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

Abstract Background Healthcare 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 fa...

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Main Authors: Kelly Elimian, Carina King, Ozius Dewa, Emmanuel Pembi, Benjamin Gandi, Sebastian Yennan, Puja Myles, Catherine Pritchard, Birger Carl Forsberg, Tobias Alfvén
Format: Article
Language:English
Published: BMC 2023-02-01
Series:Human Resources for Health
Subjects:
Online Access:https://doi.org/10.1186/s12960-023-00796-7
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author Kelly Elimian
Carina King
Ozius Dewa
Emmanuel Pembi
Benjamin Gandi
Sebastian Yennan
Puja Myles
Catherine Pritchard
Birger Carl Forsberg
Tobias Alfvén
author_facet Kelly Elimian
Carina King
Ozius Dewa
Emmanuel Pembi
Benjamin Gandi
Sebastian Yennan
Puja Myles
Catherine Pritchard
Birger Carl Forsberg
Tobias Alfvén
author_sort Kelly Elimian
collection DOAJ
description Abstract Background Healthcare 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. Methods We 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. Results Overall, 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. Conclusions HCWs 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.
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spelling doaj.art-f009cb79fe2a4fe0b6969a1ea41ee1152023-02-05T12:14:50ZengBMCHuman Resources for Health1478-44912023-02-0121111210.1186/s12960-023-00796-7Healthcare workers knowledge of cholera multi-stranded interventions and its determining factors in North-East Nigeria: planning and policy implicationsKelly Elimian0Carina King1Ozius Dewa2Emmanuel Pembi3Benjamin Gandi4Sebastian Yennan5Puja Myles6Catherine Pritchard7Birger Carl Forsberg8Tobias Alfvén9Department of Global Public Health, Karolinska InstitutetDepartment of Global Public Health, Karolinska InstitutetSchool of Health Systems and Public Health, University of PretoriaAdamawa State Ministry of HealthBauchi State Ministry of HealthNigeria Centre for Disease ControlClinical Practice Research Datalink, Medicines and Healthcare Products Regulatory AgencyPublic Health Division, Nottinghamshire County CouncilDepartment of Global Public Health, Karolinska InstitutetDepartment of Global Public Health, Karolinska InstitutetAbstract Background Healthcare 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. Methods We 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. Results Overall, 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. Conclusions HCWs 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.https://doi.org/10.1186/s12960-023-00796-7CholeraKnowledgeHealthcare workersInterventionsConflictNigeria
spellingShingle Kelly Elimian
Carina King
Ozius Dewa
Emmanuel Pembi
Benjamin Gandi
Sebastian Yennan
Puja Myles
Catherine Pritchard
Birger Carl Forsberg
Tobias Alfvén
Healthcare workers knowledge of cholera multi-stranded interventions and its determining factors in North-East Nigeria: planning and policy implications
Human Resources for Health
Cholera
Knowledge
Healthcare workers
Interventions
Conflict
Nigeria
title Healthcare workers knowledge of cholera multi-stranded interventions and its determining factors in North-East Nigeria: planning and policy implications
title_full Healthcare workers knowledge of cholera multi-stranded interventions and its determining factors in North-East Nigeria: planning and policy implications
title_fullStr Healthcare workers knowledge of cholera multi-stranded interventions and its determining factors in North-East Nigeria: planning and policy implications
title_full_unstemmed Healthcare workers knowledge of cholera multi-stranded interventions and its determining factors in North-East Nigeria: planning and policy implications
title_short Healthcare workers knowledge of cholera multi-stranded interventions and its determining factors in North-East Nigeria: planning and policy implications
title_sort healthcare workers knowledge of cholera multi stranded interventions and its determining factors in north east nigeria planning and policy implications
topic Cholera
Knowledge
Healthcare workers
Interventions
Conflict
Nigeria
url https://doi.org/10.1186/s12960-023-00796-7
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