Health care workers’ knowledge, attitudes and practices on tuberculosis infection control, Nepal

Shrestha, Anita; Bhattarai, Dipesh; Thapa, Bhesh Raj; Basel, Prem; Wagle, Rajendra Raj

doi:10.1186/s12879-017-2828-4

Cited by 62 publications

(74 citation statements)

References 17 publications

(22 reference statements)

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“…Composite scores were calculated and those scoring ≥70% were considered as having positive attitudes towards COVID-19 control. The cut-off points for knowledge and attitude levels were set as informed by similar studies 5,6 Ethical approval (AD13/479/1769B) was obtained from Ethical Review and Research ethics…”

Section: Strongly Disagree and Disagree = Disagreementioning

confidence: 99%

A Cross-Sectional Study on Oyo State Health Care Workers Knowledge, Attitude and Practice Regarding Corona Virus Disease 2019(COVID-19)

Ayinde

Usman²,

Posi³

et al. 2020

Preprint

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Background Health workers are at the front line of the COVID-19 outbreak response and as such are exposed to hazards that put them at risk of infection. Poor knowledge among HCWs and inadequate infection control practices may lead to the increased risk of COVID-19 nosocomial transmission. This study assessed the knowledge, attitude and practice of Oyo state health care workers on COVID-19 as part of emergency preparedness. Methods A hospital based cross-sectional survey was conducted in selected health facilities in Oyo State, Nigeria. A total of 350 HCWs were assessed for the knowledge, attitudes and practices on COVID-19 using a semi-structured questionnaire. Multivariate analysis was conducted to identify predictors of good knowledge at 95% confidence interval. with Epi-info software. Results The level of good knowledge on COVID-19 was 78.6% and positive attitude was 64% among the respondents. Majority of respondents practice safe measures in the prevention of COVID-19 including washing of hands (95.3%), routine cleaning (82.7%) and high-level disinfection (83.9%). However, use of personal protective equipment (PPE) was low (56.8%). Predictors of good knowledge on COVID-19 were being a female HCW [Adjusted Odd’s Ratio(AOR) = 6.5 95% CI 1.0-17.2], ≥ 10 years length in service[AOR = 5.2 95%CI 2.7–18.9] and being a secondary or tertiary facility[ AOR = 3.6 95%CI 1.7–32.2]. Conclusions Overall knowledge and attitude were satisfactory however the practices of HCWs on the use of personal protective equipment was not satisfactory. Effective infection control measures including regular skill-based training and/or orientation for all categories of HCWs can improve infection control practices in health facilities.

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Section: Strongly Disagree and Disagree = Disagreementioning

confidence: 99%

A Cross-Sectional Study on Oyo State Health Care Workers Knowledge, Attitude and Practice Regarding Corona Virus Disease 2019(COVID-19)

Ayinde

Usman²,

Posi³

et al. 2020

Preprint

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“…A study among 190 healthcare workers from 28 TB treatment facilities in Nepal found that the overall knowledge and practices of healthcare workers on TB infection control were not satisfactory. [8] This study, however, was limited to only the urban centers, and the knowledge, attitudes, and practices questionnaire did not extend to include the issues speci c to DR TB. Such information could help in the tailored implementation of the guidelines and thus, more effective take-up of the recommendations.…”

Section: Introductionmentioning

confidence: 99%

Knowledge, Attitude, and Practices on Drug-Resistant Tuberculosis Infection Control in Nepal: a cross-sectional study

Shrestha

Bhattarai

Joshi

et al. 2020

Preprint

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BackgroundHealthcare centers are important sites for tuberculosis transmission, particularly in low-income settings where the burden of tuberculosis is high and infection control practices are often inadequate. This study aims to assess the knowledge, attitude, and practices of drug-resistant tuberculosis (DR TB) infection control among the healthcare workers under the National Tuberculosis Program in Nepal.MethodsIn this cross-sectional study, we studied the healthcare workers from all the 11 functioning drug-resistant tuberculosis treatment centers across Nepal in March 2018. Trained data collectors conducted face-to-face interviews with a pre-tested questionnaire to collect data on the basic characteristics of healthcare workers, their self-reported knowledge, attitude, and practice on tuberculosis infection control. We entered the data in Microsoft Excel and analyzed in R statistical software. We assigned a score of one to the correct response and zero to the incorrect or no response and calculated a composite score in each of the knowledge, attitude, and practice domains. We ascertained the healthcare workers as having good knowledge, appropriate attitude, and optimal practices when the composite score was at least 50%. We summarized the numerical variables with median and interquartile range (IQR) and the categorical variables with proportions. We ran appropriate correlation tests to identify relationships between knowledge, attitude, and practice scores. We regarded a p-value of < 0.05 as significant.ResultsA total of 95 out of 102 healthcare workers from 11 drug-resistant tuberculosis treatment centers participated in the study. There were 46 male and 49 female respondents. The median age was 33 years (IQR 26-42). Most of them (53, 56%) were mid-level paramedics. The median work experience in drug-resistant tuberculosis was 2 years (IQR 1-5). We found 91 (96%) respondents had a good knowledge of tuberculosis infection control, 49 (52%) respondents had an appropriate attitude and 35 (37%) respondents had optimal practices. We found a statistically significant positive correlation between attitude and practice scores (ρ = 0.37, p = < 0.001).ConclusionThe healthcare workers at the DR TB treatment facilities in Nepal have high knowledge of TB infection control but it did not translate into the appropriate attitude or optimal practices.

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“…Since the treatment supporter system is already in existence to support home-based DOTS, and that all TB patients are required to have one where necessary prior to treatment initiation, such disclosure enhancement interventions centered on treatment supporters could easily be adopted. However, the feasibility and efficacy of such models would need to be evaluated in future randomized trials, and its success would depend largely on the healthcare workers' level of knowledge of TB, an argument supported by the already known positive correlation in knowledge on infection control practices between healthcare workers and household members [24]. Efficacy would also depend on the availability of acceptable TB information aides for use by both patient and treatment supporter, so as to facilitate the disclosure process to household members.…”

Section: Discussionmentioning

confidence: 99%

Non-disclosure of tuberculosis diagnosis by patients to their household members in south western Uganda

2020

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Background Tuberculosis (TB) non-disclosure by adult patients to all household members is a setback to TB control efforts. It reduces the likelihood that household contacts will seek early TB screening, initiation on preventive or curative treatment, but also hinders the implementation of infection controls and home-based directly observed treatment. Therefore, the purpose of this study was to determine the level of TB non-disclosure, its predictors and the effects of disclosure among adult TB patients in Uganda. Methods We conducted a cross-sectional study at a large regional referral hospital in Mbarara, southwestern Uganda. Questionnaires were administered to collect patients' sociodemographic and their TB disclosure data. Non-disclosure was considered if a patient did not reveal their TB diagnosis to all household members within 2 weeks post-treatment initiation. Univariate and multivariate logistic regression models were fitted for predictors of non-disclosure. Results We enrolled 62 patients, 74% males, mean age of 32 years, and median of five people per household. Non-disclosure rate was 30.6%. Post-disclosure experiences were positive in 98.3% of patients, while negative experiences suggestive of severe stigma occurred in 12.3% of patients. Being female (OR 6.5, 95% CI: 1.4-29.3) and belonging to Muslim faith (OR 12.4, 95% CI: 1.42-109.1) were significantly associated with TB non-disclosure to household members. Conclusions There is a high rate of TB non-disclosure to all household members by adult patients in rural Uganda, particularly among women and muslim patients. Interventions enhancing TB

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Health care workers’ knowledge, attitudes and practices on tuberculosis infection control, Nepal

Cited by 62 publications

References 17 publications

A Cross-Sectional Study on Oyo State Health Care Workers Knowledge, Attitude and Practice Regarding Corona Virus Disease 2019(COVID-19)

A Cross-Sectional Study on Oyo State Health Care Workers Knowledge, Attitude and Practice Regarding Corona Virus Disease 2019(COVID-19)

Knowledge, Attitude, and Practices on Drug-Resistant Tuberculosis Infection Control in Nepal: a cross-sectional study

Non-disclosure of tuberculosis diagnosis by patients to their household members in south western Uganda

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