Knowledge, attitudes and practices on childhood TB among healthcare workers

BACKGROUND: Increasing childhood TB case detection requires the deployment of diagnostic services at peripheral healthcare level. Capacity and readiness of healthcare workers (HCWs) are key to the delivery of innovative approaches.METHODS: In 2019, HCWs from five district hospitals (DHs) and 20 prim...

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Veröffentlicht in:The international journal of tuberculosis and lung disease 2022-03, Vol.26 (3), p.243-251
Hauptverfasser: Joshi, B., Font, H., Wobudeya, E., Nanfuka, M., Kobusingye, A., Mwanga-Amumpaire, J., Natukunda, N., Turyahabwe, S., Borand, L., Mao, T. E., Dim, B., Ferhi, R., Moh, R., Kouakou, J., Aka Bony, R., Breton, G., Mustapha, A., Matata, L., Foray, L., Detjen, A., Verkuijl, S., Sekadde, M., Khosa, C., Mbassa, V., Taguebue, J-V., Kwedi Nolna, S., Bonnet, M., Marcy, O., Orne-Gliemann, J.
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container_end_page 251
container_issue 3
container_start_page 243
container_title The international journal of tuberculosis and lung disease
container_volume 26
creator Joshi, B.
Font, H.
Wobudeya, E.
Nanfuka, M.
Kobusingye, A.
Mwanga-Amumpaire, J.
Natukunda, N.
Turyahabwe, S.
Borand, L.
Mao, T. E.
Dim, B.
Ferhi, R.
Moh, R.
Kouakou, J.
Aka Bony, R.
Breton, G.
Mustapha, A.
Matata, L.
Foray, L.
Detjen, A.
Verkuijl, S.
Sekadde, M.
Khosa, C.
Mbassa, V.
Taguebue, J-V.
Kwedi Nolna, S.
Bonnet, M.
Marcy, O.
Orne-Gliemann, J.
description BACKGROUND: Increasing childhood TB case detection requires the deployment of diagnostic services at peripheral healthcare level. Capacity and readiness of healthcare workers (HCWs) are key to the delivery of innovative approaches.METHODS: In 2019, HCWs from five district hospitals (DHs) and 20 primary healthcare centres (PHCs) in Cambodia, Cameroon, Cote d´Ivoire, Sierra Leone and Uganda completed a self-administered knowledge-attitudes-practices (KAP) questionnaire on childhood TB. We computed knowledge and attitudes as scores and identified HCW characteristics associated with knowledge scores using linear regression.RESULT: Of 636 eligible HCWs, 497 (78%) participated. Median knowledge scores per country ranged between 7.4 and 12.1 (/18). Median attitude scores ranged between 2.8 and 3.3 (/4). Between 13.3% and 34.4% of HCWs reported diagnosing childhood with (presumptive) TB few times a week. Practising at PHC level, being female, being involved in indirect TB care, having a non-permanent position, having no previous research experience and working in Cambodia, Cameroon, Cote d´Ivoire and Sierra Leone as compared to Uganda were associated with a lower knowledge score.CONCLUSION: HCWs had overall limited knowledge, favourable attitudes and little practice of childhood TB diagnosis. Increasing HCW awareness, capacity and skills, and improving access to effective diagnosis are urgently needed.
doi_str_mv 10.5588/ijtld.21.0317
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E. ; Dim, B. ; Ferhi, R. ; Moh, R. ; Kouakou, J. ; Aka Bony, R. ; Breton, G. ; Mustapha, A. ; Matata, L. ; Foray, L. ; Detjen, A. ; Verkuijl, S. ; Sekadde, M. ; Khosa, C. ; Mbassa, V. ; Taguebue, J-V. ; Kwedi Nolna, S. ; Bonnet, M. ; Marcy, O. ; Orne-Gliemann, J.</creator><creatorcontrib>Joshi, B. ; Font, H. ; Wobudeya, E. ; Nanfuka, M. ; Kobusingye, A. ; Mwanga-Amumpaire, J. ; Natukunda, N. ; Turyahabwe, S. ; Borand, L. ; Mao, T. E. ; Dim, B. ; Ferhi, R. ; Moh, R. ; Kouakou, J. ; Aka Bony, R. ; Breton, G. ; Mustapha, A. ; Matata, L. ; Foray, L. ; Detjen, A. ; Verkuijl, S. ; Sekadde, M. ; Khosa, C. ; Mbassa, V. ; Taguebue, J-V. ; Kwedi Nolna, S. ; Bonnet, M. ; Marcy, O. ; Orne-Gliemann, J.</creatorcontrib><description>BACKGROUND: Increasing childhood TB case detection requires the deployment of diagnostic services at peripheral healthcare level. Capacity and readiness of healthcare workers (HCWs) are key to the delivery of innovative approaches.METHODS: In 2019, HCWs from five district hospitals (DHs) and 20 primary healthcare centres (PHCs) in Cambodia, Cameroon, Cote d´Ivoire, Sierra Leone and Uganda completed a self-administered knowledge-attitudes-practices (KAP) questionnaire on childhood TB. We computed knowledge and attitudes as scores and identified HCW characteristics associated with knowledge scores using linear regression.RESULT: Of 636 eligible HCWs, 497 (78%) participated. Median knowledge scores per country ranged between 7.4 and 12.1 (/18). Median attitude scores ranged between 2.8 and 3.3 (/4). Between 13.3% and 34.4% of HCWs reported diagnosing childhood with (presumptive) TB few times a week. Practising at PHC level, being female, being involved in indirect TB care, having a non-permanent position, having no previous research experience and working in Cambodia, Cameroon, Cote d´Ivoire and Sierra Leone as compared to Uganda were associated with a lower knowledge score.CONCLUSION: HCWs had overall limited knowledge, favourable attitudes and little practice of childhood TB diagnosis. Increasing HCW awareness, capacity and skills, and improving access to effective diagnosis are urgently needed.</description><identifier>ISSN: 1027-3719</identifier><identifier>EISSN: 1815-7920</identifier><identifier>DOI: 10.5588/ijtld.21.0317</identifier><identifier>PMID: 35197164</identifier><language>eng</language><publisher>France: International Union Against Tuberculosis and Lung Disease</publisher><subject>Child ; Childhood Tb ; Cross-Sectional Studies ; Health Facilities ; Health Knowledge, Attitudes, Practice ; Health Personnel ; Healthcare Workers ; Humans ; Knowledge ; Life Sciences ; Lmics ; Original ; Santé publique et épidémiologie ; Surveys and Questionnaires ; Tuberculosis ; Tuberculosis - diagnosis ; Tuberculosis - therapy</subject><ispartof>The international journal of tuberculosis and lung disease, 2022-03, Vol.26 (3), p.243-251</ispartof><rights>Distributed under a Creative Commons Attribution 4.0 International License</rights><rights>2022 The Union 2022</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c555t-71b330d98c01e8c9faabff0fee91d1e59e81c5c9c2352f65a829a35e0d9d979a3</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC9121838/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC9121838/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,315,728,781,785,886,27929,27930,53796,53798</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/35197164$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink><backlink>$$Uhttps://hal.science/hal-03648942$$DView record in HAL$$Hfree_for_read</backlink></links><search><creatorcontrib>Joshi, B.</creatorcontrib><creatorcontrib>Font, H.</creatorcontrib><creatorcontrib>Wobudeya, E.</creatorcontrib><creatorcontrib>Nanfuka, M.</creatorcontrib><creatorcontrib>Kobusingye, A.</creatorcontrib><creatorcontrib>Mwanga-Amumpaire, J.</creatorcontrib><creatorcontrib>Natukunda, N.</creatorcontrib><creatorcontrib>Turyahabwe, S.</creatorcontrib><creatorcontrib>Borand, L.</creatorcontrib><creatorcontrib>Mao, T. E.</creatorcontrib><creatorcontrib>Dim, B.</creatorcontrib><creatorcontrib>Ferhi, R.</creatorcontrib><creatorcontrib>Moh, R.</creatorcontrib><creatorcontrib>Kouakou, J.</creatorcontrib><creatorcontrib>Aka Bony, R.</creatorcontrib><creatorcontrib>Breton, G.</creatorcontrib><creatorcontrib>Mustapha, A.</creatorcontrib><creatorcontrib>Matata, L.</creatorcontrib><creatorcontrib>Foray, L.</creatorcontrib><creatorcontrib>Detjen, A.</creatorcontrib><creatorcontrib>Verkuijl, S.</creatorcontrib><creatorcontrib>Sekadde, M.</creatorcontrib><creatorcontrib>Khosa, C.</creatorcontrib><creatorcontrib>Mbassa, V.</creatorcontrib><creatorcontrib>Taguebue, J-V.</creatorcontrib><creatorcontrib>Kwedi Nolna, S.</creatorcontrib><creatorcontrib>Bonnet, M.</creatorcontrib><creatorcontrib>Marcy, O.</creatorcontrib><creatorcontrib>Orne-Gliemann, J.</creatorcontrib><title>Knowledge, attitudes and practices on childhood TB among healthcare workers</title><title>The international journal of tuberculosis and lung disease</title><addtitle>Int J Tuberc Lung Dis</addtitle><description>BACKGROUND: Increasing childhood TB case detection requires the deployment of diagnostic services at peripheral healthcare level. Capacity and readiness of healthcare workers (HCWs) are key to the delivery of innovative approaches.METHODS: In 2019, HCWs from five district hospitals (DHs) and 20 primary healthcare centres (PHCs) in Cambodia, Cameroon, Cote d´Ivoire, Sierra Leone and Uganda completed a self-administered knowledge-attitudes-practices (KAP) questionnaire on childhood TB. We computed knowledge and attitudes as scores and identified HCW characteristics associated with knowledge scores using linear regression.RESULT: Of 636 eligible HCWs, 497 (78%) participated. Median knowledge scores per country ranged between 7.4 and 12.1 (/18). Median attitude scores ranged between 2.8 and 3.3 (/4). Between 13.3% and 34.4% of HCWs reported diagnosing childhood with (presumptive) TB few times a week. Practising at PHC level, being female, being involved in indirect TB care, having a non-permanent position, having no previous research experience and working in Cambodia, Cameroon, Cote d´Ivoire and Sierra Leone as compared to Uganda were associated with a lower knowledge score.CONCLUSION: HCWs had overall limited knowledge, favourable attitudes and little practice of childhood TB diagnosis. Increasing HCW awareness, capacity and skills, and improving access to effective diagnosis are urgently needed.</description><subject>Child</subject><subject>Childhood Tb</subject><subject>Cross-Sectional Studies</subject><subject>Health Facilities</subject><subject>Health Knowledge, Attitudes, Practice</subject><subject>Health Personnel</subject><subject>Healthcare Workers</subject><subject>Humans</subject><subject>Knowledge</subject><subject>Life Sciences</subject><subject>Lmics</subject><subject>Original</subject><subject>Santé publique et épidémiologie</subject><subject>Surveys and Questionnaires</subject><subject>Tuberculosis</subject><subject>Tuberculosis - diagnosis</subject><subject>Tuberculosis - therapy</subject><issn>1027-3719</issn><issn>1815-7920</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1ksFvFCEUxidGY2v16NXMUZPOyoNlBi4mtVVruoke6vmFBWaHdXZYgdlG_3qZ3W2jJnLhA773I4-PongJZMa5EG_dOvVmRmFGGDSPilMQwKtGUvI4a0KbijUgT4pnMa4JoQDQPC1OGAfZQD0_LW5uBn_XW7Oy56VKyaXR2FiqwZTboHRyOq_8UOrO9abz3pS370u18cOq7KzqU6dVsOWdD99tiM-LJ63qo31xnM-Kbx8_3F5eV4svnz5fXiwqzTlPVQNLxoiRQhOwQstWqWXbktZaCQYsl1aA5lpqyjhta64ElYpxm0uMbLI8K94duNtxubFG2yEF1eM2uI0KP9Erh3-fDK7Dld-hBAqCiQx4cwB0_5RdXyxw2iOsngs5pzvI3tfHy4L_MdqYcOOitn2vBuvHiLRmVBBR8wlbHaw6-BiDbR_YQHAKC_dhIQWcwsr-V3_28eC-Tycbrg4GN6xyKwrXfgxDflp0o5pIRx6hFMl-0PooCEMV0iRkxnz9H0bfk6avMv0U3NF6YHsk4SCQzBlDY1s19gmTCrj6hVGy3_AywpM</recordid><startdate>20220301</startdate><enddate>20220301</enddate><creator>Joshi, B.</creator><creator>Font, H.</creator><creator>Wobudeya, E.</creator><creator>Nanfuka, M.</creator><creator>Kobusingye, A.</creator><creator>Mwanga-Amumpaire, J.</creator><creator>Natukunda, N.</creator><creator>Turyahabwe, S.</creator><creator>Borand, L.</creator><creator>Mao, T. E.</creator><creator>Dim, B.</creator><creator>Ferhi, R.</creator><creator>Moh, R.</creator><creator>Kouakou, J.</creator><creator>Aka Bony, R.</creator><creator>Breton, G.</creator><creator>Mustapha, A.</creator><creator>Matata, L.</creator><creator>Foray, L.</creator><creator>Detjen, A.</creator><creator>Verkuijl, S.</creator><creator>Sekadde, M.</creator><creator>Khosa, C.</creator><creator>Mbassa, V.</creator><creator>Taguebue, J-V.</creator><creator>Kwedi Nolna, S.</creator><creator>Bonnet, M.</creator><creator>Marcy, O.</creator><creator>Orne-Gliemann, J.</creator><general>International Union Against Tuberculosis and Lung Disease</general><general>The Union</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>1XC</scope><scope>5PM</scope></search><sort><creationdate>20220301</creationdate><title>Knowledge, attitudes and practices on childhood TB among healthcare workers</title><author>Joshi, B. ; Font, H. ; Wobudeya, E. ; Nanfuka, M. ; Kobusingye, A. ; Mwanga-Amumpaire, J. ; Natukunda, N. ; Turyahabwe, S. ; Borand, L. ; Mao, T. E. ; Dim, B. ; Ferhi, R. ; Moh, R. ; Kouakou, J. ; Aka Bony, R. ; Breton, G. ; Mustapha, A. ; Matata, L. ; Foray, L. ; Detjen, A. ; Verkuijl, S. ; Sekadde, M. ; Khosa, C. ; Mbassa, V. ; Taguebue, J-V. ; Kwedi Nolna, S. ; Bonnet, M. ; Marcy, O. ; Orne-Gliemann, J.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c555t-71b330d98c01e8c9faabff0fee91d1e59e81c5c9c2352f65a829a35e0d9d979a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Child</topic><topic>Childhood Tb</topic><topic>Cross-Sectional Studies</topic><topic>Health Facilities</topic><topic>Health Knowledge, Attitudes, Practice</topic><topic>Health Personnel</topic><topic>Healthcare Workers</topic><topic>Humans</topic><topic>Knowledge</topic><topic>Life Sciences</topic><topic>Lmics</topic><topic>Original</topic><topic>Santé publique et épidémiologie</topic><topic>Surveys and Questionnaires</topic><topic>Tuberculosis</topic><topic>Tuberculosis - diagnosis</topic><topic>Tuberculosis - therapy</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Joshi, B.</creatorcontrib><creatorcontrib>Font, H.</creatorcontrib><creatorcontrib>Wobudeya, E.</creatorcontrib><creatorcontrib>Nanfuka, M.</creatorcontrib><creatorcontrib>Kobusingye, A.</creatorcontrib><creatorcontrib>Mwanga-Amumpaire, J.</creatorcontrib><creatorcontrib>Natukunda, N.</creatorcontrib><creatorcontrib>Turyahabwe, S.</creatorcontrib><creatorcontrib>Borand, L.</creatorcontrib><creatorcontrib>Mao, T. 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E.</au><au>Dim, B.</au><au>Ferhi, R.</au><au>Moh, R.</au><au>Kouakou, J.</au><au>Aka Bony, R.</au><au>Breton, G.</au><au>Mustapha, A.</au><au>Matata, L.</au><au>Foray, L.</au><au>Detjen, A.</au><au>Verkuijl, S.</au><au>Sekadde, M.</au><au>Khosa, C.</au><au>Mbassa, V.</au><au>Taguebue, J-V.</au><au>Kwedi Nolna, S.</au><au>Bonnet, M.</au><au>Marcy, O.</au><au>Orne-Gliemann, J.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Knowledge, attitudes and practices on childhood TB among healthcare workers</atitle><jtitle>The international journal of tuberculosis and lung disease</jtitle><addtitle>Int J Tuberc Lung Dis</addtitle><date>2022-03-01</date><risdate>2022</risdate><volume>26</volume><issue>3</issue><spage>243</spage><epage>251</epage><pages>243-251</pages><issn>1027-3719</issn><eissn>1815-7920</eissn><abstract>BACKGROUND: Increasing childhood TB case detection requires the deployment of diagnostic services at peripheral healthcare level. Capacity and readiness of healthcare workers (HCWs) are key to the delivery of innovative approaches.METHODS: In 2019, HCWs from five district hospitals (DHs) and 20 primary healthcare centres (PHCs) in Cambodia, Cameroon, Cote d´Ivoire, Sierra Leone and Uganda completed a self-administered knowledge-attitudes-practices (KAP) questionnaire on childhood TB. We computed knowledge and attitudes as scores and identified HCW characteristics associated with knowledge scores using linear regression.RESULT: Of 636 eligible HCWs, 497 (78%) participated. Median knowledge scores per country ranged between 7.4 and 12.1 (/18). Median attitude scores ranged between 2.8 and 3.3 (/4). Between 13.3% and 34.4% of HCWs reported diagnosing childhood with (presumptive) TB few times a week. Practising at PHC level, being female, being involved in indirect TB care, having a non-permanent position, having no previous research experience and working in Cambodia, Cameroon, Cote d´Ivoire and Sierra Leone as compared to Uganda were associated with a lower knowledge score.CONCLUSION: HCWs had overall limited knowledge, favourable attitudes and little practice of childhood TB diagnosis. Increasing HCW awareness, capacity and skills, and improving access to effective diagnosis are urgently needed.</abstract><cop>France</cop><pub>International Union Against Tuberculosis and Lung Disease</pub><pmid>35197164</pmid><doi>10.5588/ijtld.21.0317</doi><tpages>9</tpages><oa>free_for_read</oa></addata></record>
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subjects Child
Childhood Tb
Cross-Sectional Studies
Health Facilities
Health Knowledge, Attitudes, Practice
Health Personnel
Healthcare Workers
Humans
Knowledge
Life Sciences
Lmics
Original
Santé publique et épidémiologie
Surveys and Questionnaires
Tuberculosis
Tuberculosis - diagnosis
Tuberculosis - therapy
title Knowledge, attitudes and practices on childhood TB among healthcare workers
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