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BackgroundDespite the efforts of national and international organizations, polio has not been eradicated from Pakistan. The prevalence of polio in Pakistan is exceptional in global context. Quetta and Peshawar divisions are amongst the most affected regions hit by polio in Pakistan. This study was carried out to assess the knowledge, attitudes and perceptions towards polio immunization among residents of Quetta and Peshawar divisions in Pakistan.MethodsA descriptive, cross-sectional study involving 768 participants was conducted from August to December, 2014 in Quetta and Peshawar divisions in Pakistan. Multistage sampling technique was used to draw a sample of residents from each division. A pre-tested, self-administered questionnaire was used to collect the data from eligible participants. Descriptive and logistic regression analyses were used to express the results.ResultsA total of 38.8 % participants exhibited good knowledge about polio. Mean knowledge score of the participants was 7.35 ± 2.54 (based on 15 knowledge questions). Older age (p < 0.001), low qualification (p < 0.05), rural locality (p < 0.05) and Quetta division (p < 0.001) were significantly associated with poor knowledge of polio. A large proportion of participants displayed negative attitudes towards polio immunization (84.8 %), with a mean score of 19.19 ± 2.39 (based on 8 attitude statements). Lack of education (p < 0.001) and rural residence (p < 0.001) were significantly associated with the negative attitudes of participants towards polio immunization. False religious beliefs (39.06 %), lack of knowledge (33.7 %), fear of infertility by polio vaccines (32.16 %) and security issues (29.42 %) were reported by the participants as the main barriers towards polio immunization.ConclusionThe findings of this study showed poor knowledge and negative attitudes of participants towards polio immunizations. Religious beliefs and lack of knowledge about polio immunization were reported as the major barriers towards polio immunization.

Pakistan is one of the two countries where polio remains endemic. Among multiple reasons of polio prevalence, false religious beliefs are accounted as major barriers towards polio immunization in Pakistan. Within this context, religious scholars are now engaged in polio immunization campaigns to dismantle the myths and battle the resurgence of polio in Pakistan. The objective of this study was to assess knowledge, attitudes and perceived barriers of Muslim scholars towards polio immunization in Pakistan. A descriptive, cross-sectional survey of Muslim scholars was conducted in Quetta and Peshawar divisions of Pakistan. From October to December 2015, a convenience sample of 770 Muslim scholars was recruited from the local mosques and religious institutions to participate in this study. Knowledge, attitudes, and perceived barriers were assessed by using self-administered, anonymous and pretested questionnaire. Descriptive and regression analyses were used to express the results with p < 0.05 taken as significant. Three hundred and forty-eight (45.2 %) participants exhibited good knowledge about polio with a mean score of 7.16 ± 2.12 (based on 14 questions). Knowledge gaps were identified about the transmission (32.6 %) and consequences of poliovirus (39.9 %). Overall, 527 (68.4 %) participants showed positive attitudes towards polio immunization with a mean attitude score of 27.35 ± 2.68 (based on nine statements). The majority of participants agreed on the need of depoliticizing polio immunization issues (87.1 %), while reservations were noted about their willingness to participate in future polio immunization programs (44.6 %). Security (75.8 %) and vaccine management issues (64 %) were reported by the participants as the major barriers towards polio immunization in Pakistan. The findings showed poor knowledge of Muslim scholars towards polio; however, their attitudes were positive towards polio immunization. More studies are required to assess the knowledge and attitudes of Muslim scholars at the national level to validate the findings of this study.

IntroductionPakistan accounts for 85.2% of the total polio cases reported worldwide. Healthcare workers (HCWs) are an integral part of immunization campaigns and source of education for the general public. This study aimed to assess the knowledge and attitudes towards polio vaccination among HCWs providing immunisation and education to general public in Quetta and Peshawar divisions of Pakistan.MethodsA cross-sectional survey of 490 HCWs was conducted in two major referral public teaching hospitals of Quetta and Peshawar divisions. During February to April, 2015, a random sample of 490 HCWs was invited to participate in this study. Knowledge and attitudes were assessed by using self-administered, anonymous and pretested questionnaire. Descriptive and logistic regression analyses were used to express the results.ResultsA total of 468 participants responded to the questionnaire, giving a response rate of 95.5%. Overall, participants demonstrated good knowledge and positive attitudes towards polio vaccination. The mean knowledge score of HCWs about polio was 13.42±2.39 (based on 18 knowledge questions) while the mean attitude score was 28.75±5.5 (based on 9 attitudes statements). Knowledge gaps were identified about the incubation period of poliovirus (19.5%), management issues (31.9%), use of polio vaccine in mild illnesses (34.7%) and the consequences of the polio virus (36.9%). The majority of participants agreed that all children should be vaccinated for polio (95.1%), while reservations were noted about the need of a booster (38.9%), and sterility issues associated with polio vaccines (43.6%). Internet (n = 167, 37%) and Posters (n = 158, 35%) were the main sources used by HCWs to educate themselves about polio.ConclusionParticipants in this study had good knowledge and positive attitudes towards polio vaccination. Although the data are indicative of gaps in the knowledge of HCWs, the findings may not be generalized to other hospitals in Pakistan.

Objective : Current study is conducted to assess the level of knowledge, awareness and source of information of asthma among school teachers those who are working in government and private schools in urban area of Quetta district in Balochistan Province, Pakistan.Methodology : A prospective, cross-sectional study was conducted among School teachers in Quetta city of Pakistan. Convenience sampling approach was used to recruit 330 teachers based on sample size calculation. A content-and face-validated questionnaire was used to collect the data from the participants. The collected data were reviewed and statistically analyzed by using SPSS. Man Whitney and Kruskal-Wallis tests were applied to relate the study variables.Results : The recent study shows that 57% teachers have knowledge about asthma and exacerbate factors which increased the risk of asthma attack. Knowledge of female teachers were better as compared to male teachers (p = 0.002). Education levels and school type also affect the knowledge of teachers. Conclusion :This study highlights that school teachers need to train to recognize the early symptoms of asthma in the class room and seek appropriate treatment. The delay of such necessary treatment can have serious consequences or even death. An educational program is needed for Quetta teachers to increase their knowledge about asthma and to meet the needs of a child with asthma to improve wellbeing and school attendance.

Background: Diabetes mellitus (DM) is a major health problem globally and so are misconceptions. Misconceptions can lead to poor glycemic control among diabetic patients and hence may results in complications and therefore increased incidence of morbidity and mortality. Objective: Assessment of knowledge and dietary misconceptions among diabetic patients. Methodology: A cross-sectional prospective study was conducted among diabetic patients for a period of 6 months, using a validated questionnaire. Patients were contacted while attending to a health care facility in Quetta, Pakistan. A self-administered questionnaire was introduced among participants. Assistance was provided to those who could not read or understand the questionnaire. The questionnaire was designed in English and then translated in to Urdu by a language expert. The data were coded and entered to statistical package for social sciences (SPSS) version 20. The responses to the questionnaire were analyzed by performing descriptive and inferential statistics. Results: Study showed that almost 83% of diabetic subjects believed that "in diabetes sugar cannot be used at any cost", while 68% believed that special diabetic food is used in diabetes; almost 66% patients admitted that they can suffer from other diseases and infections due to diabetes. Misconceptions were more common among uneducated and low income people. Conclusion: The prevalence of misconceptions about Diabetes is high among uneducated and low income people.

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