Main Article Content
Abstract
ABSTRACT
Background. Health care personnel play a key role in the management of haemophilia. We assessed the level of knowledge, attitudes and practice of health care personnel in peripheral hospitals in the city of Yaoundé regarding haemophilia. Methodology. We conducted a five-month' cross-sectional study among the staff of district hospitals in Yaoundé. We used a pretested questionnaire, whose datas were stored in CSPro version 7.0 software and analysed using SPSS version 20.0 software. The results were interpreted using the scoring grid developed by ESSI and al in 2013. Results. Of the 237 healthcare workers included, 180 were women (75.9%) and the mean age was 36.03±7.92 years. The existence of haemophilia was known by 84.4% (200/237), but only 0.4% (1/237) of the study population had a good level of knowledge. The quality of attitudes was approximate in 7.2% (17/237) and fair in only 1.3% (3/237) of all respondents. The practices were harmful in 77.6% (184/237) of the participants. Conclusion. There is an inadequate level of knowledge and harmful attitudes and practices among healthcare staff in Yaoundé district hospitals with regard to haemophilia. That results highlight the need for ongoing training and capacity building in low-income countries to improve the detection and management of haemophilia
RÉSUMÉ
Introduction. Le personnel de santé joue un rôle clé dans la gestion de l'hémophilie. Nous avons évalué le niveau de connaissances, les attitudes et les pratiques du personnel de santé dans les hôpitaux périphériques de la ville de Yaoundé en ce qui concerne l'hémophilie. Méthodes. Nous avons mené une étude transversale de cinq mois auprès du personnel des hôpitaux de district de Yaoundé. Nous avons utilisé un questionnaire pré-testé, dont les données ont été stockées dans le logiciel CSPro version 7.0 et analysées à l'aide du logiciel SPSS version 20.0. Les résultats ont été interprétés à l'aide de la grille de notation développée par ESSI et al en 2013. Résultats. Sur les 237 personnels de santé inclus, 180 étaient des femmes (75,9%) et l'âge moyen était de 36,03±7,92 ans. L'existence de l'hémophilie était connue par 84,4% (200/237), mais seulement 0,4% (1/237) de la population étudiée avait un bon niveau de connaissance. La qualité des attitudes était approximative chez 7,2% (17/237) et moyenne chez seulement 1,3% (3/237) de l'ensemble des répondants. Les pratiques étaient néfastes pour 77,6% (184/237) des participants. Conclusion. Il existe un niveau de connaissance insuffisant et des attitudes et pratiques néfastes chez le personnel soignant des hôpitaux de district de Yaoundé en ce qui concerne l'hémophilie. Ces résultats soulignent la nécessité d'une formation continue et d'un renforcement des capacités dans les pays à faible revenu pour améliorer le dépistage et la prise en charge de l'hémophilie.
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References
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- - Mbanya DN, Diop S, Ndoumba Mintya AN, El Kiaby M. Hemophilia care in Africa: Status and challenges. Transfus Clin Biol. 2021 ; 28 (2) : 158–62.
- - Washeel OF, Ma’ala GE. Assessement Nurses’ Knowledge about Hemophilia for Children attending Heredity Blood Disease center in Al-Nasiriya City. IOSR Journal of Nursing and Health Science. 2017 ; 6 (3) : 99-105. [DOI :10.9790/1959-06030299105].
- - Balogun TM, Agboola MB, Onigbinde OO, Ajayi A, Iredi I. Haemophilia knowledge among Health Care Providers in a Tertiary Hospital Lagos, Nigeria. Journal of Blood Disorders, Symptoms & Treatments. 2018 ; 2 (2) :1-6.
- - Essi MJ, Njoya O. L’enquête CAP (Connaissances, Attitudes, Pratiques) en Recherche Médicale. Health Sci. Dis. 2013; 14 (2) : 1-3.
- - Ministère de la sante publique. Plan National de développement sanitaire PNDS 2016-2020. Cameroun.
- - Osho P, Ojo M, Odunlade O, Ndidi O, Gbenga-Fabusiwa FJ, Oluwatosin IO, Oluwole M. Assessment of knowledge of health workers on haemophilia at the university of medical sciences teaching hospital, Ondo state, Nigeria. American Journal of Laboratory Med. 2020 ; 5 (4) : 88-94.
- - Seck M, Sagna A, Guéye MS, Faye BF, Sy D, Toure SA et al. Circumcision in hemophilia using low quantity of factor concentrates: experience from Dakar, Senegal. BMC Hematology. 2017 ; 17 : 8 DOI 10.1186/s12878-017-0080-1.
- - Diop S, Haffar A, Mahlangu J, Chami I, Kitchen S, Pierce G. Improving access to hemophilia care in sub-Saharan Africa by capacity building. Blood Adv 2019 ; 3 : 1–4.
- - Witkop M, Lambing A. Knowledge and attitudes surveys in bleeding disorders providers regarding pains. Haemophilia 2015,21(6) :465-71. doi:10.1111/hae.12749. Epub 2015 Jul 17.
References
- Cockenpot E, Boutry N, Cotten A. Chapitre 8 - Hémophilie. In: Cotten A, éditeur. Imagerie Musculosquelettique : Pathologies Générales (2ème Édition). Paris: Elsevier Masson 2013; 259 68.
- Castro HE, Briceno MF, Casas CP, Rueda JD. The history and evolution of the clinical effectiveness of haemophilia type A treatment: A systematic review. Indian J. Hematol. Blood Transfus. 2014; 30 (1): 1–11.
- Mazepa MA, Monahan PE, Baker JR, Riske BK, Soucie JM. Men with severe hemophilia in the United States: birth cohort analysis of a large national database. Blood. 2016;127(24):3073 81.
- Nzometia CY, Tagny CT, Ndoumba AN, Ngo Balogog PM, Mbanya DN. Assessing the quality of care for haemophilia at the Yaoundé reference treatment Centre of Cameroon. Blood Coagul Fibrinolysis. 2017;28(2):176-180.
- World Federation of Hemophilia. Report on the Annual Global survey 2020. Montréal 2021.
- Ayob Y. Management of hemophilia in resource-limited countries. Transfusion Alternatives in transfusion medicine. 2008 ;10 (2) : 70-4. DOI :10.1111/j.1778-428X.2008.00108.x.
- Diop S, Thiam D, Toure AO, Diakhate L. Aspects épidémiologiques et impact médico-social de l’hémophilie au CHU de Dakar. Med trop. 2003 63 (2) : 139- 42. [PMID: 14957371].
- Saxena K. Barriers and perceived limitations to early treatment of hemophilia. J Blood Med. 2013 4 : 49-56. doi: 10.2147/JBM.S43734.
- O’Mahony B, Black C. Expanding hemophilia care in developing countries. Semin Thromb Hemost. 2005 ; 31 (5) : 561-8. doi: 10.1055/s-2005-922228.
- Tagny CT, Moudourou S, Ndoumba A, Mbanya D. Hemophilia in Developing Countries: An Analysis of the first Data in Cameroon, Africa. J Blood Lymph. 2014 ; 4(2) : 1-4. doi:10.4172/2165-7831.1000119.
- Mbanya DN, Diop S, Ndoumba Mintya AN, El Kiaby M. Hemophilia care in Africa: Status and challenges. Transfus Clin Biol. 2021 ; 28 (2) : 158–62.
- Washeel OF, Ma’ala GE. Assessement Nurses’ Knowledge about Hemophilia for Children attending Heredity Blood Disease center in Al-Nasiriya City. IOSR Journal of Nursing and Health Science. 2017 ; 6 (3) : 99-105. [DOI :10.9790/1959-06030299105].
- Balogun TM, Agboola MB, Onigbinde OO, Ajayi A, Iredi I. Haemophilia knowledge among Health Care Providers in a Tertiary Hospital Lagos, Nigeria. Journal of Blood Disorders, Symptoms & Treatments. 2018 ; 2 (2) :1-6.
- Essi MJ, Njoya O. L’enquête CAP (Connaissances, Attitudes, Pratiques) en Recherche Médicale. Health Sci. Dis. 2013; 14 (2) : 1-3.
- Ministère de la sante publique. Plan National de développement sanitaire PNDS 2016-2020. Cameroun.
- Osho P, Ojo M, Odunlade O, Ndidi O, Gbenga-Fabusiwa FJ, Oluwatosin IO, Oluwole M. Assessment of knowledge of health workers on haemophilia at the university of medical sciences teaching hospital, Ondo state, Nigeria. American Journal of Laboratory Med. 2020 ; 5 (4) : 88-94.
- Seck M, Sagna A, Guéye MS, Faye BF, Sy D, Toure SA et al. Circumcision in hemophilia using low quantity of factor concentrates: experience from Dakar, Senegal. BMC Hematology. 2017 ; 17 : 8 DOI 10.1186/s12878-017-0080-1.
- Diop S, Haffar A, Mahlangu J, Chami I, Kitchen S, Pierce G. Improving access to hemophilia care in sub-Saharan Africa by capacity building. Blood Adv 2019 ; 3 : 1–4.
- Witkop M, Lambing A. Knowledge and attitudes surveys in bleeding disorders providers regarding pains. Haemophilia 2015,21(6) :465-71. doi:10.1111/hae.12749. Epub 2015 Jul 17.