Assessing Knowledge, Attitudes, and Preventive Practices Related to Kala-azar: A Study of Rural Madhepura, Bihar, India

Dipti Govil Department of Population Policies and Programs, International Institute for Population Sciences, Mumbai, India;

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Harihar Sahoo Department of Development Studies, International Institute for Population Sciences, Mumbai, India;

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Sarang P. Pedgaonkar Department of Population Policies and Programs, International Institute for Population Sciences, Mumbai, India;

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Kailash Chandra Das Department of Migration Studies, International Institute for Population Sciences, Mumbai, India;

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Hemkhothang Lhungdim Department of Public Health & Mortality Studies, International Institute for Population Sciences, Mumbai, India

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To assess the knowledge, attitude, and preventive practices related to kala-azar in Madhepura district of Bihar, a community-based cross-sectional study was carried out in November 2014. A total of 353 households were interviewed from 24 villages of four blocks of Madhepura district. Data were collected using structured interview schedule. For knowledge, attitude, and preventive practice indexes, scores were assigned to individual questions based on the accuracy of responses. Univariate and binary logistic regressions were applied for the analysis. Eighty-four percent households had heard of kala-azar disease, but only 15.9% could recognize that sand flies were responsible for transmitting the disease. Overall, only 43.9% had fair knowledge on kala-azar disease (e.g., mode of transmission, signs and symptoms, and the outcome if left untreated) and the vector (breeding place, season, and biting time). Almost 48.6% had a favorable attitude toward treatability and management of kala-azar and 37.7% practiced proper mechanism to prevent and control kala-azar. Occupation emerged as a significant predictor for all three indexes. Other important predictors for the attitude index were literacy, household type, households ever had a kala-azar case, and knowledge index. Despite 61.8% of the households ever reported to have a member diagnosed with kala-azar, the overall knowledge of the disease and vector, attitude, and practices about prevention and control of kala-azar was found to be lagging. Therefore, our investigation suggests that further strengthening of comprehensive knowledge about kala-azar and preventive practices is needed.

Author Notes

Address correspondence to Dipti Govil, Department of Population Policies and Programs, International Institute for Population Sciences, Govandi Station Road, Deonar, Mumbai 400088, Maharashtra, India. E-mail: diptigovil@gmail.com

Financial support: The International Institute for Population Sciences, Mumbai, provided the fund for this study.

Authors’ addresses: Dipti Govil and Sarang P. Pedgaonkar, Department of Population Policies and Programs, International Institute for Population Sciences, Govandi Station Road, Deonar, Mumbai- 400088, India, E-mails: diptigovil@gmail.com and sarang@iips.net. Harihar Sahoo, Department of Development Studies, International Institute for Population Sciences, Govandi Station Road, Deonar, Mumbai- 400088, India, E-mail: hariharsahoo@gmail.com. Kailash Chandra Das, Department of Migration & Urban Studies, International Institute for Population Sciences, Govandi Station Road, Deonar, Mumbai- 400088, India, E-mail: daskc@yahoo.com. Hemkhothang Lhungdim, Department of Public Health & Mortality Studies, International Institute for Population Sciences, Govandi Station Road, Deonar, Mumbai- 400088, India, E-mail: lhungdim.hem@iips.net.

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