Knowledge and attitude towards pregnancy-related issues of Zika virus infection among general practitioners in Indonesia

Abstract

Background: The aim of this study was to assess the knowledge and attitudes towards pregnancy-related issues of Zika virus (ZIKV) infection among general practitioners (GPs), a frontline healthcare worker group, in Indonesia. Methods: A cross-sectional, online survey assessing knowledge and attitudes towards ZIKV infection on multiple-item scales was sent to GPs in the Sumatra and Java islands of Indonesia. The associations between independent factors and either knowledge or attitude were assessed with logistic regressions. The correlation and association between knowledge and attitude were estimated. Results: We included 457 (53.7%) out of 850 responses in the analysis. Among these, 304 (66.5%) and 111 (24.2%) respondents had a good knowledge and attitude, respectively. No demographic, workplace, professional development, or experiential characteristics related to ZIKV infection were associated with knowledge. In the multivariate analysis, only contact experience was associated with attitude. There was a significant, positive correlation between knowledge and attitude scores. Conclusions: Although knowledge of pregnancy-related complications of ZIKV infection is relatively high among GPs in Indonesia, more than 75% of them had a poor attitude towards pregnancy-related issues of Zika. Strategies for enhancing the capacity of GPs to develop positive attitudes and respond to ZIKV infection are needed.

Confidence in managing human monkeypox cases in Asia: A cross-sectional survey among general practitioners in Indonesia

“…Our study found that majority of study participants were female, younger GPs which were in early career which is similar with previous studies (Harapan et al, 2017a;Harapan et al, 2018a;Harapan et al, 2019); suggesting the results might reflect the contemporary condition of GPs in Indonesia. There is only a small percentage of GPs in Indonesia who have good confidence in diagnosing and treating HMPX cases in clinical settings.…”

“…answered three and two questions correctly, respectively). We have used a similar cut-off point to dichotomize variables in previous studies (Harapan et al, 2017a;Harapan et al, 2018a;Harapan et al, 2017b;Harapan et al, 2016;Harapan et al, 2019). A two-step logistic regression analysis was used to explore the potential explanatory variables associated with confidence.…”

“…Following the design and setting of previous studies (Harapan et al, 2017a;Harapan et al, 2018a;Harapan et al, 2019), an online cross-sectional study was conducted in Indonesia between 25 May 2019 and 25 July 2019. The population was all registered GPs.…”

“…The score of each question were summed into a single scale ranging from 0 to 3, in which higher scores indicate better confidence. This scoring system has been used previously (Harapan et al, 2017a;Harapan et al, 2018a;Harapan et al, 2018b;Harapan et al, 2019).…”

“…Sociodemographic data of the participants such as gender, age, educational attainment, type of job, current location, and monthly income were collected. Age was grouped into those 30-years-old or younger and older than 30-years old to make ages comparable to previous work (Harapan et al, 2018a;Harapan et al, 2019). Educational attainment was dichotomized into GP and GP with master or doctorate degree while type of job was divided into GP and GP with residency.…”