Knowledge, Attitude and Practices toward Chronic Kidney Disease among care providers in Jimma Town: Cross-sectional study

Abstract

Background: Chronic kidney disease (CKD) is a common and growing health problem that requires adequate Knowledge by health care providers to reduce the progress of the disease. Thus, this study aimed to assess the care provider's Knowledge, attitude, and practices toward CKD. Method: A cross-sectional study conducted among 326 care providers at Jimma University Specialized hospital and three medium to higher clinics found in Jimma Town. Collected data entered into Epi-Data version 3.1 and exported to SPSS version 21 for windows for data analysis. Descriptive statistics and generalized linear modal used to analyze the data.Result: The mean age and service year of the participants were 29.68(±4.877) and 4.28(±4.561), respectively. The overall weighted Knowledge, attitude, and practice score of the study participant were 9.0971(8.77, 9.42), 2.53(2.4, 2.65), 10.14(9.94, 10.33) respectively. Over half of the care providers had the awareness to use eGFR to assess kidney function and patient referral to Nephrologists. Also, many care providers knew the five-stage of CKD and the risk factors of CKD, such as diabetes, long-term alcohol consumption, anemia, and cardiovascular disorders, respectively. Care providers had an understanding of late detection, and referral of CKD would increase kidney disease complications. Besides, 275(84.4%) of them are worried about treatment costs related to CKD. Over half of the care providers, 238(73.0%), believed that the Ethiopian ministry of health gave less attention to the problem. Furthermore, 234(71.8%) are interested in studying more on CKD management. Majority 256(78.5%), very likely or likely refer the patient to senior physician and NephrologistConclusion: Care providers showed enough Knowledge, a favorable attitude, and practice toward CKD.

Knowledge attitude and practice towards prevention and early detection of chronic kidney disease among high risk patients

“…Majority of the study subjects (70.6%) had good knowledge regarding the functions of kidney and most of them (63%) recognized diabetes, hypertension and ageing as the risk factors for CKD. This is in contrast to the findings of Wolide et al in 326 care providers in Jimma town where 62% were not aware of the age-related decline in eGFR, though 91.4% had the understanding that diabetes and hypertension are possible risk factors of CKD 11 .…”

“…173(86.5%) of the study participants were adherent to medications and 132(66%) were taking balanced diet. This is much higher compared to Jimma study by Wolide et al, and comparable to Jordan study (62.7%) 9,10,11 . We noted only 114(57%) were following regular exercise routine.…”