Knowledge, Attitude, and Practices Regarding Childhood Tuberculosis Detection and Management Among Health Care Providers in Cambodia: A Cross-Sectional Study

Abstract

Background The World Health Organization (WHO) estimated that 29% of global tuberculosis (TB) and almost 47% of childhood TB cases were not reported to national TB programs in 2019. In Cambodia, most childhood TB cases were reported from health facilities supported by the Global Fund to Fight AIDS, Tuberculosis, and Malaria in 2019. This study aimed to compare the healthcare providers' KAP on childhood TB case detection in ODs with high and low childhood TB case detection in Cambodia. Methods We conducted a cross-sectional study between November and December 2020 among healthcare providers in 10 purposively selected operational districts (ODs) with high childhood TB case detection and 10 ODs with low childhood TB case detection. A total of 110 healthcare providers from referral hospitals and 220 from health centers were interviewed. We collected information on socio-demographic characteristics, training, and KAP on childhood TB. Pearson's Chi-square or Fisher's exact and Student's t-tests were performed to explore the differences in KAP of healthcare providers from ODs with low vs. high childhood TB detection. Results Of the 330 respondents, 193 were from ODs with high childhood TB case detection, and 66.67% were from health centers. A significantly higher proportion (46.11%) of respondents from ODs with high childhood TB case detection received training on childhood TB within the past two years than those from low childhood TB case detection ODs (34.31%) (p=0.03). Key knowledge on childhood TB was not significantly different among respondents from ODs with high and low childhood TB case detection. A significantly higher proportion of respondents from ODs with high childhood TB case detection had a good attitude (98.96% v.s. 97.08%, p=0.002) and performed good practices (58.55% v.s. 45.26%, p=0.02) on contact investigation in the community than those from low childhood TB case detection ODs. Conclusions Healthcare providers from ODs with high childhood TB detection had better attitudes and practices towards childhood TB. The attitudes and practices need to be improved among healthcare providers in ODs with low case detection. Further investment in training and experience sharing on childhood TB case detection among healthcare providers is needed to improve childhood TB case detection.

Knowledge, Attitude, and Practice on Pediatric Tuberculosis Management among Healthcare Workers in the Centre Region of Cameroon: A Cross-Sectional Study

“…in pediatric TB management. Tere is scientifc evidence that the capacity-building of frontline HCWs contributes to improved childhood TB management [25].…”

“…Multivariate logistic regression analyses were performed to determine the strength of the association between the dependent variables (knowledge, attitude, and practice) and the independent variables in a full model. Te independent variables were selected for the fnal model purposefully based on the literature review [18,19,25] and the desirability of the authors. In the multivariate model, controlling for potential confounders, there was no evidence of multicollinearity among the independent variables.…”

Barriers to childhood tuberculosis case detection and management in Cambodia: the perspectives of healthcare providers and caregivers

“…The participants' childhood TB knowledge scores were determined based on the answers to the questions related to causes of TB, transmission routes, signs and symptoms, characteristics of lymph nodes that implied TB, diagnostic criteria for childhood TB, and TB prevention, such as how to prevent TB transmission, the use of TB preventive treatment (TPT), the target group for TPT, medicines used for TPT, contraindication of TPT, and possible side effects of TPT. The detailed knowledge score has been reported separately [15]. We recruited a convenience sample of 28 caregivers of children under 15 years old with previous or undergoing TB treatment and children in close contact with people with bacteriologically-confirmed pulmonary TB.…”

Barriers to childhood tuberculosis case detection and management in Cambodia: the perspectives of healthcare providers and caregivers

“…The detailed knowledge score has been reported separately (15). We conveniently recruited 28 caregivers of children under 15 years old with previous or undergoing TB treatment and children in close contact with people with bacteriological con rmed pulmonary TB.…”