High Level of Knowledge about Tungiasis but Little Translation into Control Practices in Karamoja, Northeastern Uganda
Abstract
:1. Introduction
2. Materials and Methods
2.1. Study Area and Study Population
2.2. Study Design
- Knowledge: Questions on cause, risk factors for infection, symptoms and signs, prevention and treatment of tungiasis in humans and animals.
- Practices: Questions on activities regarding the treatment and prevention of tungiasis in humans and animals.
- Attitudes: Questions with a focus on stigma and the impairment of life quality.
2.3. Data Collection and Analysis
2.4. Ethical Considerations
3. Results
3.1. Socio-Demographic Data and Tungiasis Status
3.2. Knowledge about Cause of Tungiasis and Disease Manifestation
3.3. Knowledge about Risk Factors and Animal Tungiasis
3.4. Knowledge and Practices concerning the Prevention of Human Tungiasis
3.5. Knowledge and Practices concerning the Prevention of Animal Tungiasis
Answer Options (Multiple Answers Possible) | Frequency of Answers | (%) |
---|---|---|
Spraying animals with insecticides | 890 | (67.0) |
Keeping animal dwellings clean | 724 | (54.5) |
I don’t know | 214 | (16.1) |
Cementing the floor of animal dwellings | 171 | (12.9) |
Others * | 28 | (2.1) |
3.6. Knowledge and Practices concerning the Treatment of Human Tungiasis
Answer Options (Multiple Answers Possible) | Frequency of Answers | (%) |
---|---|---|
Mechanical extraction of embedded sand fleas | 416 | (31.3) |
Cleaning wounds | 251 | (18.9) |
Visiting health facility | 235 | (17.7) |
Topical application of dimeticone | 179 | (13.5) |
Others * | 179 | (13.5) |
Topical application of BBE | 126 | (9.5) |
I don’t know | 114 | (8.6) |
3.7. Knowledge and Practices concerning the Treatment of Animal Tungiasis
Answer Options (Multiple Answers Possible) | Frequency of Answers | (%) |
---|---|---|
Application of veterinary insecticide | 875 | (65.8) |
I don’t know | 297 | (22.3) |
Spraying of chemicals * | 116 | (8.7) |
Topical application of dimeticone | 98 | (7.4) |
Others ** | 69 | (5.2) |
Mechanical extraction of embedded sand fleas | 19 | (1.4) |
3.8. Community Dialogue Meetings
4. Discussion
4.1. Knowledge about Human and Animal Tungiasis
4.2. Shoes as a Controversial Preventive Measure
4.3. Translation of Knowledge into Practice
4.4. Study Limitations
5. Conclusions
Supplementary Materials
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Acknowledgments
Conflicts of Interest
References
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Answer Options (Multiple Answers Possible) | Number | (%) |
---|---|---|
No animals | 672 | (50.6) |
Chickens | 372 | (28.0) |
Goats | 357 | (26.9) |
Cattle | 352 | (26.5) |
Sheep | 289 | (21.7) |
Cats | 152 | (11.4) |
Other poultry * | 136 | (10.2) |
Dogs | 124 | (9.3) |
Pigs | 12 | (0.9) |
Other animals ** | 12 | (0.9) |
Answer Options (Multiple Answers Possible) | Frequency of Answers | (%) |
---|---|---|
Itching | 1287 | (96.8) |
Pain | 1115 | (83.9) |
Swelling | 718 | (54.0) |
Loss of nails | 350 | (26.3) |
Ulcers | 325 | (24.5) |
Warm skin | 272 | (20.5) |
Loss of toes | 240 | (18.1) |
Deformed feet | 98 | (7.4) |
Alteration of gait | 93 | (7.0) |
Others * | 37 | (2.8) |
Bacterial superinfection | 33 | (2.5) |
I don’t know | 5 | (0.4) |
Answer Options (Multiple Answers Possible) | Frequency of Answers | (%) |
---|---|---|
Dry/dusty/dirty floor | 1150 | (86.5) |
Poor body hygiene | 943 | (71.0) |
Poor housing | 793 | (59.7) |
Close contact to animals | 553 | (41.6) |
Dry weather | 362 | (27.2) |
Sleeping on the floor | 196 | (14.7) |
Overcrowded homes | 125 | (9.4) |
No footwear | 100 | (7.5) |
Waste on the compound | 90 | (6.8) |
Others * | 28 | (2.1) |
Presence of rats/mice | 26 | (2.0) |
I don’t know | 22 | (1.7) |
Open defecation | 11 | (0.8) |
Answer Options (Multiple Answers Possible) | Frequency of Answers | (%) |
---|---|---|
Pigs | 649 | (48.8) |
Dogs | 648 | (48.8) |
Goats | 582 | (43.8) |
Cattle | 519 | (39.1) |
Cats | 501 | (37.7) |
Sheep | 436 | (32.8) |
Chicken | 307 | (23.1) |
I don’t know | 259 | (19.5) |
Other animals * | 21 | (1.6) |
Donkeys | 13 | (1.0) |
Answer Options (Multiple Answers Possible) | Frequency of Answers | (%) |
---|---|---|
Regular washing of the feet | 1202 | (90.4) |
Keeping houses/compound clean | 1013 | (76.2) |
Apply concrete/cow dung on the floor | 574 | (43.2) |
Keep animals away from houses | 531 | (40.0) |
Proper waste disposal | 475 | (35.7) |
Spraying the house with insecticides | 447 | (33.6) |
Wearing shoes | 143 | (10.8) |
Others * | 25 | (1.9) |
I don’t know | 15 | (1.1) |
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Thielecke, M.; McNeilly, H.; Mutebi, F.; Banalyaki, M.B.; Arono, R.; Wiese, S.; Reichert, F.; Mukone, G.; Feldmeier, H. High Level of Knowledge about Tungiasis but Little Translation into Control Practices in Karamoja, Northeastern Uganda. Trop. Med. Infect. Dis. 2023, 8, 425. https://doi.org/10.3390/tropicalmed8090425
Thielecke M, McNeilly H, Mutebi F, Banalyaki MB, Arono R, Wiese S, Reichert F, Mukone G, Feldmeier H. High Level of Knowledge about Tungiasis but Little Translation into Control Practices in Karamoja, Northeastern Uganda. Tropical Medicine and Infectious Disease. 2023; 8(9):425. https://doi.org/10.3390/tropicalmed8090425
Chicago/Turabian StyleThielecke, Marlene, Hannah McNeilly, Francis Mutebi, Mike B. Banalyaki, Rebecca Arono, Susanne Wiese, Felix Reichert, George Mukone, and Hermann Feldmeier. 2023. "High Level of Knowledge about Tungiasis but Little Translation into Control Practices in Karamoja, Northeastern Uganda" Tropical Medicine and Infectious Disease 8, no. 9: 425. https://doi.org/10.3390/tropicalmed8090425
APA StyleThielecke, M., McNeilly, H., Mutebi, F., Banalyaki, M. B., Arono, R., Wiese, S., Reichert, F., Mukone, G., & Feldmeier, H. (2023). High Level of Knowledge about Tungiasis but Little Translation into Control Practices in Karamoja, Northeastern Uganda. Tropical Medicine and Infectious Disease, 8(9), 425. https://doi.org/10.3390/tropicalmed8090425