KNOWLEDGE AND PRACTICE FOR PREVENTION OF BOVINE TUBERCULOSIS AND ASSOCIATED FACTORS AMONG HIV POSITIVE PEOPLE IN BAHIR DAR CITY PUBLIC HOSPITALS, ETHIOPIA.

Abstract

Abstract Background: Bovine tuberculosis is an important zoonotic disease caused by Mycobacterium Bovis, known to exist in all parts of the world including Ethiopia. Objective: The main objectives of this study were to assess the knowledge and practice level along with their determinant factors about bovine tuberculosis among adult HIV positive people in Bahir Dar city. Methods: An Institutional based quantitative cross-sectional study was conducted from February to April 2020 in Bahir Dar city public hospitals. The data were collected by using interviewer administered questionnaire. A total of 440 people from two public hospitals living with HIV were selected by simple random sampling method. The data were entered into Epi data then exported to STATA for management and analysis. Descriptive statistics and both bi-variable & multivariable Logistic regression was employed to describe and quantify the association between dependent and independent variables. Ethical clearance was obtained from the Institutional Review Board (IRB). Results: The study included 440 individuals, but five of them were excluded due to different reasons. Among 435 respondents nearly half (51.5%) of them were male and the mean age was 37.6 years .The overall level of good knowledge and practice of people living with HIV for bovine TB were 46.2% and 41.1% respectively. Education status, religion, cattle holding and environmental hygiene were found statistically significant (p<0.05) with the knowledge level. Likewise, education status, age and marital status were found statistically significant (p<0.05) with a practice level for bovine TB. Education was a key determinant factor affecting both knowledge and practice. The odds of having good level of knowledge and practice was higher in respondents with secondary (AOR=3.60; CI=1.75, 7.38) and above college (AOR=2.91; CI=1.55, 5.43) and secondary (AOR=2.55; CI=1.14, 5.69) and college and above (AOR=4.33; CI=2.14, 8.77) education than those who didn’t receive formal education, respectively. Conclusion: The overall level of good knowledge and practice of people living with HIV for bovine TB in the study area was low when compared with other studies. Hence, a tailor-made training should be provided by medical and veterinary professionals to the identified risk factors in order to improve the knowledge and practice level. Keywords: Knowledge, Practice, BTB, Peoples living with HIV, Bahir Dar city.