The knowledge of the doctors in Aceh regarding Zika infection is relatively low. Doctors who have a good knowledge on Zika infection are more confident to established Zika disease as differential diagnosis in their clinical setting. Therefore, such program to increase healthcare providers' knowledge regarding Zika infection is needed to screen potential carriers of Zika infection.
Background: The aim of this study was to assess the level of knowledge towards Zika among medical students, medical interns and general practitioners (GPs) in Indonesia. Methods: A cross-sectional study was conducted in Aceh province of Indonesia in 2016. A set of validated questionnaire, consisting 24 questions, was used to assess the knowledge. Logistic regression was used to estimate the differences in knowledge between groups. Results: A total of 1031 participants were included in the final analysis in which most of them were medical student (39.7%), followed by GPs (37.7%) and medical intern (22.6%). Approximately 17%, 19%, and 64% of the medical students, interns and GPs had good knowledge, respectively. The knowledge level of medical student and medical interns was roughly equivalent. Medical students and medical interns had significantly lower odds of having a good knowledge compared to GPs, OR: 0.12 (95%CI: 0.08-0.16) and OR: 0.13 (95%CI: 0.09-0.20), respectively. Conclusion: General practitioners have greater knowledge of Zika than medical students or interns, possibly as a result of clinical experiences or exposure to learning. Inclusion of Zika learning materials in the national medical curriculum could improve knowledge of Zika and the ability of the health care workforce to respond to future outbreaks.
Latar Belakang: Filariasis adalah penyakit menular menahun yang disebabkan oleh cacing filarial dan ditularkan melalui gigitan nyamuk. Berdasarkan data profil Dinas Kesehatan Asahan Sumatera Utara kasus filariasis terbanyak pada tahun 2014 berjumlah 33 orang, tahun 2015 meningkat menjadi 36 orang, tahun 2016 sebanyak 38 orang, tahun 2017 sebanyak 40 orang dan pada tahun 2018 meningkat menjadi 41 orang. Penyebabnya tidak memiliki akses air bersih, sanitasi memadai, dan perumahan ynag tidak layak huni. Metode: Penelitian ini adalah penelitian kuantitatif dengan menggunakan study case control yang dilakukan pada bulan Juli-Agustus 2019 di Wilayah Kerja Puskesmas Dinas Kabupaten Asahan. Sampel dalam penelitian ini ada penderita filariasis sebanyak 41 orang (kelompok kasus) dan 41 orang yang tidak menderita filariasis (kelompok kontrol). Hasil: Hasil penelitian diketahui ada hubungan dengan tidak menggunakan kawat kassa (p-value 0.002), tidak menggunakan plafon rumah (p-value 0.001), kebiasaan melakukan pekerjaan pada malam hari (p-value 0.002), tidak menggunakan kelambu (p-value 0.001) dan tidak menggunakan obat anti nyamuk (p-value 0.0001) dengan penyebaran filariasis di Kabupaten Asahan. Saran: Kepada pihak Dinas Kesehatan Asahan perlunya sosialisasi terkait pencegahan dan pengobatan filariasis, begitu juga dengan masyarakat perlu menjaga kebersihan lingkungan di sekitar rumahnya dan melindungi diri dari gigitan nyamuk.
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