Article history: Received: 15-02-2017, Accepted: 12-04-2017, Published online: 05-05-2017
Corresponding author: David Okello Owiny
E-mail: email@example.comCitation: Nabirye HM, Erume J, Nasinyama GW, Kungu JM, Nakavuma J, Ongeng D, Owiny DO (2017) Brucellosis: Community, medical and veterinary workers' knowledge, attitudes, and practices in Northern Uganda, Int J One Health 2017;3:12-18.
Aim: This study aimed at determining the knowledge, attitudes, and practices of the community, medical and veterinary workers regarding brucellosis.
Materials and Methods: A cross-sectional study was conducted at selected health facilities in Apac, Gulu, Lira, and Pader districts of Northern Uganda using a standardized questionnaire. A total of 251 patients testing positive for brucellosis using the Brucella plate agglutination test, 59 medical and 29 veterinary workers were studied. Chi-square test at 95% confidence level was used to analyze data.
Results: Only 8% patients, 15.3% medical, and 21.4% veterinary workers were knowledgeable on transmission methods and symptoms for brucellosis and knowledge differed according to the level of education among patients (p=0.001), medical (p=0.001), and veterinary workers (p=0.012). Over 80% patients, medical and veterinary workers had a positive attitude. Only 8% patients, 13.6% medical, and 7.1% veterinary workers had good practices regarding brucellosis control.
Conclusion: Poor knowledge, poor practices, and positive attitude provide an opportunity for health education and policy formulation for the control of brucellosis. The prevalence studies of human and animal brucellosis are recommended to determine the magnitude of the problem.
Keywords: awareness, Brucellosis, patients, practitioners, Uganda.
1. Abubakar M, Mansoor M, Arshed M. Bovine brucellosis: Old and new concepts with Pakistan perspective. Pak Vet J 2011;32:147-55.
2. Schelling E, Diguimbaye C, Daoud S, Nicolet J, Boerlin P, Tanner M, et al. Brucellosis and Q-fever seroprevalences of nomadic pastoralists and their livestock in Chad. Prev Vet Med 2003;61:279-93. [Crossref] [PubMed]
3. FAO. Brucella Melitensis in Eurasia and the Middle East. FAO Animal Production and Health Proceedings. Vol. 10; 2010. p. 1-47.
4. Mantur BG, Amarnath SK, Shinde SR. Review of clinical and laboratory features of human brucellosis. Vet Microbiol 2007;25:188-202. [Crossref]
5. Moreno E, Cloeckaert A, Moriyon I. Brucella evolution and taxonomy. Vet Microbiol 2002;90:209-27. [Crossref]
6. Corbel MJ. Brucellosis in humans and animals brucellosis in humans and animals. World Health Organization in Collaboration with the Food and Agriculture Organization of the United Nations. Geneva, Switzerland: World Organization for Animal Health; 2006. p. 7, 89.
7. Sayyad S, Malak MM, Miri BA, Gharib SM, Vahabi A. The prevalence rate of human brucellosis in Sanandaj county, West of Iran. Life Sci J 2014;11:23-5.
9. Smits HL, Cutler SJ. Contributions of biotechnology to the control and prevention of brucellosis in Africa. Afr J Biotechnol 2004;3:631-6.
10. Howyida SA, Lamiaa TA, Kamel AZ. Awareness of personnel in direct contact with animals regarding brucellosis. J Am Sci 2012;8:790-6.
11. Lindahl E, Sattorov N, Boqvist S, Magnusson U. A study of knowledge, attitudes and practices relating to brucellosis among small-scale dairy farmers in an urban and peri-urban area of Tajikistan. PLoS One 2015;10:e0117318. [Crossref] [PubMed] [PMC]
15. Kansiime C, Mugisha A, Makumbi F, Mugisha S, Rwego IB, Sempa J, et al. Knowledge and perceptions of brucellosis in the pastoral communities adjacent to Lake Mburo National Park, Uganda. BMC Public Health 2014;14:242. [Crossref] [PubMed] [PMC]
17. Kozukeev TB, Ajeilat S, Maes E, Favorov M. Risk factors for brucellosis - Leylek and Kadamjay districts, Batken Oblast. MMWR Morb Mortal Wkly Rep 2003;86:31-4.
18. Wojno JM, Moodley C, Pienaar J, Beylis N, Jacobsz L, Nicol MP, et al. Human brucellosis in South Africa: Public health and diagnostic pitfalls. S Afr Med J 2016;106:883-5. [PubMed]
19. Chipwaza B, Mugasa JP, Mayumana I, Amuri M, Makungu C, Gwakisa PS. Community knowledge and attitudes and health workers' practices regarding non-malaria febrile illnesses in Eastern Tanzania. PLoS Negl Trop Dis 2014;8:e2896. [Crossref] [PubMed] [PMC]20. Apac District Local Government. Apac Statistical Abstract. Uganda Bureau of Statistics Kampala Uganda, UBOS. District Local Government Statistical Abstract; 2012, June. p. 26-31. 21. Uganda Bureau of Statistics. Gulu District Local Government. Gulu Statistical Abstract. Kampala, Uganda: Uganda Bureau of Statistics; 2013. p. 60-70. 22. Uganda Bureau of Statistics. Lira District Local Government. Lira Statistical Abstract. Kampala, Uganda: Uganda Bureau of Statistics; 2012. p. 20-31. 23. Uganda Bureau of Statistics. Pader District Local Government. Pader Statistical Abstract. Kampala, Uganda: Uganda Bureau of Statistics; 2009. p. 10-4. 24. UBOS. Uganda National Household Survey 2012/13. Kampala, Uganda: Uganda Bureau of Statistics; 2014. p. 97, 98. 25. Adesiji YO, Adesiji GB, Fagabami AH. Brucellosis: Knowledge, attitude and practices among occupationall exposed indviduals in Osun state. Sci Focus 2005;10:38-41. 26. Ministry of Finance, Planning and Economic Development.The Republic of Uganda Poverty Status Report. Kampala, Uganda: Economic Development Policy and Research Department; 2014. p. 58, 64. 27. Grahn C. Brucellosis in Small Ruminants - An Investigation of Knowledge, Attitude and Practices in Peri-Urban Farming Around the Region of Dushanbe, Tajikistan. Vol. 1652-8697. Uppsala; 2013. p. 1-22.