Collaborative Research and Training Center for Neglected Tropical Diseases, College of Medicine and Health Sciences, Arba Minch University, P.O. Box 21, Arba Minch, Ethiopia.
School of public health, College of Medicine and Health Sciences, Arba Minch University, P.O. Box 21, Arba Minch, Ethiopia.
J Foot Ankle Res. 2021 Apr 14;14(1):31. doi: 10.1186/s13047-021-00464-w.
Podoconiosis is entirely preventable, non-communicable disease with high potential of elimination. The prevalence of podoconiosis in Ethiopia was 7.45%. One of the pillars for elimination of podoconiosis is morbidity control and management. Therefore, the present study aimed to assess the knowledge, attitude, practices and associated factors of health professionals towards podoconiosis cause, prevention and treatments.
Facility based cross-sectional study was conducted. The source population was all health professionals currently working in public health facilities. The final estimated sample size was 349. A pretested self-administrated structured questionnaire was used to collect the data. The data were coded, entered, and cleaned by using Epi.info version7, and analyzed by using SPSS version 20.
A total of 320 health professionals participated in the study. Sixty eight (23.1%) health professionals had poor knowledge towards podoconiosis. Seventy (21.9%) identified podoconiosis as infectious disease. Profession, address of health facility, service year and attitude of participants were significantly associated with knowledge towards podoconiosis. More than half (56%) had favorable attitude towards podoconiosis patients. Knowledge score (95%CI: 1.389, 4.059, p-value = 0.002) was the independent predictor for attitude status. Very few (11.6%) respondents treated podoconiosis patients. Age group 45 years old and above and training on lymphedema morbidity management and disability prevention were significantly associated with clinical experience in treating affected patients, (AOR = 17.345; 95%CI: 4.62, 65.119) and (AOR = 7.385; 95%CI: 2.5, 21.797), respectively.
Despite, high percent of good knowledge of health professionals towards podoconiosis, clinical experience of health professionals in treating podoconiosis patients was very low. In-service trainings will be given for health professionals to improve treatment. In podoconiosis endemic districts hygiene supplies and other referencing materials should be made available for podoconiosis case management.
Podoconiosis 是一种完全可预防的非传染性疾病,具有很高的消除潜力。埃塞俄比亚的 Podoconiosis 患病率为 7.45%。消除 Podoconiosis 的一个支柱是发病率控制和管理。因此,本研究旨在评估卫生专业人员对 Podoconiosis 病因、预防和治疗的知识、态度、实践和相关因素。
采用基于机构的横断面研究。总体人群为目前在公共卫生机构工作的所有卫生专业人员。最终估计样本量为 349 人。使用经过预测试的自我管理结构式问卷收集数据。数据由 Epi.info 版本 7 进行编码、输入和清理,并由 SPSS 版本 20 进行分析。
共有 320 名卫生专业人员参加了研究。68(23.1%)名卫生专业人员对 Podoconiosis 的知识水平较差。70(21.9%)人将 Podoconiosis 视为传染病。参与者的职业、医疗机构地址、服务年限和态度与对 Podoconiosis 的知识水平显著相关。超过一半(56%)的人对 Podoconiosis 患者持有利态度。知识得分(95%CI:1.389,4.059,p 值=0.002)是态度状况的独立预测因子。只有很少的(11.6%)受访者治疗过 Podoconiosis 患者。45 岁及以上年龄组和淋巴水肿发病率管理和残疾预防培训与治疗受影响患者的临床经验显著相关(AOR=17.345;95%CI:4.62,65.119)和(AOR=7.385;95%CI:2.5,21.797),分别。
尽管卫生专业人员对 Podoconiosis 的了解程度很高,但卫生专业人员治疗 Podoconiosis 患者的临床经验非常有限。将为卫生专业人员提供在职培训,以提高治疗水平。在 Podoconiosis 流行地区,应提供卫生用品和其他参考材料,以进行 Podoconiosis 病例管理。