Open AccessKnowledge, attitudes and practices on childhood TB among healthcare workers
Author(s) -
Basant Joshi,
Hélène Font,
Eric Wobudeya,
Mastula Nanfuka,
A. Kobusingye,
Juliet MwangaAmumpaire,
Naome Natukunda,
Stavia Turyahabwe,
Laurence Borand,
Tan Eang Mao,
Bunnet Dim,
R. Ferhi,
Raoul Moh,
Julie Sackou Kouakou,
Roger Aka Bony,
G. Breton,
A. Mustapha,
Lena Matata,
Lynda Foray,
Anne Detjen,
Sabine Verkuijl,
Moorine Penninah Sekadde,
Celso Khosa,
Vincent Mbassa,
J-V. Taguebue,
Sylvie Kwedi Nolna,
Maryline Bonnet,
Olivier Marcy,
Joanna Orne-Gliemann
Publication year - 2022
Publication title -
the international journal of tuberculosis and lung disease/the international journal of tuberculosis and lung disease. articles traduits en français ...
Language(s) - English
Resource type - Journals
eISSN - 1815-7920
pISSN - 1027-3719
DOI - 10.5588/ijtld.21.0317
Subject(s) - medicine , sierra leone , health care , family medicine , cross sectional study , environmental health , healthcare worker , pediatrics , socioeconomics , pathology , sociology , economics , economic growth
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.