Assessment of Knowledge Attitude and Practices of Tuberculosis Patients towards Tuberculosis and its Treatment in Addis Ababa City Government,Ethiopia

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Addis Abeba Universty


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 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 Ethiopia after malaria. TB is an obstacle to socio-economic development. Objective: To assess knowledge, attitude and practice (KAP) of TB patients towards tuberculosis and its treatment in Addis Ababa city, Ethiopia. Methods: The study design was facility based a cross-sectional quantitative survey was undertaken through interviewing 422 patients in eight selected health facilities of Addis Ababa by using purposeful sampling. The sample size was assigned to each health facility proportionally to their quarterly patient flow. Data entry and analysis was done by Epi Info version 6 software package and SPSS version 16.0. Bi-variate and multivariate logistic regression was employed. Results: The result of the study showed that the level of knowledge of tuberculosis was low. Only 47.6% of patients attained high overall knowledge score. Statistically significant association was found between high knowledge score and attending formal education (OR=2.4, 95% CI= 1.5, 3.9), owner of Radio/TV (OR=2.7, 95%CI=1.4, 5.0), listening health information through Radio/TV (OR=2.0, 95%CI=1.3, 3.0) and knowing of person suffered from TB (OR= 2.5, 95% CI=1.6, 3.6). Overall attitude of patients scoring favorable attitude was 56.6% .The findings revealed significant association between high score of attitude and formal education (OR=2.1, 95%CI=1.3, 3.5) and listening health information through radio/television (OR=2.2, 95%CI=1.5, 3.3). Although there was a low level of knowledge and considerable number of the study patients had unfavorable attitude, over all 265 (62.8%) of patients scored favorable practices. Conclusion and recommendation: Generally over all knowledge and attitude of TB patients about TB and its treatment were low in Addis Ababa city. So implementation of health education and awareness creation by using different mechanisms and further research are recommended.



Assessment of Knowledge Attitude