Health workers knowledge, attitude and practice during Lassa Fever outbreak, Anambra State, Nigeria, 2016
Obagha Chijioke1,&, Simeon Ajisegiri1, Belinda Uba1, Saheed Gidado1, Patrick Nguku1, Franklin Onwokwu1
1Nigeria Field Epidemiology and Laboratory Training Program, Abuja, Nigeria
Obagha Chijikoe, Nigeria Field Epidemiology and Laboratory Training Program, Abuja, Nigeria
Lassa fever (LF) is an acute viral hemorrhagic fever caused by Lassa fever
virus (LVF), Asymptomatic in 80% of cases; Lassa fever is associated with bleeding
and multiple organ failure. It is endemic in West Africa and Nigeria has been
having severe outbreaks since 2014. On 18th August 2016, a patient
was referred to a teaching hospital in the State with bleeding from orifices,
hematuria, and bleeding from puncture sites. Lassa fever was confirmed post
mortem. This study was conducted to assess knowledge, attitude and practice
among health workers.
we conducted a cross-sectional study among health workers in Anambra State. We assessed KAP using self-administered questionnaire and multistage sampling technique was employed. KAP score was computed using 12, 10 and 9 item questions respectively. Each item was assigned: 1 for correct Knowledge and 0 for incorrect knowledge. KAP was classified as good if > 75%, fair if > 50%, poor if < 50%. Chi-square with a significance level set at 5% was used to measure degree of significance of the association.
a total of 128 health workers were interviewed of which 109 (86.51%) were
females, 2% clinicians, 34% nurses, 50% community health extension workers,
others 14%. Only 10% were able to give the case definition of LF, 21% were
able to mention drug of choice,10% knew the reservoir for the virus and only
could properly describe hand washing.15.6% had good, 32.8% fair and 51.6%
poor knowledge. 75.8% had good, 20.3% fair and 4.7% poor attitude. 30.5% had
57% fair and 12.5% poor practice. Having attended any training / sensitization
and duration of employment were associated with having good knowledge (x2 =
10.6, P = 0.005 and X2 = 32.7, P = < 0.0001 respectively). Duration
of employment was also associated with good practice (X2 = 14.55,
P = < 0.0001).
overall knowledge and practice was very poor but attitude was good. We sensitized health workers in the State.
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