Knowledge, Attitudes and Practices. Rašević and Sedlecky’s secondary factors affecting contraceptive use stem from the individual. These are the knowledge, attitudes, and practices of the clients and the providers. Knowledge of contraceptives exists in the communities, though this does not always translate into behavior. In Albania, 98.6% of all women, age 15-49, responded they knew any method of contraception and 94.8% could name any modern method, which includes condom but only 26% of women, age 15-49, have ever used a modern method of contraception (3). The knowledge, attitudes, and practices of the health providers influence the acceptance and coverage of modern contraceptives. Providers play an important role in the transition process of moving from an “abortion-based family planning (FP) culture to a contraceptive-based one” by providing guidance and acting as role-models for their clients (Xxxxxxxx & Rašević, pg 158) . A 2008 survey of Serbian gynecologists indicated that 5% of the gynecologists had never used a form of contraceptive and 32% reported using withdrawal as their main form of contraception, leading the authors to conclude that they “neither use . . . nor have adequate knowledge to advise their patients (19).” In the same study, 61% of providers reported a history of abortion with 41.8% of providers, or their partners, having had more than two induced abortions (19). Nearly 45% of the providers were over the age of 50, an age group where societal norms and laws may have been very different from those influencing the decisions of today’s youths. Peer Education and C-Change To increase consumer confidence, contraceptive knowledge, and the use of modern contraceptives, C-Change initiated an integrated program that involves training health providers, pharmacists and journalists in MC, and a mass media campaign to increase awareness among youth. In October of 2008, C-Change began collaborating with local, national government, and international partners. One way that C-Change has elected to reach youth populations is through the use of peer educators (20). These peer educators are the respondents in this qualitative study; they are workers on the frontline of contraceptive acceptance among youth in Albania. The idea of modern contraceptives may not be a new one but its introduction to Albanian society is relatively recent. Organizations may use change agents to spread a new idea through communities. The U.S. Peace Corps describes a change agent as “someone who generates ideas...
Knowledge, Attitudes and Practices. (KAP) surveys KAP surveys were administered to clinical staff, other staff, laboratory staff, as well as patients, visitors, and caregivers. Examples of personnel in clinical staff positions include: midwives, doctors, nurses, and pharmacists. Other staff includes: staff members working in the finance and records departments, customer service officers, janitors, and orderlies. The purpose of administering the KAP surveys was: 1) to gain insight into attitudes, beliefs, demand, and satisfaction of staff and patients that may hinder or encourage acceptance and sustainability of the water filtration systems as well as safe water use practices and hygiene behaviors; 2) to assess medical care; and 3) to assess community and household water sources. The clinical staff survey had 17 questions, the staff survey had 18 questions, and the patient and visitor survey had a total of 17 questions. Minimal edits were made to the KAP surveys during data collection at Mampong, and Kete- Kratchi hospitals. After the first two hospital sites, questions regarding educational messaging, and how and what patients, visitors, staff, clinical staff and community members would like to learn about safe water were removed. The question “do you live on hospital grounds” was added to the staff survey in order to fully understand the question “How would you rate the water quality in the hospital as compared to the water in your house”. Most KAP surveys were conducted in English. However, at each site, an interpreter who was proficient in English and the local dialect was utilized to conduct patient and visitor surveys. All translations were done orally, and responses were recorded in English.
Knowledge, Attitudes and Practices. Among Dog-Owning Households Who Attended a Government Sponsored Vaccination Campaign, Sep 2014 – Dec 2014
