International Journal of Medical Science and Clinical Research Studies ISSN(print): 2767-8326, ISSN(online): 2767-8342 Volume 03 Issue 06 June 2023 Page No: 1078-1085 DOI: https://doi.org/10.47191/ijmscrs/v3-i6-08 , Impact Factor: 6.597 1078 Volume 03 Issue 06 June 2023 Corresponding Author: Indira Adhikari (Poudel) Awareness and Preventive Practice on Kala-Azar among the Community People of Morang, Nepal Indira Adhikari (Poudel) 1 , Prakriti Kiran Poudel 2 , Anu Bajracharya 3, Laxmi Paudyal 4 Sagun Kharel 5 , Sandipa Niraula 6 1 Associate Professor, Madan Bhandari Academy of Health Science, Nepal. 2,3,4,5,6 Madan Bhandari Academy of Health Science, Nepal. ABSTRACT ARTICLE DETAILS Background According to World Health Organization, an estimated 700000 to 1 million new cases and 26000 to 65000 deaths occur annually from Kala-azar. In the countries of South-East Asia region, Kala-azar occurs mainly in three countries- India, Bangladesh and Nepal. The disease occurs in agricultural villages where houses are frequently constructed with mud walls. Even people residing in endemic areas have poor practices for its prevention. Methods A descriptive cross-sectional study was conducted among 150 community people of Katahari Gaupalika, Morang. Simple Random sampling technique was used for the selection of three wards among seven wards, probability proportionate was used for the selection of the population from the ward. The desired sample was selected purposively. Data were collected from face-to-face interview techniques using a structured questionnaire. Statistical analysis was done by using SPSS 16 version. Results It is found that nearly two-thirds of the respondents (63.3%) had moderate awareness, more than one- fifth (22%) of the respondents had adequate awareness while (14.7%) of the respondents had inadequate awareness of Kala-azar. Similarly, more than half (55.3%) had moderate preventive practice, (25.3%) had inadequate preventive practice and nearly one-fifth (19.3%) had adequate preventive practice. The mean score for awareness and practice was 16.633 and 5.54 respectively. Conclusion The study was conducted to assess the level of awareness of Kala-azar. This concluded moderate awareness of respondents on Kala-azar which suggested that there is still a need to improve the awareness of the respondents particularly on its causative agent, preventive measures and complication. However, to improve their awareness to an adequate level, awareness-raising programs focusing on preventive practice should be conducted. KEY WORDS: Awareness, Community People, Kala-azar, Knowledge, Practice Published On: 12 June 2023 Available on: https://ijmscr.org/ INTRODUCTION A chronic and potentially fatal parasitic disease of the viscera (the internal organs, particularly the liver, spleen, bone marrow and lymph nodes) due to infection by the parasite called Leishmania donovani. 1 Globally, over 90 species of sand-fly are known to transmit leishmania parasites while around 70 animal species, including humans, have been found as natural reservoir hosts of leishmania parasites. 2 It is found that the Visceral Leishmaniasis is one of the deadliest parasitic diseases in the world, which causes more than 50000 human deaths each year and afflicts millions of people throughout South America, East Africa, South Asia and the Mediterranean Region. 3 Kala-azar is also called black fever in India with various symptoms like fever, weight loss, hepatosplenomegaly, pancytopenia, etc. 4 The leishmaniasis is considered to be endemic in 88 countries (16 developed & 72 developing countries) 90% of VL cases are found in Bangladesh, Brazil, India, Nepal and Sudan. 5 According to WHO an estimated 700000 to 1 million new cases and 26000 to 65000 death occur annually. In 2017, more than 95% of new cases reported to WHO occurred in 10 countries which