دورية أكاديمية
أعرض في EDS

Knowledge, attitudes, and practices regarding schistosomiasis infection and prevention: A mixed-methods study among endemic communities of western Uganda.

التفاصيل البيبلوغرافية
العنوان: Knowledge, attitudes, and practices regarding schistosomiasis infection and prevention: A mixed-methods study among endemic communities of western Uganda.
المؤلفون: Anyolitho MK; Department of Public Health, Lira University, Lira, Uganda.; Department of Human Development and Relational Sciences, Mbarara University of Science and Technology, Mbarara, Uganda., Poels K; Department of Communication Studies, University of Antwerp, Antwerp, Belgium., Huyse T; Department of Biology, Royal Museum for Central Africa, Tervuren, Belgium., Tumusiime J; Department of Biology, Mbarara University of Science and Technology, Mbarara, Uganda., Mugabi F; Department of Human Development and Relational Sciences, Mbarara University of Science and Technology, Mbarara, Uganda., Tolo CU; Department of Biology, Mbarara University of Science and Technology, Mbarara, Uganda., Masquillier C; Department of Sociology, University of Antwerp, Antwerp, Belgium., Nyakato VN; Department of Human Development and Relational Sciences, Mbarara University of Science and Technology, Mbarara, Uganda.
المصدر: PLoS neglected tropical diseases [PLoS Negl Trop Dis] 2022 Feb 23; Vol. 16 (2), pp. e0010190. Date of Electronic Publication: 2022 Feb 23 (Print Publication: 2022).
نوع المنشور: Journal Article; Research Support, Non-U.S. Gov't
اللغة: English
بيانات الدورية: Publisher: Public Library of Science Country of Publication: United States NLM ID: 101291488 Publication Model: eCollection Cited Medium: Internet ISSN: 1935-2735 (Electronic) Linking ISSN: 19352727 NLM ISO Abbreviation: PLoS Negl Trop Dis Subsets: MEDLINE
أسماء مطبوعة: Original Publication: San Francisco, CA : Public Library of Science
مواضيع طبية MeSH: Health Knowledge, Attitudes, Practice*, Schistosomiasis/*prevention & control , Schistosomiasis/*psychology, Adolescent ; Adult ; Aged ; Aged, 80 and over ; Animals ; Cross-Sectional Studies ; Endemic Diseases/prevention & control ; Female ; Humans ; Hygiene ; Lakes/parasitology ; Male ; Middle Aged ; Schistosoma/physiology ; Schistosomiasis/epidemiology ; Surveys and Questionnaires ; Toilet Facilities ; Uganda/epidemiology ; Young Adult
مستخلص: Introduction: In Uganda, schistosomiasis (re)infections have continued to remain high despite the implementation of mass drug administration and sensitization campaigns aimed at controlling the disease. This could imply that there are some barriers to the implemented preventive measures. We conducted a mixed-methods study in Kagadi and Ntoroko districts around Lake Albert to assess knowledge, attitudes, and practices regarding schistosomiasis and to explore and understand perspectives regarding the disease.
Materials and Methods: Semi-structured survey questionnaires were administered to 337 household adults selected through systematic random sampling. We also interviewed 12 participants and held 28 focus-group discussion sessions with 251 individuals respectively. Quantitative data was analysed using frequencies, percentages, and chi-square tests for associations, while themes and sub-themes were used to analyse qualitative data respectively.
Findings: A total of 98.5%, 81.3%, and 78.5% had heard about schistosomiasis, and knew the main transmission modes and symptoms, respectively. The majority (75.8%) said avoiding contact with water was a preventative way, while 67.5% said observing signs and symptoms was a form of diagnosis. Furthermore, 98.4% and 73.4% said it was important to defecate in latrines and to avoid contact with contaminated water respectively. However, it is difficult to avoid contact with lake water because it is the only source of livelihood, especially for fisher communities. Open defecation is commonly practiced along the lake due to insufficient space and difficulties in the construction of latrines. Myths and misconceptions reported include; lake water is safe, gassing in water causes transmission, fetching water early in the morning and from deep water is safe, and feces in the lake water act as a bait for catching fish.
Conclusions and Recommendations: Despite adequate knowledge of schistosomiasis and a positive attitude towards its prevention, existing myths and misconceptions, coupled with persistent risky water, sanitation, and hygiene practices still pose a challenge. A more robust community-based awareness intervention using bottom-up participatory approaches, accompanied by the provision of clean and safe water sources and increasing latrine coverage, could provide lasting solutions to these barriers.
Competing Interests: The authors have declared that no competing interests exist.
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تواريخ الأحداث: Date Created: 20220223 Date Completed: 20220311 Latest Revision: 20231102
رمز التحديث: 20231215
مُعرف محوري في PubMed: PMC8865686
DOI: 10.1371/journal.pntd.0010190
PMID: 35196328
قاعدة البيانات: MEDLINE
الوصف
تدمد:1935-2735
DOI:10.1371/journal.pntd.0010190