Thesis (MPH)--University of Limpopo, 2010. / Background: Screening for early detection and diagnosis of diseases and health conditions is an important public health principle. Breast cancer examination is whereby a woman will examine the breast by Breast Self Examination (BSE), Clinical Breast Examination (CBE), and Mammogram. Objective: The main aim of the study was to assess the knowledge, attitude and practice of breast cancer examination among women attending Extension 2 clinic in Gaborone, Botswana. Method: The cross-sectional quantitative study design to examine knowledge, attitude and practice of women attending Extension 2 clinic in Gaborone was carried out between August and September 2009 using an interviewer administered questionnaire designed by the researcher. Results: The study was conducted among 375 women attended at extension 2 clinic. Study participants had low knowledge of breast cancer examination. The overall mean knowledge score was 49.7%. The commonest presentation of breast cancer which is a painless breast lump only a third 128(34.1%) of the respondents knew about it. The participants had a positive attitude towards breast cancer examination. Practice of breast cancer examination was unacceptable. Out of 238 Of those who practiced breast self examination (63.5% ) (BSE), only 88(23.5%) of the respondents practiced monthly as required. Similarly only 85(22.7%) of the respondents had visited a doctor for clinical breast examination (CBE) in the past year. Mammogram practice was also unacceptable only 6 (1.6%) of the respondents had done mammogram in the past 2 years. There was no association between socio-demographic characteristics with the knowledge attitude and practice of breast cancer examination. Conclusion: The results of this study suggested that women attending at extension 2 clinic had low knowledge of breast cancer examination. Despite having positive attitude towards breast cancer examination, minority practiced breast self examination, clinical breast examination and mammogram. There was no association between socio-demographic characteristics with the knowledge of breast cancer. Therefore the Government should develop a policy on breast cancer screening. Awareness and advocacy campaign on breast cancer screening should be increased in the country.

Sexually transmitted diseases are a major problem among adolescents in Thailand, and seeing that unprotected sex is a growing trend, awareness must be increased. The aim of this study was to examine Thai students’ knowledge of and attitudes to STDs as well as if there are any differences in gender regarding these questions. A descriptive cross-sectional study was carried out at a private university in Bangkok, Thailand. The Health Belief Model was provided as theoretical framework. A questionnaire was answered voluntarily by 150 students, both male and female. The results showed that the students had low level of knowledge on STDs and their attitudes showed that they have many misconceptions regarding these issues. The study also showed that Thai students want to learn more about STDs and wish to receive this information from school. No major difference in gender was found. This study shows that additional education on STDs is needed among Thai adolescents. Further research in this area is acquired to get a wider perspective of Thai students’ knowledge on STDs, to help prevent future spreading of STDs. / Sexuellt överförbara sjukdomar är ett stort problem hos ungdomar i Thailand och eftersom oskyddat sex är en växande trend bör detta uppmärksammas. Syftet med denna studie var att undersöka thailändska studenters kunskap om och attityder till sexuellt överförbara sjukdomar. Studien önskade även undersöka huruvida det fanns någon skillnad mellan könen. En deskriptiv tvärsnittsstudie gjordes på ett privat universitet i Bangkok, Thailand. Health Belief Model användes som teoretiskt ramverk. Ett frågeformulär besvarades frivilligt av 150 manliga och kvinnliga studenter. Resultatet visade att studenterna hade bristande kunskaper om sexuellt överförbara sjukdomar. Deras attityder visade att studenterna hade många felaktiga uppfattningar i frågan. Studien visade även att de thailändska studenterna vill lära sig mer om sexuellt överförbara sjukdomar och önskar att få denna information ifrån skolan.  Studien visade inga stora skillnader mellan könen. Denna studie visar att ytterligare kunskaper om sexuellt överförbara sjukdomar hos thailändska ungdomar behövs. Ytterligare forskning inom området är önskvärt. Detta för att få ett bredare perspektiv om thailändska studenters kunskaper om sexuellt överförbara sjukdomar, för att bidra till att förebygga ytterligare smittspridning.

ADHD is one of the most common childhood psychiatric disorders, with symptoms that are frequently displayed in the school environment. Past studies have measured teachers’ knowledge, attitudes, and behaviours towards ADHD, but very few studies have aimed to change teachers’ knowledge, attitudes and behaviour through the implementation of an intervention. The goal of the present study was to determine if a web-based medium is an effective tool for supporting knowledge, attitude, and behaviour change in teachers of elementary school children with ADHD. Teachers (n = 20) from Nova Scotia were recruited through word of mouth. Of these participants, 19 completed a 7-week intervention that consisted of presentations, web-links and discussion board activities related to different aspects of ADHD. Knowledge, attitudes, and behaviour were measured pre- and post-intervention. Teachers’ knowledge improved from pre- to post-intervention (p = 0.03). In terms of attitudes, although there was no change on the overall measure of attitude, there was a significant change on the Lack of Control (p = 0.001) and Perceived Competence (p = 0.000) subscales. A measure of teacher behaviour toward ADHD did not significantly change. Participants agreed that the content was presented in a way that was usable and easy to understand, the links and discussion board functions were useful, and they learned something new from each of the sessions. The study demonstrated that a web-based medium is a useful tool for knowledge creation and translation and has potential as a means of providing professional development to teachers about ADHD.

This study is concerned with understanding the impact of message framing in influencing choice within the sustainable consumption domain. Over-consumption has been proven to be a main cause of environmental degradation, and a shift to sustainable consumption practices is needed. Yet research has found that despite knowledge of environmental issues, and a supportive attitude, pro-environmental behaviour amongst consumers is lacking, with a key influence being the lack of personal utility found in the pro-environmental choice. This study attempts to contribute to narrowing the knowledge attitude practice gap in this domain, by using message framing to isolate the personal utility available in a sustainable choice, thereby influencing a pro-environmental outcome.A study was conducted to determine the main and interaction effects of various salient message frames (reference dependence, loss aversion and time sensitivity) on behavioural intention within sustainable consumption context. Environmental attitude was also tested to ascertain the interaction effect of this variable with the other independent variables and the resultant impact on the choice made. Variables were manipulated in a 2x2x2 factorial design. Results yielded the hypothesised significance of main effects for time sensitivity, but not for reference dependence or loss aversion. In addition no three way interaction for reference dependence by loss aversion by time sensitivity was found. No interaction was found between message frame and environmental attitude. Implications for social marketers engaged in the promotion of pro-environmental behaviours are discussed. Copyright / Dissertation (MBA)--University of Pretoria, 2011. / Gordon Institute of Business Science (GIBS) / unrestricted

A government-funded scheme, the UK Climate Change Communications Initiative (UKCCCI), provided money for organisations to deliver projects that attempted to impact positively on people’s attitudes towards climate change and to increase knowledge and awareness of the issue. This devolution of communications is a relatively novel approach after previous centralised campaigns. This thesis adopts a mixed-method approach; a qualitative and a quantitative study have been conducted based on three case studies of individual projects funded under the UKCCCI. The quantitative study analyses pre- and post-project surveys to assess whether the communications produced the desired changes in attitude, knowledge and awareness; results are generally mixed in relation to all three case studies as some statistics are more positive after communications, whereas some are less positive. Data from a regional UKCCCI project are compared with a nationally representative dataset; this analysis shows that attitudes, knowledge and awareness differ at regional and national scales, supporting the policy of devolving communications. Regional data are also analysed to see if there are differences between socio-demographic groups within a single target audience for communications; this analysis suggests that interventions must strike a balance between personalisation of information and the higher cost of targeting smaller groups with more specific material. The quantitative study uses conceptual content cognitive mapping (3CM) to discover the climate change-related knowledge of twenty subjects who received communications from two of the case study projects. Results suggest that people have knowledge of a wide range of issues related to climate change, but they do not possess a detailed scientific understanding. However, there is a high knowledge of how to mitigate climate change and this is expressed largely through individual actions and lifestyle choices. A template analysis was also conducted to discover what interviewees thought specifically about the communications and a range of practical recommendations are made for future projects. Implications are discussed in relation to future practical climate change communications projects, wider policy and academic research.

The current report was an exploratory case study that utilsed a mixed mehtodology to consider the HIV and Aids wellness context of a South African small to Medium Enterprise (SME), hereafter called company A. This study aimed to investigate company A by observing the knowledge. Attitude and practices (KAP) of emmployees, as well as their reported behaviours on disclosure of HIV status. HIV and AIDS are critical issues, with South Africa, having the highest rate in the world (UNAIDS, 2010). While various projects are in place to promote prevention and decrease infection rate, infection statistics plateaued at a high leve. The situation in South Africa thus needs to be examined from a different perspective, approaching the epidemic as a case study, rather than through the systematic models and interventions used in the past. A KAP survey and open ended questionnaire were used, as they formed the forefront of the assumptions usally in interventions that look at behaviour change model such as the Health belief model (HBM) and social cognitive theory (SCT) and the relationship between knowledge, attitude and practices and dissclosure of HIV status. The research observed that while no clear cut relationships can be found between knowwledge, attitude, practices, and the decisin of whether to dissclose the HIV status, the context and experience of the epidemic is far from straightforward, and needs to be tackled in it`s entiriety. While the intention of policies and interventions may be good, without the requisite investigation of the context, the attempts may not be as successfull as they could be.

BACKGROUND: Malaria in pregnant women continues to be a public health problem in India. The prevalence of malaria in pregnancy is particularly high in the tribal conflict areas of India such as Chhattisgarh. Pregnant women have less acquired immunity protecting them against malaria than non-pregnant women of child bearing age. The decreased immunity results in a much more severe presentation of malaria symptoms, and potential death of both mother and fetus during malaria in pregnancy. Recognizing the need for effective malaria interventions in pregnant women, global and national malaria prevention and treatment guidelines have been established. Practice of these guidelines has been found to be inadequate in the Asian Pacific Region. LITERATURE REVIEW FINDINGS: Qualitative studies on the knowledge, attitudes and practices of malaria interventions have demonstrated that meeting communities at their level of understanding is essential in circumventing malaria spread. In an effort to create a synergy between health care workers, national and global malaria control strategies and pregnant women, there is the need to identify pregnant women’s knowledge, attitudes and practices of malaria interventions. Currently, there is no data on the knowledge, attitudes and practices of pregnant women in the conflict districts of Chhattisgarh, India, where malaria prevalence and related symptoms have been identified to be significantly high. PROPOSED PROJECT: This study seeks to assess the knowledge, attitudes and practices of malaria prevention and treatment in pregnant women in the conflict areas of Chhattisgarh, India, using a cross-sectional qualitative research design. This study will highlight the understanding of malaria transmission, perceptions of cause, recognition of signs and symptoms, treatment-seeking behaviors, preventive measures and practices of pregnant women who visit the antenatal clinic and those who do not. CONCLUSION: If this study demonstrates knowledge and attitudes that favor customary or unproven methods of malaria interventions as shown in previous studies, then this may explain the present rate of MIP in these districts and hence the need for specific mediations for controlling and preventing malaria in this populace. SIGNIFICANCE: Findings from this study will help inform malaria education programs, health policies and practices that are tailored or targeted towards pregnant women in Chhattisgarh, India.

<p>Background: In Namibia, studies showed that HIV/AIDS affects youth, especially the under 24 years age group. At the same time the pregnancy rate is also high by age 19. Interestingly, in&nbsp / Andara district several reports from staff working in the reproductive services have indicated that adolescent girls, who would seem to be taking responsibility in one sphere of their sexual lives&nbsp / by protecting themselves against unwanted pregnancy, were however not using condoms to protect themselves from HIV infection. Study Aim and Objectives: To describe the knowledge, attitude and behaviour related to HIV/AIDS amongst female adolescents who are accessing the primary health care (PHC) services for contraception. Specific objectives were to describe the&nbsp / knowledge of female adolescents who are accessing the PHC services for contraception about the modes of transmission and prevention of HIV/AIDS, to assess their attitude with regards to&nbsp / condom use, abstinence and being faithful to one uninfected partner, also to determine the significance of association between age and knowledge, attitudes and behaviour, between their&nbsp / education level and knowledge, attitudes and behaviour and the significance of association between knowledge of HIV prevention strategies and&nbsp / behaviour of female adolescents accessing&nbsp / &nbsp / PHC services for contraception in the district. Setting: The study was conducted in Andara district, North East of Namibia. Methods: Descriptive cross-sectional KAB study. Sample: All female&nbsp / adolescents who are accessing PHC services for contraception selected from multistage simple random sampling in 5 facilities and systematic sampling at facility level in Andara. All married&nbsp / women within this age range were excluded in the study. Data collection tool: An interviewer-administered standardised questionnaire was used to collect the data. Data analysis and&nbsp / Interpretations: Epi Info software 2002 was used for data analysis. The results were presented using descriptive statistics including means, 95% confidence intervals and percentages and&nbsp / this information was shown in tables, bar and pie charts. Cross-tabulations of knowledge, attitude and behaviour scores against demographic variables were performed. P-values &lt / 0.05 were&nbsp / &nbsp / considered statistically significant. Results: 76.5% knew that unprotected sexual intercourse was the main way of getting HIV/AIDS, 77.3% knew that people could protect themselves by&nbsp / abstaining from sexual intercourse and 64.5% knew that people could protect themselves by having one uninfected faithful sexual partner. Out of 192 respondents who stated that unprotected&nbsp / sexual intercourse was the main way of HIV/AIDS transmission, 25.5% used condom every time they had sexual intercourse, 10.9% used condom almost every time they had sex, 41.1% used&nbsp / condom sometimes and 22.4% never used condom. Older girls and those who were in higher grades at school had more knowledge that could protect them from HIV infection. Later sexual&nbsp / debut is associated with increased&nbsp / condom usage at sexual debut. Conclusions: The general HIV knowledge of respondents and their knowledge of how to&nbsp / protect themselves from HIV infection were disappointing given that this&nbsp / study was conducted in health facilities. In this study we also see that knowledge does not always translate into the appropriate behaviour. The health services need to evaluate the targeting and&nbsp / effectiveness of their HIV educational messages and develop skills that will support behaviour change.&nbsp / </p>

Breastfeeding initiation rates in the United States remain below the Healthy People 2010 goals. Research indicates patient interaction with health care providers may play an important role in womens ultimate feeding choice. This study sought to examine the impact of provider counseling regarding breastfeeding during the prenatal period on feeding outcome by evaluating: 1) if providers addressed womens concerns regarding breastfeeding; and 2) how providers responded to a womans feeding choice. We also sought to examine whether the type of counseling provided by providers regarding infant feeding is influenced by patient socio-demographics and stated feeding plans. This study is cross-sectional with convenience sampling of all English or Spanish speaking women on the postpartum floor at Yale-New Haven Hospital. A total of 130 women participated. Overall, 95.4% of women identified a concern they had about breastfeeding during the prenatal period, and one quarter of patients had their concerns about breastfeeding addressed. The majority of patients (74.6%) were asked about their feeding plans, and 50.5% were encouraged to breastfeed. Unlike the majority of studies that indicate young, African American, poorly educated, unmarried and low income women are less likely to receive counseling from providers to breastfeed, providers in our study area focused their efforts on this population. In multivariate analysis, neither having concerns addressed nor being encouraged to breastfeed were associated with increased likelihood of breastfeeding. Addressing patients concerns may be most relevant in the small subset of patients who make their feeding choice during pregnancy. Finally, women who were asked about their plans and had their concerns addressed (p=.010) or were encouraged to breastfeed (p=.040) were more likely to make their decision during pregnancy compared to before pregnancy than women whose providers did not discuss these issues. Likewise, mixed feeders were more likely to make their decision regarding infant feeding during rather than before pregnancy. This data suggests providers may be encouraging women to think more thoroughly about the possibility of breastfeeding, thus delaying their decision. In conclusion, many women are not being encouraged to breastfeed or having their concerns about breastfeeding addressed. All women would benefit from prenatal discussion of these topics; however, the effect may be most profound in women who make their decision regarding feeding during pregnancy.

<p>Background: In Namibia, studies showed that HIV/AIDS affects youth, especially the under 24 years age group. At the same time the pregnancy rate is also high by age 19. Interestingly, in&nbsp / Andara district several reports from staff working in the reproductive services have indicated that adolescent girls, who would seem to be taking responsibility in one sphere of their sexual lives&nbsp / by protecting themselves against unwanted pregnancy, were however not using condoms to protect themselves from HIV infection. Study Aim and Objectives: To describe the knowledge, attitude and behaviour related to HIV/AIDS amongst female adolescents who are accessing the primary health care (PHC) services for contraception. Specific objectives were to describe the&nbsp / knowledge of female adolescents who are accessing the PHC services for contraception about the modes of transmission and prevention of HIV/AIDS, to assess their attitude with regards to&nbsp / condom use, abstinence and being faithful to one uninfected partner, also to determine the significance of association between age and knowledge, attitudes and behaviour, between their&nbsp / education level and knowledge, attitudes and behaviour and the significance of association between knowledge of HIV prevention strategies and&nbsp / behaviour of female adolescents accessing&nbsp / &nbsp / PHC services for contraception in the district. Setting: The study was conducted in Andara district, North East of Namibia. Methods: Descriptive cross-sectional KAB study. Sample: All female&nbsp / adolescents who are accessing PHC services for contraception selected from multistage simple random sampling in 5 facilities and systematic sampling at facility level in Andara. All married&nbsp / women within this age range were excluded in the study. Data collection tool: An interviewer-administered standardised questionnaire was used to collect the data. Data analysis and&nbsp / Interpretations: Epi Info software 2002 was used for data analysis. The results were presented using descriptive statistics including means, 95% confidence intervals and percentages and&nbsp / this information was shown in tables, bar and pie charts. Cross-tabulations of knowledge, attitude and behaviour scores against demographic variables were performed. P-values &lt / 0.05 were&nbsp / &nbsp / considered statistically significant. Results: 76.5% knew that unprotected sexual intercourse was the main way of getting HIV/AIDS, 77.3% knew that people could protect themselves by&nbsp / abstaining from sexual intercourse and 64.5% knew that people could protect themselves by having one uninfected faithful sexual partner. Out of 192 respondents who stated that unprotected&nbsp / sexual intercourse was the main way of HIV/AIDS transmission, 25.5% used condom every time they had sexual intercourse, 10.9% used condom almost every time they had sex, 41.1% used&nbsp / condom sometimes and 22.4% never used condom. Older girls and those who were in higher grades at school had more knowledge that could protect them from HIV infection. Later sexual&nbsp / debut is associated with increased&nbsp / condom usage at sexual debut. Conclusions: The general HIV knowledge of respondents and their knowledge of how to&nbsp / protect themselves from HIV infection were disappointing given that this&nbsp / study was conducted in health facilities. In this study we also see that knowledge does not always translate into the appropriate behaviour. The health services need to evaluate the targeting and&nbsp / effectiveness of their HIV educational messages and develop skills that will support behaviour change.&nbsp / </p>