title: Pastoralist Community's Perception of Tuberculosis: A Quantitative Study from Shinille Area of Ethiopia.
abstract: Background. In Ethiopia the prevalence of all forms of TB is estimated at 261/100 000 population, leading to an annual mortality rate of 64/100 000 population. The incidence rate of smear-positive TB is 108/100 000 population. Objectives. To assess knowledge, attitudes, and practices regarding TB among pastoralists in Shinille district, Somali region, Ethiopia. Method. A community-based cross-sectional study was conducted among 821 pastoralists aged >18 years and above from February to May, 2011 using self-structured questionnaire. Results. Most (92.8%) of the study participants heard about TB, but only 10.1% knew about its causative agent. Weight loss as main symptom, transmittance through respiratory air droplets, and sputum examination for diagnosis were the answers of 34.3%, 29.9%, and 37.9% of pastoralists, respectively. The majority (98.3%) of respondents reported that TB could be cured, of which 93.3% believed with modern drugs. About 41.3% of participants mentioned covering the nose and mouth during sneezing and coughing as a preventive measure. The multivariate logistic regression analysis indicated that household income >300 Ethiopian Birr and Somali ethnicity were associated with high TB knowledge. Regarding health seeking behaviour practice only 48.0% of the respondents preferred to visit government hospital and discuss their problems with doctors/health care providers. Conclusion. This study observed familiarity with gaps and low overall knowledge on TB and revealed negative attitudes like discrimination intentions in the studied pastoral community.
authors.affiliation: Department of Public Health Nursing, Jijiga Health Science College, P.O. Box 504, Jijiga, Ethiopia.
authors.forename: Samuel
authors.initials: S
authors.lastname: Melaku
authors.affiliation: Institute of Environmental Studies, Kurukshetra University, Kurukshetra, Haryana 136119, India.
authors.forename: Hardeep Rai
authors.initials: HR
authors.lastname: Sharma
authors.affiliation: Institute of Public Health, University of Gondar, P.O. Box 196, Gondar, Ethiopia.
authors.forename: Getahun Asres
authors.initials: GA
authors.lastname: Alemie