Knowledge and practices of brucellosis among high-risk groups in Bahr El Ghazal Region, South Sudan

Abstract

<b>Background:</b> Brucellosis is the most common zoonotic infections in pastoral settings. Lack of knowledge about the disease may cause devastating out come to the patients, thus sustained it in such communities. This study assessed knowledge and practices among high-risk groups in Bahr el Ghazal region, South Sudan. <br><b>Methods:</b> Across sectional survey involving abattoir workers, febrile patients at Wau referral hospital and cattle herders from cattle camps from four states namely, Wau, Tonj, Gogrial and Aweil. By using open-ended questionnaire and key informant guideline, for triangulations by for interviews, focus group discussions and key informant interview. Data collected include knowledge on causes, symptoms, transmission, treatment, prevention and risk factors of brucellosis. Using SPSS version 24 for analysis, X2 and Multivariable logistic regression analysis was performed. <br><b>Results:</b> In this study, 234, 416 and 87 abattoir workers, febrile patients and herders. Brucellosis prevalence is fair among abattoir workers and the febrile patients, all workers Knows Brucellosis and Tuberculosis more than other diseases. Brucellosis among febrile patients, female more than male’s respondents 23.7% (50/416), 22.9% (47/234/416) respectively, the prevalence is very high among age group 16 to 35. The disease was very high among non-educated people 25.4% (35/416). Nilotic group have high prevalence 21.8% (39/416), according to C-ELISA. In the cattle camps brucellosis prevalence among males was high than females 44.0% and 29.0% respectively. The prevalence was high among age groups 16- 35 years and 36-60years, 32.7% and 38.1 respectively, according to C- ELISA. The distribution of awareness of zoonotic diseases and brucellosis among abattoir workers, knowing zoonotic diseases 33.3% (30/90), knowing brucellosis 27.8% (25/90), knowing transmission of brucellosis 11.11% (10/25), however, knowledge of causes, signs of brucellosis in animals and signs human mode of transmission and treatment of brucellosis is very low. <br><b>Conclusions:</b> Brucellosis prevalence is fair among abattoir workers, febrile patients and high in the cattle camps. All workers Knows Brucellosis and Tuberculosis more than other diseases.in the community the prevalence look equally between gender, knowledge about the diseases causes, signs in human and animal also mode of transmission and treatment was very low between the three groups. Community sensitization and awareness about zoonotic diseases is needed