JOSHI, Basant; FONT, Helene; 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.; AKA BONY, R.; BRETON, G.; MUSTAPHA, A.; MATATA, L.; FORAY, L.; DETJEN, A.; VERKUIJL, Sabine; SEKADDE, M.; KHOSA, C.; MBASSA, V.; TAGUEBUE, J. V.; KWEDI NOLNA, S.; BONNET, M.; MARCY, Olivier; ORNE-GLIEMANN, Joanna

doi:10.5588/ijtld.21.0317

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JOSHI, Basant

Bordeaux population health [BPH]
Global Health in the Global South [GHiGS]

FONT, Helene
Bordeaux population health [BPH]
Global Health in the Global South [GHiGS]

WOBUDEYA, E.

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International Journal of Tuberculosis and Lung Disease. 2022-03-01, vol. 26, n° 3, p. 243-251

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BACKGROUND: 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.METHODS: 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.RESULT: 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.CONCLUSION: 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.< Réduire

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LMICs

Childhood TB

Healthcare workers

Knowledge

Tuberculosis

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Knowledge, attitudes and practices on childhood TB among healthcare workers

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