Hepatitis B and C related knowledge, attitudes and practices of health care workers in Azad Kashmir, Pakistan –A potentially disastrous area

Munawar Ali Khan; Muhammad Faisal Khilji; Abdul Rauf Janjua; Muhammad Imran; Kerim Hakan Altintas

doi:10.29052/IJEHSR.v7.i1.2019.39-46

Munawar Ali Khan Department of Emergency Medicine, Sultan Qaboos University Hospital Muscat, Sultanate of Oman
Muhammad Faisal Khilji Department of Emergency Medicine, Sultan Qaboos University Hospital Muscat, Sultanate of Oman
Abdul Rauf Janjua University of Azad Jammu and Kashmir, Muzaffarabad
Muhammad Imran Institute of Medical Technology, Ziauddin University
Kerim Hakan Altintas Department of Public Health, Faculty of Medicine, Hacettepe University, Ankara, Turkey

DOI: https://doi.org/10.29052/IJEHSR.v7.i1.2019.39-46

Keywords: Hepatitis C,, Hepatitis B, Immunoglobulins, Knowledge, Attitude

Abstract

Background: Azad Kashmir, Pakistan is potentially dangerous area for earthquake disasters. Knowledge, attitude and practices (KAP) of health care workers (HCW’s) in this region is essential to prevent spread of Hepatitis B virus (HBV) and Hepatitis C virus (HCV) in case of disaster.

Methodology: This descriptive observational prospective study was carried out to assess the HCW’s KAP regarding HBV and HCV in major hospitals of Muzaffarabad, Azad Kashmir, Pakistan. A validated study questionnaire was distributed among 320 HCW’s of Combined Military Hospital (CMH) and Abbas Institute of Medical Sciences (AIMS), Muzaffarabad, to assess KAP of HCW’s regarding HBV and HCV. All HCW’s of CMH and AIMS, Muzaffarabad were included in the study. While, HCW’s of these hospitals with HBV and HCV infection were excluded from the study. Analysis was done in Microsoft Excel and Graphs were generated for KAP of health care workers.

Results: In knowledge component all health care workers know about parenteral transmission of Hepatitis B & C (100%) but their knowledge regarding non-parenteral transmission is incorrect (65.62% and 31.2%). Knowledge about prevention status after Hepatitis B vaccine is also incomplete (40.62%). Hepatitis B & C related attitude in health care workers is acceptable. Overall practice regarding Hepatitis B & C spread is acceptable but half of the health care workers have knowledge regarding use of immunoglobulins after Hepatitis B & C infection and regarding continuity of work after accidental exposure to Hepatitis B or C (43.75% and 28.12%).

Conclusion: Our study found gaps in KAP of HCW’s. The shortcomings found in KAP of HCW’s needs to be addressed through regular educational programs in order to prevent the spread of HBV and HCV in the studied.

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References

1. Mashaal Quddus, Musarrat Jehan, Nafisa Hassan Ali. Hepatitis–B Vaccination Status and Knowledge, Attitude And Practice Of High Risk Health Care Worker Body Substance Isolation, J Ayub Med Coll Abbottabad 2015; 27(3).
2. Habib F, Khan DK, Shan EA, Bhatti F, Zafar A. Knowledge and beliefs among health care workers regarding hepatitis B infection and needle stick injuries at a tertiary care hospital, Karachi. J Coll Physicians Surg Pak. 2011; 21(5):317–318.
3. Mes n YM, Kibret KT. Assessment of knowledge and practice towards hepatitis B among medical and health science students in Haramaya University, Ethiopia. PLoS One. 2013; 8(11):1–6.
4. H Qureshi, KM Bile, R Jooma, SE Alam and HUR Afridi. Prevalence of Hepatitis B and C viral infections in Pakistan: findings of a national survey appealing for effective prevention and control measures. Eastern Mediterranean Health Journal 2010(16):S15-23.
5. Ali, S. A., R. M. Donahue, H. Qureshi and S.H. Vermund. Hepatitis B and hepatitis C in Pakistan: Prevalence and risk factors. Int. J. Infect. Dis. 2009, 13: 9-19.