■结核病(TB)是由属于结核分枝杆菌复合体的细菌引起的传染性人畜共患疾病。在撒哈拉以南非洲国家,如乍得,结核病是地方性的,通过发病对人类和动物造成很高的负担,死亡率,降低了牲畜的生产力。为了有效预防和控制疾病,决策者之间强有力的协调,卫生和兽医服务,民间社会组织,社区是必要的。它还需要了解社区关于结核病的知识。然而,这方面的知识调查不足,尤其是在农村地区。知识如何影响人们的态度和实践也不清楚。这项研究的主要目的是调查知识,态度,和乍得农村社区的做法(KAP),以更好地让他们参与结核病监测计划。
■2021年在五个农村卫生中心进行了一项调查。对怀疑患有结核病的人士进行了面对面的访谈,并对KAP数据进行记录和分析。
■总共,139名参与者参加。总的来说,参与者的知识和态度被发现是好到中等,有126人(90.6%)和97人(69.7%)具有良好的知识和态度,分别。然而,他们的做法被发现相当薄弱,只有40名(28.7%)参与者有良好做法。发现男性比女性更容易了解这种疾病。与定居的生活方式相比,不良的态度与移动的生活方式以及与饲养员(牲畜饲养员)相比的农民(主要从事农业)显着相关。与移动生活方式相比,不良的健康习惯与男性比女性更相关,与固定的生活方式相关。发现良好做法符合良好的知识和良好的态度;然而,在分析中,相关性不显著[OR知识=5.83(95%C.I.0.6842.83),p=0.112;OR态度=2.09(95%C.I.0.875.04),p=0.100]。此外,态度与知识无关[OR=1.03(95%C.I.0.303.55),p=0.964]。
我们的研究强调需要针对结核病知识和态度较差的社区开展有针对性的宣传和宣传活动。这些运动还应包括实践培训,以提高良好做法的水平,而不是简单地提供知识。
UNASSIGNED: Tuberculosis (TB) is an infectious zoonotic disease caused by bacteria belonging to the Mycobacterium tuberculosis complex. In sub-Saharan African countries such as Chad, TB is endemic and causes a high burden on humans and animals through morbidity, mortality, and reduced productivity in livestock. To effectively prevent and control the disease, strong coordination between policymakers, health and veterinary services, civil society organizations, and communities is needed. It also requires an understanding of the knowledge the communities have regarding TB. However, such knowledge is under-investigated, especially in rural areas. How knowledge affects people\'s attitudes and practices is also unclear. The main objective of this study was to investigate the knowledge, attitudes, and practices (KAP) of Chadian rural communities to better involve them in TB surveillance programs.
UNASSIGNED: A survey was conducted in 2021 in five rural health centers. Face-to-face interviews were conducted with persons suspected of having TB, and data on KAP were recorded and analyzed.
UNASSIGNED: In total, 139 participants were enrolled. Overall, the knowledge and attitude of the participants were found to be good to moderate, with 126 (90.6%) and 97 (69.7%) having good knowledge and attitude, respectively. However, their practices were found to be rather weak, with only 40 (28.7%) participants having good practices. Men were found to have good knowledge about the disease significantly more often than women. Poor attitude was significantly associated with a mobile lifestyle compared to settled lifestyles and with farmers (mainly engaged in agriculture) compared to breeders (livestock keepers). Poor health practices were associated more with men than women and with settled lifestyles compared to a mobile lifestyle. Good practices were found to be in line with good knowledge and good attitudes; however, in the analyses, the association was not significant [OR knowledge = 5.83 (95% C.I. 0.6842.83), p = 0.112; OR attitude = 2.09 (95% C.I. 0.875.04), p = 0.100]. Furthermore, attitude was not associated with knowledge [OR = 1.03 (95% C.I. 0.303.55), p = 0.964].
UNASSIGNED: Our study highlights the need for targeted sensitization and awareness campaigns for communities with poor knowledge and attitudes regarding TB. These campaigns should also include practical training to increase the level of good practice rather than simply providing knowledge.