Community Knowledge, Attitude and Practices towards Tuberculosis among Household Heads in Mogadishu, Somalia
DOI:
https://doi.org/10.55544/ijrah.2.5.13Keywords:
Bovine tuberculosis, Mogadishu, Tuberculosis, One health, Prevention, Somalia, ZoonoosisAbstract
Tuberculosis (TB) is a disease that reappears after they have been on a significant decline occurring worldwide and a source of multi-billion- dollar loss and human fatality yearly. The situation is worse in developing countries like Somalia, where lower knowledge, attitude, and practice (KAP) of the people is impending. A cross sectional survey was conducted between January 2022 and June 2022 to assess the knowledge, attitude and practices towards tuberculosis among 171 household heads in Wadajir district Mogadishu, Somalia. A structured questionnaire was designed, pretested and self-administered to household heads. Human TB was recognized by 157(91.8 %) of household heads, while only 34(19.9%) had heard of animal TB. In the present study, 121(70.8%) of household heads had not considered bovine Tb as zoonosis. Majorities of respondents indicated that they have acquired the awareness about TB from Family/neighbors that accounts for about 80(46.8%), and only 38(22.2%) of them got information from radio/TV. Knowledge on the infectious cause of human and animal TB was known by 4.7%. However, misperceptions such as weather and toxins were also implicated as causes of human TB. In the present study, a significant proportion (48.5%) of the study population used to consume raw milk that was studied as the sources of infection to TB. Herein, the majority of household heads have indicated inhalation (57.3%) and contacts (23.4%) as means of transmission of human tuberculosis and only (15.7%) of respondents mentioned consuming raw animal products. In conclusion, as the bovine tuberculosis is less aware as well as misperception about cause, ways of transmission and prevention towards human tuberculosis on household heads. Thus, it is highly necessary to convey public health education to assemble public awareness about the transmission, etiology, predisposing factors of infection and its prevention and control in the study area.
Downloads
Metrics
References
Theon, C., Lobue, P., Enarson, D., Kaneene, J. and de Kantor, I. (2009) Tuberculosis a Re-Emerging Disease in Animals and Humans. Veterinaria Italiana, 45, 135-181.
Pal, M., Gebrezabiher, W. and Rahman, M.T. (2014.a): The roles of veterinary, medical and environmental professionals to achieve One Health. Journal of Advanced Veterinary Animal Research 1: 148-155.
Smith, N., Gordon, S. and Hewinson, R., (2006): Bottlenecks and broomsticks: the molecular evolution of Mycobacterium bovis. Nat RevMicrobiol., 4: Pp, 670-681.Srivastava, K., Chauhan, D., Gupta, P., Singh, H.,
World Health Organization. Global tuberculosis report 2014. Geneva: 2014.
Dr Firdosi R Mehta, MO STB & Dr N. Mojadidi WR, WHO, 2000. DOTS implementation in complex emergencies - Somalia's experience, https://reliefweb.int/report/somalia/dots-implementation-complex-emergencies-somalias-experience
World Bank. World Development Indicators. 2014.
Inambao A, Adan A, Mohamed A. Report on the evaluation of the global fund TB program in Somalia. 2013.
Indani I. Multidrug-Resistant Tuberculosis, Somalia, 2010-2011. Emerging Infectious Disease journal-CDC. 2013;19(3):478–480.
Korenromp EL, Williams BG, Gouws E, Dye C, Snow RW. Measurement of trends in childhood malaria mortality in Africa: an assessment of progress toward targets based on verbal autopsy. The Lancet infectious diseases. 2003;3(6):349–358.
WHO (2013) Global Tuberculosis Control: Epidemiology, Strategy and Financing. WHO, Geneva, 1-341.
Zager EM, McNerney R. Multidrug-resistant tuberculosis. BMC Infectious Diseases. 2008;8:10.
Lawn SD, Afful B, Acheampong JW (2006): Pulmonary tuberculosis diagnostic delay. Int J Tuberc Lung Dis4: 1190–1191. Lawn SD, Lancet (2011): Zumla AI. Tuberculosis. 378:57-72.
Hassmiller KM (2006): The associationbetween smoki ng and tuberculosis. Salud Public Mex 48: S201– S216.
Kumar V, Abbas AK, Fausto N, Mitchell RN (2007): Robbins Basic Pathology 8 th edition, Saunders Elsevier 516–522.
Katale, B.Z., Mbugi, E.V., Kendal, S., Fyumagwa, R.D., Kibik, G.S., Godfrey-Faussett, P. et al., 2012, ‘Bovine tuberculosis at the human-livestock-wildlife interface: Is it a public health problem in Tanzania? A review’, Onderstepoort Journal of Veterinary Research 79(2), Art. #463, 8 pages. http://dx.doi.org/10.4102/ojvr.v79i2.463
OIE. (2008). Office International des Epizooties Terrestrial manual: Chapter 2.4. 7.
Krönke, F. (2004). Zoonosen bei pastoralnomadischen FulBe im Tschad. Zeitschrift für Ethnologie, 71-91.
Ashford, D. A., Whitney, E., Raghunathan, P., & Cosivi, O. (2001). Epidemiology of selected mycobacteria that infect humans and other animals. Revue scientifique et technique (International Office of Epizootics), 20(1), 325-337.
Müller, B., Dürr, S., Alonso, S., Hattendorf, J., Laisse, C. J., Parsons, S. D., ... & Zinsstag, J. (2013). Zoonotic Mycobacterium bovis–induced tuberculosis in humans. Emerging infectious diseases, 19(6), 899.
Martin C, Perfect T, Mantle G, (2005): Non-attendance in primary care: the views of patients and practices on its causes, impact and solutions. Fam Pract., 22 (6): 638-643. 10.1093/fampra/cmi076.
Chung JW, Wong TK, Yeung AC, (2004): Non-attendance at an orthopaedic and trauma specialist outpatient department of a regional hospital. J Nurs Manag., 12 (5): 362-367. 10.1111/j.1365-2834.2004.00484.x.
Birhanu, T., Mezgebu, E., Ejeta, E., Gizachew, A. and Nekemte, E. (2015) Review on Diagnostic Techniques of Bovine Tuberculosis in Ethiopia. Report and Opinion, 7, 7-14. Marsland Press.
Verma, A.K., Dhama, K., Chakraborty, S., Kumar, A., Tiwari, R., et al. (2014) Strategies for Combating and Eradicating Important Infectious Diseases of Animals with Particular Reference to India: Present and Future Perspectives. Asian Journal of Animal and Veterinary Advances, 9, 77-106.
http://dx.doi.org/10.3923/ajava.2014.77.106
Vial, F., Johnston, W.T. and Donnelly, C.A. (2011) Local Cattle and Badger Populations Affect the Risk of Confirmed Tuberculosis in British Cattle Herds. PloS One, 6.
http://dx.doi.org/10.1371/journal.pone.0018058
Graham, J., Smith, G.C., Delahay, R.J., Bailey, T., McDonald, R.A. and Hodgson, D. (2013) Multi-State Modelling Reveals Sex-Dependent Transmission, Progression and Severity of Tuberculosis in Wild Badgers. Epidemiology and Infection, 141, 1429-1436.
http://dx.doi.org/10.1017/S0950268812003019
Girmay, G., Pal, M., Deneke, D., Weldesilasse, G., and Eqar, Y., (2012): Prevalence and public health importance of bovine tuberculosis in and around Mekelle town, Ethiopian.
Millet, J.P., Moreno, A., Fina, L., Del Baño, L., Orcau, A. and de Olalla, P.G. (2013): Factors that influence current tuberculosis epidemiology.Eurasian Spine Journal. Jun., 22 (Supplement). 4: 539–48.
OIE (2009): Bovine Tuberculosis: Terrestrial Manual. Chapter 2.4.7,1-16. of Tanzania. Tropical Animal Health and Production30: 233–239. OIE, (2012): ‘Bovine tuberculosis’, in Manual of diagnostic tests and vaccines for terrestrial animals http:/www.oie.int/fileadmin/Home/eng/Health_standards/tahm/tahm/2.04.07_BOVI NE_TB.
Caws M, The waiters G, Dunstan S, (2008): The influence of host and bacterial genotype on the development of disseminated disease with Mycobacterium tuberculosis. Plops Pathology.
Herenda D, Chambers PG, Ettriqui A, Seneviranta P, da Silva (2000): Manual on meat inspection for developing countries, Specific Diseases of Cattle.8:267-352.
Meni, G., Vordermeier, M., Firdessa, R., Aseffa, A., Hewinson, G., Gordon, S.V. and Berg, S. (2011) Mycobacterium Tuberculosis Infection in Grazing Cattle in Central Ethiopia. Veterinary Journal, 188, 359.
Cousins, D.V. (2001) Mycobacterium bovis Infection and Control in Domestic Livestock. Scientific and Technical Review of the Office International des Epizooties, 20, 71-85.
Cosivi, O., Grange, J.M., Daborn, C.J., Raviglione, M.C., Fujikura, T., Cousins, D., Robinson, R.A., Huchzermeyer, H.F., de Kantor, I. and Meslin, F.X. (1998) Zoonotic Tuberculosis Due to Mycobacterium bovis in Developing Countries. Emerging Infectious Diseases, 4, 1-17. http://dx.doi.org/10.3201/eid0401.980108
J. and de Kantor, I. (2009) Tuberculosis a Re-Emerging Disease in Animals and Humans. Veterinaria Italiana, 45, 135-181.
Schiller, I., Ray Waters, W., Vordermeier, H.M., Jemmi, T., Welsh, M., et al. (2011) Bovine Tuberculosis in Europe from the Perspective of an Officially Tuberculosis Free Country: Trade, Surveillance and Diagnostics. Veterinary Microbiology, 151, 153-159.
http://dx.doi.org/10.1016/j.vetmic.2011.02.039
Schiller, I., Vordermeier, H.M., Waters, W.R., Whelan, A.O., Coad, M., et al. (2010) Bovine Tuberculosis: Effect of the Tuberculin Skin Test on in Vitro Interferon Gamma Responses. Veterinary Immunology and Immunopathology, 136, 1-11.
http://dx.doi.org/10.1016/j.vetimm.2010.02.007
Smith, R.L., Tauer, L.W., Sanderson, M.W. and Grohn, Y.T. (2014) Minimum Cost to Control Bovine Tuberculosis in Cow-Calf Herds. Preventive Veterinary Medicine, 115, 18-28.
http://dx.doi.org/10.1016/j.prevetmed.2014.03.014
Renuka, M. and Muralidhar(2012): Knowledge andawareness of tuberculosis among high school risk factors in cattle and humans, at and around Dilla town, Southern Ethiopia. Animal and Veterinary Sciences2: 94-100.
Gopichandran, V., Roy, P., Sitaram A.K, and John, K. R. (2010): Impact of a simple Educational intervention on the knowledge and awareness of tuberculosis among high school children in Vellore, India. Indian J Community Medicine 35: 174–175.
Romha, G., Gebreegziabher, G. and Ameni, G. (2014): Assessment of bovine tuberculosis and its control. Rua- Domenech, R. (2006): Human Mycobacterium bovis infection in the United Kingdom Incidence, risks,control measures and review of the zoonotic aspects of bovine tuberculosis Tuberculosis, 86:Pp, 77-109.
Munyeme, M., Muma, B.J., Munangandu, H.M., Kankya, C., Skjerve, E. and Tryland, M. (2010): Cattle owners' awareness of bovine tuberculosis in high and low prevalence settings of the wildlife-livestock interface areas in Zambia. BMC Veterinary Research6: 21.
Hoa, N. P., KimChuc, N. T. and Thorson, A. (2009): Knowledge, attitudes, and practices about tuberculosis and choice of communication channels in a rural community in Vietnam. Health Policy90: 8–12.
Gebremariam, M.K., Bjune, G.A. and Frich, J.C. (2011): Lay beliefs of TB and TB/HIV coinfection in Addis Ababa, Ethiopia: a qualitative study. BMC Research Notes4: 277.
Bati J., Legesse M. and Medhin G. (2013): Communit y’s knowledge, attitudes and practices about tuberculosis in ItangSpecial District, GambellaRegion, South Western Ethiopia. BMC Public Health.13: 734.
Abebe G, Deribew A, Apers L, Woldemichael K, ShiffaJ, Tesfaye M, AbdissaA, Deribie F, JiraC, Bezabih M, Aseffa A, Duchateau L, Colebunders R (2010): Knowledge, health seeking behaviour and perceived stigma towards tuberculosis among tuberculosis suspects in a rural community in south west Ethiopia. Plos One, 5:10-15.
Legesse, M., Ameni, G., Mamo. G., Medhin, G., Bjun e, G. and Abebe, F. (2012): Association of the level of IFN-ᵧ produced by T cells in response to Mycobacterium tuberculosis-specific antigens with the size of skin test indurations among individuals with latent tuberculosis in a highly tuberculosis- endemic setting. IntIm.,10: Pp, 1- 8.
Yusuf-Isleged, M. A. (2022). Prevalence and Associated Risk Factors of Bovine Mastitis on Dairy Cattle in Mogadishu Somalia.
Yousif, K., Maki, M. E., Babikir, R. K., & Abuaisha, H. (2021). The effect of an educational intervention on awareness of various aspects of pulmonary tuberculosis in patients with the disease. Eastern Mediterranean Health Journal, 27(3), 287-292.
Bacay-Domingo, M. C. N., & Ong-Lim, A. L. (2009). A descriptive study of the knowledge, attitudes and practices on tuberculosis among treatment partners of pediatric patients in Tarlac City. PIDSP J, 10(1), 28-34.
Shitaye, J. E., Tsegaye, W. and Pavlik, I. (2007): Bovine tuberculosis infection in animal and human populations in Ethiopia. Review Vet Med, 52: Pp,317-332.
Shitaye, J.E., Tsegaye W., Pavlik. I. 2007. Bovinetuberculosis infection in animal and humanpopulations in Ethiopia: a review. Vet Med (Praha),52(8), p.317.
Ali, M. K., Karanja, S., & Karama, M. (2017). Factors associated with tuberculosis treatment outcomes among tuberculosis patients attending tuberculosis treatment centres in 2016-2017 in Mogadishu, Somalia. Pan African Medical Journal, 28(1).
Ayele, W. Y., Neill, S. D., Zinsstag, J., Weiss, M. G., & Pavlik, I. (2004). Bovine tuberculosis: an old disease but a new threat to Africa. The International Journal of Tuberculosis and Lung Disease, 8(8), 924-937.
Luciano, S. A., & Roess, A. (2020). Human zoonotic tuberculosis and livestock exposure in low‐and middle‐income countries: A systematic review identifying challenges in laboratory diagnosis. Zoonoses and public health, 67(2), 97-111.
Ibrahim, S.; Danbirni, S.; Abubakar, U.B.; Usman, A.; Saidu, A.S.; Abdulkadir, A. Estimates of Mycobacterial Infections Based on Abattoir Surveillance in Two North-Eastern States of Nigeria. Acta Sci. Microbiol. 2018, 1, 60–65.
Hamilton W, Round A, Sharp D, (2002): Patient, hospital, and general practitioner characteristics associated with non-attendance: a cohort study. Br J Gen Pract., 52 (477): 317-319.
Tadesse, T., Tadesse, U. L. T. M. T., Birhan, Y. F., & Tona, T. (2017). Review on the Epidemiology, Public Health and Economic Importance of Bovine Tuberculosis, Journal of Biology, Agriculture and Healthcare, 7(15), 16-23.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2022 Integrated Journal for Research in Arts and Humanities
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.