Abstract
Background: Tuberculosis is a major disease worldwide. Low level of awareness, economic status, unemployment, and educational status is playing a vital role in causing tuberculosis in Nepal. The study was conducted to assess knowledge of preventive measures for tuberculosis among high school students at the Bhaktapur district of Nepal. Methods: A cross-sectional study was carried out among 192 high school students. Pretested semi-structured questionnaire was applied to collect data from randomly selected students. Ethical approval and consent were obtained before data collection. The data were analyzed using SPSS 20v and interpreted as frequency, percentage and measured knowledge level. Results: Among 192 participants, more than half (51%) were male. All the participants had heard about tuberculosis (TB), and 90.6% of the participants knew the meaning of tuberculosis. More than half (53.7%) of the participants told that smoking is the major risk factor for TB and 96.9% of participants agreed that TB is transmissible. Almost all (97.9%) participants expressed covering mouth and nose when coughing and sneezing, keeping house with proper ventilation and sunlight as preventive methods of tuberculosis. Similarly, more than half (63.5%) of the participants supported avoiding being close to the TB patient as a preventive measure. More than half of the participants (59.4%) had inadequate knowledge of preventive TB practices. Conclusions: It is to be concluded that more than half of the high school students had inadequate knowledge of preventive measures of tuberculosis. It shows that there is a need for planning and implementation of the awareness program on tuberculosis in high school students.
Keywords: High school students · Tuberculosis · Preventive measures · Awareness
References
- 1.WHO. Tuberculosis 2018. https:// www.who.int/en/news-room/fact-sheets/ detail/tuberculosis (accessed January 10, 2019).
- 2.Gasana J, Ravikumaran R, Westphal D, Mendy A. The Pandemic Nature of Reemerging Tuberculosis and the Role of Population Migration in its Spread. MOJ Public Heal 2017;6. doi:10.15406/mojph.2017.06.00180. doi:10.15406/mojph.2017.06.00180
- 3.Stevens H, Ximenes RA, Dantas OM, Rodrigues LC. Risk factors for tuberculosis in older children and adolescents: a matchedcase-controlstudyinRecife,Brazil.EmergThemesEpidemiol2014;11:20. doi:10.1186/s12982-014-0020-5. doi:10.1186/s12982-014-0020-5
- 4.Osonwa K, Eko J. Assessment of Knowledge, Attitude, and Tuberculosis- Related Social StigmaAmong SchoolAdolescent in a Semi-Urban Town in Cross River State, Nigeria. Int. J. Educ. Res., vol. 3, 2015.
- 5.Alsalem SB, Aleisa AM, Raslan IA, Binjawhar AS, Khouqeer AF, Gad A. Tuberculosis: Awareness among Students in a Saudi University. Health (Irvine Calif) 2015;7:175–82. doi:10.4236/ health.2015.72020.
- 6.World Health Organization, OrganizationWH. Global tuberculosis report 2018. Geneva: 2018. Majmaah Journal of Health Sciences ,Vol. 7, Issue 3, September - 2019, Muharram - 1441 8 8 High School Students’Knowledge on Tuberculosis Prevention:AQuantitative Survey in Bhaktapur of Nepal
- 7.WHO. Global Tuberculosis Report 2014 - World | ReliefWeb. Geneva: World Health Organization; 2014. doi:10.1016/j. icrp.2009.12.007. doi:10.1016/j
- 8.Tsankova G. Prevention ofTuberculosis At School Age-Awareness of Secondary School Students. J IMAB -Annu Proceeding(ScientificPap2011;17,1:189–92. doi:10.5272/jimab.2011171.189. doi:10.5272/jimab.2011171.189
- 9.Kulkarni P, Kudale A, Arasu K, Lab M, Darby W, Rangan S. Tuberculosis knowledge and awareness in tribaldominant districts of Jharkhand, India: implications for ACSM. Public Heal Action 2014;4:189–94. doi:10.5588/ pha.14.0036.
- 10.Rana M, SayemA, Karim R, Islam N, Islam R, Zaman TK, et al. Assessment of knowledge regarding tuberculosis among non-medical university students in Bangladesh: A cross-sectional study. BMC Public Health 2015;15:716. doi:10.1186/ s12889-015-2071-0.
- 11.Singh UP, Bala A. Knowledge about Tuberculosis in Senior School Students of Punjab. Indian J Community Med 2006;31:93–5.
- 12.Orrett FA, Shurland SM. Knowledge and awareness of tuberculosis among pre-university students in Trinidad. J Community Health 2001;26:479–85. doi:10.1023/A:1012563508763. doi:10.1023/A:1012563508763
- 13.K.C SR. Applied epidemiology in Nepalese Context. Kathmandu, Nepal: K.P Simkhada; 2013.
- 14.Hamlet N. Case Study of National Tuberculosis Programme Implementation in Nepal. Kathmandu, Nepal: World Bank; 2002.
- 15.Abebe DS, Biffa D, Bjune G, Ameni G, Abebe F. Assessment of knowledge and practice about tuberculosis among eastern Ethiopian prisoners. Int J Tuberc Lung Dis 2011;15:228–33.
- 16.Alemu J, Mamo G, Kandi V, Pal M. Prevalence of Tuberculosis in Gambella Regional Hospital, Southwest Ethiopia : ARetrospective Study toAssess the Progress towards Millennium Development Goals for Tuberculosis ( 2006-2015 ). Am J Public Heal Res 2017;5:6–11. doi:10.12691/ajphr-5-1-2. doi:10.12691/ajphr-5-1-2
- 17.Renuka M, Murali D. Knowledge and Awareness of Tuberculosis among High School Students of Mysore City. Al Ameen J Med Sci 2012;5.
- 18.Hadi MAE. Assessment of the Amount of Knowledge and Attitude of Tehran High School Students Regarding Tuberculosis. Tanaffos 2006;5:23–8.
- 19.Gothankar JS. Tuberculosis awareness program and associated changes in knowledge levels of school students. Int J Prev Med 2013;4:153–7. 9 9 Majmaah Journal of Health Sciences ,Vol. 7, Issue 3, September - 2019, Muharram - 1441 High School Students’Knowledge on Tuberculosis Prevention:AQuantitative Survey in Bhaktapur of Nepal
- 20.Yoshiyama T, Shrestha B, Maharjan B. Risk of relapse and failure after retreatment with the Category II regimen in Nepal. Int J Tuberc Lung Dis 2010.
- 21.Yonge SA. Assessment of Knowledge, Attitude, and Practices Regarding Tuberculosis among Adolescents in Kisauni-Mombasa District, Kenya. Kenyatta University, 2009.
- 22.Tolossa D, Medhin G, Legesse M. Community knowledge, attitude, and practices towards tuberculosis in Shinile town, Somali regional state, eastern Ethiopia: a cross-sectional study. BMC Public Health 2014;14:804. doi:10.1186/1471- 2458-14-804. doi:10.1186/1471-
- 23.Sah JP. Knowledge on Tuberculosis among Students of Higher Secondary School, Lalitpur, Nepal. MOJ Public Heal 2016;4:133–41. doi:10.15406/mojph.2016.04.00091. doi:10.15406/mojph.2016.04.00091
- 24.Tsegaw Hibstu D, Jikamo Bago B. Knowledge, Attitude and Practice of Tuberculosis and its Transmission among High School Students in Yirgacheffe Town, Gedeo Zone, Southern Ethiopia. J Anc Dis Prev Remedies 2016;04. doi:10.4172/2329-8731.1000142. doi:10.4172/2329-8731.1000142
- 25.Hernandez Cordova JG, Failoc Rojas VE. Attitudes And Knowledge Regarding Tuberculosis In High School Students, A Cross-Sectional Survey In Northwest Peru. Paediatr Respir Infect Immunol 2017;50: PA552. doi:10.1183/1393003. congress-2017.PA552. doi:10.1183/1393003
- 26.Montagna MT, Napoli C, Tafuri S, Agodi A, Auxilia F, Casini B, et al. Knowledge about tuberculosis among undergraduate health care students in 15 Italian universities: A cross-sectional study. BMC Public Health 2014;14:970. doi:10.1186/1471-2458-14-970. doi:10.1186/1471-2458-14-970
Peer review
Peer reviewed by 2 reviewers, who chose to remain anonymous.