Knowledge, Practice, and Behavior of University Students Concerning Sandfly Vectors of Leishmaniasis in Fez City, Central North Morocco

http://www.doi.org/10.26538/tjnpr/v7i6.30

Authors

  • Youness El Fattouhi Laboratory of Biotechnology, Conservation and Valorization of Naturals Resources (LBCVNR), Faculty of Sciences Dhar El Mahraz, Sidi Mohamed Ben Abdellah University, 30000, Fez, Morocco
  • Najoua Darkaoui Laboratory of Biotechnology, Conservation and Valorization of Naturals Resources (LBCVNR), Faculty of Sciences Dhar El Mahraz, Sidi Mohamed Ben Abdellah University, 30000, Fez, Morocco
  • Fatima Z. Talbi Laboratory of Biochemistry, Neurosciences, Natural Resources and Environment, Faculty of Sciences and Technologies, Hassan First University of Settat, P.O. Box 577, 26000, Settat, Morocco
  • Abdellatif J. Idrissi Laboratory of Biotechnology, Conservation and Valorization of Naturals Resources (LBCVNR), Faculty of Sciences Dhar El Mahraz, Sidi Mohamed Ben Abdellah University, 30000, Fez, Morocco
  • Abdelhakim El Ouali Lalami Laboratory of Biotechnology, Conservation and Valorization of Naturals Resources (LBCVNR), Faculty of Sciences Dhar El Mahraz, Sidi Mohamed Ben Abdellah University, 30000, Fez, Morocco

Keywords:

Students, Sandfly, Practice, Morocco, Leishmaniasis, Knowledge, Fez, Behavior

Abstract

Sandflies are proven vectors of several viruses, bacteria, and parasites, causing many vector-borne diseases like leishmaniasis. Morocco aims to eliminate the disease by 2030. However, this disease continues to be a public health issue in the country despite all the efforts to limit its spread. The present study evaluated the knowledge, practices, and behaviors of university students regarding sandflies as leishmaniasis vectors. From April to July 2018, 385 students were interviewed using a pretest questionnaire. A score of 1 was assigned to every correct answer concerning knowledge and practice variables, and a mark of 0 was assigned to any incorrect answers or unanswered questions. Pearson's Chi-square (X2) test was used to analyze the association between the independent variables and the level of knowledge and practices. A statistically significant association is demonstrated when p < 0.05. Students had an intermediate level of understanding of leishmaniasis vectors, with a knowledge score of 5.61 out of 10. The level of prevention practices, however, only received a 1.63 out of 4 rating. The field of study in high school and knowledge, as well as prevention methods and demographic factors, such as the field of study in high school and academic level, were also found to be significantly correlated (p = 0.000). The findings of this study demonstrate the significance of implementing various levels of awarenessraising and educational initiatives among university students, as it represents a crucial step to enhancing knowledge, attitudes, and preventive actions regarding this disease.

Author Biography

Abdelhakim El Ouali Lalami, Laboratory of Biotechnology, Conservation and Valorization of Naturals Resources (LBCVNR), Faculty of Sciences Dhar El Mahraz, Sidi Mohamed Ben Abdellah University, 30000, Fez, Morocco

Institute of Nursing Professions and Health Techniques of Fez, Regional Health Directorate Fez-Meknes, EL Ghassani Hospital, 30000 Fez, Morocco.

References

World Health Organization. Executive Board Report, Hundred and Fortieth Session. The global response from the secretariat control. 2017; 6(EB140/26) https://apps.who.int/iris/handle/10665/273295.

World Health Organization. Weekly Epidemiological Record. Geneva. 2016; 91(22):285-296.

Gangneux J-P, Belaz S, Robert-Gangneux F. Update and news on Mediterranean visceral leishmaniasis. J Anti-Infect. 2015; 17:25-28.

Gay E, Guegan H, Ameline M, Gangeux J-P. Les leishmanioses humaines: parasitoses importées et autochtones. Rev Francoph Labo. 2015; 2015(477):61-65. Doi : 10.1016/S1773-035X(15)30317-8

Talbi FZ, Idrissi Janati A, Fadil M, El-Omari H, El-Akhal F, Alaoui Mrani M, Nouayti N, Alami A, Taam A, Hilali S, Amaiach R, Taroq A, El-Khayyat F, Merabti A, El Ouali Lalami A. Distribution and Abundance of Sand Flies in Five Selected Communities in Fez, Morocco, and Impact of Climatic Factors. Trop J. Nat Prod Res. 2022; 6(9):1405- 1410.

Mouloua S, Boubidi SC, Bouiba L, Mezai G, Madiou M, Harrat Z. Impact environnemental sur la répartition des leishmanioses dans le foyer de Tizi-Ouzou (Algérie). Rev Med Vet. 2017; 168(10-12):252-261.

Talbi FZ, Najy M, Nouayti N, En-nkhili H, El OualiLalami A. Cutaneous Leishmaniasis cases and risk factors in north central of Morocco, Sefrou province: An impact study. E3S. Web Conf. 2021; 234(27):1-7 Doi: 10.1051/e3sconf/202123400027

World Health Organization. Weekly Epidemiological Record. 2020; 95(25):265-280.

Alvar J, Yactayo S, Bern C. Leishmaniose et pauvreté. Tendances Parasitol. 2006; 22(12):552-557.

Pérez J, Virgen A, Rojas JC, Rebollar-Téllez EA, Alfredo C, Infante F, Mikery O, Marina CF, Ibànez-Bernal S. Species composition and seasonal abundance of sandflies (Diptera: Psychodidae: Phlebotominae) in coffee agroecosystems. Mem Inst Oswaldo Cruz. 2014; 109(1):80-86. Doi: 10.1590/0074-0276130224

Oryan A, Akbari M. Worldwide risk factors in leishmaniasis. Asian Pac J. Trop Med. 2016; 9(10):925-932. Doi: 10.1016/j.apjtm.2016.06.021

El Omari H, Chahlaoui A, Talbi FZ, Lahouiti K, Taam A,El Khayyat F, Alami A, Darkaoui N, Merabti A, Amaiach R, El Ouali Lalami A. Leishmaniasis Risk Factors in Central Morocco: Urbanization and Socio-Economic Factors. Trop J. Nat Prod Res. 2022; 6(12):1964-1968. Doi: 10.1155/2020/2196418

Arroub H, Benlmekki M, Bencharki B, Bahdaoui K, Habbari K. Répartition spatio-temporelle de la leishmaniose cutanée dans les zones semi-arides Marocaines. Int J. Innov Manag. 2016; 14(1):187-197.

World health organization. Leishmaniases. Available. 2019.

Rhajaoui M. Les leishmanioses humanes au Maroc : une diversité nosogéographique. Pathol Biol. 2011; 59:266-229. Doi: 10.1016/j.patbio.2009.09.003

Moroccan Ministry of Health. Epidemiology and Public Health Bulletin (July 2018). 2018; 56(76-1). ISSN: 08518238

Menezes JA, Sousa FF, Lima RF, Margonari C. Peridomiciliary risk factors and knowledge concerning visceral leishmaniasis in the population of Formiga, Minas Gerais, Brazil. Rev Bras Epidemiol. 2016; 19:362-374. Doi: 10.1590/1980-5497201600020013

Lopez-Perea N, Sordo L, Gadisa E, Cruz I, Hailu T, Moreno J, Aseffa A, Canavate C, Custodio E. Knowledge, attitudes and practices related to visceral leishmaniasis in rural communities of Amhara state: a longitudinal study in northwest Ethiopia. PLoS. Negl Trop Dis. 2014; 8(4):1-9. Doi: 10.1371/journal.pntd.0002799

Akenji TKN, Ntonifor NN, Ching JK, Kimbi HK, Ndamukong KN, Anong DN, Boyo MG, Titanji VPK. Evaluating a malaria intervention strategy using knowledge, practices and coverage surveys in rural Bolifamba, southwest Cameroon. Trans R Soc Trop Med Hyg. 2005; 99(5):325- 332. Doi: 10.1016/j.trstmh.2003.12.016

Hejazi SH, Hazavei SMM, Shirani Bidabadi L, Shademani A, Siadat AH, Zolfaghari-baghbaderani A, Nilforoushzadeh MA, Hosseini SM. Evaluation of Knowledge, Attitude and Performance of the Mothers of Children Affected by Cutaneous Leishmaniasis. Infect Dis Res Treat. 2010;

(3):35-40. Doi:10.4137/IDRT.S3786

El-Mouhdi K, Fekhaoui M, Rzeq M, Ennassih Y, Chahlaoui A. Knowledge and behaviour of individuals towards sandflies' vectors of leishmaniasis in Morocco. East Mediterr Health J. 2021; 27(9):911-917. Doi: 10.26719/2021.27.9.911

Carmo RF, Z. Luz M, Bevilacqua PD. Perceptions of the population and health professionals regarding visceral leishmaniasis. Cien Saude Colet. 2016; 21(2):621-628. Doi: 10.1590/1413-81232015212.10422015

El-Mouhdi K, Fekhaoui M, Elhamdaoui F, Guessioui H, Chahlaoui A. Knowledge and Experiences of Health Professionals in the Peripheral Management of Leishmaniasis in Morocco (EL Hajeb). J Parasitol Res. 2020; 2020:1-9. Doi: 10.1155/2020/8819704

De Carvalho AG, Luz JGG, Rodrigues LD, Dias JVL, Fontes CJF. Impact of socio eco,omicstatus on the knowledge, attitudes, and practices about visceral leishmaniasis among dog owners. J Infect Dev Ctries. 2021; 15(10):1523-1531. Doi: 10.3855/jidc.14522

El Omari H, Chahlaoui A, El Ouali Lalami A. First survey on knowledge, attitude and practices about parasitic diseases among the population in the center of Morocco: The case of Leishmaniases. Probl Infect Parasit Dis. 2020; 48(2):21-26. Doi:10.58395/pipd.v48i2.36

Mokhtari N, Mrabet R, Lebailly P, Bock L. Spatialisation des bioclimats, de l’aridité et des étages de végétation du Maroc. Rev Mar Sci Agron Vet. 2014; 2(1):50-66.

High Commission for Planning of Morocco (HCP).Reportage. 2015, available on http://goo.gl/6jquVC

Darkaoui N, Idrissi JA, Talbi FZ, El Fattouhi Youness, Taam A, Benboubker MN, Lalami AEO. Taxomic and Biodiversity Study of Sandfly Species in the Fez Region. Trop J Nat Prod Res. 2022; 6(6):894-899. Doi: 10.26538/tjnpr/v6i6.12

Talbi FZ, Merabti A, El-Akhal F, Alami A, El Omari H, Najy M, Amaiach R, Mrani Alaoui M, Taroq A, El Khayyat F, Benboubker M, Hilali S, El Ouali Lalami A. Influence of Basic Environmental Factors on Seasonal Variation and Distribution of Sand Flies at Ben Slimane Sites in Fez City, Morocco. Trop J. Nat Prod Res. 2022; 6(9):1391-1395.

Universities as engines of integrated regional development. USMBA. Africités. 2018; SOU 95:1-15. https://www.africities.org/wpcontent/uploads/2018/11/SOU-95-USMBAAfricite%CC%81s-2018-vr-14-11-2018.pdf

Wrenn BW, Loudon LD, Stevens RE. Marketing research: Test and cases. London. Psychol Press. 2002; 395p.

Rafique GM, Mahmood K, Warraich NF, Rehman SU. Readiness for Oline Learning during COVID-19 pandemic: A survey of Pakistani LIS students. IAFOR. J Lit Librariansh. 2021; 47(3):1-10. Doi: 10.1016/j.acalib.2021.102346

Akram A, Khan HAA, Qadir A, A. Sabir AM. A CrossSectional Survey of Knowledge, Attitude and Practices Related to Cutaneous Leishmaniasis and SandFlies in Punjab, Pakistan. PLoS ONE, 2015; 10(6):1-8. Doi: 10.1371/journal.pone.0130929

El-Mouhdi K, Chahlaoui A, Fekhaoui M. The Cutaneous Leishmaniasis and the Sand Fly: Knowledge and Beliefs of the Population in Central Morocco (El Hajeb). Dermatol Res Pract. 2020; 2020(5):1-10. Doi: 10.1155/2020/1896210

Tesfay K, Mardu F, Berhe B, Negash H, Legese H, Adhanom G, Belay G, Gebrewahid A, Tesfay S, Gufue ZH. Household knowledge, practice and treatment seeking behaviours towards cutaneous leishmaniasis in the endemic rural communities of Ganta-afeshum district, Tigrai, northern Ethiopia, 2019: a cross-sectional study. Trop Dis. Trav Med Vaccine. 2021; 7(19):10p. Doi: 10.1186/s40794-021-00144-4

Devipriya JS, Gupta AK, Veeri RB, Garapati P, Kumar R, Dhingra S, Murti K, Ravichandiran V, Pandey K. Knowledge, attitude and practices towards visceral leishmaniasis among HIV patients: A cross-sectional study from Bihar, India. PLoS One. 2021; 16(8):1-16. Doi: 10.1371/journal.pone.0256239

Cronbach LJ. Coefficient alpha and the internal structure of tests. Psychometrika. 1951; 16(3):297-334.

Khbou MH, Najahi K, Zribi L, Aoun K, Ghabri M. Knowledge and attitudes of Tunisian dog owners regarding leishmaniasis. Parasite Epidemiol Control. 2019; 3(2019): e00098. Doi: 10.1016/j.parepi.2019.e00098

Alemu A, Alemu A, Esmael N, Dessie Y, Hamdu K, Mathewos B, Birhan W. Knowledge, attitude and practices related to visceral leishmaniasis among residents in Addis Zemen town, South Gondar, Northwest Ethiopia. BMC. Public Health. 2014; 13(382):1-7. Doi:10.1186/1471-2458-

-382

Lobo KS, Bezerra JMT, Brito LMO, Da Silva JS, Pinheiro VC. Knowledge of students about visceral leishmaniasis in public schools in Caxias, Maranhão, Brazil. Cien Saude Colet. 2013; 18(8):2295-2300. Doi: 10.1590/S1413- 81232013000800013

Saleh F, Khan MF, Kabir MR. Awareness of residents about kala-azar and its related practices in two endemic areas of Bangladesh. PLoS One. 2019; 14(7):e0219591. Doi: 10.1371/journal.pone.0219591

Sarkari B, Qasem A, Shafaf MR. knowledge, attitude, and practices related to cutaneous leishmaniasis in an endemic focus of cutaneous leishmaniasis, southern Iran. Asian Pac J. Trop Biomed. 2014; 4(7):566-569. Doi:10.12980/APJTB.4.2014C744

Saberi S, Zamani AR, Moatamedi N, Nilforoushzadeh MA, Jaffary F, Rahimi E, Hejezi SH. Evaluation of students'Knowledge, Attitude and Practice in Relation to Preventive Strategies against Leishmaniasis in the Hyperendemic Region of Shahid Babaie Airbase. J Isfahan. Med Sch. 2012; 12(173):2962-2970.

Kiniffo IR, Agbo-ola L, Issifou S, Massougbodji A. Les mères des enfants de moins de cinq ans et le paludisme dans la vallée de Dangbo au Sud–Est du Benin. Med Afr Noire. 2000; 47(1): 27-33.

Bettayeba A, Cherrak N, Boumansour N, Serradj A, Midoun N. Profil épidémiologique des leishmanioses cutanées prises en charge à Oran, Algérie, 2012-2014. Rev Epidemiol Sante Publique. 2016; 64(4):215-260. Doi: 10.1016/j.respe.2016.06.243

Hailu T, Yimer M, Mulu W, Abera B. Challenges in visceral leishmaniasis control and elimination in the developing countries: a review. J Vector Borne Dis. 2016; 53(3):193- 198.

Mitschler A, Grange F, Lipsker D, Jaulhac B, Piemont Y, Belanger P, Pagnon X, Mayer O, Guillaume JC. Connaissance et prévention des borrélioses par piqûres de tiques. Enquête dans la population d’une région endémique européenne, l’Alsace. Ann Dermatol Venereol. 2004; 131(6- 7):547-553. Doi: 10.1016/S0151-9638(04)93666-6

Alharazi TH, Haouas H, Al-Mekhlafi HM. Knowledge and attitude towards cutaneous leishmaniasis among rural endemic communities in Shara'b district, Taiz, southwestern Yemen. BMC. Infect Dis. 2021; 21(1):269-271. Doi: 10.1186/s12879-021-05965-4

Osman Y, Wayit S, Zhu CZ, Tong SX, Wu WP, Jumahun R, Nabijian A, Zhang S, Fu Q, Xu X. Change of knowledge rate after health education on visceral leishmaniasis among residents in a township of Kashgar City. Chin J. Parasitol Parasitic Dis. 2008; 26(4):241-246.

Pupulim ART, Guilherme ALF, Falavigna DLM, Araújo SM, Fukushigue Y. Umatentativa de orientarcomunidadesescolares no contrôle de

enteroparasitoses. Rev Bras Anal Clin. 1996; 14(3):130-133.

Published

2023-07-02

How to Cite

Fattouhi, Y. E., Darkaoui, N., Talbi, F. Z., Idrissi, A. J., & Ouali Lalami, A. E. (2023). Knowledge, Practice, and Behavior of University Students Concerning Sandfly Vectors of Leishmaniasis in Fez City, Central North Morocco: http://www.doi.org/10.26538/tjnpr/v7i6.30. Tropical Journal of Natural Product Research (TJNPR), 7(6), 3263–3270. Retrieved from https://tjnpr.org/index.php/home/article/view/2114

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