Community health workers’ knowledge, attitudes, and practices towards epilepsy in Sofala, central Mozambique
Autor(a) principal: | |
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Data de Publicação: | 2022 |
Outros Autores: | , , , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Institucional da UNIFESP |
Texto Completo: | https://www.mdpi.com/1660-4601/19/22/15420 https://repositorio.unifesp.br/11600/65988 https://doi.org/10.3390/ijerph192215420 |
Resumo: | Abstract: Background: Epilepsy is the most common neurological disease in the world, affecting 50 million people, with the majority living in low- and middle-income countries (LMICs). A major focus of epilepsy treatment in LMICs has been task-sharing the identification and care for epilepsy by community health workers (CHWs). The present study aimed to assess the knowledge, attitudes, and practices (KAPs) of CHWs towards epilepsy in Mozambique. Methods: One hundred and thirty-five CHWs completed a questionnaire that included socio-demographic characteristics and 44-items divided into six subscales pertaining to KAPs towards epilepsy (QKAP-EPI) across nine districts of Sofala, Mozambique. The internal consistency was examined to evaluate the reliability of the instrument (QKAP-EPI). The association between sociodemographic variables and QKAP-EPI subscales was examined using linear regression models. Results: The internal consistency was moderate for two subscales (causes of epilepsy, α = 0.65; medical treatment, α = 0.694), acceptable for cultural treatment (α = 0.797) and excellent for 2 subscales (safety and risks, α = 0.926; negative attitudes, α = 0.904). Overall, CHWs demonstrated accurate epilepsy knowledge (medical treatment: mean = 1.63, SD = 0.28; safety/risks: mean = 1.62, SD = 0.59). However, CHWs reported inaccurate epilepsy knowledge of the causes, negative attitudes, as well as culturally specific treatments for epilepsy, such as: “if a person with epilepsy burns when set on fire they cannot be treated”. Knowl- edge about how to manage epileptic seizures varied across the different emergency care practices, from the accurate belief that it is not advisable to place objects in the individual’s mouth during an epileptic seizure, to the wrong perception of the need to hold the person in seizures to control seizures. Heterogeneity in the level of epilepsy knowledge was observed among CHWs, when consid- ering epilepsy according to the local names as treatable (“Dzumba”) and other forms as untreatable (“Nzwiti”). Conclusion: CHWs knowledge of medical treatment and epilepsy safety/risks were adequate. However, information on the causes of epilepsy, stigmatizing attitudes, cultural treatment, and some knowledge of epileptic seizure management were low. These areas of poor knowledge should be the focus of educating CHWs in increasing their ability to provide quality care for patients with epilepsy in Mozambique. |
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oai_identifier_str |
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Repositório Institucional da UNIFESP |
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Cumbe, Vasco Francisco Japissane [UNIFESP]Greene, ClaireFumo, Afonso Mazine TiagoFumo, HélderMabunda, Dirceu [UNIFESP]Gouveia, Lídia Chaúque [UNIFESP]Oquendo, Maria A.Duarte, Cristiane S.Sidat, MohsinMari, Jair de Jesus[UNIFESP]http://lattes.cnpq.br/2027679113606570Basel, Switzerland2022-11-23T17:25:19Z2022-11-23T17:25:19Z2022-11-21https://www.mdpi.com/1660-4601/19/22/15420Cumbe, V.F.J.; Greene, C.; Fumo, A.M.T.; Fumo, H.; Mabunda, D.; Gouveia, L.C.; Oquendo, M.A.; Duarte, C.S.; Sidat, M.; Mari, J.d.J. Community health workers’ knowledge, attitudes, and practices towards epilepsy in Sofala, central Mozambique. Int. J. Environ. Res. Public Health 2022, 19, 15420. https://doi.org/10.3390/ ijerph192215420https://repositorio.unifesp.br/11600/65988https://doi.org/10.3390/ijerph192215420Abstract: Background: Epilepsy is the most common neurological disease in the world, affecting 50 million people, with the majority living in low- and middle-income countries (LMICs). A major focus of epilepsy treatment in LMICs has been task-sharing the identification and care for epilepsy by community health workers (CHWs). The present study aimed to assess the knowledge, attitudes, and practices (KAPs) of CHWs towards epilepsy in Mozambique. Methods: One hundred and thirty-five CHWs completed a questionnaire that included socio-demographic characteristics and 44-items divided into six subscales pertaining to KAPs towards epilepsy (QKAP-EPI) across nine districts of Sofala, Mozambique. The internal consistency was examined to evaluate the reliability of the instrument (QKAP-EPI). The association between sociodemographic variables and QKAP-EPI subscales was examined using linear regression models. Results: The internal consistency was moderate for two subscales (causes of epilepsy, α = 0.65; medical treatment, α = 0.694), acceptable for cultural treatment (α = 0.797) and excellent for 2 subscales (safety and risks, α = 0.926; negative attitudes, α = 0.904). Overall, CHWs demonstrated accurate epilepsy knowledge (medical treatment: mean = 1.63, SD = 0.28; safety/risks: mean = 1.62, SD = 0.59). However, CHWs reported inaccurate epilepsy knowledge of the causes, negative attitudes, as well as culturally specific treatments for epilepsy, such as: “if a person with epilepsy burns when set on fire they cannot be treated”. Knowl- edge about how to manage epileptic seizures varied across the different emergency care practices, from the accurate belief that it is not advisable to place objects in the individual’s mouth during an epileptic seizure, to the wrong perception of the need to hold the person in seizures to control seizures. Heterogeneity in the level of epilepsy knowledge was observed among CHWs, when consid- ering epilepsy according to the local names as treatable (“Dzumba”) and other forms as untreatable (“Nzwiti”). Conclusion: CHWs knowledge of medical treatment and epilepsy safety/risks were adequate. However, information on the causes of epilepsy, stigmatizing attitudes, cultural treatment, and some knowledge of epileptic seizure management were low. These areas of poor knowledge should be the focus of educating CHWs in increasing their ability to provide quality care for patients with epilepsy in Mozambique.Project 41—8th Call from the National Fund of Investigation in Mozambique (FNI), 2017.engIJERPH_MDPIIJERPH: International Journal of Environmental Research in Public HealthMozambiqueEpilepsyCommunity health workersKnowledgeAttitudesPracticesPrimary health careCommunity health workers’ knowledge, attitudes, and practices towards epilepsy in Sofala, central MozambiqueConhecimentos, atitudes e prácticas dos agentes comunitários de saúde sobre a epilepsia em Sofala, centro de Moçambiqueinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/article1915420info:eu-repo/semantics/openAccessreponame:Repositório Institucional da UNIFESPinstname:Universidade Federal de São Paulo (UNIFESP)instacron:UNIFESPEscola Paulista de Medicina (EPM)Psiquiatria e Psicologia MédicaPsiquiatriaPesquisa de Implementação em Saúde MentalPsiquiatriaMedicinaORIGINALCommunity Health Workers’ Knowledge, Attitudes, and Practices towards Epilepsy in Sofala, Central Mozambique.pdfCommunity Health Workers’ Knowledge, Attitudes, and Practices towards Epilepsy in Sofala, Central Mozambique.pdfCommunity Health Workers’ Knowledge, Attitudes, and Practices towards Epilepsy in Sofala, Central Mozambiqueapplication/pdf874914${dspace.ui.url}/bitstream/11600/65988/1/Community%20Health%20Workers%e2%80%99%20Knowledge%2c%20Attitudes%2c%20and%20Practices%20towards%20Epilepsy%20in%20Sofala%2c%20Central%20Mozambique.pdfbaa3cb649a7518f1751b36dfc14f25e5MD51open accessLICENSElicense.txtlicense.txttext/plain; charset=utf-85853${dspace.ui.url}/bitstream/11600/65988/2/license.txtf3c6a1642d0b2b19b6bb525e4974d48dMD52open accessTEXTCommunity Health Workers’ Knowledge, Attitudes, and Practices towards Epilepsy in Sofala, Central Mozambique.pdf.txtCommunity Health Workers’ Knowledge, Attitudes, and Practices towards Epilepsy in Sofala, Central 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InstitucionalPUBhttp://www.repositorio.unifesp.br/oai/requestopendoar:34652022-11-30T11:40:03Repositório Institucional da UNIFESP - Universidade Federal de São Paulo (UNIFESP)false |
dc.title.en.fl_str_mv |
Community health workers’ knowledge, attitudes, and practices towards epilepsy in Sofala, central Mozambique |
dc.title.alternative.pt_BR.fl_str_mv |
Conhecimentos, atitudes e prácticas dos agentes comunitários de saúde sobre a epilepsia em Sofala, centro de Moçambique |
title |
Community health workers’ knowledge, attitudes, and practices towards epilepsy in Sofala, central Mozambique |
spellingShingle |
Community health workers’ knowledge, attitudes, and practices towards epilepsy in Sofala, central Mozambique Cumbe, Vasco Francisco Japissane [UNIFESP] Mozambique Epilepsy Community health workers Knowledge Attitudes Practices Primary health care |
title_short |
Community health workers’ knowledge, attitudes, and practices towards epilepsy in Sofala, central Mozambique |
title_full |
Community health workers’ knowledge, attitudes, and practices towards epilepsy in Sofala, central Mozambique |
title_fullStr |
Community health workers’ knowledge, attitudes, and practices towards epilepsy in Sofala, central Mozambique |
title_full_unstemmed |
Community health workers’ knowledge, attitudes, and practices towards epilepsy in Sofala, central Mozambique |
title_sort |
Community health workers’ knowledge, attitudes, and practices towards epilepsy in Sofala, central Mozambique |
author |
Cumbe, Vasco Francisco Japissane [UNIFESP] |
author_facet |
Cumbe, Vasco Francisco Japissane [UNIFESP] Greene, Claire Fumo, Afonso Mazine Tiago Fumo, Hélder Mabunda, Dirceu [UNIFESP] Gouveia, Lídia Chaúque [UNIFESP] Oquendo, Maria A. Duarte, Cristiane S. Sidat, Mohsin Mari, Jair de Jesus[UNIFESP] |
author_role |
author |
author2 |
Greene, Claire Fumo, Afonso Mazine Tiago Fumo, Hélder Mabunda, Dirceu [UNIFESP] Gouveia, Lídia Chaúque [UNIFESP] Oquendo, Maria A. Duarte, Cristiane S. Sidat, Mohsin Mari, Jair de Jesus[UNIFESP] |
author2_role |
author author author author author author author author author |
dc.contributor.authorLattes.pt_BR.fl_str_mv |
http://lattes.cnpq.br/2027679113606570 |
dc.contributor.author.fl_str_mv |
Cumbe, Vasco Francisco Japissane [UNIFESP] Greene, Claire Fumo, Afonso Mazine Tiago Fumo, Hélder Mabunda, Dirceu [UNIFESP] Gouveia, Lídia Chaúque [UNIFESP] Oquendo, Maria A. Duarte, Cristiane S. Sidat, Mohsin Mari, Jair de Jesus[UNIFESP] |
dc.subject.por.fl_str_mv |
Mozambique |
topic |
Mozambique Epilepsy Community health workers Knowledge Attitudes Practices Primary health care |
dc.subject.eng.fl_str_mv |
Epilepsy Community health workers Knowledge Attitudes Practices Primary health care |
description |
Abstract: Background: Epilepsy is the most common neurological disease in the world, affecting 50 million people, with the majority living in low- and middle-income countries (LMICs). A major focus of epilepsy treatment in LMICs has been task-sharing the identification and care for epilepsy by community health workers (CHWs). The present study aimed to assess the knowledge, attitudes, and practices (KAPs) of CHWs towards epilepsy in Mozambique. Methods: One hundred and thirty-five CHWs completed a questionnaire that included socio-demographic characteristics and 44-items divided into six subscales pertaining to KAPs towards epilepsy (QKAP-EPI) across nine districts of Sofala, Mozambique. The internal consistency was examined to evaluate the reliability of the instrument (QKAP-EPI). The association between sociodemographic variables and QKAP-EPI subscales was examined using linear regression models. Results: The internal consistency was moderate for two subscales (causes of epilepsy, α = 0.65; medical treatment, α = 0.694), acceptable for cultural treatment (α = 0.797) and excellent for 2 subscales (safety and risks, α = 0.926; negative attitudes, α = 0.904). Overall, CHWs demonstrated accurate epilepsy knowledge (medical treatment: mean = 1.63, SD = 0.28; safety/risks: mean = 1.62, SD = 0.59). However, CHWs reported inaccurate epilepsy knowledge of the causes, negative attitudes, as well as culturally specific treatments for epilepsy, such as: “if a person with epilepsy burns when set on fire they cannot be treated”. Knowl- edge about how to manage epileptic seizures varied across the different emergency care practices, from the accurate belief that it is not advisable to place objects in the individual’s mouth during an epileptic seizure, to the wrong perception of the need to hold the person in seizures to control seizures. Heterogeneity in the level of epilepsy knowledge was observed among CHWs, when consid- ering epilepsy according to the local names as treatable (“Dzumba”) and other forms as untreatable (“Nzwiti”). Conclusion: CHWs knowledge of medical treatment and epilepsy safety/risks were adequate. However, information on the causes of epilepsy, stigmatizing attitudes, cultural treatment, and some knowledge of epileptic seizure management were low. These areas of poor knowledge should be the focus of educating CHWs in increasing their ability to provide quality care for patients with epilepsy in Mozambique. |
publishDate |
2022 |
dc.date.accessioned.fl_str_mv |
2022-11-23T17:25:19Z |
dc.date.available.fl_str_mv |
2022-11-23T17:25:19Z |
dc.date.issued.fl_str_mv |
2022-11-21 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.pt_BR.fl_str_mv |
https://www.mdpi.com/1660-4601/19/22/15420 |
dc.identifier.citation.fl_str_mv |
Cumbe, V.F.J.; Greene, C.; Fumo, A.M.T.; Fumo, H.; Mabunda, D.; Gouveia, L.C.; Oquendo, M.A.; Duarte, C.S.; Sidat, M.; Mari, J.d.J. Community health workers’ knowledge, attitudes, and practices towards epilepsy in Sofala, central Mozambique. Int. J. Environ. Res. Public Health 2022, 19, 15420. https://doi.org/10.3390/ ijerph192215420 |
dc.identifier.uri.fl_str_mv |
https://repositorio.unifesp.br/11600/65988 |
dc.identifier.doi.pt_BR.fl_str_mv |
https://doi.org/10.3390/ijerph192215420 |
url |
https://www.mdpi.com/1660-4601/19/22/15420 https://repositorio.unifesp.br/11600/65988 https://doi.org/10.3390/ijerph192215420 |
identifier_str_mv |
Cumbe, V.F.J.; Greene, C.; Fumo, A.M.T.; Fumo, H.; Mabunda, D.; Gouveia, L.C.; Oquendo, M.A.; Duarte, C.S.; Sidat, M.; Mari, J.d.J. Community health workers’ knowledge, attitudes, and practices towards epilepsy in Sofala, central Mozambique. Int. J. Environ. Res. Public Health 2022, 19, 15420. https://doi.org/10.3390/ ijerph192215420 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.ispartof.pt_BR.fl_str_mv |
IJERPH: International Journal of Environmental Research in Public Health |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.coverage.spatial.pt_BR.fl_str_mv |
Basel, Switzerland |
dc.publisher.none.fl_str_mv |
IJERPH_MDPI |
publisher.none.fl_str_mv |
IJERPH_MDPI |
dc.source.none.fl_str_mv |
reponame:Repositório Institucional da UNIFESP instname:Universidade Federal de São Paulo (UNIFESP) instacron:UNIFESP |
instname_str |
Universidade Federal de São Paulo (UNIFESP) |
instacron_str |
UNIFESP |
institution |
UNIFESP |
reponame_str |
Repositório Institucional da UNIFESP |
collection |
Repositório Institucional da UNIFESP |
bitstream.url.fl_str_mv |
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Repositório Institucional da UNIFESP - Universidade Federal de São Paulo (UNIFESP) |
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