Obstetric Fistula Knowledge, Attitudes and Practices among the Professionals of Communication in Yaounde

Claudine Tseunwo, Sylvain Honoré Woromogo Mail, Jesse Saint Saba Antaon, Claude Messanga Obama, Pierre Marie Tebeu, Charles Henry Rochat

Abstract


ABSTRACT
Introduction. The World Health Organization (WHO) estimated an annual incidence of 50,000–100,000 new cases of obstetric fistula. In Cameroon, it is estimated that about 19,000 women suffer from obstetric fistula. Affected women remain with anatomical, functional and social defects. This study aimed at analyzing knowledge, attitude and practice of professional of communication with regards to obstetric fistula. Methodology. This was a multicentric analytic KAP study conducted in twenty-three medias structures in Yaoundé from 10 January to 30 May 2016. Data were collected on knowledge, attitude and practice of communicators towards obstetric fistula. Data were analyzed using Epi Info Version 7.1.4.0. The mean and the frequencies were calculated, odds ratio with 95% confidence interval was used to quantify the strength of associations. A difference within two group was considered statistically significant if p value ˂ 0,05. Results. Among 101/133 (75.94%) communicators who were informed, only 60/101 (45.11%) had satisfactory knowledge. This knowledge influenced positively the attitudes of public sector communicators towards obstetric fistula (OR=8.3[1.6-41.5]; p value = 0.01). The proportion of satisfactory attitudes of communicators with regards to obstetric fistula was 79/101 (78.22%) and the practices were 19/101 (18.81%). Knowledge and attitude did not influence the practice regardless of the working sector. Conclusion. The management of obstetric fistula in Cameroon suffers from little knowledge, attitude and practice of mass communicators. There is a need better involvement of communicator about challenges about obstetric `fistula

RÉSUMÉ
Introduction. L’OMS estime à 50 000 - 100 000 nouveaux cas de fistules obstétricales (FO) par an dans le monde. Au Cameroun on estime que plus de 22 000 femmes souffrent de FO. Cette pathologie est responsable de complications anatomiques, fonctionnelles et sociales. Cette étude visait à analyser les connaissances, attitudes et pratiques des professionnels de la communication vis-à-vis des FO. Méthodologie. Il s'agissait d'une étude CAP analytique multicentrique dans vingt-trois structures médiatiques de Yaoundé en 2016.  Les moyennes et les fréquences ont été calculées, le rapport de cote (Odds ratio) a été utilisé avec un intervalle de confiance de 95% pour quantifier la force des différentes influences. Une différence entre deux groupes était considérée comme statistiquement significative si la valeur p était ˂ 0,05. Résultats. Parmi 101/133 communicateurs qui avaient été informés seuls 45,11% avaient des connaissances satisfaisantes. Ces connaissances influençaient les communicateurs du secteur public à adopter des attitudes satisfaisantes face aux fistules obstétricales (OR :8,3[1,6-41,5] ; p = 0,01). La proportion des attitudes satisfaisantes des communicateurs face aux fistules obstétricales était de 78,22% et celle des pratiques était de 18,81%. Les connaissances n’avaient pas d’influence sur les pratiques quel que soit le secteur de pratique. Conclusion. La prise en charge des fistules obstétricales au Cameroun souffre des limites des connaissances, des attitudes et des pratiques des communicateurs de masse. Ceci justifie la nécessité d’impliquer les communicateurs formels dans l’éducation de la population pour un meilleur relais des messages de prévention et le traitement précoce des fistules obstétricales.


Keywords


knowledge, attitudes, practices, media, obstetric fistula

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