Assessing the Knowledge, Attitude and Practices among Health Workers on Rotavirus Diarrhoea Prevention in Rukiga District
DOI:
https://doi.org/10.47672/ejhs.1567Keywords:
Knowledge, Attitude, Practices, Prevention, RotavirusAbstract
Purpose: Rotavirus has been identified as the most common pathogen associated with severe diarrhoea. Rotavirus infection is the leading cause of diarrhea in children under five and it is highly contagious. It poses an exception to typical diarrheal disease management rules. While improved access to clean water and better sanitation and hygiene practices are vital to preventing most diarrheal diseases, they have done little to disrupt infection. The virus may cause severe, dehydrating diarrhea in young children and, in untreated cases, lead to death. The aim of this study is to determine the knowledge, attitude and practices regarding Rotavirus Prevention and its vaccination among medical workers in Rukiga district
Methodology: A total of 263 health workers were selected through random sampling. A structured and validated questionnaire was used. Questions about knowledge, attitude and practices were collected and verified on scale. Descriptive statistics were presented; multivariable regression analysis was done to determine the correlation of knowledge, attitude level, and practices with socio demographic variables such as age, sex and education. The p value≤0.05 considered was statistically significant.
Findings: 118(47.14%) had adequate knowledge, 164(66.138%) positive attitude and 102(41.1%) appropriate practices on the Rotavirus diarrhoea prevention. Knowledge, attitude level and practices were increased significantly with increasing age, sex and education. After controlling for variables in the multivariable regression model, age, sex and education were the significant factors in determining the scores on knowledge, attitude and practices. About the knowledge. Age (β=4.15, p<0.001), sex (β=3.012, p=0.001) and education level (β=14.04, p<0.038), then attitude, age (β=4.32, p<0.001), sex (β=0.015, p=0.003) and education level (β=0.021, p<0.001) while for practices, age (β=0.021, p<0.001). Similarly, sex (β=0.022, p<0.001), education level (β=0.136, p=0.006). Generally, there was inadequate knowledge, positive attitude and inappropriate practices amongst the respondents on Rotavirus diarrhoea prevention in Rukiga District.
Recommendations: Rukiga District needs to train, mentor and coach the health workers on prevention of Rotavirus including vaccination in order to have increased knowledge level, positive attitude and appropriate actions.
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Aditi Apte, Sudipto Roy, Ashish Bavdekar, Sanjay Juvekar & Siddhivinayak Hirve (2018) Facilitators and barriers for use of vaccine amongst various stakeholders and its implications for Indian context - A systematic review PMCID: PMC6314417 DOI: 10.1080/21645515.2018.1489190
Aisleen Bennett, PhD ,Louisa Pollock, PhD,Naor Bar-Zeev, PhD,Joseph A Lewnard, PhD,Khuzwayo C Jere, PhD,Benjamin Lopman, PhD (2021) Community Transmission of Infection in a Vaccinated Population in Blantyre, Malawi: A Prospective Household Cohort Study Volume 21, Issue 5:https://doi.org/10.1016/S1473-3099(20)30597-1
Akash Malik, Pradeep Haldar,b Arindam Ray, Anita Shet, Bhrigu Kapuria, Sheenu Bhadana,Mathuram Santosham, Raj Shankar Ghosh, Robert Steinglass, and Rakesh Kumar (2019) Introducing vaccine in the Universal Immunization Programme in India: From evidence to policy to implementation PMCID: PMC6996154 DOI: 10.1016/j.vaccine.2019.07.104
Alicia N. M. Kraay h, Andrew F. Brouwer, Nan Lin, and Joseph N. S. Eisenberg ( 2018) Modelling environmentally mediated transmission: The role of temperature and hydrologic factors Published under the PNAS license https://www.pnas.org/
Annika Skansberg, Molly Sauer, Marissa Tan, Mathuram Santosham &Mary Carol Jennings (2020) Productreview of the vaccines ROTASIIL, ROTAVAC, and Rotavin-M1. Hum Vaccin Immunother https://doi.org/10.1080/21645515.2020.1804245
Anthoniette Asamoah, Nancy Innocentia Ebu Enyan, Abigail Kusi-Amponsah Diji,and Charles Domfehn (2021) Cold Chain Management by Healthcare Providers at a District in Ghana: A Mixed Methods Study PMID: 34557551 DOI: 10.1155/2021/75 https://www.hindawi.com/journals/bmri59984
Asad Ali, Abdul Momin Kazi,Margaret M. Cortese,Jessica A. Fleming,SungSil Moon,Umesh D. Bosomprah, S., Beach, Beres (2016) Findings from a comprehensive diarrhoea prevention and treatment programme in Lusaka, Zambia BMC Public Health volume 16, Article number: 475
Brian Rha,Jacqueline E Tate,Eric Weintraub,Penina Haber,Catherine Yen,Manish Patel (2014) Rha Brian et al .,2014 Intussusception following vaccination: an updated review of the available evidence Expert Review of Vaccines 13(11)10.1586/14760584.2014.942223 PMID assets/Global/tfo_logo-1444989687640.png https://www.tandfonline.com/pb
Carl D. Kirkwood, Lyou-Fu Ma, Megan E. Carey, A. Duncan Steele (2019) The vaccine development pipeline PMCID: PMC6892263 DOI: 10.1016/j.vaccine.2017.03.076
Christine Marie George, Jamie Perin, Karen J. Neiswender de Calani, W. Ray Norman, Henry Perry, Thomas P. Davis, Jr.,Erik D. Lindquist Am J Trop Med Hyg. (2014 ) Risk Factors for Diarrhea in Children under Five Years of Age Residing in Peri-urban Communities in Cochabamba, Bolivia Am J Trop Med Hyg.,PMCID: PMC4257646 10.4269/ajtmh.14-0057
Daniel E. Velasquez,Umesh Parashar &Baoming Jiang (2017) Decreased Performance of Live Attenuated, Oral Vaccines In Low-Income Settings: Causes And Contributing Factors Expert Rev Vaccines PMC8826512 OI: 10.1080/14760584.2018.1418665 https://cdn.ncbi.nlm.nih.gov/pubmed/2143cb41
Donna M MacDougall , Beth A Halperin , Joanne M Langley , Donna MacKinnon-Cameron , Li , Scott A Halperin (2016 ) Knowledge, attitudes, beliefs, and behaviors of parents and healthcare providers before and after implementation of a universal rotavirus vaccination program DOI: 10.1016/j.vaccine.2015.09.089
Ezeofor, Scholastica.C.(2018) Influence of parental knowledge and attitude on childhood immunization in a selected household of Bushenyi District http://hdl.handle.net/20.500.12306/4248
Francesco Napolitano,Abdoulkader Ali Adou,Alessandra Vastola andItalo Francesco Angelillo (2019) Infection and Vaccination: Knowledge, Beliefs, and Behaviours among Parents in Italy. Int J Environ Res Public Health doi:10.3390/ijerph16101807 https://pubmed.ncbi.nlm.nih.gov/
Ghion Shumetie , Molla Gedefaw , Adane Kebede , Terefe Derso (2018) Ghion Shumetie et al;2018 Exclusive breastfeeding and vaccination are associated with decreased diarrheal morbidity among under-five children in Bahir Dar, northwest Ethiopia Public Health Reviews volume 39, Article number: 28 (2018) https://pubmed.ncbi.nlm.nih.gov/
Gofaone Jessica Mosweu (2018) Knowledge, Attitudes and Practices (Kap) Of Caregivers on Management of Childhood Diarrhoea Among Children Aged Between 0-5 Years Attending Child Welfare Clinic (Cwc) In Mogoditshane Village, Botswana https://core.ac.uk/download/pdf/188771351.pdf
Gurmeet S. Sarl (2020) Efficacy and disposal of drugs after the expiry date The Egyptian Journal of Internal Medicine volume 31 https://ejim.springeropen.com/articles/10.4103/ejim.ejim_110_19#A
Holly Seale, Mei Neni Sitaresmi, Jarir Atthobari, Anita E. Heywood, Rajneesh Kaur, Raina C. MacIntyre, Yati Soenarto & Retna Siwi Padmawati (2015 ) Knowledge and attitudes towards diarrhoea and the vaccine amongst healthcare providers in Yogyakarta Indonesia BMC Health Services Research https://bmchealthservres.biomedcentral.com/Impact of Vaccine on Premature Infants Clin Vaccine Immunol 2014 PMID: 25080553 https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4266350/#
Jack E. Fincham, PhD (2008) Response Rates and Responsiveness for Surveys Standardsdoi: 10.5688/aj720243 PMID: 18483608
Jinlian Wang, Lu Chen, Mengying Yu, Jiangtao He (2020) Impact of knowledge, attitude, and practice (KAP)-based rehabilitation education on the KAP of patients with intervertebral disc herniation doi: 10.21037/apm.2020.03.01
James A Church, Sandra Rukobo, Margaret Govha, Benjamin Lee, Marya P Carmolli, Bernard Chasekwa, Robert Ntozini, Kuda Mutasa, Monica M McNeal, Florence D Majo (2019) The Impact of Improved Water, Sanitation, and Hygiene on Oral Vaccine Immunogenicity in Zimbabwean Infants: Substudy of a Cluster-randomized Trial Clin Infect Dis. 69(12): 2074-2081. https://doi.org/10.1093/cid/ciz140 https://pubmed.ncbi.nlm.nih.gov/
James Nyangao , Nicola Page, Mathew Esona, Ina Peenze, Zipporah Gatheru, Peter Tukei, A Duncan Steele (2021) Characterization of human rotavirus strains from children with diarrhoea in Nairobi and Kisumu, Kenya, between 2000 and 2002 PMID: 20684701 https://bmcinfectdis.biomedcentral.com/
Jaspreet Gharial, Ahmed Laving, and Fred Were (2017) Racecadotril for the treatment of severe acute watery diarrhoea in children admitted to a tertiary hospital in Kenya PMID: 28123772 doi: 10.1136/bmjgast-2016-000124
Jaspreet Gharial, Ahmed Laving, and Fred Were (2017) Racecadotril for the treatment of severe acute watery diarrhoea in children admitted to a tertiary hospital in Kenya PMID: 28123772 doi: 10.1136/bmjgast-2016-000124
Jean-Michel Rou, Emmanuel Nowak, Grgoire Le Gal, Thomas Lemaitre, Emmanuel Oger, Elise Poulhazan, Jean-Dominique Giroux, Armelle Garenne, Arnaud Gagneur (2014).
Jesse C. Ross , Yauba Saidu , Divine Nzuobontane , Marius Z. Voukings , Sally R. Embrey (2020) Application of the remaining vaccine vial monitor life calculation to field temperature monitoring data to improve visibility into cold chain equipment performance PMID: 33082013 DOI: 10.1016/j.vaccine.2020.09.078
Joann F Gruber, Sylvia Becker-Dreps, Michael G Hudgens, M Alan Brookhart, James C Thomas, Michele Jonsson Funk( 2018) Timing of Vaccine Doses and Severe Gastroenteritis Among Vaccinated Infants in Low- and Middle-income Countries 29(6):867-875. https://pubmed.ncbi.nlm.nih.gov/
Jorien Veldwijk, Mattijs S Lambooij , Patricia C J Bruijning-Verhagen , Henriette A Smit , G Ardine de Wit (2021). Parental preferences for vaccination in young children: a discrete choice 32(47) 10.1016/j.vaccine.2014.09.004 PMID: 25236585 https://www.sciencedirect.com
Juliet N. Babirye, Ingunn M. S. Engebretsen,Frederick Makumbi,Lars T. Fadnes,,Henry Wamani, Thorkild Tylleskar and Fred Nuwaha (2013) Timeliness of Childhood Vaccinations in Kampala Uganda: A Community-Based Cross-Sectional Study https://doi.org/10.1371/journal.pone.0035432
Katayi Mwila, Roma Chilengi, Michelo Simuyandi, Sallie R. Permar (2017) Contribution of Maternal Immunity to Decreased Rotavirus Vaccine Performance in Low- and Middle-Income Countries DOI: https://doi.org/10.1128/CVI.00405-16
Keith Grimwood , Stephen B Lambert, Richard J Milne (2012) Infections and Vaccines Burden of Illness and Potential Impact of Vaccination Paediatric Drugs volume 12 doi:10.1007/s40272-018-0283-3 https://link.springer.com/
Krishnan & Poulose (2016) Response rate in industrial surveys conducted in India: Trends and implications DOI:10.1016/j.iimb.2016.05.001
Lee, Justin Lessler, Rose A Lee, Kara E Rudolph, Nicholas G Reich, Trish M Perl & Dere Rachel M k AT Cummings(2013) Current and new vaccines PMID: 31305493 https://pubmed.ncbi.nlm.nih.gov/
Lenters, L.M., Das, J.K. & Bhutta, Z.A. (2013) Systematic review of strategies to increase use of oral rehydration solution at the household level. BMC Public Health 13 (Suppl 3), S28 https://doi.org/10.1186/1471-2458-13-S3-S28
M Salvadori, N Le Saux (2019) Recommendations for the use of vaccines in infants, Paediatric Child Health PMC2952519, https://academic.oup.com/pch
Margaretha Stenmarker, Carin Oldin, Marie Golsäter, Margareta Blennow, Karin Enskär, Mats P. Nilsson, Lina Schollin Ask (2021) Child health professionals' experiences of the introduction and successful implementation of vaccination in Sweden https://doi.org/10.1111/apa.16038 https://onlinelibrary.wiley.com/journal/16512227
Maria Antonia De Francesco, Giovanni Ianiro,2 Marina Monini,Cesare Vezzoli, Richard Fabian Schumacher,Silvia Giliani,Giovanni Lorenzin,Francesca Gurrieri,and Arnaldo Caruso (2019) Persistent Infection with Vaccine Strain in Severe Combined Immunodeficiency (SCID) Child: Is Vaccination in SCID Children a Janus Face? https://doi.org/10.3390/vaccines7040185
Mark A Malek, Nadia Teleb, Remon Abu-Elyazeed, Mark S Riddle, May El Sherif, A Duncan Steele, Roger I Glass, Joseph S Bresee (2010) The epidemiology of rotavirus diarrhoea in countries in the Eastern Mediterranean Region PMID: 20684691 DOI: 10.1086/653579 https://doi.org/10.1086/653579
Martin Ndinakie Yakum et al.,2015 Factors associated with the exposure of vaccines to adverse temperature conditions: the case of North West region, Cameroon Article number: 277 (2015) BMC https://bmcresnotes.biomedcentral.com/
Mateusz Hasso-Agopsowicz, Chandresh Nanji Ladva, Benjamin Lopman, Colin Sanderson, Adam L Cohen, Jacqueline E Tate, Ximena Riveros, Ana Maria Henao-Restrepo, Andrew Clark, ( 2019 ) Global Review of the Age Distribution of Disease in Children Aged <5 Years before the Introduction of Vaccination Clinical Infectious Diseases, Volume 69, Issue 6. https://doi.org/10.1093/cid/ciz060
Melinda K Munos, Christa L Fischer Walker, Robert E Black (2010) The effect of oral rehydration solution and recommended home fluids on diarrhoea mortality international Journal of Epidemiology, Volume 39, https://doi.org/10.1093/ije/dyq025
Mercy Lutukai , Elizabeth A Bunde , Benjamin Hatch , Zoya Mohamed , Shahrzad Yavari , Ernest Some , Amos Chweya , Caroline Kania , Jesse C Ross , Carmit Keddem , Yasmin Chandani (2019) Using Data to Keep Vaccines Cold in Kenya: Remote Temperature Monitoring With Data Review Teams for Vaccine Management Global Health: https://doi.org/10.9745/GHSP-D-19-00157
Nabavi M, Alavi-Moghaddam M, Gachkar L, Moeinian M.(2015) Knowledge, Attitudes, and Practices Study on Hand Hygiene Among Imam Hossein Hospital's Residents in 2013 doi: 10.5812/ircmj.19606 PMID: 26568858
Nalubwama Sarah (2021) Caregivers' Knowledge, Attitudes And Practices On The Management Of Diarrhea Among Children Under 5 Years In Luwero District b906869436e9-Nalubwama%20Sarah%20Report%20-%20submitted.pdf
Pär Eriksson, Bradford D. Gessner, Philippe Jaillard , Christopher Morgan , Jean Bernard Le Gargasson (2017). Vaccine vial monitor availability and use in low- and middle-income countries https://doi.org/10.1016/j.vaccine.2016.11.102https://pubmed.ncbi.nlm.nih.gov/
Parashar,Baoming Jiang,Monica M. McNeal,Duncan Steele,Zulfiqar Bhutta,Anita K. M. Zaidi (2015).Impact of Withholding Breastfeeding at the Time of Vaccination on the Immunogenicity of Oral Vaccine"”A Randomized Trial https://doi.org/10.1371/journal.pone.0127622Performance of vaccines in developed and developing countries Performance of vaccines in developed and developing countries https://doi.org/10.4161/hv.6.7.11278
John Gentsch ,Renáta Dóró , Brigitta László , Vito Martella , Eyal Leshem , Umesh Parashar , Krisztián Bányai (2014),Review of global rotavirus strain prevalence data from six years post vaccine licensure surveillance: Is there evidence of strain selection from vaccine pressure? https://doi.org/10.1016/j.meegid.2014.08.017
Richard Omore ,Jacqueline E. Tate,Ciara E. O'Reilly,Tracy Ayers,John Williamson,Feny Moke,Katie A. Schilling,Alex O. Awuor,Peter Jaron,John B. Ochieng,Joseph Oundo,Umesh D. Parashar,Michele B. Parsons( 2016) Safety of the pentavalent vaccine (PRV), RotaTeq, in Kenya, including among HIV-infected and HIV-exposed infants https://doi.org/10.1016/j.vaccine.2011.09.026 https://www.sciencedirect.com/
Rury Mega Wahyuni, Takako Utsumi, Zayyin Dinana1, Laura Navika Yamani1,, Juniastuti1, Ishak Samuel Wuwuti, Elsa Fitriana5, Emily Gunawan, Yujiao Liang, Fitratul Ramadhan6, Soetjipto, Maria Inge Lusida and Ikuo Shoji (2021) Prevalence and Distribution of Genotypes Among Children With Acute Gastroenteritis in Areas Other Than Java Island,Indonesia, https://doi.org/10.3389/fmicb.2021.672837
Santos F.S. , SousaJunior E.C.,Guerra S.F.S.,Lobo P.S.,PenhaJunior E.T.,Lima A.B.F.,Vinente C.B.G.,Chagas E.H.N.,Justino M.C.A.,Linhares A.C.,Matthijnssens J.,Soares L.S., Mascarenhas J.D.P(2019) Rotavirus in children with severe diarrhoea in the post-vaccine introduction era in Brazil: Evidence of reassortments and structural modifications of the antigenic VP7 and VP4 regions https://doi.org/10.1016/j.meegid.2019.02.009
Simon Aabalekuu (2019) Vaccine Coverage and Its Contribution in Reducing Diarrhoea among Children under Five Years in the WA Municipality http://hdl.handle.net/123456789/2361 http://udsspace.uds.edu.gh/handle/123456789/1064
Sue E. Crawford, Sasirekha Ramani, Jacqueline E. Tate, Umesh D. Parashar, Lennart Svensson, Marie Hagbom, Manuel A. Franco, Harry B. Greenberg, Miguel O'Ryan, Gagandeep Kang, Ulrich Desselberger & Mary K. Estes (2017) Rotavirus infection PMCID: PMC5858916 DOI: 10.1038/nrdp.2017.83
Susan M B Morton, Dinusha K Bandara, Elizabeth M Robinson, Polly E Atatoa Carr (2012) In the 21st Century, what is an acceptable response rate? DOI: 10.1111/j.1753-6405.2012.00854.x PMID: 22487341
Tafazzul Hyder Zaidi, Mubashir Zafar, Rahat Naz, Syed Shoeb Ahmed,Ishaa Saleem, Koonj Sundardas, Aiman Aamir, Misbah Yousuf, Rubab Zehra, Tehreem Siraj (2021) Knowledge and attitude regarding rotavirus and its vaccination among medical students in Karachi, Pakistan PMCID: PMC9461164,PMID: 36101599 10.1016/j.puhip.2021.100171
Tagbo Beckie Nnenna, Ughasoro Maduka D, Omotowo Ishola Babatunde, Eneh Chizoma Ihuarula and Uwaezuoke Ndubuisi Anyele (2013) Knowledge of Rotavirus Disease among Health Care Providers and Their Acceptance of Rotavirus Vaccines in South-East, Nigeria . https://www.walshmedicalmedia.com
Theresa K. Resch et al.,2018 Inactivated vaccine by parenteral administration induces mucosal immunity in mice Scientific Reports volume 8 https://www.nature.com/srep
Tintu Varghese, Gagandeep Kang and Andrew Duncan Steele (2022) Understanding Rotavirus Vaccine Efficacy and Effectiveness in Countries with High Child Mortality https://doi.org/10.3390/vaccines10030346
Uganda Bureau of Statistics (UBOS) and Inner City Fund (ICF)(2018) Uganda Demographic and Health Survey 2016. Kampala, Uganda and Rockville, Maryland, USA: UBOS and ICF
Umesh D Parashar et al., 2013 Diagnosis, management, and prevention of gastroenteritis in children BMJ; 347 doi:https://doi.org/10.1136/bmj.f7204.
Umesh,Jacqueline E Tate D Parashar (2021) The control of diarrhoea, the case of a rotavirus vaccine PMID: 31869556 DOI: 10.21149/9943 https://pubmed.ncbi.nlm.nih.gov/
Verónica Carrión Falcón , Yara Verónica Villalobos Porras , Csar Misael Gómez Altamirano , Umit Kartoglu (2020) A vaccine cold chain temperature monitoring study in the United Mexican State https://doi.org/10.1016/j.vaccine.2020.06.014 https://www.sciencedirect.com/
Vesta Richardson , Joselito Hernandez-Pichardo, Manjari Quintanar-Solares, Marcelino Esparza-Aguilar, Brian Johnson, Cesar Misael Gomez-Altamirano, Umesh Parashar, Manish Patel (2010). Effect of vaccination on death from childhood diarrhoea in Mexico MID: 20107215 DOI: 10.1056/NEJMoa0905211
Victoria Jiang , Baoming Jiang, Jacqueline Tate, Umesh D Parashar, Manish M Patel (2010) Vaccines in Routine use Clinical Infectious Diseases, Volume 59, Issue 9 https://doi.org/10.1093/cid/ciu564
Victoria Jiang , Baoming Jiang, Jacqueline Tate, Umesh D Parashar, Manish M Patel (2010)
Wasiu Olalekan Adebimpe &Oluwatosin Adediran Adeoye(2020) Knowledge and practice of vaccination logistics management among primary health care workers in Nigeria https://doi.org/10.1080/21645515.2020.1827609 https://www.tandfonline.com/
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