Research Article
Volume 10 Issue 6 - 2021
Knowledges, Attitudes and Practices of Health Care Workers on Sickle Cell in Togo
Foli Agbeko1,2*, Mawouto Fiawoo1,3, Homba Daké Batalia3, Sollim Talboussouma4, Magnoulelen N’zonou5, Manani Hemou2, Fidèle Comlan Dossou6, Rollin Arnaud Djomaleu3, Rachel Bayahou Kérékou2, Kokouvi Evenyo Abalo3, Mazama Pakoudjaré2, Justin Komivi Noamessi3, Edem Koffi Djadou1,3 and Abago Balaka7
1Département de Pédiatrie, Faculté des Sciences de la Santé, Université de Lomé, Togo
2Service de Pédiatrie, Centre Hospitalier Universitaire Campus, Lomé, Togo
3Service de Pédiatrie, CHU Sylvanus Olympio, Lomé, Togo
4Service de Pédiatrie, CHU Kara, Kara, Togo
5Service de Pédiatrie, Hôpital de Bè, Lomé, Togo
6Service de Pédiatrie, Centre Hospitalier Régional de Sokodé, Sokodé, Togo
7Département de Médecine Interne, Faculté des Sciences de la Santé, Université de Lomé, Togo
*Corresponding Author: Foli Agbeko, Département de Pédiatrie, Faculté des Sciences de la Santé, Université de Lomé and Service de Pédiatrie, Centre Hospitalier Universitaire Campus, Lomé, Togo.
Received: April 26, 2021; Published: June 15, 2021




Abstract

Background: In Togo, the prevalence of hemoglobin "S" is 16.1%, with 3 to 5% of major for ms. The objective of this study was to evaluate the knowledge, attitudes and practices of health care workers (HCW) on sickle cell disease.

Patients and Method: This was a cross-sectional study with descriptive and analytical aims th at took place over a period of 5 months among 379 health personnel in Togo. A pre-test questi onnaire was used to collect information on their knowledge, attitudes and practices regarding sickle cell disease.

Results: The participation rate of the HCW was 76.0% (379/499). The profile of HCW (N = 379) was dominated by nurses (25.9%) and midwives (25.3%). Most of the HCW (92.9%) knew the factors that promote sickle cell crises. The main signs suggestive of sickle cell crisis cited by the HCW were pain (88.6%), conjunctivo-palmar pallor (44.6%), jaundice (14.2%) and fever (12.7%). Responses were significantly better in those with a bachelor's degree, the caregivers with less than 10 years of experience and among the physicians. Prescribing the sickle cell diagnostic test in front of signs suggestive of sickle cell disease in a patient (95.0%) was satisfactory. The attitude of advising sickle cell diagnosis to those who wanted to get married was more common among doctors (p = 0.0003) and those with less than 10 years’ experience (p = 0.0001). Four out of five (79.9%) HCW had performed personal screening. Forty-seven point eight percent had given at least one medical follow-up to sickle cell children. Doctors and senior health technicians had better practices (p = 0.00005).

Conclusion: The HCW generally had good knowledge on sickle cell disease, nevertheless their attitudes and practices were insufficient. It would therefore be desirable to have a policy of continuous training of health personnel in sickle cell disease, especially in peripheral care.

Keywords: Sickle Cell Disease; Knowledge; Health Workers; Togo

References

  1. Sickle cell anemia and others hemoglobinopathies (2020).
  2. Labie D and Wajcman H. “Épidémiologie et génétique, physiopathologie et diagnostic antenatal”. ln: Bégué P. La maladie drépanocytaire. Sandoz, Paris (1984): 14-47.
  3. Amegnizin K. “Les anomalies de l’hémoglobine au Togo”. Revue des Sciences Médicales et Biologiques du Togo 5 (1981): 33-37.
  4. Ségbéna AY., et al. “Situation de la drépanocytose au Togo”. Journal de la Recherche Scientifique de l'Université de Lomé-Togo 7 (2003): 203-205.
  5. North ML., et al. “Detection of haemoglobinopathies at birth in Togo”. Nouvelle Revue Française d'hématologie 4 (1998): 237-241.
  6. Akenzua GI. “Screening for psychosocial dysfunction in children with sickle cell anaemia”. NJP 17 (1990): 15-21.
  7. Koko J., et al. “Mortalité des enfants drépanocytaires dans un service de pédiatrie en Afrique centrale”. Archives de Pédiatrie 9 (1998): 965-969.
  8. Assimadi JK., et al. “L’impact familial de la drépanocytose au Togo”. Archives de Pédiatrie 6 (2000): 615-620.
  9. Guédéhoussou T., et al. “Connaissances de la drépanocytose et pratiques dprévention dans la population d’un district urbain de Lomé, Togo”. Le Bulletin de la Société de Pathologie Exotique 4 (2009): 247-251.
  10. Ndong Allogo DG. “La drépanocytose à l’officine: dispensation du siklos® et éducation thérapeutique” (2018).
  11. Ngouadjeu Dongho TE., et al. “Connaissances attitudes et pratiques des parents de drépanocytaire au sujet de la drépanocytose. Cas de l’hôpital général et Laquintane de Douala”. African Journal of Integrated Health 7 (2017): 28-35.
  12. Kafando E., et al. “Les syndromes drépanocytaires majeurs: une enquête anonyme auprès du corps médical au Burkina Faso”. Medicina Tropical 68 (2008): 241-246.
  13. Zahran K., et al. “Evaluation des connaissances du personnel soignant et des patients drépanocytaires à propos de la crise drépanocytaire”.
Citation: Foli Agbeko., et al. “Knowledges, Attitudes and Practices of Health Care Workers on Sickle Cell in Togo”. EC Paediatrics 10.7 (2021): 03-09.

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