Fesseha, Tadesse (2005) Retrospective Record Assessment of Visceral Leishmaniasis(VL) Patients in Kahsaye-Abera Hospital and Knowledge, Attitude and Practice Pertaining to Visceral Leishmaniasis among the Indigenous People and Migrant Workers in Kafta-Humera District. Masters thesis, Addis Ababa University.
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Abstract
According to a substantial body of evidence, leishmaniasis is posing burden on people of all ages living in different parts of the world at varying degrees of morbidity and mortality. Visceral leishmaniasis (VL) is endemic in the south, southwest, north, North West and north east peripheral low lands of Ethiopia. K/Humera, in Tigray Region is VL endemic. Its proximity to the Sudan, economic attraction and a venue for several migrant workers further complicates the problem. With the objective of describing the magnitude of visceral leishmaniasis at Kahsaye-Abera Hospital, a study was conducted using a pre-tested questionnaire and a retrospective clinical records review. The knowledge and practice of both migrant workers and indigenous people was found to be 56.1%, 77.2% and 6.9%, 68% respectively. Out of the 931 migrant workers, 69% were familiar with the work kala azar compared to 85.8% of the indigenous population. A bit higher than 40% of both cohorts accessed the information from health facilities with only 4% of the labor migrant force and 14.7% of the local inhabitants from the media. A wide gap of behavioral practice was evidenced between the labor migrants and local residents, where 93.1% migrant workers and 29% indigenous people exhibited poor practice towards visceral leishmaniasis. Of the 882 retrospectively reviewed patients’ records, only 174 (19.7%) had no any inter-current infections whereas majority of the group 80.2% had atleast one concurrent infection with the highest rate of respiratory infections, 48.4% and the HIV/leishmania co-infection was as high as 25%. HIV co-infected VL cases were seven times more likely to relapse compared to HIV negative VL cases. Respondents were less familiar with the sandflies as the major players in the transmission of VL (kala azar) and had unsatisfactory perception and poor practice towards kala azar. Moreover, mortality and HIV/VL co-infection rate was among the highest. Health workers and other stake holders should join hands to adequately disseminate information to the community to actively participate in the sphere of prevention.
| Item Type: | Thesis (Masters) |
|---|---|
| Subjects: | R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine |
| Divisions: | Africana |
| Depositing User: | Emmanuel Ndorimana |
| Date Deposited: | 10 Aug 2018 12:08 |
| Last Modified: | 10 Aug 2018 12:08 |
| URI: | http://thesisbank.jhia.ac.ke/id/eprint/8099 |
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