Community’s knowledge, attitudes and practices about tuberculosis in Itang Special District, Gambella Region, South Western Ethiopia
Open Access
- 7 August 2013
- journal article
- Published by Springer Science and Business Media LLC in BMC Public Health
- Vol. 13 (1), 734
- https://doi.org/10.1186/1471-2458-13-734
Abstract
Background Tuberculosis (TB) is one of the primary public health problems in developing countries. HIV/AIDS, poverty, undernutrition, over-crowded living conditions and lack of knowledge about the disease have been known to increase the risk of spreading the bacteria and the risk of developing the disease. The objective of this study was to assess the level of TB knowledge, attitudes and practices of rural communities of Itang Special District of the Gambella Regional State of Ethiopia. Methods Between November 2011 and January 2012, a community-based cross sectional study was carried out in a randomly selected rural kebeles (i.e. the smallest administrative units) of Itang communities. The study participants were interviewed using pre-tested questionnaire. The overall knowledge, attitudes and practices of the study participants were assessed using the mean score of each outcome as a cut-off value. Having a score above the mean on each of the three target outcomes was equated with having a good level of knowledge, or having favorable attitude and good practices towards TB. Results Out of 422 study participants (58.5% males and 41.5% females) only 3.3% mentioned bacteria/germ as a cause of pulmonary TB (PTB) and 9.9% mentioned cough for at least two weeks as the sign of TB. Taking the mean knowledge score as the cut-off value, 57.6% (95% CI: 52.7% to 62.3%) of the study participants had good level of knowledge about TB, 40.8% (95% CI: 36.0% to 45.6%) had favorable attitude towards TB and 45.9% (95% CI: 41.1% to 50.9%) had good practices. Female participants were less likely to have good level of knowledge [adjusted odds ratio (AOR) = 0.33, 95% CI, 0.21 to 0.51, p < 0.001], less likely to have favorable attitude (AOR = 0.23, 95% CI, 0.14 to 0.37) and less likely to have good practices (AOR = 0.37, 95% CI, 0.24 to 0.57, p < 0.001) compared to male participants. Conclusion Majority of the study participants had no correct information about the causative agent of TB and the main symptom of PTB. Moreover, low level of overall knowledge, attitudes and practices about TB was associated with female participants. Hence, TB control strategy in the present study area should include community awareness raising component.Keywords
This publication has 20 references indexed in Scilit:
- Urban-rural inequities in knowledge, attitudes and practices regarding tuberculosis in two districts of Pakistan's Punjab provinceInternational Journal for Equity in Health, 2011
- Exploring TB-Related Knowledge, Attitude, Behaviour, and Practice among Migrant Workers in TajikistanTuberculosis Research and Treatment, 2011
- Knowledge, Attitudes, and Practice of Tuberculosis among Maasai in Simanjiro District, TanzaniaThe American Journal of Tropical Medicine and Hygiene, 2010
- Changing Concepts of “Latent Tuberculosis Infection” in Patients Living with HIV InfectionJournal of Immunology Research, 2010
- Knowledge and perception of pulmonary tuberculosis in pastoral communities in the middle and Lower Awash Valley of Afar region, EthiopiaBMC Public Health, 2010
- TB treatment initiation and adherence in a South African community influenced more by perceptions than by knowledge of tuberculosisBMC Public Health, 2010
- Health care seeking among pulmonary tuberculosis suspects and patients in rural Ethiopia: a community-based studyBMC Public Health, 2009
- Health Extension Workers Improve Tuberculosis Case Detection and Treatment Success in Southern Ethiopia: A Community Randomized TrialPLOS ONE, 2009
- Gender difference in knowledge of tuberculosis and associated health-care seeking behaviors: a cross-sectional study in a rural area of ChinaBMC Public Health, 2008
- Evaluation of light microscopy and rapid diagnostic test for the detection of malaria under operational field conditions: a household survey in EthiopiaMalaria Journal, 2008