ArticlePLoS neglected tropical diseases2025
Knowledge, attitudes, and practices towards prevention and control of neurocysticercosis-related epilepsy in Northern Tanzania: A cross-sectional healthcare professional-based study.
Article in PLoS neglected tropical diseases, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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1 citing paper in PubMed.
- Sudden unexpected death in epilepsy in Africa.Forensic science, medicine, and pathology · 2026Article
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Abstract
backgroundInfection of the brain with the larval stage of Taenia solium leads to neurocysticercosis (NCC), a leading cause of epilepsy with a considerable global burden. Neurocysticercosis-induced epilepsy is among the poverty-related diseases and is prevalent, particularly in regions where T. solium is endemic. In Tanzania, NCC-associated epilepsy is endemic, it causes substantial health burdens and economic losses. Studies on knowledge, attitudes, and practices (KAP) regarding NCC in the country are limited. METHODOLOGY: A cross-sectional healthcare professional-based study was conducted in northern Tanzania between May and July 2023. A structured questionnaire was administered to healthcare workers (HCWs) using a random stratified sampling to assess their knowledge, attitudes, and practices toward prevention and control of NCC-induced epilepsy. One-way ANOVA was used to compare mean scores of KAP, Chi-square test to assess the association between independent factors and KAP scores, and logistic regression model to determine the predictors of KAP scores.
resultsA total of 250 HCWs were interviewed. The study revealed that HCWs had inadequate overall knowledge (scores = 55.5%), negative attitudes (score = 54.0%) and poor practices (scores = 49.3%). Only 22.4% had adequate knowledge, 10.8% had positive attitudes, and 12.8% had good practices towards control of NCC-induced epilepsy. Educational levels of respondents (OR: 3.361, 95% CI: 1.147-9.848, p < 0.01) were significant predictors of positive attitudes. Laboratory technologists were five (OR:5.821, 95% CI: 2.033-16.664, p < 0.01) times more likely to be knowledgeable, followed by assistant physicians (OR:3.141, 95% CI:1.484-6.650, p < 0.01) compared to other health professionals interviewed. Knowledgeable respondents were more likely to have positive attitudes (OR: 6.087, 95% CI:2.534-14.622, p < 0.01), and better practices (OR: 4.750, 95% CI: 2.099-10.748, p < 0.01) towards control of NCC-induced epilepsy.
conclusionThis study found that HCWs had limited knowledge, poor practices, and negative attitudes toward the control of NCC-induced epilepsy. There is an urgent need to promote better knowledge of acquired epilepsy among HCWs, including re-training using the One Health approach in T. solium endemic areas.
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