Kiến thức thái độ thực hành về bệnh động kinh của giáo viên_KNOWLEDGE_ATTITUDE AND PRACTICE ON EPILEPSY AMONG SCHOOL TEACHERS IN THINGANKYUN TOWNSHIP_ YANGON

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Kiến thức thái độ thực hành về bệnh động kinh của giáo viên_KNOWLEDGE_ATTITUDE AND PRACTICE ON EPILEPSY AMONG SCHOOL TEACHERS IN THINGANKYUN TOWNSHIP_ YANGON

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Kiến thức thái độ thực hành về bệnh động kinh của giáo viên_KNOWLEDGE_ATTITUDE AND PRACTICE ON EPILEPSY AMONG SCHOOL TEACHERS IN THINGANKYUN TOWNSHIP_ YANGON 1.Introduction Epilepsy is one of the most common neurological problems of childhood and adolescent.Regarding current status of epilepsy in Myanmar, it is common and ranks as third among neurological diseases (HtinZawSoe et.al .2013). Teachers are important role in giving health education to the children , and more influencing on the children than their parents.So teachers should have knowledge about epilepsy and first aid measures of seizure.2.Objectives2.1.General objectiveTo study knowledge ,attitude and practice on epilepsy among school teachers in Thingankyun Township.2.2 .Specific Objectives To find out the sociodemographic characteristic of school teachers To assess the knowledge and attitude of the school teachers toward epilepsy.To identify the practice of school teachers on epileptic children To determine the association between socio demographic characteristic of school teachers and their knowledge, attitude and practice on epilepsy 3.Research Methodology3.1.Study design Crosssectional descriptive study 3.2.Study area Thingankyun township in Yangon Region3.3.Study period From September to December, 2014.3.4.Study population School teachers from four Basic Education High Schools (BEHS) in Thingankyun Township , Yangon. Inclusion criteria Selected school teachers from 4 BEHS in Thingankyun Township, Yangon Both genders (male and female) were included. Exclusion criteria Those who were not willing to participate

KNOWLEDGE, ATTITUDE AND PRACTICE ON EPILEPSY AMONG SCHOOL TEACHERS IN THINGANKYUN TOWNSHIP, YANGON Dr Swe Mar Myint Lwin MBBS, MPH Assistant Lecturer Department of Epidemiology University of Public Health, Yangon 1.Introduction  Epilepsy    is one of the most common neurological problems of childhood and adolescent Regarding current status of epilepsy in Myanmar, it is common and ranks as third among neurological diseases (Htin-Zaw-Soe et.al 2013) Teachers are important role in giving health education to the children , and more influencing on the children than their parents So teachers should have knowledge about epilepsy and first aid measures of seizure   2.Objectives 2.1.General objective  To study knowledge ,attitude and practice on epilepsy among school teachers in Thingankyun Township 2.2 Specific Objectives  To find out the socio-demographic characteristic of school teachers  To assess the knowledge and attitude of the school teachers toward epilepsy  To identify the practice of school teachers on epileptic children  To determine the association between socio demographic characteristic of school teachers and their knowledge, attitude and practice on epilepsy Conceptual Framework 3.Research Methodology 3.1.Study design - Cross-sectional descriptive study 3.2.Study area - Thingankyun township in Yangon Region 3.3.Study period - From September to December, 2014 3.4.Study population- School teachers from four Basic Education High Schools (BEHS) in Thingankyun Township , Yangon Inclusion criteria  Selected school teachers from BEHS in Thingankyun Township, Yangon  Both genders (male and female) were included Exclusion criteria  Those who were not willing to participate 3.5.Sample size determination The formula , n = z2 p q /d2 is used for sample size determination n = sample size z = reliability co-efficient at 95% confidence level p = proportion of school teachers with good knowledge of epilepsy = 0.5 q = – 0.5 = 0.5 d = desired precision = 0.07 z2 p q /d2 = 1.962 × 0.5 × 0.5 /0.072 = 196  For non-response rate, 10% of sample size is added to calculated sample size  Therefore final sample size is 196 + 20 = 216 participants 3.6.Sampling procedure  Sampling method was two stages simple random sampling method  Firstly four Basic Education High schools in Thingankyun Township were selected randomly and then teachers were also randomly selected among these four selected BEHS from this Township 3.7.Data collection methods and tools  Before data collection, pre-test was done with semi structural and self administered questionnaires (n=15) 3.8.Data management and analysis  The data analysis were done by using SPSS 16.0 software  Frequency distribution tables were drawn to describe the proportion of categories of variables  For continuous variables, was presented as means and standard deviation  Chi Square test was used to find association between variables  α was set at 0.05 for statistical significant 10 187 29 Presence Not Presence number of school teachers Figure 1.10 Distribution of presence of family member/relative with epilepsy among school teachers 22 Knowledge, Attitude and Practice level  Regarding knowledge, 53.2 % of teachers had low level of knowledge  All of the teachers had heard about the epilepsy and 9.7% of teachers thought that epilepsy was a kind of insanity and 3.7% answered that epilepsy was a contagious disease  4.2% of teachers had wrong knowledge that smoking can cause epilepsy and 24.5% answered that epilepsy was a blood disorder  Half of teachers 50.5% did not know that epilepsy can be treated with anti-epileptic drugs  14.4% thought that person with epilepsy should avoid schooling and 23.1% answered that person with epilepsy should avoid routine works 23  Regarding attitude, 53.2% of teachers had poor level of attitude  34.3% of teachers agreed that epilepsy was one of the mental disorders and 9.3% agreed that epilepsy was a fearful and incurable disease  Half of teachers 50.5% disagreed that the student with epilepsy may be as intelligent as other students  Some 11.6% agreed that child with epilepsy should be placed in a special classroom 24  Regarding practice, 53.7% had poor level of practice  Regarding the question of “If you see a person or a student getting seizure in front of you, what would you ?” ,most of teachers chose wrong methods of first aid measures  86.1% answered that they would put something into the mouth of that person during attack of seizure  33.8% answered that they would restrain the epileptic person during attack of seizure  24.5% of teachers answered that they would apply the oilment on the body of the epileptic person  26.4% answered that they would place the key into the hands of epileptic person to stop seizure  43.7% answered that they would ask to inhale inhaler or onion to epileptic person 25  In this study, junior assistant teachers had higher knowledge level about epilepsy than primary assistant teachers and senior assistant teachers (p=0.003)  Senior assistant teachers had higher level of good attitude toward epilepsy than junior assistant teachers and primary assistant teachers (p=0.001)  There was no statistically significant association between socio demographic characteristic of school teachers and level of practice and also between knowledge and attitude and practice (p>0.05) 26 Table (1) Frequency distribution of level of knowledge regarding epilepsy (n= 216) Knowledge level Number Percent High level 101 46.8 Low level 115 53.2 mean=15.97 median=16 SD= 5.619 minimum=1 maximum= 31 27 Table (2) Frequency distribution of level of attitude among school teachers (n=216) Attitude Number Percent Good 101 46.8 Poor 115 53.2 mean= 47.79 median= 47.0 SD=4.66 minimum=34 maximum= 61 28 Table (3) Frequency distribution of level of practice on epilepsy (n=216) Practice Number Percent Good 100 46.3 Poor 116 53.7 mean= 7.34 medium=7 SD= 1.858 minimum=1 maximum= 12 29 Conclusion  As epilepsy is more common in younger age groups and school children, teacher’s knowledge, attitude and practice on epilepsy become an important one  Discrimination and misbelieves concerning epilepsy is still present in both developing and developed countries around the world till nowadays  In this study, overall level of knowledge, attitude and practice on epilepsy among school teachers were at the lower level 30 Recommendation 1.Giving more effective health education strategies to school teachers via TV/radio , newspaper and journal Coordinating with school health programs and epilepsy projects Doing more in depth and area wide studies and researches among other professional levels concerning epilepsy to get more information 31 Limitation of Study The followings were some limitations in this study Using self administered questionnaire Cross-sectional study (snap shot) The study was done in only one Township 32 R EF ERE NC ES CIT ED  Ahmad M 2011, Epilepsy: Stigma and Management, Current Research in Neuroscience, 1: , 1-14  Alikor EA and Essien AA 2005, Childhood epilepsy: knowledge and attitude of primary school teachers in Port Harcourt, Nigeria Niger J Med, 14(3), 299- 303  Babikar HE and Abbas IM 2011 knowledge, practice and attitude toward epilepsy among primary and secondary school teachers in South Gezira locality, Gezira State, Sudan., 17-21  Banerjee PN and Hauser WA 2007, Incidence and Prevelence of epilepsy, Epidemiology, Pathology, and Genetics of Epilepsy  Bishop M and Boag EM 2006, Teachers knowledge about epilepsy and attitudes toward students with epilepsy: Results of a national survey, 397-405  Bhesania NH, Rehman A, Savul I.S, and Zehra N.2014, Knowledge, Attitude and Practices of school teachers towards epileptic school children in Karachi, Pakistan, Pakistan Journal Of Medical Sciences, 30(1) 220-224  Chang, Lowenstein BS & Daniel H 2003 Epilepsy New England Journal of Medicine, 349, 12571266  Christine Linehan, Patricia Noonan Walsh, Mike Kerr, Gerry Brady & Cecily Kelleher 2009 The presence of epilepsy in Ireland Brainwave The Irish Epilepsy Association  Chong Tin Tan and Shin Hui LIM 1997 Epilepsy in South East Asia Neurol J Southeast Asia, 2, 11-15  Dantas FG, Carir GA and Ribeiro Filho AR 2001, Knowledge and attiudes toward epilepsy among primary, secondary and tertiary level teachers, 59(3-B), 721-6  Department Of Health 2013 Hope For Epilepsy Pamphlat ,(Myanmar Epilepsy Initiative) 33   Edmonton Epilepsy Association 2011, A Guide For Teachers (Epilepsy),Canada, pp 22 Healthplus24 team 2012 Epilepsy [Online] Available: http://www.healthplus24.com/health/epilepsy.aspx [Accessed November 2014]  Htin- Zaw- Soe, Win-Min-Thit, Nyan-Tun, Seinn-Mya-Mya-Aye, San-Oo, Ohnmar, Zin-May- Shin, Win-Myo-Htet & Aung-Kyaw-Kyaw 2013 Situational Analysis on Epilepsy among Community Members and Healthcare Providers in Hlegu and Hmawbi Townships, Yangon Region, 2013 (unpublished)  Kankirawatana P.1999, Epilepsy Awarencess among school teachers in Thailand Epilepsia, 497-501  Lindsay KW, Bone I and Callander R (ed.) 1991, Neurology and neurosurgery illustrated  Longmore M, Wilkinson IB, Baldwin A & Wallin E (ed.) 2014, Oxford Handbook for Clinical Medicine  Lua Pei Lin , NENI Selamat Widiasmoro 2002-2012 Awareness, knowledge and attitude toward epilepsy : A review of decade 's research between 2000 and 2010 Africal Journal of Neurological Science, [AJNS 2011 Vol 30, No ]  Manford M 2001 Assessment and investigation of possible epileptic seizures Journal of neurology, neurosugery and psychiatry  Mielke J, Adamolekun B, Ball D & Mundanda T 2009, Knowledge and attitudes of teachers towards epilepsy in Zimbawe  Mustapha AF, Odu OO and Akande O.2013, knowledge, attitudes and perceptions of epilepsy among secondary school teachers in Osogbo South-West- Nigeria:A community based study Nigerian Journal Of Clinical Practice, 16 12-18  Millogo A and Siranyan AS 2004 Knowledge of epilepsy and attitudes towards the condition among schoolteachers in Bobo-Dioulasso (Burkina Faso) PubMed, 21-6 34 40,  Msafri and Sehaba.Z 2010, Primary school teachers' knowledge and practices to childhood epilepsy in Kilombero district, Tanzania  Nwe-Nwe-Win and Chit-Soe 2002 Public awareness, attitude and understanding toward epilepsy among Myanmar people Neurol J Southeast Asia, 7, 81 – 88  Oriano Mecarelli, Giuseppe Capovilla, Antonino Romeo, Guido Rubboli, Paolo Tinuper & Ettore Beghi 2011 Knowledge and attitudes toward epilepsy among primary and secondary schoolteachers in Italy PubMed  Porto Alegre 2012 Epilepsy perception amongst education professionals Journal of Epilepsy and Clinical Neurophysiology vol.18 no.3  Tu Luong Mac, Duc-Si Tran, Fabrice Quet, Peter Odermatt, Pierre-Marie Preux& Chong Tin Tan 2007 Epidemiology, aetiology, and clinical management of epilepsy in Asia: a systematic review Lancet Neurol, 6, 533– 43  World Health Organization 1997 Epilepsy in the WHO South-East- Asian Region (Bridging the Gap), ILAE/IBE/WHO Global Campaign Against Epilepsy pp 96  World Health Organization.2004 Epilepsy in the West Pacific Region (A call to action), ILAE/IBE/WHO pp 69  World Health Organization.2005 Atlas (Epilepsy care in the world),ILAE/IBE/WHO, pp 96  WHO 2012 Epilepsy [Online] Available: http://www.who.int/mediacentre/factsheets/fs999/en/ [Accessed November 2014]  World Health Organization n.d Epilepsy In The WHO European Region (Fostering epilepsy care in europe), Netherlands, ILAE/IBE/WHO Global Campaign Against Epilepsy pp 74  Win-Min-Thit, Nyan-Tun, Pe-thet-Htoon, Kyaw-Linn, Sein-Mya-Mya-Aye, San-Oo, & Aye- Aye-San 2013, Manual on epilepsy for Myanmar medical officers, pp 45 35 THANK YOU VERY MUCH ! 36

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  • Slide 1

  • 1.Introduction

  • 2.Objectives

  • Conceptual Framework

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  • 3.Research Methodology

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  • 4.Findings

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  • 5. Conclusion

  • 6. Recommendation

  • 7. Limitation of Study

  • REFERENCES CITED

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