Health care workers indicate ill preparedness for Ebola Virus Disease outbreak in Ashanti Region of Ghana
Identifieur interne : 000B39 ( Ncbi/Merge ); précédent : 000B38; suivant : 000B40Health care workers indicate ill preparedness for Ebola Virus Disease outbreak in Ashanti Region of Ghana
Auteurs : Augustina Angelina Annan [Ghana] ; Denis Dekugmen Yar [Ghana] ; Michael Owusu [Ghana] ; Eno Akua Biney [Ghana] ; Paa Kobina Forson [Ghana] ; Portia Boakye Okyere [Ghana] ; Akosua Adumea Gyimah [Ghana] ; Ellis Owusu-Dabo [Ghana]Source :
- BMC Public Health [ 1471-2458 ] ; 2017.
Abstract
The recent Ebola Virus Disease (EVD) epidemic that hit some countries in West Africa underscores the need to train front line high-risk health workers on disease prevention skills. Although Ghana did not record (and is yet to) any case, and several health workers have received numerous training schemes, there is no record of any study that assessed preparedness of healthcare workers (HCWS) regarding EVD and any emergency prone disease in Ghana. We therefore conducted a hospital based cross sectional study involving 101 HCWs from two facilities in Kumasi, Ghana to assess the level of preparedness of HCWs to respond to any possible EVD.
We administered a face-to-face questionnaire using an adapted WHO (2015) and CDC (2014) Checklist for Ebola Preparedness and assessed overall knowledge gaps, and preparedness of the Ghanaian HCWs in selected health facilities of the Ashanti Region of Ghana from October to December 2015.
A total 92 (91.09%) HCWs indicated they were not adequately trained to handle an EVD suspected case. Only 25.74% (
Our study demonstrates poor knowledge and ill preparedness and unwillingness of many HCWs to attend to EVD. Beyond knowledge acquisition, there is the need for more training from time to time to fully prepare HCWs to handle any possible EVD case.
Url:
DOI: 10.1186/s12889-017-4474-6
PubMed: 28587602
PubMed Central: 5461762
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last="Annan">Augustina Angelina Annan</name><affiliation wicri:level="1"><nlm:aff id="Aff1"><institution-wrap><institution-id institution-id-type="ISNI">0000000109466120</institution-id><institution-id institution-id-type="GRID">grid.9829.a</institution-id><institution>Kumasi Centre for Collaborative Research in Tropical Medicine,</institution><institution>Kwame Nkrumah University of Science and Technology,</institution></institution-wrap>Kumasi, Ghana</nlm:aff><country xml:lang="fr">Ghana</country><wicri:regionArea>Kumasi</wicri:regionArea></affiliation><affiliation wicri:level="1"><nlm:aff id="Aff5"><institution-wrap><institution-id institution-id-type="ISNI">0000000109466120</institution-id><institution-id institution-id-type="GRID">grid.9829.a</institution-id><institution>Department of Theoretical and Applied Biology,</institution><institution>Kwame Nkrumah University of Science and Technology,</institution></institution-wrap>Kumasi, Ghana</nlm:aff><country 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Hospital, Ghana Health Services, Kumasi, Ghana</nlm:aff><country xml:lang="fr">Ghana</country><wicri:regionArea>Kumasi South Hospital, Ghana Health Services, Kumasi</wicri:regionArea><wicri:noRegion>Kumasi</wicri:noRegion></affiliation></author><author><name sortKey="Owusu Dabo, Ellis" sort="Owusu Dabo, Ellis" uniqKey="Owusu Dabo E" first="Ellis" last="Owusu-Dabo">Ellis Owusu-Dabo</name><affiliation wicri:level="1"><nlm:aff id="Aff1"><institution-wrap><institution-id institution-id-type="ISNI">0000000109466120</institution-id><institution-id institution-id-type="GRID">grid.9829.a</institution-id><institution>Kumasi Centre for Collaborative Research in Tropical Medicine,</institution><institution>Kwame Nkrumah University of Science and Technology,</institution></institution-wrap>Kumasi, Ghana</nlm:aff><country xml:lang="fr">Ghana</country><wicri:regionArea>Kumasi</wicri:regionArea></affiliation><affiliation wicri:level="1"><nlm:aff id="Aff4"><institution-wrap><institution-id institution-id-type="ISNI">0000000109466120</institution-id><institution-id institution-id-type="GRID">grid.9829.a</institution-id><institution>School of Public Health,</institution><institution>Kwame Nkrumah University of Science and Technology,</institution></institution-wrap>Kumasi, Ghana</nlm:aff><country xml:lang="fr">Ghana</country><wicri:regionArea>Kumasi</wicri:regionArea></affiliation></author></analytic><series><title level="j">BMC Public Health</title><idno type="eISSN">1471-2458</idno><imprint><date when="2017">2017</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p>The recent Ebola Virus Disease (EVD) epidemic that hit some countries in West Africa underscores the need to train front line high-risk health workers on disease prevention skills. Although Ghana did not record (and is yet to) any case, and several health workers have received numerous training schemes, there is no record of any study that assessed preparedness of healthcare workers (HCWS) regarding EVD and any emergency prone disease in Ghana. We therefore conducted a hospital based cross sectional study involving 101 HCWs from two facilities in Kumasi, Ghana to assess the level of preparedness of HCWs to respond to any possible EVD.</p></sec><sec><title>Methods</title><p>We administered a face-to-face questionnaire using an adapted WHO (2015) and CDC (2014) Checklist for Ebola Preparedness and assessed overall knowledge gaps, and preparedness of the Ghanaian HCWs in selected health facilities of the Ashanti Region of Ghana from October to December 2015.</p></sec><sec><title>Results</title><p>A total 92 (91.09%) HCWs indicated they were not adequately trained to handle an EVD suspected case. Only 25.74% (<italic>n</italic> = 26) considered their facilities sufficiently equipped to handle and manage EVD patients. When asked which disinfectant to use after attending to and caring for a suspected patient with EVD, only 8.91% (<italic>n</italic> = 9) could correctly identify the right disinfectant (χ<sup>2</sup> = 28.52, <italic>p</italic> = 0.001).</p></sec><sec><title>Conclusion</title><p>Our study demonstrates poor knowledge and ill preparedness and unwillingness of many HCWs to attend to EVD. Beyond knowledge acquisition, there is the need for more training from time to time to fully prepare HCWs to handle any possible EVD case.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Baize, S" uniqKey="Baize S">S Baize</name></author><author><name sortKey="Pannetier, D" uniqKey="Pannetier D">D Pannetier</name></author><author><name sortKey="Oestereich, L" uniqKey="Oestereich L">L Oestereich</name></author><author><name sortKey="Rieger, T" uniqKey="Rieger T">T Rieger</name></author><author><name sortKey="Koivogui, L" uniqKey="Koivogui L">L Koivogui</name></author><author><name sortKey="Magassouba, Nf" uniqKey="Magassouba N">NF Magassouba</name></author><author><name sortKey="Soropogui, B" uniqKey="Soropogui B">B Soropogui</name></author><author><name sortKey="Sow, Ms" uniqKey="Sow M">MS Sow</name></author><author><name sortKey="Keita, S" uniqKey="Keita S">S Keïta</name></author><author><name sortKey="De Clerck, H" uniqKey="De Clerck H">H De Clerck</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Elisha, A" uniqKey="Elisha A">A Elisha</name></author><author><name sortKey="Adegboro, B" uniqKey="Adegboro B">B Adegboro</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Oladimeji, Am" uniqKey="Oladimeji A">AM Oladimeji</name></author><author><name sortKey="Gidado, S" uniqKey="Gidado S">S Gidado</name></author><author><name sortKey="Nguku, P" uniqKey="Nguku P">P Nguku</name></author><author><name sortKey="Nwangwu, Ig" uniqKey="Nwangwu I">IG Nwangwu</name></author><author><name sortKey="Patil, Nd" uniqKey="Patil N">ND Patil</name></author><author><name sortKey="Oladosu, F" uniqKey="Oladosu F">F Oladosu</name></author><author><name sortKey="Roberts, Aa" uniqKey="Roberts A">AA Roberts</name></author><author><name sortKey="Waziri, Ne" uniqKey="Waziri N">NE Waziri</name></author><author><name sortKey="Shuaib, F" uniqKey="Shuaib F">F Shuaib</name></author><author><name sortKey="Oguntimehin, O" uniqKey="Oguntimehin O">O Oguntimehin</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Tour, Ea" uniqKey="Tour E">EA Tour</name></author><author><name sortKey="Traor, Ef" uniqKey="Traor E">EF Traor</name></author><author><name sortKey="Sako, F" uniqKey="Sako F">F Sako</name></author><author><name sortKey="Delamou, A" uniqKey="Delamou A">A Delamou</name></author><author><name sortKey="Tonguino, F" uniqKey="Tonguino F">F Tonguino</name></author><author><name sortKey="Sylla, D" uniqKey="Sylla D">D Sylla</name></author><author><name sortKey="Bangoura, M" uniqKey="Bangoura M">M Bangoura</name></author><author><name sortKey="Barry, M" uniqKey="Barry M">M Barry</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Vailaya, C" uniqKey="Vailaya C">C Vailaya</name></author><author><name sortKey="Kumar, S" uniqKey="Kumar S">S Kumar</name></author><author><name sortKey="Moideen, S" uniqKey="Moideen S">S Moideen</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Zuger, A" uniqKey="Zuger A">A Zuger</name></author><author><name sortKey="Miles, Sh" uniqKey="Miles S">SH Miles</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Verweij, M" uniqKey="Verweij M">M Verweij</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Seale, H" uniqKey="Seale H">H Seale</name></author><author><name sortKey="Leask, J" uniqKey="Leask J">J Leask</name></author><author><name sortKey="Po, K" uniqKey="Po K">K Po</name></author><author><name sortKey="Cr, Mi" uniqKey="Cr M">MI CR</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Seale, H" uniqKey="Seale H">H Seale</name></author><author><name sortKey="Leask, J" uniqKey="Leask J">J Leask</name></author><author><name sortKey="Po, K" uniqKey="Po K">K Po</name></author><author><name sortKey="Cr, Mi" uniqKey="Cr M">MI CR</name></author><author><name sortKey="Fauci, As" uniqKey="Fauci A">AS Fauci</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct></listBibl></div1></back></TEI><pmc article-type="research-article"><pmc-dir>properties open_access</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-ta">BMC Public Health</journal-id><journal-id journal-id-type="iso-abbrev">BMC Public Health</journal-id><journal-title-group><journal-title>BMC Public Health</journal-title></journal-title-group><issn pub-type="epub">1471-2458</issn><publisher><publisher-name>BioMed Central</publisher-name><publisher-loc>London</publisher-loc></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">28587602</article-id><article-id pub-id-type="pmc">5461762</article-id><article-id pub-id-type="publisher-id">4474</article-id><article-id pub-id-type="doi">10.1186/s12889-017-4474-6</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group></article-categories><title-group><article-title>Health care workers indicate ill preparedness for Ebola Virus Disease outbreak in Ashanti Region of Ghana</article-title></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><name><surname>Annan</surname><given-names>Augustina Angelina</given-names></name><address><phone>+233-32-206-03-51</phone><email>annan@kccr.de</email></address><xref ref-type="aff" rid="Aff1">1</xref><xref ref-type="aff" rid="Aff5">5</xref></contrib><contrib contrib-type="author"><name><surname>Yar</surname><given-names>Denis Dekugmen</given-names></name><address><email>yar@kccr.de</email></address><xref ref-type="aff" rid="Aff1">1</xref></contrib><contrib contrib-type="author"><name><surname>Owusu</surname><given-names>Michael</given-names></name><address><email>owusumichael-gh@hotmail.com</email></address><xref ref-type="aff" rid="Aff1">1</xref><xref ref-type="aff" rid="Aff2">2</xref></contrib><contrib contrib-type="author"><name><surname>Biney</surname><given-names>Eno Akua</given-names></name><address><email>enoakua_99@yahoo.com</email></address><xref ref-type="aff" rid="Aff2">2</xref></contrib><contrib contrib-type="author"><name><surname>Forson</surname><given-names>Paa Kobina</given-names></name><address><email>kaforson@yahoo.com</email></address><xref ref-type="aff" rid="Aff2">2</xref></contrib><contrib contrib-type="author"><name><surname>Okyere</surname><given-names>Portia Boakye</given-names></name><address><email>portiaboky@gmail.com</email></address><xref ref-type="aff" rid="Aff1">1</xref></contrib><contrib contrib-type="author"><name><surname>Gyimah</surname><given-names>Akosua Adumea</given-names></name><address><email>aagyimah@yahoo.co.uk</email></address><xref ref-type="aff" rid="Aff3">3</xref></contrib><contrib contrib-type="author"><name><surname>Owusu-Dabo</surname><given-names>Ellis</given-names></name><address><email>owusudabo@kccr.de</email></address><xref ref-type="aff" rid="Aff1">1</xref><xref ref-type="aff" rid="Aff4">4</xref></contrib><aff id="Aff1"><label>1</label><institution-wrap><institution-id institution-id-type="ISNI">0000000109466120</institution-id><institution-id institution-id-type="GRID">grid.9829.a</institution-id><institution>Kumasi Centre for Collaborative Research in Tropical Medicine,</institution><institution>Kwame Nkrumah University of Science and Technology,</institution></institution-wrap>Kumasi, Ghana</aff><aff id="Aff2"><label>2</label><institution-wrap><institution-id institution-id-type="ISNI">0000 0004 0466 0719</institution-id><institution-id institution-id-type="GRID">grid.415450.1</institution-id><institution></institution><institution>Komfo Anokye Teaching Hospital,</institution></institution-wrap>Kumasi, Ghana</aff><aff id="Aff3"><label>3</label>Kumasi South Hospital, Ghana Health Services, Kumasi, Ghana</aff><aff id="Aff4"><label>4</label><institution-wrap><institution-id institution-id-type="ISNI">0000000109466120</institution-id><institution-id institution-id-type="GRID">grid.9829.a</institution-id><institution>School of Public Health,</institution><institution>Kwame Nkrumah University of Science and Technology,</institution></institution-wrap>Kumasi, Ghana</aff><aff id="Aff5"><label>5</label><institution-wrap><institution-id institution-id-type="ISNI">0000000109466120</institution-id><institution-id institution-id-type="GRID">grid.9829.a</institution-id><institution>Department of Theoretical and Applied Biology,</institution><institution>Kwame Nkrumah University of Science and Technology,</institution></institution-wrap>Kumasi, Ghana</aff></contrib-group><pub-date pub-type="epub"><day>6</day><month>6</month><year>2017</year></pub-date><pub-date pub-type="pmc-release"><day>6</day><month>6</month><year>2017</year></pub-date><pub-date pub-type="collection"><year>2017</year></pub-date><volume>17</volume><elocation-id>546</elocation-id><history><date date-type="received"><day>14</day><month>7</month><year>2016</year></date><date date-type="accepted"><day>29</day><month>5</month><year>2017</year></date></history><permissions><copyright-statement>© The Author(s). 2017</copyright-statement><license license-type="OpenAccess"><license-p><bold>Open Access</bold>This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (<ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/licenses/by/4.0/">http://creativecommons.org/licenses/by/4.0/</ext-link>), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (<ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/publicdomain/zero/1.0/">http://creativecommons.org/publicdomain/zero/1.0/</ext-link>) applies to the data made available in this article, unless otherwise stated.</license-p></license></permissions><abstract id="Abs1"><sec><title>Background</title><p>The recent Ebola Virus Disease (EVD) epidemic that hit some countries in West Africa underscores the need to train front line high-risk health workers on disease prevention skills. Although Ghana did not record (and is yet to) any case, and several health workers have received numerous training schemes, there is no record of any study that assessed preparedness of healthcare workers (HCWS) regarding EVD and any emergency prone disease in Ghana. We therefore conducted a hospital based cross sectional study involving 101 HCWs from two facilities in Kumasi, Ghana to assess the level of preparedness of HCWs to respond to any possible EVD.</p></sec><sec><title>Methods</title><p>We administered a face-to-face questionnaire using an adapted WHO (2015) and CDC (2014) Checklist for Ebola Preparedness and assessed overall knowledge gaps, and preparedness of the Ghanaian HCWs in selected health facilities of the Ashanti Region of Ghana from October to December 2015.</p></sec><sec><title>Results</title><p>A total 92 (91.09%) HCWs indicated they were not adequately trained to handle an EVD suspected case. Only 25.74% (<italic>n</italic> = 26) considered their facilities sufficiently equipped to handle and manage EVD patients. When asked which disinfectant to use after attending to and caring for a suspected patient with EVD, only 8.91% (<italic>n</italic> = 9) could correctly identify the right disinfectant (χ<sup>2</sup> = 28.52, <italic>p</italic> = 0.001).</p></sec><sec><title>Conclusion</title><p>Our study demonstrates poor knowledge and ill preparedness and unwillingness of many HCWs to attend to EVD. Beyond knowledge acquisition, there is the need for more training from time to time to fully prepare HCWs to handle any possible EVD case.</p></sec></abstract><kwd-group xml:lang="en"><title>Keywords</title><kwd>Ebola Virus disease</kwd><kwd>Healthcare workers</kwd><kwd>Preparedness</kwd><kwd>Ghana</kwd></kwd-group><funding-group><award-group><funding-source><institution>subaward from the NIH/PEPFAR funded Medical Education Partnership Initiative (MEPI) in Ghana, Award Number R24TW008899 from the Fogarty International Center</institution></funding-source><award-id>R24TW008899</award-id><principal-award-recipient><name><surname>Annan</surname><given-names>Augustina Angelina</given-names></name></principal-award-recipient></award-group></funding-group><custom-meta-group><custom-meta><meta-name>issue-copyright-statement</meta-name><meta-value>© The Author(s) 2017</meta-value></custom-meta></custom-meta-group></article-meta></front></pmc><affiliations><list><country><li>Ghana</li></country></list><tree><country name="Ghana"><noRegion><name sortKey="Annan, Augustina Angelina" sort="Annan, Augustina Angelina" uniqKey="Annan A" first="Augustina Angelina" last="Annan">Augustina Angelina Annan</name></noRegion><name sortKey="Annan, Augustina Angelina" sort="Annan, Augustina Angelina" uniqKey="Annan A" first="Augustina Angelina" last="Annan">Augustina Angelina Annan</name><name sortKey="Biney, Eno Akua" sort="Biney, Eno Akua" uniqKey="Biney E" first="Eno Akua" last="Biney">Eno Akua Biney</name><name sortKey="Forson, Paa Kobina" sort="Forson, Paa Kobina" uniqKey="Forson P" first="Paa Kobina" last="Forson">Paa Kobina Forson</name><name sortKey="Gyimah, Akosua Adumea" sort="Gyimah, Akosua Adumea" uniqKey="Gyimah A" first="Akosua Adumea" last="Gyimah">Akosua Adumea Gyimah</name><name sortKey="Okyere, Portia Boakye" sort="Okyere, Portia Boakye" uniqKey="Okyere P" first="Portia Boakye" last="Okyere">Portia Boakye Okyere</name><name sortKey="Owusu Dabo, Ellis" sort="Owusu Dabo, Ellis" uniqKey="Owusu Dabo E" first="Ellis" last="Owusu-Dabo">Ellis Owusu-Dabo</name><name sortKey="Owusu Dabo, Ellis" sort="Owusu Dabo, Ellis" uniqKey="Owusu Dabo E" first="Ellis" last="Owusu-Dabo">Ellis Owusu-Dabo</name><name sortKey="Owusu, Michael" sort="Owusu, Michael" uniqKey="Owusu M" first="Michael" last="Owusu">Michael Owusu</name><name sortKey="Owusu, Michael" sort="Owusu, Michael" uniqKey="Owusu M" first="Michael" last="Owusu">Michael Owusu</name><name sortKey="Yar, Denis Dekugmen" sort="Yar, Denis Dekugmen" uniqKey="Yar D" first="Denis Dekugmen" last="Yar">Denis Dekugmen Yar</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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