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Spatial Analysis of Pulmonary Tuberculosis in Antananarivo Madagascar: Tuberculosis-Related Knowledge, Attitude and Practice

Author

Listed:
  • Sitraka Rakotosamimanana
  • Vatsiharizandry Mandrosovololona
  • Julio Rakotonirina
  • Joselyne Ramamonjisoa
  • Justin Rasolofomanana Ranjalahy
  • Rindra Vatosoa Randremanana
  • Fanjasoa Rakotomanana

Abstract

Introduction: Tuberculosis infection may remain latent, but the disease is nevertheless a serious public health issue. Various epidemiological studies on pulmonary tuberculosis have considered the spatial component and taken it into account, revealing the tendency of this disease to cluster in particular locations. The aim was to assess the contribution of Knowledge Attitude and Practice (KAP) to the distribution of tuberculosis and to provide information for the improvement of the National Tuberculosis Program. Methods: We investigated the role of KAP to distribution patterns of pulmonary tuberculosis in Antananarivo. First, we performed spatial scanning of tuberculosis aggregation among permanent cases resident in Antananarivo Urban Township using the Kulldorff method, and then we carried out a quantitative study on KAP, involving TB patients. The KAP study in the population was based on qualitative methods with focus groups. Results: The disease still clusters in the same districts identified in the previous study. The principal cluster covered 22 neighborhoods. Most of them are part of the first district. A secondary cluster was found, involving 18 neighborhoods in the sixth district and two neighborhoods in the fifth. The relative risk was respectively 1.7 (p

Suggested Citation

  • Sitraka Rakotosamimanana & Vatsiharizandry Mandrosovololona & Julio Rakotonirina & Joselyne Ramamonjisoa & Justin Rasolofomanana Ranjalahy & Rindra Vatosoa Randremanana & Fanjasoa Rakotomanana, 2014. "Spatial Analysis of Pulmonary Tuberculosis in Antananarivo Madagascar: Tuberculosis-Related Knowledge, Attitude and Practice," PLOS ONE, Public Library of Science, vol. 9(11), pages 1-8, November.
    • Handle: RePEc:plo:pone00:0110471
    DOI: 10.1371/journal.pone.0110471
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