乌干达姆巴莱地区人类和动物卫生专业人员对狂犬病管理的认识、态度和做法。

One Health Outlook Pub Date : 2020-12-14 eCollection Date: 2020-01-01 DOI:10.1186/s42522-020-00031-6
Fred Monje, Joseph Erume, Frank N Mwiine, Herbert Kazoora, Samuel George Okech
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摘要

目的评估动物和人类保健专业人员对狂犬病管理的知识、态度和实践(KAP),并确定 KAP 之间的关系水平:2012 年 12 月至 2013 年 3 月期间,在姆巴莱地区随机抽取了 147 名动物和人类卫生专业人员进行了横断面研究。其中,只有 16 人是动物卫生专业人员。定量数据通过半结构化问卷调查获得,定性数据则通过 4 次焦点小组讨论 (FGD) 和 2 次关键信息提供者 (KI) 访谈获得。定量数据被输入 EpiInfo 3.5.1 版并计算比例,而定性数据则根据访谈脚本的内容分析归纳为主题和次主题:在所有受访者中,只有 44%(65/147)对狂犬病有足够的了解,25%(37/147)对狂犬病管理持积极态度。半数受访者(50%,73/147)的良好做法有限。对狂犬病有所了解的受访者更有可能对狂犬病管理持积极态度(OR = 3.65;95% CI:1.60-8.3),而持积极态度的受访者更有可能对狂犬病管理采取良好做法(OR:2.22;95% CI:1.01-4.86):结论:受访者对狂犬病防治知识知之甚少,态度消极,良好行为有限。地区领导应定期开展狂犬病知识进修培训,以拓宽工作人员的知识面,改善他们的态度,进而改进狂犬病管理方法。应利用多部门和多学科的协作努力("统一健康 "方法)来控制狂犬病,以降低该地区的发病率:在线版本包含补充材料,可查阅 10.1186/s42522-020-00031-6。
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Knowledge, attitude and practices about rabies management among human and animal health professionals in Mbale District, Uganda.

Objective: To assess the knowledge, attitude and practices (KAP) of animal and human health professionals towards rabies management and also to establish the level of relationship between KAP.

Methods: A cross-sectional study was conducted between December 2012 and March 2013 among 147 randomly selected animal and human health professionals in Mbale District. Of these, only 16 were animal health professionals. Quantitative data was obtained using a semi-structured questionnaire while qualitative data was obtained from 4 Focus Group Discussions (FGDs) and 2 Key Informant (KI) interviews. Quantitative data was entered into EpiInfo version 3.5.1 and proportions computed while qualitative data was summarised into themes and sub-themes resulting from content analysis of interview scripts.

Findings: Of all the respondents, only 44% (65/147) had sufficient knowledge about rabies while 25% (37/147) had positive attitude towards rabies management. A half of the respondents (50%, 73/147) had limited good practices. Respondents knowledgeable about rabies were more likely to have positive attitude towards rabies management (OR = 3.65; 95% CI: 1.60-8.3) while respondents with positive attitudes, were more likely to have good practices towards rabies management (OR: 2.22; 95% CI: 1.01-4.86).

Conclusion: Respondents had low knowledge, negative attitude and limited good practices of rabies management. Regular refresher trainings about rabies to broaden staff knowledge and improve their attitudes and hence practices of rabies management should be conducted by the District leaders. Harnessing multi-sectoral and multi-disciplinary collaborative efforts ("One Health" approach) for rabies control should be instituted to reduce the incidence of the disease in the District.

Supplementary information: The online version contains supplementary material available at 10.1186/s42522-020-00031-6.

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