A Community Based Survey of Knowledge, Attitudes, and Practices Concerning Leishmaniasis in Central Morocco

Amane, Mounia; Echchakery, Mohamed; Hafidi, Mohamed; Boussaa, Samia

doi:10.1007/s10900-022-01126-z

Cited by 5 publications

(2 citation statements)

References 38 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Indeed, a significant difference was reported between positive case and treatment. Leishmaniasis' lesions were usually recognized as resistant to antibiotics, in addition, traditional communities used natural products as alternative medicines to treat this infectious disease (Mounia et al., 2022; Passero et al., 2021), even medicinal plants provide a significant effect to prevent leishmaniasis as botanical insecticide and repellent of sand flies (Amane et al., 2023). The present study showed that positive cases of CL especially CLt were predominantly found in male without significant difference between two species of infection.…”

Section: Discussionmentioning

confidence: 99%

Entomological, parasitological and molecular investigations in a new focus of cutaneous leishmaniasis in Youssoufia region, Morocco

Amane,

El Mazini,

Echchakery

et al. 2023

Zoonoses and Public Health

View full text Add to dashboard Cite

Background and AimsLeishmaniasis is a neglected tropical infection caused by Leishmania parasite that affect human and animal. In Morocco, the cutaneous leishmaniasis has spread substantially to the new areas. The surveillance limited to active foci may underestimate the occurrence of cutaneous leishmaniasis (CL). This study aims to investigate the local transmission of CL in rural districts of Youssoufia province, central Morocco, as a potential focus of CL.MethodsFor this purpose, parasitological, molecular and entomological investigations were carried out in this area. Data collection concerns potential vectors and human cases. Thus, 402 patients were examined for suspected leishmaniasis lesions in three localities of the province of Youssoufia. In these same localities, 983 sand flies were collected by CDC light traps and sticky paper during one‐night per month during 6 months. These sand flies were all identified morphologically using the Moroccan identification key.ResultsThe results showed that among the 25 skin lesions detected in a population of 402 individuals, 18 were confirmed by kDNA nested PCR as CL positive patients, of which only 25% were positive by direct examination. Leishmania tropica and Leishmania major were identified as causative agents of CL in the study area. Direct parasitological examination showed a low sensitivity (27.78%), especially for L. major, although its specificity was evaluated at 100%. Regarding entomological results, both genera of the Moroccan sand fly were collected in the study area: Genus/Phlebotomus (75.28%) and Sergentomyia (24.72%). Phlebotomus (P) papatasi, the proven vector of L. major, was the most abundant species (33.98%), followed by Paralongicollum sergenti (22.58%), the confirmed vector of L. tropica; while Sergentomyia (S) minuta, P. longicuspis, S. fallax and P. kazeruni were collected with, respectively, 17.60%, 16.99%, 7.12% and 1.73%.ConclusionThis study constitutes the first report of CL in the study areas, as well as the coexistence of L. tropica and L. major in these rural localities. Local transmission of CL is highly probable, as indicated by the prevalence of the two proven vectors of L. major and L. tropica. To control the spread of this disease, our results suggest the use of highly sensitive molecular methods to detect CL cases in potential leishmaniasis foci, which will improve surveillance.

show abstract

Section: Discussionmentioning

confidence: 99%

Entomological, parasitological and molecular investigations in a new focus of cutaneous leishmaniasis in Youssoufia region, Morocco

Amane,

El Mazini,

Echchakery

et al. 2023

Zoonoses and Public Health

View full text Add to dashboard Cite

show abstract

“…Knowledge, attitude, and practices (KAP) surveys are frequently employed tools for collecting essential data to guide the development of CL control and prevention strategies and interventions. Several KAP surveys on CL have been conducted in many countries across the MENA region such as Pakistan 14 , Iran 15 , Saudi Arabia 16 , and Morocco 17 , as well as other countries in East Africa 18 and Southeast Asia 19 .…”

Section: Introductionmentioning

confidence: 99%

Knowledge, attitude, practices and treatment-seeking behaviour concerning cutaneous leishmaniasis among rural hyperendemic communities in western Yemen

Al-Ashwal,

Al-Adhroey,

Atroosh

et al. 2024

Sci Rep

View full text Add to dashboard Cite

Cutaneous leishmaniasis (CL), a neglected tropical disease (NTD), is a major public health problem in Yemen with widespread distribution in rural areas. Evaluating the knowledge and understanding of people’s beliefs towards the disease is essential to the implementation of effective control measures. This study aims to assess the knowledge, attitudes, practices (KAP) and treatment-seeking behaviour concerning CL among rural populations in the western highlands of Yemen. A community-based cross-sectional study was conducted among 289 household heads in four rural areas of the Utmah District. Data were collected using a pre-tested questionnaire. All the participants had heard about the disease; however, only 9.3% attributed it to sandflies. Nearly half (48.1%) of the participants could not mention any preventive measures for CL, and nearly two-thirds (65.4%) could not do so for sandflies. The overall ‘good’ knowledge about CL was found to be 51.2%, and it was 33.9% for sandflies. The participants’ attitude and prevention practices towards CL were not satisfactory, as only 38.1% and 16.3% had a positive attitude and good CL-related prevention practices, respectively. Moreover, 45.7% believed CL to be a stigmatising disease, and 50% had used traditional remedies to treat suspected CL lesions. Multivariate analyses showed that age, sex, presence of CL-confirmed cases in the same household, residency, occupation and monthly household income were the significant predictors associated with KAP concerning CL among the participants. The findings support an urgent need for integrated health education and community mobilisation interventions to improve awareness of these vulnerable populations about this devastating disease.

show abstract

Looking through the lens of social science approaches: A scoping review of leishmaniases and Chagas disease research

Nogueira de Brito,

Tanner,

Runk

et al. 2024

Acta Tropica

View full text Add to dashboard Cite

A Community Based Survey of Knowledge, Attitudes, and Practices Concerning Leishmaniasis in Central Morocco

Cited by 5 publications

References 38 publications

Entomological, parasitological and molecular investigations in a new focus of cutaneous leishmaniasis in Youssoufia region, Morocco

Entomological, parasitological and molecular investigations in a new focus of cutaneous leishmaniasis in Youssoufia region, Morocco

Knowledge, attitude, practices and treatment-seeking behaviour concerning cutaneous leishmaniasis among rural hyperendemic communities in western Yemen

Looking through the lens of social science approaches: A scoping review of leishmaniases and Chagas disease research

Contact Info

Product

Resources

About