title: Knowledge, Attitudes, and Practices regarding Diarrhea and Cholera following an Oral Cholera Vaccination Campaign in the Solomon Islands.
abstract: In response to a 2011 cholera outbreak in Papua New Guinea, the Government of the Solomon Islands initiated a cholera prevention program which included cholera disease prevention and treatment messaging, community meetings, and a pre-emptive cholera vaccination campaign targeting 11,000 children aged 1-15 years in selected communities in Choiseul and Western Provinces.
  
  
  
  We conducted a post-vaccination campaign, household-level survey about knowledge, attitudes, and practices regarding diarrhea and cholera in areas targeted and not targeted for cholera vaccination. Respondents in vaccinated areas were more likely to have received cholera education in the previous 6 months (33% v. 9%; p = 0.04), to know signs and symptoms (64% vs. 22%; p = 0.02) and treatment (96% vs. 50%; p = 0.02) of cholera, and to be aware of cholera vaccine (48% vs. 14%; p = 0.02). There were no differences in water, sanitation, and hygiene practices.
  
  
  
  This pre-emptive OCV campaign in a cholera-naïve community provided a unique opportunity to assess household-level knowledge, attitudes, and practices regarding diarrhea, cholera, and water, sanitation, and hygiene (WASH). Our findings suggest that education provided during the vaccination campaign may have reinforced earlier mass messaging about cholera and diarrheal disease in vaccinated communities.
authors.affiliation: Centers for Disease Control and Prevention, Atlanta, Georgia, United States of America.
authors.forename: Eleanor
authors.initials: E
authors.lastname: Burnett
authors.affiliation: Ministry of Health and Medical Services, Honiara, Solomon Islands.
authors.forename: Tenneth
authors.initials: T
authors.lastname: Dalipanda
authors.affiliation: Ministry of Health and Medical Services, Honiara, Solomon Islands.
authors.forename: Divi
authors.initials: D
authors.lastname: Ogaoga
authors.affiliation: Ministry of Health and Medical Services, Honiara, Solomon Islands.
authors.forename: Jenny
authors.initials: J
authors.lastname: Gaiofa
authors.affiliation: Gizo Hospital, Gizo, Solomon Islands.
authors.forename: Gregory
authors.initials: G
authors.lastname: Jilini
authors.affiliation: Centers for Disease Control and Prevention, Atlanta, Georgia, United States of America.
authors.forename: Alison
authors.initials: A
authors.lastname: Halpin
authors.affiliation: Centers for Disease Control and Prevention, Atlanta, Georgia, United States of America.
authors.forename: Vance
authors.initials: V
authors.lastname: Dietz
authors.affiliation: Centers for Disease Control and Prevention, Atlanta, Georgia, United States of America.
authors.forename: Kashmira
authors.initials: K
authors.lastname: Date
authors.affiliation: Centers for Disease Control and Prevention, Atlanta, Georgia, United States of America.
authors.forename: Eric
authors.initials: E
authors.lastname: Mintz
authors.affiliation: Centers for Disease Control and Prevention, Atlanta, Georgia, United States of America.
authors.forename: Terri
authors.initials: T
authors.lastname: Hyde
authors.affiliation: Centers for Disease Control and Prevention, Atlanta, Georgia, United States of America.
authors.forename: Kathleen
authors.initials: K
authors.lastname: Wannemuehler
authors.affiliation: Centers for Disease Control and Prevention, Atlanta, Georgia, United States of America.
authors.forename: Catherine
authors.initials: C
authors.lastname: Yen
mesh_terms: D000284:Administration, Oral; D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D002771:Cholera / Q000453:epidemiology* / Q000382:microbiology / Q000517:prevention & control*; D022121:Cholera Vaccines / Q000008:administration & dosage*; D003967:Diarrhea / Q000453:epidemiology* / Q000382:microbiology; D004196:Disease Outbreaks / Q000517:prevention & control; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D006920:Hygiene; D017589:Immunization Programs; D007223:Infant; D008297:Male; D032541:Mass Vaccination; D008542:Melanesia / Q000453:epidemiology; D012111:Residence Characteristics; D012499:Sanitation
chemical_list: D022121:Cholera Vaccines