Adeogun Simiat Titilola, Adebowale Ayo Stephen, Awoyale Oladayo David, Fawole Olufunmilayo Ibitola
Department of Epidemiology and Medical Statistics, Faculty of Public Health, College of Medicine, University of Ibadan, Ibadan, Nigeria.
Fellow, European and Developing Countries Clinical Trials Partnership (EDCTP), University of Ibadan, Ibadan, Nigeria.
BMC Health Serv Res. 2025 Aug 28;25(1):1140. doi: 10.1186/s12913-025-13264-w.
Mpox is one of the emerging global health challenges in Nigeria. Consequently, this study assessed the knowledge and determinants of Mpox and Infection Prevention and Control (IPC) practices among primary healthcare workers (HCWs) in Osun State, Nigeria.
A survey of 429 HCWs from 36 PHC facilities in Osun State was conducted between May and August 2023. Data were collected using a 25-item interviewer-administered questionnaire. Good Mpox and IPC knowledge was determined using the mean score. The scores ranged from 0-6 and 0-10, respectively. Binary logistic regression was used to identify predictors of good knowledge of Mpox and IPC (α).
The mean age of the respondents was 38.56±9.05years. About a third (33.4%) were community health extension workers (CHEWs), most (71.5%) were females. The majority (71.7%) had good IPC knowledge. The mean Mpox and IPC knowledge scores were 4.50±1.08 and 8.20±1.74, respectively. Most (84.9%) practice IPC to prevent the disease. Female HCWs were significantly more likely to have good Mpox (aOR= 25.2; 95%CI: 12.6-50.2) and IPC knowledge (aOR= 1.8; 95%CI: 1.1-3.0) compared to males, while HCWs who were above 35 years were least likely to have good Mpox (aOR= 0.1; CI: 0.02-0.24) and IPC knowledge (aOR=0.28; 95%CI: 0.09-0.9) compared to their younger counterparts. HCWs with previous training were more likely to have twice as good IPC knowledge (aOR= 2.39; 95%CI: 1.45-3.93) than those without training.
Mpox and IPC knowledge were good among HCWs in Osun State. Age, sex, and previous training were the predictors of Mpox and IPC knowledge. Periodic training, including supportive supervision, should be conducted to sustain and improve HCWs' Mpox and IPC knowledge in the State.
猴痘是尼日利亚面临的新出现的全球卫生挑战之一。因此，本研究评估了尼日利亚奥孙州基层医疗工作者对猴痘的知晓情况、相关决定因素以及感染预防与控制（IPC）措施。
2023年5月至8月期间，对奥孙州36个初级卫生保健机构的429名基层医疗工作者进行了一项调查。使用一份由访谈员填写的包含25个条目的问卷收集数据。通过平均分来确定对猴痘和IPC的良好知晓情况。分数范围分别为0 - 6分和0 - 10分。采用二元逻辑回归来确定猴痘和IPC良好知晓情况的预测因素（α）。
受访者的平均年龄为38.56±9.05岁。约三分之一（33.4%）是社区卫生推广工作者（CHEWs），大多数（71.5%）为女性。大多数（71.7%）具备良好的IPC知识。猴痘和IPC知识的平均得分分别为4.50±1.08分和8.20±1.74分。大多数（84.9%）采取IPC措施来预防该疾病。与男性相比，女性基层医疗工作者更有可能具备良好的猴痘（调整后比值比[aOR]=25.2；95%置信区间[CI]：12.6 - 50.2）和IPC知识（aOR = 1.8；95%CI：1.1 - 3.0），而35岁以上的基层医疗工作者与年轻同行相比，最不可能具备良好的猴痘（aOR = 0.1；CI：0.02 - 0.24）和IPC知识（aOR = 0.28；95%CI：0.09 - 0.9）。接受过先前培训的基层医疗工作者具备良好IPC知识的可能性是未接受培训者的两倍（aOR = 2.39；95%CI：1.45 - 3.93）。
奥孙州基层医疗工作者对猴痘和IPC的知识掌握情况良好。年龄、性别和先前培训是猴痘和IPC知识的预测因素。应定期开展培训，包括支持性监督，以维持和提高该州基层医疗工作者对猴痘和IPC的知识水平。
