ArticleOne health outlook2022
Knowledge, attitudes, and practices associated with zoonotic disease transmission risk in North Sulawesi, Indonesia.
Article in One health outlook, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed, 15 citations in OpenAlex.
- Zoonotic disease knowledge attitude and practices among rural hunting communities in Gabon.Frontiers in veterinary science · 2026Article
- Knowledge, attitudes, and practices toward zoonotic disease transmission among wildlife farmers in Vietnam.One health outlook · 2025Article
- Smallholder Cattle Farmers' Knowledge, Attitudes, and Practices Toward Rabies: A Regional Survey in Kazakhstan.Veterinary sciences · 2025Article
- One health assessment of farmers' knowledge, attitudes, and practices (KAPs) on zoonoses in Bangladesh.Scientific reports · 2025Article
- Knowledge, Attitudes, and Practices About Zoonotic Diseases in Livestock Producers From Three Municipalities of Magdalena Medio, Antioquia.Veterinary medicine international · 2025Article
- Limited knowledge of health risks along the illegal wild meat value chain in the Nairobi Metropolitan Area (NMA).PloS one · 2025Article
- Implementation of One Health surveillance systems: Opportunities and challenges - lessons learned from the OH-EpiCap application.One health (Amsterdam, Netherlands) · 2024Article
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Authors and funding
19 authors at 5 institutions in 3 countries.
Funding
Abstract
backgroundHunters, vendors, and consumers are key actors in the wildlife trade value chain in North Sulawesi, Indonesia, and potentially face an elevated risk of exposure to zoonotic diseases. Understanding the knowledge, attitudes, and practices (KAP) associated with the risk of zoonotic disease transmission in these communities is therefore critical for developing recommendations to prevent or mitigate zoonotic outbreaks in the future.
methodsQualitative and quantitative methods were combined to understand KAP associated zoonotic diseases transmission risk in communities involved in the wildlife trade in North Sulawesi. Qualitative data were collected through semi-structured ethnographic interviews and focus group discussions (FGDs) while quantitative data were collected using questionnaires. We conducted 46 ethnographic interviews and 2 FGDs in 2016, and 477 questionnaire administrations in 2017-2018 in communities from five districts in North Sulawesi. We also collected biological specimens, including nasal swab, oropharyngeal swab, and blood, from 254 participants. The study sites were targeted based on known wildlife consumption and trade activities. The participants for qualitative data collection were purposively selected while participants for quantitative data collection were randomly selected. Biological samples were tested for five viral families including Coronaviridae, Filoviridae, Flaviviridae, Orthomyxoviridae and Paramyxoviridae.
resultsKnowledge regarding disease transmission from animals to humans was similar across the participants in qualitative focus groups, including knowledge of rabies and bird flu as zoonotic diseases. However, only a small fraction of the participants from the quantitative group (1%) considered that contact with wild animals could cause sickness. Our biological specimen testing identified a single individual (1/254, 0.004%) who was sampled in 2018 with serological evidence of sarbecovirus exposure. Overall, participants were aware of some level of risk in working with open wounds while slaughtering or butchering an animal (71%) but most did not know what the specific risks were. However, significant differences in the attitudes or beliefs around zoonotic disease risk and health seeking behaviors were observed across our study sites in North Sulawesi.
conclusionsOur study showed variable levels of knowledge, attitudes, and practices associated with the risk of zoonotic disease transmission among study participants. These findings can be used to develop locally responsive recommendations to mitigate zoonotic disease transmission.
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