Knowledge, attitudes and practices on childhood TB among healthcare workers.
Knowledge, attitudes and practices on childhood TB among healthcare workers.
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DOI：
10.5588/ijtld.21.0317
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发表时间：
2022-03-01
影响因子：
4
通讯作者：
Orne-Gliemann, J.
中科院分区：
文献类型：
--
作者：
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.;Bony, R. Aka;Breton, G.;Mustapha, A.;Matata, L.;Foray, L.;Detjen, A.;Verkuijl, S.;Sekadde, M.;Khosa, C.;Mbassa, V;Taguebue, J-, V;Nolna, S. Kwedi;Bonnet, M.;Marcy, O.;Orne-Gliemann, J.
增加儿童结核病病例检测需要在外围卫生保健一级部署诊断服务。卫生保健工作者（HCWs）的能力和准备是提供创新方法的关键。2019年，来自柬埔寨、喀麦隆、科特迪瓦、塞拉利昂和乌干达的5家地区医院和20家初级卫生保健中心的卫生保健员完成了一份关于儿童结核病的自我管理的知识-态度-实践问卷。我们将知识和态度计算为分数，并使用线性回归确定与知识分数相关的HCW特征。在636名合资格的医护人员中，497名（78%）参与。每个国家的知识得分中位数在7.4到12.1之间。态度得分中位数在2.8到3.3（/4）之间。13.3%至34.4%的卫生保健工作者报告每周几次诊断儿童患有（推定）结核病。与乌干达相比，在初级保健级别执业、女性、参与间接结核病治疗、拥有非永久性职位、以前没有研究经验以及在柬埔寨、喀麦隆、科特迪瓦和塞拉利昂工作与较低的知识得分相关。卫生保健工作者对儿童结核病诊断的知识、态度和实践总体上有限。迫切需要提高卫生保健知识、能力和技能，并改善获得有效诊断的机会。
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. 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. 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. 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.
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影响因子：
168.9
作者：
Reuter, Anja;Hughes, Jennifer;Furin, Jennifer
通讯作者：
Furin, Jennifer
DOI：
10.2471/blt.07.048512
发表时间：
2008-05-01
期刊：
Bulletin of the World Health Organization: International Journal of Public Health
影响因子：
--
作者：
Graham, Stephen M;English, Mike;Duke, Trevor
通讯作者：
Duke, Trevor
DOI：
10.11694/pamj.supp.2014.18.1.3408
发表时间：
2014-01-01
期刊：
The Pan African medical journal
影响因子：
--
作者：
Ibrahim, Luka Mangveep;Hadjia, Idris Suleiman;Nsubuga, Peter
通讯作者：
Nsubuga, Peter
DOI：
10.5588/ijtld.15.0897
发表时间：
2016-09-01
影响因子：
4
作者：
Nolna, S. Kwedi;Kammogne, I. D.;Nolna, D.
通讯作者：
Nolna, D.
影响因子：
34.3
作者：
Di Angelantonio, Emanuele;Kaptoge, Stephen;Hadaegh, Farzad
通讯作者：
Hadaegh, Farzad