000			07084nam a22004217a 4500
001			CUHAS/MPH/6000139/T/16
003			CUHAS/MPH/6000139/T/16
005			20240422135538.0
008			210821b |||||||| |||| 00| 0 eng d
028			_bWurzburg Road 35, BMC Premises, Post Code: 33102:
028			_b P. O Box 1464, Mwanza – Tanzania:
028			_bPhone: +255 28 298 3384:
028			_bFax: +255 28 298 3386:
028			_bEmail: vc@bugando.ac.tz :
028			_b www.bugando.ac.tz
035			_aCUHAS/MPH/6000139/T/16
040			_bEnglish _cddc
041			_aEnglish
100			_aPatrice Lina _d[Female] _922844 _eCUHAS/MPH/6000139/T/16
210			_aAbbreviations _bAIDS Accute Immune Deficieny Syndrome CBHP Community-Based Health Program CHMT Council Health Management Team CHWs Community Health Workers CRS Catholic Relief Services DHO District Health Officer HIV Human Immune Virus KAP Knowledge, Attitude and Practices LGAs Local Government Authorities MoHCDGEC Ministry of Health, Community Development, Gender, the Elderly and Children NSC National Sanitation Campaign NSMIS National Sanitation Management Information System ODF Open Defecation Free PHSDP Primary Health Service Development Program PO-RALG President‟s Office for Regional Administration and Local Government RHMT Regional Health Management Team SDGs Sustainable Development Goals SWSH School Water Sanitation and Hygiene UNICEF United Nations International Children‟s Emergency Fund USAID United States Agency for International Development VEO Village Executive Officer VHC Village Health Committee WASH Water, Sanitation and Hygiene WHO World Health Organization
222			_aOperational definitions _bAttitudes In the context of this study, attitudes refer to what study population (CHWs) feel or believe about household sanitation and hygiene.
222			_aOperational definitions _bCommunityHealth Workers(CHWs); Are individuals selected by the community based on their own agreed criteria, mostly at village level to act as community health advocates or liaison workers, who basically promote health within a community by assisting the community to adopt health behaviors by delivering health related services such as health education, identifying community health needs in collaboration with Village/Community Health Committees (VHC), early detection of diseases in the community, collecting health related data, taking disease preventive measures, helping in promoting adherence to treatment, promoting maternal child health, etc.
222			_aOperational definitions _bHousehold Is a group of people who can either be related by blood, law or other socially related relationships, living in the same roof and share meals
222			_aOperational definitions _bHygiene Is a set of practices that help to maintain health and prevent the spread of diseases
222			_aOperational definitions _bKnowledge Facts, information and skills acquired by a person through experience or education. In the context of this study knowledge refers to the information that CHWs have about household sanitation and hygiene.
222			_aOperational definitions _bSanitation Refers to access of facilities and services for the safe disposal and management of human and animal wastes.
222			_aOperational definitions _bPractice Refers to the way study participants (CHWs) demonstrate their knowledge and attitudes through their actions regarding household sanitation and hygiene
222			_aKey words: _b Household, Knowledge, Attitude, Practices, Community Health Workers, Sanitation, Hygiene
245			_aAssessment of Knowledge, Attitudes and Practices Among Community Health Workers on Household Sanitation and Hygiene Promotion at Mbarali and Mbeya Rural Districts South - Western Tanzania.
260			_aMwanza, Tanzania: _bCatholic University of Health and Allied Sciences [CUHAS - Bugando] : _c2020
300			_a xiii; 114 Pages
300			_aIncludes References and Appendices
520			_aABSTRACT: Background: Access to improved sanitation, adherence to good hygienic practices and adequate supply of safe water, are very crucial factors for the health and wellbeing of people within the household and to the entire community. Household sanitation and hygiene promotion has largely been done by community health workers in most places in Tanzania and worldwide, especially in rural and marginalized areas. Despite the presence of community health workers in Tanzania, WASH-sensitive indicators such as diarrhea, stunted growth and typhoid still prevail. However, little has been done on assessing their knowledge, attitude and practices regarding household sanitation and hygiene. So this study aimed to assess knowledge, attitude and practices among community health workers on household sanitation and hygiene at Mbarali and Mbeya rural districts in Mbeya region, south-west highlands of Tanzania. Methods: The study used descriptive cross-sectional design. The sample size was estimated by using Yamane formula for calculating sample size. Data for the study were collected for one month, by two well trained research assistants and the principal investigator, whereby questionnaire guide and observation checklist were used as data collection methods. Data were entered in STATA version 15 databases by two research assistants, and then data were cleaned, validated and analyzed. Results were presented in charts and tables. Results: A total of 391CHWs were recruited. Out of 391CHWs, 184 (47.1%) had adequate knowledge regarding household sanitation and hygiene, while 207(52.9%) CHWs had inadequate knowledge. 74.4% of the CHWs had positive attitude towards, whilst 25.6% of the participants had negative attitude regarding household sanitation and hygiene. A total of 128 (33.0%) had good practices, while (67.1%) of the participants had poor practices regarding household sanitation and hygiene. High education level and short period of time from the last training on sanitation and hygiene was found to be associated with adequate knowledge (p=0012) and (p=0.008) respectively. Female partcipants was found to be have good practices (p=0.015) than their male counterparts. Observation checklist revealed that, of the total 391CHWs, 206(52.7%) CHWs did not receive the needed cooperation from the community members, though they had all necessary requirements for house to house visit. On house to house visit only 28 CHWs had all necessary equipments. None of the CHWs had allowance at the end of visit. Conclusion: The findings of this study underline the need to re- checking CHWs programs to match their needs as per their roles so as to strengthen the knowledge, attitude and practices hence ensuring efficiency in their provision of primary health services and promotion of improvement in household sanitation and hygiene particulary in household sanitation and hygiene.
600			_xPublic Health _930696
700			_aMwanga, Joseph _921294
700			_aBasinda, Namanya _920021
942			_2ddc _cMP
999			_c18516 _d18516