Healthcare workers knowledge of cholera multi-stranded interventions and its determining factors in North-East Nigeria: planning and policy implications

Human Resources for Health

Research

Emmanuel Pembi¹  Benjamin Gandi²  Puja Myles³  Birger Carl Forsberg⁴  Carina King⁴  Kelly Elimian⁵  Tobias Alfvén⁶  Sebastian Yennan⁷  Catherine Pritchard⁸  Ozius Dewa⁹ 

[1]Adamawa State Ministry of Health, Yola, Adamawa State, Nigeria

[2]Bauchi State Ministry of Health, Yola, Bauchi State, Nigeria

[3]Clinical Practice Research Datalink, Medicines and Healthcare Products Regulatory Agency, London, UK

[4]Department of Global Public Health, Karolinska Institutet, Stockholm, Sweden

[5]Department of Global Public Health, Karolinska Institutet, Stockholm, Sweden

[6]Exhale Health Foundation, Abuja, Nigeria

[7]Department of Global Public Health, Karolinska Institutet, Stockholm, Sweden

[8]Sachs’ Children and Youth Hospital, Stockholm, Sweden

[9]Nigeria Centre for Disease Control, Abuja, Nigeria

[10]Public Health Division, Nottinghamshire County Council, Nottingham, UK

[11]School of Health Systems and Public Health, University of Pretoria, Pretoria, South Africa

关键词: Cholera;    Knowledge;    Healthcare workers;    Interventions;    Conflict;    Nigeria;   

DOI  :  10.1186/s12960-023-00796-7

 received in 2022-10-20, accepted in 2023-01-20,  发布年份 2023

来源: Springer

【 摘 要 】

BackgroundHealthcare workers’ (HCWs) knowledge of multi-stranded cholera interventions (including case management, water, sanitation, and hygiene (WASH), surveillance/laboratory methods, coordination, and vaccination) is crucial to the implementation of these interventions in healthcare facilities, especially in conflict-affected settings where cholera burden is particularly high. We aimed to assess Nigerian HCWs’ knowledge of cholera interventions and identify the associated factors.MethodsWe conducted a cross-sectional study using a structured interviewer-administered questionnaire with HCWs from 120 healthcare facilities in Adamawa and Bauchi States, North-East Nigeria. A knowledge score was created by assigning a point for each correct response. HCWs’ knowledge of cholera interventions, calculated as a score, was recoded for ease of interpretation as follows: 0–50 (low); 51–70 (moderate); ≥ 71 (high). Additionally, we defined the inadequacy of HCWs’ knowledge of cholera interventions based on a policy-relevant threshold of equal or lesser than 75 scores for an intervention. Multivariable logistic regression was used to identify the factors associated with the adequacy of knowledge score.ResultsOverall, 490 HCWs participated in the study (254 in Adamawa and 236 in Bauchi), with a mean age of 35.5 years. HCWs’ knowledge score was high for surveillance/laboratory methods, moderate for case management, WASH, and vaccination, and low for coordination. HCWs’ knowledge of coordination improved with higher cadre, working in urban- or peri-urban-based healthcare facilities, and secondary education; cholera case management and vaccination knowledge improved with post-secondary education, working in Bauchi State and urban areas, previous training in cholera case management and response to a cholera outbreak—working in peri-urban areas had a negative effect. HCWs’ knowledge of surveillance/laboratory methods improved with a higher cadre, 1-year duration in current position, secondary or post-secondary education, previous training in cholera case management and response to a cholera outbreak. However, HCWs’ current position had both positive and negative impacts on their WASH knowledge.ConclusionsHCWs in both study locations recorded a considerable knowledge of multi-stranded cholera interventions. While HCWs’ demographic characteristics appeared irrelevant in determining their knowledge of cholera interventions, geographic location and experiences from the current position, training and involvement in cholera outbreak response played a significant role.

【 授权许可】

CC BY   
© The Author(s) 2023

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