Awareness and behavioral practice of cutaneous leishmaniasis among hail population, kingdom of Saudi Arabia

Moussa, Safia; Alshammari, Thekra H; Alhudaires, Kouthar M; Alshammari, Thurya S; Alshammari, Tabarak R; Elgendy, Ahmed I; Edrees, Aya A; Elgendy, Ibrahim A.

doi:10.15406/jmen.2019.07.00248

Cited by 9 publications

(12 citation statements)

References 27 publications

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“…The findings of the current study also show that a sizeable proportion of the participants (25.8%) had misconceptions about the mode of transmission, some citing housefly bites and autoinfection as possible causes. This finding is in agreement with a study conducted in the Hail region in Saudi Arabia, where the majority of the participants exhibited misunderstandings about the transmission of CL [ 22 ]. In contrast, a better level of knowledge about CL transmission has been reported by studies undertaken in Nepal, Brazil and Iran [ 17 , 23 – 25 ].…”

Section: Discussionsupporting

confidence: 92%

Knowledge and attitude towards cutaneous leishmaniasis among rural endemic communities in Shara’b district, Taiz, southwestern Yemen

2021

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Background Cutaneous leishmaniasis (CL), a neglected tropical disease, represents a significant public health problem in many endemic countries including Yemen. The ongoing armed conflict that started in March 2015 has had a negative impact on the entire healthcare system as well as on infectious disease control programmes. Therefore, this cross-sectional study aimed to assess knowledge and attitude towards CL among rural endemic communities in southwestern Yemen. Methods Five hundred households in five areas of Shara’b district of Taiz governorate were randomly selected to participate in a quantitative survey. A pretested structured questionnaire was used to collect data on the sociodemographic characteristics of the participants, their knowledge and attitude towards CL and their knowledge on the sand fly vector. Results The analysis was conducted on a final sample of 466 individuals (62.7% males and 37.3% females) aged between 18 and 70 years. Among the participants, 21.5% were non-educated while 39.7 and 20.8% had completed secondary school and tertiary education, respectively. Although the participants were aware of CL, about three quarters (77.7%) of them had poor overall knowledge about disease transmission, clinical presentation, treatment, and prevention. Interestingly, approximately half of the participants (49.1%) were able to differentiate sand flies from other flies and mosquitoes. However, only 14.8% of the participants knew about the role of the phlebotomine sand fly in the transmission of CL. Only 36.6% believed that CL can be prevented and 49.6% had a negative attitude towards the disease. Univariate and multivariate analyses showed that age and gender were the significant determinants of knowledge about CL and the sand fly vector among the studied population. Conclusion A poor level of knowledge about the different epidemiological aspects of CL was found among rural CL-endemic communities in Taiz. This factor, together with the major collapse of the healthcare infrastructure due to the ongoing civil war in Yemen, may be contributing to the continued endemicity of CL in the governorate. It is therefore recommended that health education on CL transmission and prevention should be provided to the targeted communities.

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Section: Discussionsupporting

confidence: 92%

Knowledge and attitude towards cutaneous leishmaniasis among rural endemic communities in Shara’b district, Taiz, southwestern Yemen

2021

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“…The present work revealed that all of the study participants did not know the mode of CL transmission. This finding is supported by studies conducted in Pakistan [ 22 ] and Saudi Arabia [ 26 ]. About 31, 39 and 19% of the study participants revealed that CL is transmitted by poor personal hygiene, climate change and genetically, respectively.…”

Section: Discussionsupporting

confidence: 76%

“…With regard to prevention of CL, about 82% of the study participants believed that CL is a preventable disease. On the contrary, a study in Saudi Arabia reported only 19.3% of the participants assumed that the disease is preventable [ 26 ]. The high awareness of CL in this study is attributable to its endemicity in the area.…”

Section: Discussionmentioning

confidence: 99%

Household knowledge, practice and treatment seeking behaviors towards cutaneous leishmaniasis in the endemic rural communities of Ganta- afeshum district, Tigrai, northern Ethiopia, 2019: a cross-sectional study

Tesfay

Mardu

Berhe

et al. 2021

Trop Dis Travel Med Vaccines

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Background Cutaneous leishmaniasis is endemic to Ethiopia. However, the prevention and control efforts of leishmaniasis remain unfocused with clear knowledge and practice gaps within the country. Thus, a house to house survey has been carried out to assess the knowledge, practice and treatment-seeking behavior of households towards cutaneous leishmaniasis in the rural communities of Tigrai region, northern Ethiopia. Methods A community-based cross-sectional house-to-house survey was conducted in two selected rural villages of Ganta-afeshum district, Tigrai, northern Ethiopia in 2019. A simple random sampling technique was employed to select the participants. Household heads were interviewed using a pre-tested semi-structured questionnaire. Epi info version 7.0 was used for data entry and the data were imported to SPSS version 23 for analysis. Chi-square test (χ2) was used to test the association between the independent variables and the knowledge and practice status of the study participants. P-value < 0.05 was used to declare a statistically significant association among the variables. Results In our study, most of the participants (78%) stated that cutaneous leishmaniasis is a health problem in the area. Three hundred eighty (99.5%) participants responded that the most common clinical presentation of cutaneous leishmaniasis is a lesion on the face. All of the study participants did not know the mode of cutaneous leishmaniasis transmission, and had never heard of the sand fly. A majority of the participants were unaware of the main prevention methods for cutaneous leishmaniasis. Lastly, traditional medicine was used in 90% of the study households with a previous history for cutaneous leishmaniasis. Conclusion There is a lack of awareness regarding the transmission of cutaneous leishmaniasis in Ganta-afeshum, Ethiopia, where the majority of individuals are unfamiliar with the sand fly vector. Prevention methods for cutaneous leishmaniasis were unavailable among the community. Therefore, health education programs concerning cutaneous leishmaniasis transmission, prevention, and treatment in the area should be rigorously implemented.

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“…The current ndings also showed that a sizeable proportion of the participants (25.7%) had misconceptions about the mode transmission of CL, citing house y bites and autoinfection as possible causes. This nding is in agreement with that reported for the Hail region in Saudi Arabia, where the majority of the participants exhibited misunderstandings about the transmission of CL [26]. However, a better level of knowledge about CL transmission was reported by studies undertaken in Nepal, Brazil and Iran [17,[27][28][29].…”

Section: Discussionsupporting

confidence: 89%

Knowledge and Attitude of the Local Community Towards Cutaneous Leishmaniasis in Rural Endemic Areas in Southwestern Yemen

Alhrazi¹,

Haouas²,

Al-Mekhlafi³

2020

Preprint

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BackgroundCutaneous leishmaniasis (CL), a historically neglected tropical disease, represents a significant public health problem in many endemic countries including Yemen. The ongoing armed conflict that started in March 2015 has had a negative impact on the entire healthcare system including infectious disease control programmes. Therefore, this cross-sectional study aimed to assess the knowledge and attitude towards CL among endemic communities in southwestern Yemen. MethodsFive hundred households in five areas of Shar’ab district of Taiz governorate were randomly selected to participate in a quantitative survey. A pretested structured questionnaire was used to collect information on the participants’ sociodemographic background and their knowledge and attitude towards CL and the sand fly vector.ResultsThe analysis was conducted on a final sample of 466 individuals. Although the participants were aware of CL, about three quarters (77.7%) of them had poor overall knowledge about disease transmission, clinical presentation, treatment and prevention. Interestingly, about half of the participants (49.1%) were able to differentiate sand flies from other flies and mosquitoes; however, only 14.8% of the participants knew about the role of the phlebotomine sand fly in the transmission of CL. Similarly, the participants had poor overall knowledge about sand fly breeding sites, biting time and control measures. Although 44% of the participants considered CL to be more dangerous than malaria, only 36.6% believed that CL can be prevented and 76.4% had a negative attitude towards the disease. Univariate and multivariate analyses showed that age and gender were the significant determinants of knowledge about CL and the sand fly vector among the studied population.Conclusion A poor level of knowledge about the different epidemiological aspects of CL was found among the rural population in Taiz. This factor, together with the major collapse of the healthcare infrastructure and the paralysis of health authorities since the beginning of the ongoing civil war in Yemen, may be contributing to the continued endemicity of CL in the area. Hence, health education on CL transmission and prevention should be provided to the targeted communities.

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Awareness and behavioral practice of cutaneous leishmaniasis among hail population, kingdom of Saudi Arabia

Cited by 9 publications

References 27 publications

Knowledge and attitude towards cutaneous leishmaniasis among rural endemic communities in Shara’b district, Taiz, southwestern Yemen

Knowledge and attitude towards cutaneous leishmaniasis among rural endemic communities in Shara’b district, Taiz, southwestern Yemen

Household knowledge, practice and treatment seeking behaviors towards cutaneous leishmaniasis in the endemic rural communities of Ganta- afeshum district, Tigrai, northern Ethiopia, 2019: a cross-sectional study

Knowledge and Attitude of the Local Community Towards Cutaneous Leishmaniasis in Rural Endemic Areas in Southwestern Yemen

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