An Assessment of Health Professionals' Knowledge Regarding Leishmaniasis in Centre of Morocco
DOI:
https://doi.org/10.35516/jmj.v59i2.1644Keywords:
Leishmaniasis, health professional, knowledge, experience, training, MoroccoAbstract
Methods: The present study aimed to evaluate Moroccan health professional's knowledge regarding National Leishmaniasis Control Program. This was a cross-sectional exploratory study performed in the Marrakech Safi region. Data were collected from 402 doctors, nurses, midwives, and health technicians working in public sector healthcare institutions by questionnaire. This self-administered questionnaire derived from the national leishmaniasis control program assessed: (i) fundamental knowledge of leishmaniasis and its clinical manifestations; (ii) the transmission cycle; and (iii) prevention and case management strategies. The results were analyzed by SPSS version 26 using bivariate and multivariable logistic regression model.
Results: Overall knowledge related to leishmaniasis was insufficient. This study claimed that health professional's better knowledge of management and prevention was positively associated to doctors [crude odds ratio (COR) = 5.02, 95% confidence interval (CI) (1.07-23.54)], endemic province [adjusted odds ratio (AOR) = 2.30, 95% CI (1.48-3.53)], and experience of health workers with leishmaniasis [AOR = 6.11, 95% CI (3.31-11.41)]. However, midwifes risk not having [AOR = 0.30, 95% CI (0.09-0.97)] a good level of knowledge in this category. Furthermore, doctors [AOR = 3.19, 95% CI (1.01-10.81)] and professionals working in endemic provinces [AOR = 1.75, 95% CI (1.14-2.68)] were more likely to have good basic knowledge towards leishmaniasis, contrary to midwifes [AOR = 0.30, 95% CI (0.09-0.97)]. Good knowledge regarding transmission was positively associated with continuous training [AOR = 4.65, 95% CI (1.92-11.99)].
Conclusions: This research suggested the need to develop an initial and continuous training program adapted to the needs of health professionals.
References
W. H. O. world health organization. Leishmaniasis. https://www.who.int/news-room/fact-sheets/detail/leishmaniasis. Accessed in 19/8/2023.
Ruh E, Ozkan AT. Leishmaniasis in Northern Cyprus. Eur J Ther. 2019 ;25(1):1–5.
https://doi.org/10.5152/EurJTher.2019.18077.
Desjeux P. Leishmaniasis: current situation and new perspectives. Comp. Immunol. Microbiol. Infect. Dis... 2004 ;27(5):305-18.
https://doi.org/10.1016/j.cimid.2004.03.004.
Kishore K, Kumar V, Kesari S, Dinesh DS, Kumar AJ, Das P, et al. Vector control in leishmaniasis. Indian J Med Res. 2006;123(3):467–72.
Postigo JA. Leishmaniasis in the world health organization eastern Mediterranean region. Int J Antimicrob Agents. 2010;36: S62-5. https://doi.org/10.1016/j.ijantimicag.2010.06.023.
Ministry of Health and social protection. Bulletin 2020 of Epidemiology and Public Health. Vol. 38. MOROCCO; 2021. Available from: https://www.sante.gov.ma/Publications/Bullten_pidmiologique/BESP%20N%C2%B0%2079%20-%20DELM.pdf. Accessed in 19/8/2023
Boussaa S, Daoudi M, Ouzennou N. Assessment of the implementation of action plan against cutaneous leishmaniasis in Morocco: case of Essaouira focus. J Biomed Res Health Econ. 2020;1(3):4–8.
Rhajaoui M, Maaroufi A. Evaluation of the implementation of the response plan against cutaneous leishmaniasis (Leishmania Tropica) at provincial level. Rabat, Morocco: National Institute of Health Administration; 2012. p. 24.
Malaviya P, Hasker E, Singh RP, Van Geertruyden JP, Boelaert M, Sundar S. Village health workers in Bihar, India: an untapped resource in the struggle against kala-azar. Trop Med Int Health. 2013;18(2):188–93. https://doi.org/10.1111/tmi.12031
Zeinali M, Mohebali M, Mahmoudi M, Hassanpour GR, Shirzadi MR. Study on knowledge, attitude and practice of health workers of East Azerbaijan, Ilam and Khorasan Razavi provinces about leishmaniasis during 2015-2016: a comparative study before and after intervention. Archives of Clinical Infectious Diseases. 2019, 28;14(1). DOI: https://doi.org/10.5812/archcid.64282
Regional Monograph Region of Marrakech - Safi. presentation de la region de marrakech-safi, presentation generale de l'espace regional.
https://www.hcp.ma/region-marrakech/PRESENTATION-DE-LA-REGION-DE-MARRAKECH-SAFI_a248.html. Accessed in 19/8/2023.
Boussaa S. Épidémiologie des leishmanioses dans la région de Marrakech, Maroc : Effet de l’urbanisation sur la répartition spatio-temporelle des phlébotomes et caractérisation moléculaire de leurs populations [Internet] [thesis]. Strasbourg 1; 2008 [cited 2019 Dec 28]. Available from:
https://www.theses.fr/2008STR13037.
Zougaghi L, Bouskraoui M, Amine M, Akhdari N, Amal S. Leishmaniose cutanée à Leishmania tropica dans la région de Marrakech (Maroc) : un foyer rebelle ! Rev Francoph Lab. 2011;2011(429):35–9. https://doi.org/10.1016/S1773-035X(11)70765-1
OpenEpi - Toolkit Shell for Developing New Applications [Internet]. Available from: https://www.openepi.com/SampleSize/SSPropor.htm. Accessed in 21/5/2022.
Carvalho AG de, Alves I, Borges LM, Spessatto LB, Castro LS, Luz JGG. Basic knowledge about visceral leishmaniasis before and after educational intervention among primary health care professionals in Midwestern Brazil. Rev Inst Med Trop Sao Paulo. 2021;63:e56. https://doi.org/10.1590/S1678-9946202163056.
Carmo RF, Profeta da Luz ZM, Bevilacqua PD. Perceptions of the population and health professionals regarding visceral leishmaniasis. Cienc Saude Coletiva. 2016;21(2):621–8.
https://doi.org/10.1590/1413-81232015212.10422015.
El-Mouhdi K, Fekhaoui M, Elhamdaoui F, Guessioui H, Chahlaoui A. Knowledge and Experiences of Health Professionals in the Peripheral Management of Leishmaniasis in Morocco (ELHajeb). J Parasitol Res; 2020:8819704. https://doi.org/10.1155/2020/8819704
Demissie Gizaw G, Aderaw Alemu Z, Kibret KT. Assessment of knowledge and practice of health workers towards tuberculosis infection control and associated factors in public health facilities of Addis Ababa, Ethiopia: A cross-sectional study. Arch Public Health. 2015;73(1):15.
https://doi.org/10.1186/s13690-015-0062-3
Doylo T, Alemayehu T, Baraki N. Knowledge and Practice of Health Workers about Healthcare Waste Management in Public Health Facilities in Eastern Ethiopia. J Community Health. 2019;44(2):284–91. https://doi.org/10.1007/s10900-018-0584-z
Heo M, Kim N, Faith MS. Statistical power as a function of Cronbach alpha of instrument questionnaire items. BMC Med Res Methodol. 2015, 14;15:86. https://doi.org/10.1186/s12874-015-0070-6
El-Mouhdi K, Chahlaoui A, Boussaa S, Fekhaoui M. Sand Flies Control: A Review of the Knowledge of Health Professionals and the Local Community, Province of El Hajeb, Morocco. Int J Environ Res Public Health. 2020;17(22):E8448. https://doi.org/10.3390/ijerph17228448.
Saberi S, Zamani A, Motamedi N, Nilforoushzadeh MA, Jaffary F, Rahimi E, et al. The Knowledge, Attitude, and Prevention Practices of Students Regarding Cutaneous Leishmaniasis in the Hyperendemic Region of the Shahid Babaie Airbase. Vector-Borne Zoonotic Dis. 2012; 12(4):306–9.
https://doi.org/10.1089/vbz.2010.0259
Mounia A, Mohamed E, Mohamed H, Samia B. A Community Based Survey of Knowledge, Attitudes, and Practices Concerning Leishmaniasis in Central Morocco. J Community Health. 2022;1–11. https://doi.org/10.1007/s10900-022-01126-z
Alidosti M, Heidari Z, Shahnazi H, Zamani-Alavijeh F. Behaviors and Perceptions Related to Cutaneous Leishmaniasis in Endemic Areas of the World: A Review. Acta Trop. 2021; 223:106090. https://doi.org/10.1016/j.actatropica.2021.106090
Ruoti M, Oddone R, Lampert N, Orué E, Miles MA, Alexander N, et al. Mucocutaneous leishmaniasis: knowledge, attitudes, and practices among paraguayan communities, patients, and health professionals. J Trop Med. 2013;2013:538629.
https://doi.org/10.1155/2013/538629
El-Mouhdi K, Fekhaoui M, Elhamdaoui F, Guessioui H, Chahlaoui A. Knowledge and Experiences of Health Professionals in the Peripheral Management of Leishmaniasis in Morocco (ELHajeb). J Parasitol Res. 2020;2020:8819704. https://doi.org/10.1155/2020/8819704
Sanchez J, Orozco L, Buendia J, Munoz G. The validity of a presumptive diagnosis of cutaneous leishmaniasis performed by community health workers in Colombia. Rev Panam Salud Publica-Pan Am J Public Health. 2007;21(6):335–44.
Rojas CA, Weigle KA, Barrera L, Collazos C. Surveillance and screening of American cutaneous leishmaniasis by Colombian primary health care workers using a clinical prediction rule. Trans R Soc Trop Med Hyg. 2002;96(4):405–10. https://doi.org/10.1016/S0035-9203(02)90375-5
Boussaa S, Pesson B, Boumezzough A. Faunistic study of the sandflies (Diptera: Psychodidae) in an emerging focus of cutaneous leishmaniasis in Al Haouz province, Morocco. Ann Trop Med Parasitol. 2009 ;103(1):73–83.
https://doi.org/10.1179/136485909X384910
Formation initiale – Doctorat en médecine – Faculté de Médecine. Available from:
https://medecine.um6ss.ma/formation-initiale. Accessed in 13/8/2022.
Schneitler S, Seebacher J, Matos FB, Aktar I, Lantwin P, Archodoulakis A, et al. Awareness and perceptions of medical students and doctors regarding Tropical Medicine education and training in Europe: An international, online-based survey. Travel Med Infect Dis. 2022;48:102323.
https://doi.org/10.1016/j.tmaid.2022.102323
Motoya I, Takeda K, Koyama S, Kojima R, Hirakawa Y, Sakurai H, et al. The Characteristics of the Clinical Competence of Novice Physical Therapists and Occupational Therapists at the Time of Hiring in a Single Institution in Japan. Health Prof Educ. 2020;6(4):538–51. https://doi.org/10.1016/j.hpe.2020.04.005
Yaghmaei S, Raiesdana N, Nobahar M. Novice nurses’ experiences from teamwork in the emergency department: A qualitative content analysis. Int Emerg Nurs. 2022; 61:101116.
https://doi.org/10.1016/j.ienj.2021.101116
Das VNR, Pandey RN, Pandey K, Singh V, Kumar V, Matlashewski G, et al. Impact of ASHA training on active case detection of visceral leishmaniasis in Bihar, India. PLoS Negl Trop Dis. 2014;8(5):e2774. https://doi.org/10.1371/journal.pntd.0002774
Kashfi SM, Khani Jeihooni A, Rezaeianzade A. Effect of health workers’ training programs on preventive behavior of leishmaniosis based on BASNEF model. J Res Health Sci. 2012 ;12(2):114–8.
