home, most commonly antibiotics (37%), antipyretics (17.6%), and analgesics (15%). Factors associated with having unused medicines at home included not receiving medication information (AOR = 2.327, 95% CI: 1.535, 3.527), having a chronic disease (AOR = 5.897, 95% CI: 3.667, 9.484), having health insurance coverage (AOR = 1.456, 95% CI: 1.036, 2.047), self-medicating with NSAIDs (AOR = 2.018, 95% CI: 1.396, 2.919), and poor disposal practices (AOR = 3.613, 95% CI: 2.546, 5.127).ConclusionThe study found a considerable high prevalence of unused medications in Gondar City due to factors like lack of medication education, chronic conditions, insurance coverage, self-medication, and poor disposal practices. To address this, public education programs and safe disposal guidelines should be implemented to promote safer practices.

Debate: Which private sector management knowledges may be useful in current public sector management education programmes and why?

Debate: Which private sector management knowledges may be useful in current public sector management education programmes and why?

Creating dementia-friendly communities: Challenging stigma and building understanding through public education

ABSTRACT Stigma is a well-documented barrier to community and social engagement for people living with dementia. Awareness raising and public education have been identified as essential for developing communities that are supportive of people living with dementia and enable their social inclusion. A public dementia education program, co-designed and delivered by people living with dementia and targeted to people working in public-facing service roles, was developed to increase awareness of dementia and challenge stigma. This quality improvement study evaluates this dementia-friendly community education program in terms of participants’ reactions to the program, knowledge acquisition, change in behavior, and impacts associated with the program. A survey methodology was used to assess immediate reactions to the workshop (N = 110), and at a three-month follow-up to assess longer-term impacts of the program (N = 36). The workshop was well received with >88% of respondents being satisfied with the topics covered, delivery format, and program materials; >65% of respondents reported being more knowledgeable in all workshop topic areas as a result of the program. At follow-up, >80% of respondents reported that they implemented dementia-friendly actions as outlined in the workshop but were able do so more frequently for individual-level actions, rather than organizational-level actions. Respondents valued hearing the experiences of a person with lived experience. The study findings highlight the value of practical education targeted to public service sector personnel and codesigned and delivered by people living with dementia as a strategy for fostering change towards more dementia-friendly communities. Targeting leadership and management may affect greater change at organizational levels.

Will You Tell? Factors Influencing Peer Reporting of Illicit Substance Use: A Mixed-Methods Study

Reporting of peers who abuse illicit substances has potential benefits for early intervention. The study focused on factors affecting peers' reporting of illicit drug use to others. We adopted a mixed-methods study design. We interviewed 57 students attending a community youth mentorship centre. A hypothetical scenario was presented to elicit responses to a yes-or-no option. Appropriate bivariate analyses were used for descriptive statistics. We used R programming to perform LASSO regression to identify significant predictors of peer disclosure. A larger proportion of respondents opted not to report (56%, n = 32). Females had a higher rate of reporting compared to males (68% vs 32%). Other socio-variables such as family history of substance use and history of use were not significantly associated with the tendency to report. The major reasons for non-reporting were the fear of potential consequences and the fear of hurting the feelings of the peer. The mother was most favoured for reporting. The significant predictor of reporting of substance use to others was related to the perception of closeness of the relationship to the peer (Estimate = 1.32, 95%Cl = 0.04, 2.73).There is a need to encourage massive public enlightenment and educational programmes on peer reporting among adolescents and young adults who take illicit substances.

Impact of Covid-19 on Early Childhood Education in Botswana

This paper examined the impact of COVID-19 on the Botswana public Early Childhood Education Programme during the pandemic in the period of 2019 - 2022. COVID-19 impacted various sectors of Botswana, the education sector included. However, the education system was not adequately prepared to cater for young learners’ education and therefore this had serious consequences on the lower levels of learning. The study adopted the qualitative approach and used the chaotic theory to guide the line of argument in the paper. Data were collected using open-ended questionnaires, structured interviews, focus group discussions and observation of outside equipment. The findings indicated a backlog of pupils entering the Early Childhood Education programme and Standard One after the Covid-19 pandemic. Standard One accepted learners of different competencies and parents refused to send their students back to school after re-opening because of fear of reinfection. The paper concludes that the Ministry of Education, like other levels of education, could have put something in place for ECE learners to keep on learning at home during the pandemic after three years of suspending teaching and learning

REASONS OF ABANDONMENT TREATMENT IN PATIENTS WITH LEISHMANIASIS

The goals of this study that examined patients with Cutaneous Leishmaniasis (CL) who were diagnosed and treated at the Sanliurfa Cutaneous Leishmaniasis Diagnosis and Treatment Center (SCLDTC), were to determine the frequency of treatment discontinuation and the reasons for discontinuation. This was a descriptive study that included individuals who visited the SCLDTC for diagnosis and treatment in 2020 and were diagnosed with CL. The study’s data collection phase took place between July 1, 2020 and December 31, 2020. The study comprised 370 patients who were diagnosed with CL and under treatment as of January 1, 2020. It was found that 187 of these patients discontinued treatment. The frequency of treatment discontinuation was 50.5%. Of those who discontinued treatment, 50.8% were women. It was determined that 3.7% of those who discontinued treatment did not speak Turkish, and 41.1% had not received formal education. Among the patients who discontinued treatment, 21.4% had no job, and 83.9% belonged to the lower socioeconomic status and unemployed group. Of those who discontinued treatment, 54.6% stopped before completing the first course, while 39,0% did not attend the follow-up examination after completing the first course. In cases of cutaneous leishmaniasis, the most common reasons for discontinuing treatment were believing that they do not require treatment (28.9%), disregarding the disease (27.3%), and a lack of medication in SCLDTC (26.7%). In the present study, the most common reasons for discontinuing treatment were a lack of belief in the necessity for treatment, disregarding the disease, and a shortage of medication. Patients’ and society’s knowledge and awareness of CL should be increased, public education programs should be organized, patients admitted to SCLDTC and their relatives should be informed, and the importance of completing the treatment should be explained, especially in neighborhoods where CL cases are densely distributed.