Background: The aim of this study was to assess the knowledge and attitudes towards pregnancy-related issues of Zika virus (ZIKV) infection among general practitioners (GPs), a frontline healthcare worker group, in Indonesia. Methods: A cross-sectional, online survey assessing knowledge and attitudes towards ZIKV infection on multiple-item scales was sent to GPs in the Sumatra and Java islands of Indonesia. The associations between independent factors and either knowledge or attitude were assessed with logistic regressions. The correlation and association between knowledge and attitude were estimated. Results: We included 457 (53.7%) out of 850 responses in the analysis. Among these, 304 (66.5%) and 111 (24.2%) respondents had a good knowledge and attitude, respectively. No demographic, workplace, professional development, or experiential characteristics related to ZIKV infection were associated with knowledge. In the multivariate analysis, only contact experience was associated with attitude. There was a significant, positive correlation between knowledge and attitude scores. Conclusions: Although knowledge of pregnancy-related complications of ZIKV infection is relatively high among GPs in Indonesia, more than 75% of them had a poor attitude towards pregnancy-related issues of Zika. Strategies for enhancing the capacity of GPs to develop positive attitudes and respond to ZIKV infection are needed.

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Background: The aim of this study was to assess the level of knowledge towards Zika among medical students, medical interns and general practitioners (GPs) in Indonesia. Methods: A cross-sectional study was conducted in Aceh province of Indonesia in 2016. A set of validated questionnaire, consisting 24 questions, was used to assess the knowledge. Logistic regression was used to estimate the differences in knowledge between groups. Results: A total of 1031 participants were included in the final analysis in which most of them were medical student (39.7%), followed by GPs (37.7%) and medical intern (22.6%). Approximately 17%, 19%, and 64% of the medical students, interns and GPs had good knowledge, respectively. The knowledge level of medical student and medical interns was roughly equivalent. Medical students and medical interns had significantly lower odds of having a good knowledge compared to GPs, OR: 0.12 (95%CI: 0.08-0.16) and OR: 0.13 (95%CI: 0.09-0.20), respectively. Conclusion: General practitioners have greater knowledge of Zika than medical students or interns, possibly as a result of clinical experiences or exposure to learning. Inclusion of Zika learning materials in the national medical curriculum could improve knowledge of Zika and the ability of the health care workforce to respond to future outbreaks.