Epidemiological Study on Knowledge, Attitude and Practices Regarding Pulmonary Tuberculosis among Rural Communities of Gulu Kano, Nigeria
Abstract:
Background: Tuberculosis (TB) is a chronic
infectious disease that has long been one of the major health problems. It
affects individuals of all ages and both sexes. Poverty, malnutrition and
over-crowded living conditions have been known for decades to increase the risk
of developing the disease. According to the Federal Ministry of Health (FMOH)
hospital statistics data, TB is the leading cause of morbidity, the third cause
of hospital admission (after deliveries and malaria) and the second cause of
death in Nigeria after malaria. TB is an obstacle to socio economic
development. So, this study is aimed at assessing the knowledge, attitude and
practices regarding pulmonary tuberculosis
among rural communities of Gulu, Kano, Nigeria. Methods: A community
based cross-sectional study was conducted in Gulu from January, 2019 to March, 2019. Data was collected using a pretested structured questionnaire.
Descriptive analysis was performed to obtain the frequency distribution of the
variables. Results: Among 335
participants, the study showed that the overall level of knowledge was low and
the overall attitude and practices related to PTB was highly inadequate. Conclusion:
Study respondents had basic awareness about pulmonary TB but knowledge on
cause and prevention was inadequate. Their attitude and practices towards TB
also need to be improved. Health education activities need to be intensified
for the rural population to bring about significant change in their level of
awareness on TB.
Keywords: KAP, PTB, Awareness, Gulu, Kano.
References:
[1]. Bhuyan KK. Health
promotion through self-care and community participation: Elements of a proposed
programme in the developing countries.
BMC Public Health (2004); 4:11.
[2]. Cegielski JP,
McMurray DN. The relationship between malnutrition and tuberculosis: evidence from studies in humans and
experimental animals. Int J Tuberc Lung Dis Off J Int Union Tuberc Lung Dis. (2004) ;8(3):286–98.
[3].
Chinnakali
P, Ramakrishnan J, Vasudevan K, Gurumurthy J, Upadhyay RP, Panigrahi KC. Level of awareness about tuberculosis in
urban slums: Implications for advocacy and communication strategy planning in
the National program. Lung India off Organ Indian Chest Soc. (2013); 30(2):139–
42.
[4]. Demissie M, Getahun
H, Lindtjørn B. Community tuberculosis care through “TB clubs” in rural North
Ethiopia. Soc Sci Med (1982). (2003);
56(10) :(2009)–18.
[5]. Easwaran M,
Ramachandran D, Ramasamy R, George N, Mathew M, Bazroy J, et al. Knowledge,
attitude, and practice regarding tuberculosis among rural population in Tamil
Nadu. Int J Med Sci Public Health. (2015); (4):1681–4.
[6]. Elbur A, Yousif M,
Ottoa P, Bayoumi A. Knowledge of Tuberculosis: A Survey among Tuberculosis Patients in Omdurman, Sudan. Sudan J Public
Health. (2007); 2:21–8.
[7]. FMOH, (2004). National Tuberculosis and Leprosy Control
Programme: Worker’s Manual.4th Edition.
[8]. FMOH, (2006). Advocacy, Communication and Social
Mobilization Component: National Tuberculosis Control Programme.
[9]. Hassmiller KM. The
association between smoking and
tuberculosis. Salud Pública México. (2006);
48: s201–16.
[10]. Health seeking
behavior. Int J Tuberc Lung Dis (2001); 5(7):619-27.
[11]. Hill PC, Stevens W,
Hill S, Bah J, Donkor SA, Jallow A,
et al. Risk factors for defaulting from tuberculosis
treatment: a prospective cohort study of
301 cases in the Gambia. Int J Tuberc Lung Dis Off J Int Union Tuberc Lung Dis.
(2005); 9(12):1349–54.
[12]. Implementing the WHO
Stop TB Strategy: A Handbook for National
Tuberculosis Control Programmes. Geneva:
World Health Organization ;(2008). Involvement of communities and patients in
tuberculosis care and prevention. Available from: https://www.ncbi.nlm.nih.gov/books/NBK310754/.
Accessed 31 May (2018).
[13]. Javaid Ahmed Khan1,
Muhammad Irfan1, Amna Zaki1, Madiha Beg1, Syed Fayyaz Hussain1, Rizvi2 N.
(2006) Knowledge, Attitude and Misconceptions regarding Tuberculosis.
[14]. Kaona FA, Tuba M,
Siziya S, Sikaona L. An assessment
of factors contributing to treatment adherence
and knowledge of TB transmission among
patients on TB treatment. BMC Public Health. (2004); 4:68.
[15]. Kar M, Logaraj M.
Awareness, attitude and treatment seeking behaviour regarding tuberculosis in a
rural area of Tamil Nadu. Indian J Tuberc. (2010);57(4):226–9.
[16]. Koay TK. Knowledge
and attitudes towards tuberculosis
among the people living in Kudat District, Sabah. Med J Malaysia. (2004); 59(4):502–
11.
[17]. Lienhardt C. From
exposure to disease: the role of environmental factors in susceptibility to and development of tuberculosis. Epidemiol
Rev. (2001); 23(2):288–301.
[18]. Malhotra R, Taneja
OK, Dhingra VK, Rajpal S, Mehra M. Awareness Regarding Tuberculosis in A Rural Population of Delhi. Indian J Community Med. (2002); 27(2):62.
[19]. Mesfin MM, Tasew TW, Richard
MJ: The quality of tuberculosis diagnosis in districts of Tigray region of
northern Ethiopia. Ethiop J Health Dev (2005), 19:13–20.
[20].
Morgan
DW and Krejcie, RV. (1970). Determining Sample size for research activities of
Minnesota: USA.
[21]. Mushtaq MU, Majrooh
MA, Ahmad W, Rizwan M, Luqman MQ,
Aslam MJ, et al. Knowledge, attitudes and practices regarding tuberculosis in
two districts of Punjab, Pakistan.
Int J Tuberc Lung Dis Off J Int Union Tuberc Lung Dis. (2010); 14(3):303–10.
[22]. Sharma N, Malhotra R, Taneja DK, Saha R, Ingle GK.
Awareness and perception about tuberculosis in the general population of Delhi.
Asia Pac J Public Health. (2007);19(2):10–5.
[23]. Tolossa D, Medhin G, Legesse M. Community knowledge,
attitude, and practices towards tuberculosis
in Shinile town, Somali regional state, eastern Ethiopia: a cross-sectional
study. BMC Public Health. (2014);14.
[24]. Tuberculosis (TB). World Health Organization.
Available from: http://www.who.int/news-room/fact-sheets/detail/tuberculosis.
Accessed 31 May (2018)
[25]. Wandwalo, ER and Morkve, O. 2000.
Knowledge of disease and treatment among tuberculosis patients in Mwanza,
Tanzania. International Journal for
Tuberculosis and Lung Diseases 4(11):1041-1046.
[26]. WHO. (2006). The Global Plan to stop TB 2006-2015. World Health Organization, Geneva
(WHO/HTM/STB/2006.35).
[27]. WHO, (2007).
Global Tuberculosis Control: Surveillance, Planning, Financing. WHO reports
Geneva.
[28]. WHO. Global tuberculosis report (2017). WHO. Available from:
http://www.who.int/tb/publications/global_report/en. Accessed 31 May (2018)
[29]. WHO. The End TB Strategy [Internet]. WHO. Available
from: http://www.who.int/tb/strategy/end-
tb/en. Accessed 31 May (2018).
[30]. World Health Organization, Stop TB Partnership.
Advocacy, communication and social mobilization for TB control: a guide to
developing knowledge, attitude and practice surveys. Available from: http://apps.who.int/iris/bitstream/10665/43790/1/9789241596176_eng.pdf
Accessed 31 May (2018).
[31]. Yadav SP, Mathur ML, Dixit AK. Knowledge and Attitude
towards Tuberculosis among Sandstone Quarry
Workers in Desert Parts of Rajasthan. Indian J Tuberc. (2006); 53:187–95.