Health Care Providers’ Knowledge, Attitudes and Practice Towards Prevention and Control of Childhood Tuberculosis in Primary Health Care Centres in Ibadan, Nigeria

Authors

  • Victoria Bolanle Brown School of Midwifery, University College Hospital, Ibadan
  • P.O. ELEMESE

DOI:

https://doi.org/10.4314/ajbr.v27i2.12

Keywords:

Health Providers, Knowledge, Attitude, Practice, Children, Tuberculosis Control

Abstract

Nigeria is one of the 30 high tuberculosis burden countries globally. Childhood tuberculosis has been identified as a hidden epidemic with a large proportion of the cases remaining undetected. For many years, tuberculosis control programmes have focused on adults, programmes and studies specific to childhood tuberculosis should be prioritized. Healthcare providers are frontline workers fighting against tuberculosis, their knowledge, attitude, and practices are essential to tuberculosis control. This study assessed knowledge, attitude and practice on prevention and control of childhood tuberculosis in selected primary health care (PHC) centres in three Local Government Areas (LGAs) in Ibadan, southwestern Nigeria. A cross-sectional design was employed in the study. A total of 270 participants were selected using multistage sampling technique. A semi-structured questionnaire was used to collect data which were analysed and presented in percentages. Association between variables were tested with chi-square and Fisher’s exact test at 0.05 level of significance. Overall, 215 (79.65) of the participants were female, 125 (46.3%) were nurses/midwives, only 27 (10%) ever attended a training on tuberculosis in the preceding 12 months. Sixty-nine (25.6%) had good knowledge, 46 (17%) had positive attitude, while 74 (27.4%) had good practice of childhood tuberculosis prevention and control. Good knowledge was found to have significant association with good practice among the participants (P=0.000). The study revealed poor knowledge, attitude and practice towards childhood tuberculosis prevention and control among PHC providers in selected centres in Ibadan, Nigeria. Training and re-training of PHC providers on tuberculosis is recommended at grassroot level.

References

An, Y., Teo, A.K.J., Huot, C.Y., Tieng, S., Khun, K.E., Pheng, S.H., Leng, C., Deng, S., Song, N., Nop, S., Nonaka, D. and Yi, S. (2022). Knowledge, attitude, and practices regarding childhood tuberculosis detection and management among healthcare providers in Cambodia: a cross-sectional study. BMC Infect Dis, 22:317. doi.org/10.1186/s12879-022-07245-1

Bjerrum, S., Rose, M.V., Bygbjerg, I.C., Mfinanga, S.G., Tersboel, B.P. and Ravn, P. (2012). Primary health care staff's perceptions of childhood tuberculosis: a qualitative study from Tanzania. BMC Health Serv Res. (12)6. doi: 10.1186/1472-6963-12-6.

Caminero, J.A. and Scardigli, A. (2016). Tuberculosis in children: Challenges and opportunities. An Pediatr (Barc). 85(6);281-283. doi:10.1016/j.anpede.2016.10.002

Chiang, S.S., Cruz, A.T., Del, C.H., Contreras, C., Becerra, M.C. and Lecca, L. (2015). Evaluation of health-care providers’ knowledge of childhood tuberculosis in Lima, Peru. Paediatr Int Child H, 35(1); 29- 35. doi:10.1179/2046905514y.0000000143

DuPreez, K., Gabardo, B.M.A., Kabra, S.K., Triasih, R., Lestari, T., Kal, M. et al. (2022). Priority Activities in Child and Adolescent Tuberculosis to Close the Policy-Practice Gap in Low- and Middle-Income Countries. Pathogens (11);196. doi.org/n 10.3390/pathogens11020196.

Federal Government of Nigeria: National Primary Health Care Development Agency (NPHCDA) (2012). Minimum Standards for Primary Health Care in Nigeria: Nigeria; Abuja. Pp 56-57.

Joshi, B., Font, H., Wobudeya, E., Nanfuka, M., Kobusingye, A., Mwanga-Amumpaire, J. et al. for the TB-Speed Decentralization Study Group (2022). Knowledge, attitudes and practices on childhood TB among healthcare workers. Int J Tuberc Lung Dis 26(3);243–251. doi.org/10.5588/ijtld.21.0317

Klinton, J.S., Rastogi, N., Sifumba, Z., Bryden, D., Thapa. P. and Heitkamp P. (2023). Engage, equip and empower all health workers to end TB. PLOS glob. public health. Available from: https://speakingofmedicine.plos.org/2023/04/03/engage-equip-and-empower-all-health-workers-to-end-tb/ [Accessed:16 April, 2023].

Lwanga, S. K., Lemeshow, S. and World Health Organization (1991). Sample size determination in health studies: a practical manual. India; World Health Organization. Available from: https://iris.who.int/bitstream/handle/10665/40062/9241544058_%28p23-p80%29.pdf?sequence=2&isAllowed=y [Accessed:11 July, 2020]

Mohamoud, A., Murila, F. and Nduati, R. (2017). Knowledge and Practice of Private Medical Practitioners regarding Diagnosis and Treatment of Paediatric Tuberculosis in Mogadishu. Open J. Pediatr. (7);77-85. doi.org/10.4236/ojped.2017.72011.

Noé, A., Ribeiro, R.M., Anselmo, R., Maixenchs, M., Sitole, L. and Munguambe, K. (2017). Knowledge, attitudes and practices regarding tuberculosis care among health workers in Southern Mozambique. BMC Pulb Med. 2017, 17(1);1–7. doi:10.1186/s12890-016-0344-8.

Ogbuabor, D.C., Onwujekwe, O.E. (2019). Governance of tuberculosis control programme in Nigeria. Infect Dis Poverty 17;8(1):45. doi: 10.1186/s40249-019-0556-2.

Olusola, H.A. and Ahmadu, I. (2019). Knowledge and practice of TB infection control by health care workers at National Tuberculosis and Leprosy Training Centre, Zaria, North Western Nigeria. Act. Scie. Medic. Sci. 3 (1); 38-46.

Ramlan, W., Zainuddin, H., Kamarudin, R. (2020). Knowledge and practice on tuberculosis infection control among government primary healthcare workers in a district in Malaysia. Int. J. Public Health. Clin. Sci. e-ISSN :2289-7577, 7(4); 178-192.

Vukugah, T.A., Akoku, D.A., Tchoupa, M.M., Lambert, E. (2022). Knowledge, attitude, and practice on pediatric tuberculosis management among healthcare workers in the centre region of Cameroon: A cross-sectional study. J Trop Med. 15;4482131. doi: 10.1155/2022/4482131.

World Health Organization (2004). Brief Guide on TB Control for Primary Health Care Providers: For Countries in the WHO European Region with a High and Intermediate Burden of Tuberculosis. Available from: https://iris.who.int/bitstream/handle/10665/347447/WHO-EURO-2004-3854-43613-61287-eng.pdf?sequence=1&isAllowed=y [Accessed 16 November, 2022.]

World Health Organization (2018). Roadmap Towards Ending TB in Children and Adolescents (2nd Edition). Available from: https://iris.who.int/bitstream/handle/10665/275422/9789241514798-eng.pdf?sequence=1 [Accessed 15 November, 2022.]

World Health Organization (2020). Global Tuberculosis Report (2020). Available from: https://iris.who.int/bitstream/handle/10665/336069/9789240013131-eng.pdf?sequence=1 [Accessed 16 November, 2022.]

World Health Organization (2021). Global tuberculosis report 2021. Available from: https://iris.who.int/bitstream/handle/10665/346387/9789240037021-eng.pdf?sequence=1 [Accessed 17 November, 2022.]

World Health Organization (2022). Global Tuberculosis Report 2022. Available from: https://iris.who.int/bitstream/handle/10665/363752/9789240061729-eng.pdf?sequence=1 [Accessed 05 March, 2023.]

Yada,v R.P., Sokhan, K., Ngak, S. and Khim, T.B. (2017). Examining the quality of childhood tuberculosis diagnosis in Cambodia: a cross-sectional study. BMC Public Health 17(1);1–9. doi:10.1186/s12889-017-4084-3

Downloads

Published

2024-05-31

Issue

Section

Original Articles

How to Cite

Health Care Providers’ Knowledge, Attitudes and Practice Towards Prevention and Control of Childhood Tuberculosis in Primary Health Care Centres in Ibadan, Nigeria. (2024). African Journal of Biomedical Research, 27(2), 287-294. https://doi.org/10.4314/ajbr.v27i2.12

Similar Articles

1-10 of 263

You may also start an advanced similarity search for this article.