International Journal of Endorsing Health Science Research
©Int. j. endorsing health sci. res.
Published by Advance Educational Institute and Research Centre
ISSN 2307-3748 (Print) ISSN 2310-3841 (Online)
Volume 7 Issue 1 [2019]
Original Article
Hepatitis B and C related knowledge,
attitudes and practices of health care
workers in Azad Kashmir, Pakistan –
A potentially disastrous area
Munawar Ali Khan
1
, Muhammad Faisal Khilji
1
, Abdul Rauf
Janjua
2
, Muhammad Imran
3
& Kerim Hakan Altintas
4
1
Department of Emergency Medicine, Sultan Qaboos University Hospital Muscat, Sultanate of Oman
2
University of Azad Jammu and Kashmir
3
Institute of Medical Technology, Ziauddin University,
4
Department of Public Health, Faculty of Medicine, Hacettepe University, Ankara, Turkey
Abstract
Background: Azad Kashmir, Pakistan is a potentially dangerous area for earthquake disasters. Knowledge,
attitude and practices (KAP) of health care workers (HCW’s) in this region is essential to prevent the spread
of Hepatitis B (HBV) and Hepatitis C (HCV) in case of disaster.
Methodology: This descriptive observational prospective study was carried out to assess the HCW’s KAP
regarding HBV and HCV in major hospitals of Muzaffarabad, Azad Kashmir, Pakistan. A validated study
questionnaire was distributed among 320 HCW’s of Combined Military Hospital (CMH) and Abbas
Institute of Medical Sciences (AIMS), Muzaffarabad, to assess KAP of HCW’s regarding HBV and HCV.
All HCW's of CMH and AIMS, Muzaffarabad were included in the study. While HCW's of these hospitals
with HBV and HCV infection were excluded from the study. Analysis was done in Microsoft Excel and
Graphs were generated for KAP of health care workers.
Results: In the knowledge component, all health care workers know about parenteral transmission of Hepatitis
B & C (100%) but their knowledge regarding non-parenteral transmission is incorrect (65.62% and 31.2%).
Knowledge about prevention status after Hepatitis B vaccine is also incomplete (40.62%). Hepatitis B & C
related attitude in health care workers is acceptable. Overall practice regarding Hepatitis B & C spread is
acceptable but half of the health care workers have knowledge regarding the use of immunoglobulins after
Hepatitis B & C infection and regarding continuity of work after accidental exposure to Hepatitis B or C
(43.75% and 28.12%).
Conclusion: Our study found gaps in the KAP of HCW's. The shortcomings found in KAP of HCW's needs
to be addressed through regular educational programs in order to prevent the spread of HBV and HCV in the
studied.
Keywords
Hepatitis C, Hepatitis B, Immunoglobulins, Knowledge, Attitude
DOI:10.29052/IJEHSR.v7.i1.2019.39-46
Corresponding Author Email:
imranmuhammad@zu.edu.pk
Received 19/10/2018
Accepted 20/01/2019
Published 01/03/2019