6/30/2023 0 Comments Kap survey![]() ![]() Sources of information considered as very useful/useful included pocket-based AM prescribing guidelines (69%) and internet sources (62%). Confidence among AM prescribing was higher among attending physicians (82%) compared to residents (30%, p < 0.001%). Patients' pressure to prescribing AMs was considered as contributing to AM overuse in the community (72%) more than in the hospital setting (50%). AM overuse was perceived both for the community (96%) and the hospital settings (90%). Participants strongly agreed that AMR is a problem worldwide (70%) and in Peru (65%), but less in their own practice (22%). Theoretical knowledge was good (mean score of 6 ± 1.3 on 7 questions) in contrast to poor awareness (< 33%) of local AMR rates of key-pathogens. ![]() MethodsĬross-sectional study using a self-administered questionnaire ResultsĪ total of 256 participants completed the questionnaire (response rate 82%). The present study evaluated knowledge, attitudes and practices about AMR and AM prescribing among medical doctors in two large public hospitals in Lima, Peru, a middle-income country. This study highlights the importance of knowledge attitudes and practice surveys, with integration of entomological sampling, to better guide malaria vector control product development, strategy acceptance and compliance within endemic communities.Īnd practices (KAP) Attitudes IRS ITN Knowledge Malaria Spatial repellents Zambia.Misuse of antimicrobials (AMs) and antimicrobial resistance (AMR) are global concerns. ![]() While ITNs were found to be used in study households, misperceptions between presence of mosquitoes and bite protection practices did exist. ![]() Participant responses also indicated a misalignment between a low perception of IRS efficacy and high stated acceptance of IRS, which should be further examined to better understand uptake and sustainability of other vector control strategies. The current study identified misconceptions in malaria transmission among primary caregivers indicating remaining knowledge gaps in educational campaigns. Insecticide treated nets use was higher in households from which at least one mosquito was captured. Overall, 398 mosquitoes were captured from light-trap collections, including 49 anophelines and 349 culicines. Respondents reportedly liked the SR prototype product but improvements on color, shape and size were suggested. Cumulatively, self-reported mosquito net use was 67%. All caregivers agreed that malaria was a life-threatening disease with the majority of caregivers having received malaria information from health centers (86%) and community health workers (51%). Ninety-nine percent of participants cited bites of infected mosquitoes as the route of malaria transmission although other routes were also reported including drinking dirty water (64%) and eating contaminated food (63%). Entomological sampling was performed in participant homes using CDC Miniature Light Traps to relate indoor mosquito density with participant responses. The aims of this study were to assess malaria KAP of primary caregivers and explore trends in relation to ITN use, IRS acceptance and mosquito density in two endemic communities in Luangwa and Nyimba districts, Zambia.Ī cohort of 75 primary caregivers were assessed using a cross-sectional, forced-choice malaria KAP survey on ITN use, IRS acceptance and initial perception of a novel spatial repellent (SR) product under investigation. Uptake and utilization of these and novel interventions are often affected by knowledge, attitudes and practices (KAP) amongst persons living in malaria-endemic areas. Despite rapid upscale of insecticide-treated nets (ITNs) and indoor residual spraying (IRS), malaria remains a major source of morbidity and mortality in Zambia. ![]()
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