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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

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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

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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

 

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2.1.General objective

 To study knowledge ,attitude and practice on epilepsy

among school teachers in Thingankyun Township

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Conceptual Framework

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3.4.Study population- School teachers from four Basic

Education High Schools (BEHS) in Thingankyun Township , Yangon

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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 = 1 – 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

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from this Township

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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

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3.9.Ethical Consideration

Protocol was submitted to Ethical board of the University

of Public Health for permission to conduct the presented study

Written informed consent with thorough explanation about the study to the school teachers was obtained

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Socio demographic characteristic of school teachers

According to this survey, most of the teachers were female (97.7%) ,single (48.1%) ,Buddhism (97.2%) ,Myanmar

(91.2%) , graduate (81%) and teaching service of more than

10 year (86.6%)

In distribution of rank of school teachers , there are primary assistant teacher (12.5%) , junior assistant teachers

(46.8%) ,and senior assistant teachers (40.7%) respectively

All of school teachers had heard about epilepsy

Their Main sources of information about epilepsy were

from TV/radio , newspaper and journal

Some (13.4 %) of teachers had the person with epilepsy in their family, relatives and friends and (86.6%) of school

teachers had not

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Figure 1.1.Distribution of age of school teachers

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number of school teachers

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Figure 1.2.Distribution of gender of school teachers

2%

98%

male female

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Figure 1.3.Distribution of marital status of school teachers

Single Married Divorced Widowed

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Figure 1.4.Distribution of religion of school teachers

Buddhism Christainity Islam

210

number of school teachers

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Figure 1.6.Distribution of education level of school teachers

High School Graduate Post-Graduate 2

175

39

number of school teachers

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Figure 1.8.Distribution of rank of school teachers

number of school teachers

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Figure 1.9.Distribution of sources of information about

Others Health Staff

number of school teachers

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Figure 1.10 Distribution of presence of family

member/relative with epilepsy among school

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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

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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

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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 do ?” ,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

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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)

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Table (1) Frequency distribution of level of knowledge

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Table (2) Frequency distribution of level of attitude among

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Table (3) Frequency distribution of level of practice on

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5 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

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3 Doing more in depth and area wide studies and researches

among other professional levels concerning epilepsy to get more information

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7 Limitation of Study

The followings were some limitations in this study

1. Using self administered questionnaire

2. Cross-sectional study (snap shot)

3. The study was done in only one Township

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REFERENCES CITED

teachers in Port Harcourt, Nigeria Niger J Med, 14(3), 299- 303

secondary school teachers in South Gezira locality, Gezira State, Sudan., 17-21

and Genetics of Epilepsy

epilepsy: Results of a national survey, 397-405

teachers towards epileptic school children in Karachi, Pakistan, Pakistan Journal Of Medical Sciences,

30(1) 220-224

1257-1266.

presence of epilepsy in Ireland Brainwave The Irish Epilepsy Association

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Edmonton Epilepsy Association 2011, A Guide For Teachers (Epilepsy),Canada, pp 22

http://www.healthplus24.com/health/epilepsy.aspx [Accessed November 2014]

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)

497-501

Medicine

epilepsy : A review of decade 's research between 2000 and 2010 Africal Journal of Neurological

Science, [AJNS 2011 Vol 30, No 1 ]

neurosugery and psychiatry

epilepsy in Zimbawe

secondary school teachers in Osogbo South-West- Nigeria:A community based study Nigerian

Journal Of Clinical Practice, 16 12-18.

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 Msafri and Sehaba.Z 2010, Primary school teachers' knowledge and practices to childhood epilepsy in Kilombero district, Tanzania

Myanmar people Neurol J Southeast Asia, 7, 81 – 88

2011 Knowledge and attitudes toward epilepsy among primary and secondary schoolteachers in Italy

PubMed

Clinical Neurophysiology vol.18 no.3

Epidemiology, aetiology, and clinical management of epilepsy in Asia: a systematic review Lancet

Neurol, 6, 533– 43

ILAE/IBE/WHO Global Campaign Against Epilepsy pp 96

ILAE/IBE/WHO pp 69

[Accessed November 2014]

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THANK YOU

VERY MUCH !

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