ArticleBMJ open2025
Assessment of knowledge, attitudes and practices regarding cholera among people living in a cholera-endemic health zone in the Democratic Republic of the Congo.
Article in BMJ open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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5 citing papers in PubMed.
- High Awareness, Poor Practice: The Cholera Prevention Knowledge-Attitude-Practice Gap in Ada Foah, Ghana-A Cross-Sectional Study.Public health challenges · 2026Article
- Resurgence of cholera on the shores of Lake Tanganyika: security instability in eastern Democratic Republic of Congo as an aggravating factor and call to action.Conflict and health · 2026Article
- Prevalence of acute watery diarrhea in vulnerable children, mothers' knowledge, and management: a cross-sectional study from Yemen.Frontiers in pediatrics · 2026Article
- Article
- Cholera in North Kivu: impacts of armed conflict on the resurgence of the epidemic, a narrative review.Annals of medicine and surgery (2012) · 2025Review
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4 authors.
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Abstract
objectivesTo assess cholera-related knowledge, attitudes and practices (KAP) and identify associated factors in a cholera endemic health zone in the Democratic Republic of the Congo (DRC).
designA community-based cross-sectional study.
settingThe study was conducted in Kalemie health zone, which is located in the Tanganyika province in eastern DRC.
participantsA total of 455 participants were enrolled in this study using a three-stage random sampling procedure.
main outcome measuresSociodemographic characteristics, cholera and water, sanitation and hygiene (WASH)-related KAP, and their associated factors.
resultsThe study revealed that the population demonstrated a good knowledge (64%), a positive attitude (73.6%) and good WASH practices (73.8%) regarding cholera. The identification of cholera symptoms, modes of transmission and means of prevention ranged from 79.6% to 94.3%, 38.2% to 41.5% and 32.5% to 56.3%, respectively. It was also noted a high prevalence of tap water use (93.4%) and limited access to water treatment (43.1% to 57.1%), as well as a significant proportion of latrine access (70.8%) with the presence of open defecation (16.3%). In multivariable logistic regression, poor knowledge about cholera was associated with being aged 18 years or younger, having limited education and practising poor WASH habits. No significant factors influenced participants' attitudes. Poor WASH practices were associated with being from households with daily expenditures of less than 1 USD and 5 USD, as well as having poor knowledge about cholera. In addition, believers from Catholic and Muslim backgrounds were less likely to have poor WASH practices.
conclusionsOur findings indicate that health education initiatives targeting younger demographics should be intensified to enhance awareness of cholera prevention and household water treatment. Furthermore, there is a need for targeted interventions to provide public standpipes and community boreholes, as well as to improve the coverage of covered pit latrines, especially for poorer households.
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