Knowledge, attitude and practice towards tuberculosis case detection among urban health extension professional working in Addis Abeba, Ethiopia.
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Date
2020-03
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Addis Abeba University
Abstract
Background: - Knowledge, attitude and practice gaps are among the main challenges in
providing quality basic health services to the urban community. This can be among the reasons
for low tuberculosis case detection by urban health extension professionals. Identifying
knowledge, attitude and practice gaps and associated factors, and taking active measures towards
the gaps could improve tuberculosis case detection.
Objective: - To assess the level of knowledge, attitude and practice of urban health extension
professionals towards tuberculosis case detection and associated factors in Addis Ababa,
Ethiopia.
Methods: - A cross-sectional study design was used from April to May 2019 in randomly
selected four sub-cities in Addis Ababa, Ethiopia. Data was collected from 402 study participants
using structured questionnaire. Epi info version 7 was used for data entry and SPSS version 20
software for data analyses. To identify variables which have significant association with the
outcome variables, multivariable logistic regression analysis was performed. The statistical
significant was determined by adjusted odds ratio with 95% confidence interval.
Result: - This study showed that 56.2 of the respondents have good knowledge, 58.5% good
attitude and 52% good practice towards tuberculosis case detection. Age group of 25-34 years
old and frequency of supportive supervision on weekly basis are significantly associated with
good knowledge with p-value of 0.008[AOR=2.487, (95% CI =1.265-4.888)] and p-value of
0.006[AOR=2.911, (95% CI=1.361-6.225)] respectively. Similarly getting referral feedbacks
from the catchment health centres is significantly associated with the good practice of the study
respondents with p-value of 0.001[AOR=3.526, (95% CI=1.665-7.467).
Conclusion: - This study reveals that half of the urban health extension professionals have a
good knowledge, attitude and practice which is relatively not satisfactory to provide good quality
services to the urban community. Interventions that boost the knowledge, attitude and practice
level of them should be implemented including frequent supportive supervision, providing
referral feedback timely from the health centers and engaging family members in supporting
tuberculosis patients.
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Keywords
Tuberculosis