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Background <p>Female genital schistosomiasis (FGS) is a neglected tropical disease with significant reproductive health implications. In endemic regions such as the Democratic Republic of Congo (DRC), limited awareness among healthcare professionals contributes to underdiagnosis and mismanagement. This study assessed the knowledge, attitudes, and practices (KAP) of healthcare personnel regarding FGS in the Mabalako health zone.</p> Methods <p>A cross-sectional survey was conducted among 75 healthcare professionals. Data on socio-demographic characteristics, knowledge, attitudes, and practices were collected using structured questionnaires. Associations between healthcare professionals’ characteristics and KAP outcomes were analyzed using odds ratios (ORs) with 95% confidence intervals (CIs).</p> Results <p>Overall, 80% of healthcare professionals had poor knowledge of FGS, while 44% reported good clinical practices, and only 25.3% exhibited positive attitudes. Profession was significantly associated with both practice (OR = 0.11; 95% CI: 0.01–0.96; <i>p</i> = 0.039) and attitude (OR = 0.21; 95% CI: 0.04–1.05; <i>p</i> = 0.042). Physicians were more likely to demonstrate good practices, whereas non-physicians were more likely to report positive attitudes. University-level education showed a trend toward significance for better practice (OR = 2.58; 95% CI: 0.95–7.03; <i>p</i> = 0.060). Age, gender, and marital status were not significantly associated with KAP outcomes. Although healthcare professionals with good knowledge were more likely to demonstrate good practice (OR = 2.25; 95% CI: 0.71–7.12; <i>p</i> = 0.163), this relationship was not statistically significant.</p> Conclusions <p>Healthcare professionals in the DRC exhibit substantial knowledge gaps regarding FGS, with attitudes being particularly weak despite moderate levels of good practice. Findings highlight the urgent need for targeted training, improved communication strategies, and behavioural interventions to strengthen healthcare professionals’ competence and commitment to FGS management. Addressing these gaps is essential for reducing underdiagnosis and improving reproductive health outcomes in endemic communities.</p>

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Knowledge, attitudes, and practices of healthcare professionals on female genital schistosomiasis in the Mabalako health zone, Democratic Republic of the Congo

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2026年7月31日

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  • Jean-Louis Mumbere Katembo,
  • John Kamwina Kebela,
  • Mathe Senge,
  • Freddy Bangelesa,
  • Mudogo Virima,
  • Bive Zono Bive,
  • Georges Mvumbi Lelo,
  • Bienvenu Massamba Lebwaze,
  • Raphael Bulakali Chirimwami,
  • Jérome Boissier,
  • Celestin Nzanzu Mudogo

摘要

Background

Female genital schistosomiasis (FGS) is a neglected tropical disease with significant reproductive health implications. In endemic regions such as the Democratic Republic of Congo (DRC), limited awareness among healthcare professionals contributes to underdiagnosis and mismanagement. This study assessed the knowledge, attitudes, and practices (KAP) of healthcare personnel regarding FGS in the Mabalako health zone.

Methods

A cross-sectional survey was conducted among 75 healthcare professionals. Data on socio-demographic characteristics, knowledge, attitudes, and practices were collected using structured questionnaires. Associations between healthcare professionals’ characteristics and KAP outcomes were analyzed using odds ratios (ORs) with 95% confidence intervals (CIs).

Results

Overall, 80% of healthcare professionals had poor knowledge of FGS, while 44% reported good clinical practices, and only 25.3% exhibited positive attitudes. Profession was significantly associated with both practice (OR = 0.11; 95% CI: 0.01–0.96; p = 0.039) and attitude (OR = 0.21; 95% CI: 0.04–1.05; p = 0.042). Physicians were more likely to demonstrate good practices, whereas non-physicians were more likely to report positive attitudes. University-level education showed a trend toward significance for better practice (OR = 2.58; 95% CI: 0.95–7.03; p = 0.060). Age, gender, and marital status were not significantly associated with KAP outcomes. Although healthcare professionals with good knowledge were more likely to demonstrate good practice (OR = 2.25; 95% CI: 0.71–7.12; p = 0.163), this relationship was not statistically significant.

Conclusions

Healthcare professionals in the DRC exhibit substantial knowledge gaps regarding FGS, with attitudes being particularly weak despite moderate levels of good practice. Findings highlight the urgent need for targeted training, improved communication strategies, and behavioural interventions to strengthen healthcare professionals’ competence and commitment to FGS management. Addressing these gaps is essential for reducing underdiagnosis and improving reproductive health outcomes in endemic communities.