Effect of frontline health workers’ training and e-based technology on awareness and reporting of brucellosis in pastoral communities in Tanzania

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dc.contributor.authorMligo, Belinda Joseph
dc.date.accessioned2022-10-13T07:09:54Z
dc.date.available2022-10-13T07:09:54Z
dc.date.issued2021
dc.descriptionMasters Dissertationen_US
dc.description.abstractBrucellosis is an endemic bacterial disease reported in many sub-Saharan Africa countries. Awareness of frontline healthcare workers (FHWs) influences diagnosis, reporting and management of the disease. This study assessed the effect of FHWs’ training on knowledge, attitude and practices (KAP) as well as the use of digital technology on reporting of brucellosis in pastoral communities. A quasi-experimental study was conducted from December 2019 to December 2020 to assess KAP of (FHWs) following training about brucellosis enhanced by application of electronic-based technology supported by AfyaData to promote early detection and reporting of brucellosis. A pre- and post-intervention survey was conducted to assess KAP among FHWs regarding brucellosis using a structured questionnaire uploaded in AfyaData app. Blood sera samples were collected from 141 patients with febrile illnesses attending selected health facilities for treatment in pastoral community. The blood samples were screened for brucellosis using Rose Bengal plate test (RBPT) and positive samples confirmed by Competitive Enzyme Linked Immunosorbent Assay (c-ELISA) test. KAP was assessed by 5-point Likert scale. Descriptive analysis for frequencies and proportion was performed. Chi-square/fisher exact test were used to compare for KAP and categorical variables while analysis of continuous variables was done by t-test and ANOVA. Results revealed that majority of the participants were not aware about brucellosis in both humans and animals, although they had good attitude towards brucellosis prevention. Participant’s awareness, practice and attitude increased significantly (p=0.003, p=0.001, p=0.032), respectively, after the intervention. Out of 141 tested patients 17(12.1%) were positive on RBPT and four (2.8%) were confirmed by c-ELISA. Participants’ KAP was mostly poor and after the training a significantiii improvement was achieved. These findings highlight the need to strengthen FHWs knowledge, practices and diagnostic capacities related to brucellosis.en_US
dc.identifier.urihttp://www.suaire.sua.ac.tz/handle/123456789/4646
dc.language.isoenen_US
dc.publisherSokoine University of Agricultureen_US
dc.subjectPastoral communitiesen_US
dc.subjectHealth workersen_US
dc.subjectBrucellosisen_US
dc.titleEffect of frontline health workers’ training and e-based technology on awareness and reporting of brucellosis in pastoral communities in Tanzaniaen_US
dc.typeThesisen_US

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