In:
The Journal of Infectious Diseases, Oxford University Press (OUP), Vol. 224, No. Supplement_7 ( 2021-12-20), p. S890-S900
Abstract:
In the densely populated slums of Kolkata, informal healthcare providers’ (IHP) diarrhea-related knowledge and rationality of practices should be improved to reduce risk of adverse outcome, expenditure, and antimicrobial resistance. Methods A multicomponent intervention was conducted among 140 representative IHPs in the slums of 8 wards in Kolkata to assess its impact on their diarrhea-related knowledge and practice. Six intervention modules in local languages were provided (1 per month) with baseline (N = 140) and postintervention (N = 124) evaluation. Results Mean overall (61.1 to 69.3; P & lt; .0001) and domain-specific knowledge scores for etiology/spread (5.4 to 8.1; P & lt; .0001), management (6.4 to 7.2; P & lt; .0001), and oral rehydration solution ([ORS] 5.7 to 6.5; P & lt; .0001) increased significantly (at α = 0.05) after intervention and were well retained. Impact on knowledge regarding etiology/spread (adjusted odds ratio [aOR] = 5.6; P & lt; .0001), cholera (aOR = 2.0; P = .0041), management (aOR = 3.1; P & lt; .0001), ORS (aOR = 2.3; P = .0008), and overall (aOR = 4.3; P & lt; .0001) were significant. Intervention worked better for IHPs who practiced for ≥10 years (aOR = 3.2; P & lt; .0001), untrained IHPs (aOR = 4.8; P & lt; .0001), and pharmacists (aOR = 8.3; P & lt; .0001). Irrational practices like empirical antibiotic use for every cholera case (aOR = 0.3; P & lt; .0001) and investigation for every diarrhea case (aOR = 0.4; P = .0003) were reduced. Rationality of testing (aOR = 4.2; P & lt; .0001) and antibiotic use (aOR = 1.8; P = .0487) improved. Conclusions Multicomponent educational intervention resulted in sustainable improvement in diarrhea-related knowledge and practices among IHPs in slums of Kolkata. Policy implications should be advocated along with implementation and scale-up.
Type of Medium:
Online Resource
ISSN:
0022-1899
,
1537-6613
DOI:
10.1093/infdis/jiab499
Language:
English
Publisher:
Oxford University Press (OUP)
Publication Date:
2021
detail.hit.zdb_id:
1473843-0
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