Ahmed Eftu, Merga Hailu, Alemseged Fessahaye
UNICEF, Nairobi, Kenya.
2Department of Epidemiology, Institute of Health, Jimma University, Jimma, Ethiopia.
Int J Ment Health Syst. 2019 Jan 28;13:5. doi: 10.1186/s13033-019-0261-3. eCollection 2019.
Mental, neurological and substance use disorders are highly prevalent in Ethiopia which are known to result in substantial disability. Improving the knowledge, attitude and practice of the primary health care workers is important to reduce this problem. Hence, this study aimed at assessing knowledge, attitude, and practice towards mental illness service provision and associated factors among urban health extension professionals (UHEPs) of Addis Ababa City Administration.
A cross sectional study design was used. Data was collected from 455 study participants using structured and pre-tested self-administered questionnaire and analyzed using SPSS version 20 software respectively. Multivariate logistic regression analysis was performed to identify variables which have significant association with the outcome variables. The level of significant association was determined by adjusted odds ratio (AOR) with 95% confidence interval.
This study showed that 44.0% of urban health extension professionals (UHEPs) had adequate knowledge, 93.4% did not have positive attitude and 75.2% had good practice towards mental illness. Age 30 years and above [adjusted odds ratio (AOR): 95% CI 0.55 (0.34, 0.90)], having diploma educational status [AOR 95% CI 0.49 (0.32, 0.78)], and personal history of mental illness [AOR 95% CI 0.10 (0.01, 0.89)] were found to have a negative association with knowledge. Presence of job aid (AOR 95% CI 4.30 (2.59, 7.15)) and having good knowledge (AOR 95% CI 0.52 (0.32, 0.85) were increased the practice of service provision of UHEPs.
Less than half of UHEPs had adequate knowledge, most had unfavorable attitude and about three-fourth of them had good practice. Presence of job aid and having good knowledge were increased the UHEPs practice of mental health service provision. Hence, providing refresher training to UHEPs and fully implementing the national mental health strategy as well as proper clinical supervision and support to improve behavioral change is vital.
精神、神经和物质使用障碍在埃塞俄比亚极为普遍，已知会导致严重残疾。提高初级卫生保健工作者的知识、态度和实践能力对于减少这一问题至关重要。因此，本研究旨在评估亚的斯亚贝巴市行政管理部门的城市卫生推广专业人员（UHEPs）对精神疾病服务提供的知识、态度和实践以及相关因素。
采用横断面研究设计。使用结构化且经过预测试的自填式问卷从455名研究参与者收集数据，并分别使用SPSS 20版软件进行分析。进行多变量逻辑回归分析以确定与结果变量有显著关联的变量。显著关联水平由调整后的优势比（AOR）和95%置信区间确定。
本研究表明，44.0%的城市卫生推广专业人员（UHEPs）具备足够的知识，93.4%的人态度不积极，75.2%的人在精神疾病方面有良好的实践。30岁及以上[调整后的优势比（AOR）：95%置信区间0.55（0.34，0.90）]、具有文凭学历[AOR 95%置信区间0.49（0.32，0.78）]以及有精神疾病个人史[AOR 95%置信区间0.10（0.01，0.89）]与知识呈负相关。有工作辅助工具（AOR 95%置信区间4.30（2.59，7.15））和具备良好知识（AOR 95%置信区间0.52（0.32，0.85））会增加UHEPs的服务提供实践。
不到一半的UHEPs具备足够的知识，大多数人态度不佳，约四分之三的人有良好的实践。有工作辅助工具和具备良好知识会增加UHEPs提供精神卫生服务的实践。因此，为UHEPs提供进修培训、全面实施国家精神卫生战略以及进行适当的临床监督和支持以促进行为改变至关重要。
