Evidence map›Paper›PMID 30273342›Full record

ArticlePLoS neglected tropical diseases2018

Knowledge, attitudes and practices about human African trypanosomiasis and their implications in designing intervention strategies for Yei county, South Sudan.

Salome A Bukachi, Angeline A Mumbo, Ayak C D Alak, Wilson Sebit, John Rumunu, Sylvain Biéler, Joseph M Ndung'u

Open access · goldAbstract read
In one paragraph

Article in PLoS neglected tropical diseases, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
1.6field-weighted citation impact, top 16% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 23 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 2 countries.

Salome A BukachiInstitute of Anthropology, Gender and African Studies, University of Nairobi, Nairobi, Kenya.ORCID 0000-0002-1931-1891
Angeline A MumboSouth Sudan Coordination Office, Malteser International, Juba, Republic of South Sudan.
Ayak C D AlakPreventive Health Services, Ministry of Health, Juba, Republic of South Sudan.
Wilson SebitPreventive Health Services, Ministry of Health, Juba, Republic of South Sudan.
John RumunuPreventive Health Services, Ministry of Health, Juba, Republic of South Sudan.
Sylvain BiélerNeglected Tropical Diseases, Foundation for Innovative New Diagnostics, Geneva, Switzerland.
Joseph M Ndung'uNeglected Tropical Diseases, Foundation for Innovative New Diagnostics, Geneva, Switzerland.
FIND · CHUniversity of Nairobi · KE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundA clear understanding of the knowledge, attitudes and practices (KAP) of a particular community is necessary in order to improve control of human African trypanosomiasis (HAT).New screening and diagnostic tools and strategies were introduced into South Sudan, as part of integrated delivery of primary healthcare. Knowledge and awareness on HAT, its new/improved screening and diagnostic tools, the places and processes of getting a confirmatory diagnosis and treatment are crucial to the success of this strategy. METHODOLOGY: A KAP survey was carried out in Yei County, South Sudan, to identify gaps in community KAP and determine the preferred channels and sources of information on the disease. The cross-sectional KAP survey utilized questionnaires, complemented with key informant interviews and a focus group discussion to elicit communal as well as individual KAP on HAT.

findingsMost (90%) of the respondents had general knowledge on HAT. Lower levels of education, gender and geographic locations without a history of HAT interventions were associated with incorrect knowledge and/or negative perceptions about the treatability of HAT. Symptoms appearing in the late stage were best known. A majority (97.2%) would seek treatment for HAT only in a health centre. However, qualitative data indicates that existing myths circulating in the popular imagination could influence people's practices. Seventy-one percent of the respondents said they would offer social support to patients with HAT but qualitative data highlights that stigma still exists. Misconceptions and stigma can negatively influence the health seeking behaviour of HAT cases. In relation to communication, the top preferred and effective source of communication was radio (24%).

conclusionGaps in relation to KAP on HAT still exist in the community. Perceptions on HAT, specifically myths and stigma, were key gaps that need to be bridged through effective education and communication strategies for HAT control alongside other interventions.

Indexed as

Disease ManagementHealth Knowledge, Attitudes, PracticeAdolescentAdultCross-Sectional StudiesDisease Transmission, InfectiousHumansInterviews as TopicMaleMiddle AgedSouth SudanTrypanosomiasis, AfricanYoung Adult

Identifiers

PMID30273342
PMCPMC6181432
OpenAlexW2893563748

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.