Retrospective Record Assessment Of Visceral Leishmaniasis (vl) Patients In Kahsaye-abera Hospital And Knowledge Attitude And Practice Pertaining To Visceral Leishmaniasis Among The Indigenous People And Migrant Workers In Kaf
According to a substantial body of evidence, leishmaniasis is posing burden onrnpeople of all ages living in different parts of the world at varying degrees ofrnmorbidity and mortality. Visceral leishmaniasis (VL) is endemic in the south,rnsouthwest, north, North West and north east peripheral low lands of Ethiopia.rnK/Humera, in Tigray Region is VL endemic. Its proximity to the Sudan, economicrnattraction and a venue for several migrant workers further complicates thernproblem. With the objective of describing the magnitude of visceral leishmaniasisrnat Kahsaye-Abera Hospital, a study was conducted using a pre-testedrnquestionnaire and a retrospective clinical records review.rnThe knowledge and practice of both migrant workers and indigenous people wasrnfound to be 56.1%, 77.2% and 6.9%, 68% respectively. Out of the 931 migrantrnworkers, 69% were familiar with the work kala azar compared to 85.8% of thernindigenous population. A bit higher than 40% of both cohorts accessed therninformation from health facilities with only 4% of the labor migrant force andrn14.7% of the local inhabitants from the media. A wide gap of behavioral practicernwas evidenced between the labor migrants and local residents, where 93.1%rnmigrant workers and 29% indigenous people exhibited poor practice towardsrnvisceral leishmaniasis. Of the 882 retrospectively reviewed patients’ records, onlyrn174 (19.7%) had no any inter-current infections whereas majority of the grouprn80.2% had atleast one concurrent infection with the highest rate of respiratoryrninfections, 48.4% and the HIV/leishmania co-infection was as high as 25%. HIVrnco-infected VL cases were seven times more likely to relapse compared to HIVrnnegative VL cases. Respondents were less familiar with the sandflies as thernmajor players in the transmission of VL (kala azar) and had unsatisfactoryrnperception and poor practice towards kala azar. Moreover, mortality and HIV/VLrnco-infection rate was among the highest. Health workers and other stake holdersrnshould join hands to adequately disseminate information to the community tornactively participate in the sphere of prevention