Masterarbeit, 2015
47 Seiten
1. INTRODUCTION
1.1 BACKGROUND
1.2 STATEMENT OF THE PROBLEM
1.4 SIGNIFICANCE OF THE STUDY
2. OBJECTIVE
2.1 General objective
2.2 Specific objectives
3. METHODS
3.1 Study design
3.2 Study area/Study Period
3.3 Population
3.3.1 Source population
3.3.2 Study population
3.4 Sample size & sampling procedures
3.5 Inclusion and exclusion criteria
3.5.1 Inclusion criteria
3.5.2 Exclusion criteria
3.6 Variable
3.6.1 Dependent variables
3.6.2 Independent variables
3.7 Operational definitions
3.8 Data collection tool and procedure
3.9 Data quality management
3.10 Ethical considerations
4. RESULTS
4.1 Socio demographic characteristics of the respondents
4.2 Knowledge of frontline health workers about MDR TB
4.3 Attitude of frontline health workers towards MDR TB prevention
4.4 Practice of frontline health professionals towards MDR TB prevention
5. DISCUSSION
LIMITATION OF THE STUDY
CONCLUSION
REFERENCES
QUESTIONNAIRES
The primary objective of this study is to assess the knowledge, attitude, and practice of frontline health professionals regarding Multi-Drug Resistant Tuberculosis (MDR TB) prevention and to identify the factors associated with these practices in Addis Ababa health centers.
1.1 BACKGROUND
Tuberculosis (TB) is an infection caused by mycobacterium tuberculosis. No matter it is curable disease it kills close to 2 million people around the world each year. Its impact is greatest on adults in their most productive working years (ages 15-54). Two billion people are infected with TB worldwide, nearly one-third of the global population. Of nine million new tuberculosis cases each year, nearly half a million are multidrug-resistant tuberculosis (MDR-TB). China and India account for 50 percent of MDR-TB cases worldwide.
Multidrug-resistant tuberculosis (MDR-TB) is a major global public health threat resulting from interrupted or incomplete treatment of TB. MDR-TB does not respond to standard TB drugs, and treatment relies on a handful of antibiotics. The treatment for MDR-TB is long and complex, often resulting in poor patient compliance and development of further drug resistance (1).
Resistance to anti-TB drugs can occur when the drugs are misused or mismanaged. Examples include when patients do not complete their full course of treatment; when health-care providers prescribe the wrong treatment, the wrong dose, or length of time for taking the drugs; when the supply of drugs is not always available; or when the drugs are of poor quality. Drug-resistant TB (MDR or XDR) is more common in people who do not take their TB medicine regularly, do not take all of their TB medicines as prescribed by their doctor, develop TB disease again after having taken TB medicine in the past, come from areas of the world where drug-resistant TB is common and have spent time with someone known to have drug-resistant TB disease (2).
1. INTRODUCTION: Provides a global overview of the burden of Tuberculosis and MDR TB, highlighting the critical role of health professionals in disease control and the identified knowledge gaps in previous studies.
2. OBJECTIVE: Defines the research intent, specifically aiming to assess the knowledge, attitude, and practice of health workers in Addis Ababa and identifying associated factors.
3. METHODS: Describes the cross-sectional study design, population sampling from health centers in Addis Ababa, and the data collection tools including questionnaires and ethical considerations.
4. RESULTS: Presents the findings regarding demographic characteristics, knowledge levels, attitudes, and current practices of frontline health workers, including statistical associations.
5. DISCUSSION: Interprets the findings by comparing them with existing literature, focusing on the disparities in knowledge and the influence of training and guidelines on practice.
MDR TB, Frontline health professionals, Knowledge, Attitude, Practice, Tuberculosis prevention, Addis Ababa, Ethiopia, Infection control, Health guidelines, Patient education, Drug resistance, Public health, Clinical management, Questionnaire study.
The study focuses on evaluating the Knowledge, Attitude, and Practice (KAP) of frontline health professionals in Addis Ababa regarding the prevention and management of Multi-Drug Resistant Tuberculosis (MDR TB).
The work covers the global threat of MDR TB, the importance of professional adherence to treatment guidelines, the necessity of proper diagnosis, and the impact of health worker knowledge on clinical outcomes.
The research asks what the current level of knowledge, attitude, and practice is among frontline health workers in Addis Ababa regarding MDR TB prevention, and what factors influence these practices.
This study employs a cross-sectional study design using semi-structured, self-administered questionnaires to collect data from 312 health professionals across 18 health centers, followed by binary and multiple logistic regression analysis via SPSS 20.
The main body examines the socio-demographic characteristics of respondents, benchmarks their knowledge against standard requirements, analyzes their attitudes using Likert scales, and correlates these with their practical application of infection control measures.
The paper is characterized by terms such as MDR TB, frontline health professionals, knowledge, attitude, practice, infection control, and tuberculosis prevention in Ethiopia.
Good knowledge is defined as health professionals who answered 80% or more of the specific knowledge assessment questions correctly.
The study concludes that receiving training on TB/MDR TB within the past 12 months is a strong determinant of good practice among health professionals and is significantly associated with better patient outcomes.
The findings are intended to assist the Addis Ababa Health Bureau in planning resource allocation and designing targeted in-service training programs to bridge the identified knowledge and practice gaps.
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