Pastoralist Community’s Perception of Tuberculosis : A Quantitative Study from Shinille Area of Ethiopia

Abstract EN

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.