ArticlePloS one2020
Knowledge, attitude and practices on cholera in an arid county, Kenya, 2018: A mixed-methods approach.
Article in PloS one, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.
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18 citing papers in PubMed, 34 citations in OpenAlex.
- High Awareness, Poor Practice: The Cholera Prevention Knowledge-Attitude-Practice Gap in Ada Foah, Ghana-A Cross-Sectional Study.Public health challenges · 2026Article
- Knowledge and preventive practices associated with anticipatory action for climate-related cholera outbreaks in Mozambique: a gender perspective.Research square · 2026Article
- Cholera in Kenya: A scoping review of current research, evidence gaps and future directions.PLOS global public health · 2026Article
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- Knowledge of cholera, handwashing practice and its associated factors in Hayayaabe IDP camp, Borama, Somaliland: a community-based study.BMC public health · 2025Article
- Knowledge, attitudes, and self-reported practices regarding cholera among six MENA countries following cholera outbreaks in the region.BMC public health · 2025Article
- Article
- Community-based surveillance system structures and knowledge level of community-based surveillance volunteers on priority diseases in Ghana.PLOS global public health · 2025Article
- Knowledge and practices on diarrheal illness and associated factors in Lebanon.Frontiers in public health · 2025Article
- Attitude towards cholera vaccination and its related factors in Jordan amid the 2022 Middle East outbreak.BMC public health · 2024Article
- Cholera in Syria, a crisis following crises: Assessment of knowledge, attitude, and practice in a cohort of syrian population.Heliyon · 2023Article
- Knowledge, Attitude, and Practices of the General Population toward the Old-New Outbreak of Cholera in a Developing Country.Tropical medicine and infectious disease · 2023Article
- Healthcare workers knowledge of cholera multi-stranded interventions and its determining factors in North-East Nigeria: planning and policy implications.Human resources for health · 2023Article
- Knowledge, Attitude, and Practice in a Sample of the Lebanese Population Regarding Cholera.International journal of environmental research and public health · 2022Article
- Inadequate Hand Washing, Lack of Clean Drinking Water and Latrines as Major Determinants of Cholera Outbreak in Somali Region, Ethiopia in 2019.Frontiers in public health · 2022Article
- COVID-19 related knowledge, attitudes, and practices in Indian Population: An online national cross-sectional survey.PloS one · 2022Article
- Knowledge, attitude, and practice study regarding cholera among the people in Jazan city, KSA.Journal of family medicine and primary care · 2021Article
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Authors and funding
8 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundCholera remains a public health problem in Kenya despite increased efforts to create awareness. Assessment of knowledge, attitude and practice (KAP) in the community is essential for the planning and implementation of preventive measures. We assessed cholera KAP in a community in Isiolo County, Kenya.
methodsThis cross-sectional study involved a mixed-methods approach utilizing a questionnaire survey and focus group discussions (FGDs). Using multistage sampling with household as the secondary sampling unit, interviewers administered structured questionnaires to one respondent aged ≥18 years old per household. We created knowledge score by allotting one point for each correct response, considered any total score ≥ median score as high knowledge score, calculated descriptive statistics and used multivariate logistic regression to examine factors associated with high knowledge score. In FGDs, we randomly selected the participants aged ≥18 years and had lived in Isiolo for >1 year, conducted the FGDs using an interview guide and used content analysis to identify salient emerging themes.
resultsWe interviewed 428 participants (median age = 30 years; Q1 = 25, Q3 = 38) comprising 372 (86.9%) females. Of the 425/428 (99.3%) who had heard about cholera, 311/425 (73.2%) knew that it is communicable. Although 273/428 (63.8%) respondents knew the importance of treating drinking water, only 216/421 (51.3%) treated drinking water. Those with good defecation practice were 209/428 (48.8%). Respondents with high knowledge score were 227/428 (53.0%). Positive attitude (aOR = 2.88, 95% C.I = 1.34-6.20), treating drinking water (aOR = 2.21, 95% C.I = 1.47-3.33), age <36 years (aOR = 1.75, 95% C.I = 1.11-2.74) and formal education (aOR = 1.71, 95% C.I = 1.08-2.68) were independently associated with high knowledge score. FGDs showed poor latrine coverage, inadequate water treatment and socio-cultural beliefs as barriers to cholera prevention and control.
conclusionsThere was a high knowledge score on cholera with gaps in preventive practices. We recommend targeted health education to the old and uneducated persons and general strengthening of health education in the community.
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