Knowledge and perception of pulmonary tuberculosis in pastoral communities in the middle and Lower Awash Valley of Afar region, Ethiopia

Legesse, Mengistu; Ameni, Gobena; Mamo, Gezahegne; Medhin, Girmay; Shawel, Dawit; Bjune, Gunnar; Abebe, Fekadu
January 2010
BMC Public Health;2010, Vol. 10 Issue 1, p187
Academic Journal
Background: Afar pastoralists live in the northeast of Ethiopia, confined to the most arid part of the country, where there is least access to educational, health and other social services. Tuberculosis (TB) is one of the major public health problems in Afar region. Lack of knowledge about TB could affect the health-seeking behaviour of patients and sustain the transmission of the disease within the community. In this study, we assessed the knowledge and perception of apparently healthy individuals about pulmonary tuberculosis (PTB) in pastoral communities of Afar. Methods: Between March and May 2009, a community-based cross-sectional questionnaire survey involving 818 randomly selected healthy individuals was conducted in pastoral communities of Afar region. Moreover, two focus group discussions (FGDs), one with men and one with women, were conducted in each of the study area to supplement the quantitative study. Results: The majority (95.6%) of the interviewees reported that they have heard about PTB (known locally as "Labadore"). However, the participants associated the cause of PTB with exposure to cold air (45.9%), starvation (38%), dust (21.8%) or smoking/chewing Khat (Catha edulis) (16.4%). The discussants also suggested these same factors as the cause of PTB. All the discussants and the majority (74.3%) of the interviewees reported that persistent cough as the main symptom of PTB. About 87.7% of the interviewees and all the discussants suggested that PTB is treatable with modern drugs. All the discussants and the majority (95%) of the interviewees mentioned that the disease can be transmitted from a patient to another person. Socio-cultural practices, e.g. sharing cups (87.6%), and house type (59.8%) were suggested as risk factors for exposure to PTB in the study areas, while shortage of food (69.7%) and chewing khat (53.8%) were mentioned as factors favouring disease development. Almost all discussants and a considerable number (20.4%) of the interviewees thought that men were the highest risk group to get PTB as well as playing a major role in the epidemiology of the disease. Conclusion: The findings indicate that pastoral communities had basic awareness about the disease. Nevertheless, health education to transform their traditional beliefs and perceptions about the disease to biomedical knowledge is crucial.


Related Articles

  • Ocular Vaccinia: A Consequence of Unrecognized Contact Transmission. Montgomery, Jay R.; Carroll, Robert B.; McCollum, Andrea M. // Military Medicine;Jun2011, Vol. 176 Issue 6, p699 

    A patient developed severe ocular vaccinia via autoinoculation after acquiring unrecognized contact-transmitted vaccinia from wrestling with vaccinated members of his unit. This case highlights both the need to reinforce infection-control measures among vaccinees and the need for providers to be...

  • Do developing malaria parasites manipulate their mosquito host? Evidence from infected Anopheles funestus (Giles) from Mozambique Charlwood, J.D.; Tomás, E.V.E. // Transactions of the Royal Society of Tropical Medicine & Hygiene;Jun2011, Vol. 105 Issue 6, p352 

    Summary: Mosquito survival is linked to the activities performed in each oviposition cycle, whilst development of malaria parasites in them is largely temperature dependent. Extending the oviposition cycle of the mosquito, even as a side effect of normal development of the parasite, may enhance...

  • An epidemic of sporotrichosis in Rio de Janeiro, Brazil: epidemiological aspects of a series of cases.  // Epidemiology & Infection;Sep2008, Vol. 136 Issue 9, p1192 

    SUMMARYThe first epidemic of sporotrichosis in humans as a result of zoonotic transmission was identified in Rio de Janeiro, Brazil, in 1998. A cross-sectional study was conducted applying questionnaires to patients seen in 2002 at Evandro Chagas Clinical Research Institute, Fiocruz, with a...

  • Malaria.  // International Travel & Health 2007;2007, p146 

    Chapter 7 of the book "International Travel and Health 2007" is presented. It presents information on malaria, a common and life-threatening disease in tropical and subtropical areas. Malaria is caused by four different species of the protozoan parasite Plasmodium. The chapter discusses how the...

  • Facial Image Processing. Garcia, Christophe; Ostermann, Jörn; Cootes, Tim // EURASIP Journal on Image & Video Processing;2007 Special Issue 2, Vol. 2007, p1 

    The article discusses various reports published within the issue, including one on the construction of a behavioral face model for affective social agents, one on the investigation of the robust facial feature detection for facial expression recognition in uncontrolled environments, and one on...

  • Seroprevalence of Leishmania infantum in a rural area of Senegal: analysis of risk factors involved in transmission to humans Faye, Babacar; Bucheton, Bruno; Bañuls, Anne Laure; Senghor, Massila Wagué; Niang, Abdoul Aziz; Diedhiou, Souleymane; Konaté, Oumar; Dione, Michel Mainack; Hide, Mallorie; Mellul, Sandra; Knecht, Romy; Delaunay, Pascal; Marty, Pierre; Gaye, Oumar // Transactions of the Royal Society of Tropical Medicine & Hygiene;Jun2011, Vol. 105 Issue 6, p333 

    Abstract: Whereas Leishmania infantum, the agent of visceral leishmaniasis (VL), is well known in North Africa, very limited data exist on its spread in West Africa, where mainly cutaneous leishmaniasis has been widely reported. Nevertheless, dogs infected with L. infantum were recently found in...

  • An analysis of influenza outbreaks in institutions and enclosed societies. FINNIE, T. J. R.; COPLEY, V. R.; HALL, I. M.; LEACH, S. // Epidemiology & Infection;Jan2014, Vol. 142 Issue 1, p107 

    This paper considers the reported attack ratio arising from outbreaks of influenza in enclosed societies. These societies are isolated from the wider community and have greater opportunities for contact between members which would aid the spread of disease. While the particular kind of society...

  • Transmission of shiga toxin-producing Escherichia coli O104:H4 at a family party possibly due to contamination by a food handler, Germany 2011. DIERCKE, M.; KIRCHNER, M.; CLAUSSEN, K.; MAYR, E.; STROTMANN, I.; FRANGENBERG, J.; SCHIFFMANN, A.; BETTGE-WELLER, G.; ARVAND, M.; UPHOFF, H. // Epidemiology & Infection;Jan2014, Vol. 142 Issue 1, p99 

    We investigated a cluster of shiga toxin-producing Escherichia coli (STEC) O104:H4 infections after a family party during a large STEC O104:H4 outbreak in Germany. To identify the vehicle we conducted a retrospective cohort study. Stool samples of party guests, and food and environmental samples...

  • Association between childhood infection, serum inflammatory markers and intelligence: findings from a population-based prospective birth cohort study. MACKINNON, N.; ZAMMIT, S.; LEWIS, G.; JONES, P. B.; KHANDAKER, G. M. // Epidemiology & Infection;Jan2018, Vol. 146 Issue 2, p256 

    A link between infection, inflammation, neurodevelopment and adult illnesses has been proposed. The objective of this study was to examine the association between infection burden during childhood - a critical period of development for the immune and nervous systems - and subsequent systemic...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics