Community health workers’ knowledge, attitudes, and practices towards epilepsy in Sofala, central Mozambique

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dc.citation.issue15420pt_BR
dc.citation.volume19pt_BR
dc.contributor.authorCumbe, Vasco Francisco Japissane [UNIFESP]
dc.contributor.authorGreene, Claire
dc.contributor.authorFumo, Afonso Mazine Tiago
dc.contributor.authorFumo, Hélder
dc.contributor.authorMabunda, Dirceu [UNIFESP]
dc.contributor.authorGouveia, Lídia Chaúque [UNIFESP]
dc.contributor.authorOquendo, Maria A.
dc.contributor.authorDuarte, Cristiane S.
dc.contributor.authorSidat, Mohsin
dc.contributor.authorMari, Jair de Jesus[UNIFESP]
dc.contributor.authorLatteshttp://lattes.cnpq.br/2027679113606570pt_BR
dc.coverage.spatialBasel, Switzerlandpt_BR
dc.date.accessioned2022-11-23T17:25:19Z
dc.date.available2022-11-23T17:25:19Z
dc.date.issued2022-11-21
dc.description.abstractAbstract: Background: Epilepsy is the most common neurological disease in the world, affecting 50 million people, with the majority living in low- and middle-income countries (LMICs). A major focus of epilepsy treatment in LMICs has been task-sharing the identification and care for epilepsy by community health workers (CHWs). The present study aimed to assess the knowledge, attitudes, and practices (KAPs) of CHWs towards epilepsy in Mozambique. Methods: One hundred and thirty-five CHWs completed a questionnaire that included socio-demographic characteristics and 44-items divided into six subscales pertaining to KAPs towards epilepsy (QKAP-EPI) across nine districts of Sofala, Mozambique. The internal consistency was examined to evaluate the reliability of the instrument (QKAP-EPI). The association between sociodemographic variables and QKAP-EPI subscales was examined using linear regression models. Results: The internal consistency was moderate for two subscales (causes of epilepsy, α = 0.65; medical treatment, α = 0.694), acceptable for cultural treatment (α = 0.797) and excellent for 2 subscales (safety and risks, α = 0.926; negative attitudes, α = 0.904). Overall, CHWs demonstrated accurate epilepsy knowledge (medical treatment: mean = 1.63, SD = 0.28; safety/risks: mean = 1.62, SD = 0.59). However, CHWs reported inaccurate epilepsy knowledge of the causes, negative attitudes, as well as culturally specific treatments for epilepsy, such as: “if a person with epilepsy burns when set on fire they cannot be treated”. Knowl- edge about how to manage epileptic seizures varied across the different emergency care practices, from the accurate belief that it is not advisable to place objects in the individual’s mouth during an epileptic seizure, to the wrong perception of the need to hold the person in seizures to control seizures. Heterogeneity in the level of epilepsy knowledge was observed among CHWs, when consid- ering epilepsy according to the local names as treatable (“Dzumba”) and other forms as untreatable (“Nzwiti”). Conclusion: CHWs knowledge of medical treatment and epilepsy safety/risks were adequate. However, information on the causes of epilepsy, stigmatizing attitudes, cultural treatment, and some knowledge of epileptic seizure management were low. These areas of poor knowledge should be the focus of educating CHWs in increasing their ability to provide quality care for patients with epilepsy in Mozambique.en
dc.description.sponsorshipIDProject 41—8th Call from the National Fund of Investigation in Mozambique (FNI), 2017.pt_BR
dc.identifierhttps://www.mdpi.com/1660-4601/19/22/15420pt_BR
dc.identifier.citationCumbe, V.F.J.; Greene, C.; Fumo, A.M.T.; Fumo, H.; Mabunda, D.; Gouveia, L.C.; Oquendo, M.A.; Duarte, C.S.; Sidat, M.; Mari, J.d.J. Community health workers’ knowledge, attitudes, and practices towards epilepsy in Sofala, central Mozambique. Int. J. Environ. Res. Public Health 2022, 19, 15420. https://doi.org/10.3390/ ijerph192215420pt_BR
dc.identifier.doihttps://doi.org/10.3390/ijerph192215420pt_BR
dc.identifier.urihttps://repositorio.unifesp.br/handle/11600/65988
dc.languageengpt_BR
dc.publisherIJERPH_MDPIpt_BR
dc.relation.ispartofIJERPH: International Journal of Environmental Research in Public Healthpt_BR
dc.rightsinfo:eu-repo/semantics/openAccesspt_BR
dc.subjectEpilepsyen
dc.subjectCommunity health workersen
dc.subjectKnowledgeen
dc.subjectAttitudesen
dc.subjectPracticesen
dc.subjectPrimary health careen
dc.subjectMozambiquept_BR
dc.titleCommunity health workers’ knowledge, attitudes, and practices towards epilepsy in Sofala, central Mozambiqueen
dc.title.alternativeConhecimentos, atitudes e prácticas dos agentes comunitários de saúde sobre a epilepsia em Sofala, centro de Moçambiquept_BR
dc.typeinfo:eu-repo/semantics/articlept_BR
unifesp.campusEscola Paulista de Medicina (EPM)pt_BR
unifesp.departamentoPsiquiatriapt_BR
unifesp.graduacaoMedicinapt_BR
unifesp.graduateProgramPsiquiatria e Psicologia Médicapt_BR
unifesp.knowledgeAreaPsiquiatriapt_BR
unifesp.researchAreaPesquisa de Implementação em Saúde Mentalpt_BR
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