Institute of Clinical Medicine, Faculty of Medicine, University of Oslo, 0863 Oslo, Norway.
Better Health for African Mother and Child, P.O. Box 8418, Moshi, Tanzania.
Int J Environ Res Public Health. 2019 May 14;16(10):1676. doi: 10.3390/ijerph16101676.
Congenital rubella syndrome is a global health problem. The incidence is much higher in Africa and Southeast Asia than the rest of the world, especially in countries where universal rubella vaccination has not been implemented. Healthcare worker's knowledge on rubella infection and the rubella vaccine is of utmost importance in achieving and maintaining vaccination coverage targets. This study aimed to assess health care workers knowledge on rubella infection in Kilimanjaro Tanzania, after the introduction of a rubella vaccination. This was a health facility-based cross sectional study. It was conducted in three districts of the Kilimanjaro region between August and October 2016. The study involved eligible health care workers in selected health facilities. An interview guide was used for collecting information by face-to-face interviews. Multivariate analysis was used to assess factors associated with rubella knowledge among healthcare workers. A total of 126 health care workers were interviewed. An acceptable level of knowledge was considered if all five questions about rubella were correctly answered. Only 26.4% ( = 31) answered all questions correctly. In multivariate analysis education level and working department were predictors of rubella knowledge; health care workers with an advanced diploma had an adjusted odds ratio (AOR) of 7.7 (95% Confidence interval; CI: 1.4, 41.0), those with a university degree (AOR: 10; 95% CI: 2.4; 42.5) and health care workers in the outpatient department (AOR: 0.06; 95% CI: 0.04; 0.29). Our study confirmed that health care worker's knowledge on rubella infection was low in the areas where rubella vaccination had been introduced. We recommend continuous education and supportive supervision post vaccine introduction in order to increase healthcare worker's knowledge on rubella infection, congenital rubella syndrome and prevention through sustained high vaccination coverage.
先天性风疹综合征是一个全球性的健康问题。发病率在非洲和东南亚地区比世界其他地区高得多，特别是在尚未实施普遍风疹疫苗接种的国家。卫生保健工作者对风疹感染和风疹疫苗的了解对于实现和维持疫苗接种覆盖率目标至关重要。本研究旨在评估坦桑尼亚乞力马扎罗地区引入风疹疫苗后卫生保健工作者对风疹感染的知识。这是一项基于卫生机构的横断面研究。它于 2016 年 8 月至 10 月在乞力马扎罗地区的三个区进行。研究涉及选定卫生设施中符合条件的卫生保健工作者。使用访谈指南通过面对面访谈收集信息。多变量分析用于评估与卫生保健工作者风疹知识相关的因素。共访谈了 126 名卫生保健工作者。如果对风疹的五个问题都回答正确，则认为具有可接受的知识水平。只有 26.4%（=31）的人正确回答了所有问题。在多变量分析中，教育水平和工作部门是风疹知识的预测因素；具有大专学历的卫生保健工作者的调整比值比（AOR）为 7.7（95%置信区间；CI：1.4,41.0），具有本科学位的卫生保健工作者（AOR：10；95%CI：2.4；42.5）和门诊部门的卫生保健工作者（AOR：0.06；95%CI：0.04；0.29）。我们的研究证实，在引入风疹疫苗的地区，卫生保健工作者对风疹感染的知识水平较低。我们建议在引入疫苗后继续进行教育和支持性监督，以提高卫生保健工作者对风疹感染、先天性风疹综合征和通过持续高疫苗接种覆盖率进行预防的知识。
