1- Department of Health Education, Yasuj University of Medical Sciences, Yasuj, Iran, 2- Social Determinants of Health Research Center, Yasuj University of Medical Sciences, Iran, , : moshaisf@yahoo.com 3- Social Determinants of Health Research Center, Yasuj University of Medical Sciences, Iran, 4- Department of Infectious Disease, Isfahan University of Medical Sciences, Isfahan, Iran 5- Najafabad health network, Isfahan University of Medical Sciences, Isfahan, Iran
Abstract: (9212 Views)
Background & aim: Brucellosis is considered as a significant health threat worldwide. The disease has been reported in more than a half-million people each year in 100 countries, according to the World Health Organization. This study aimed to determine the predictive factors ofa needs assessmentandprioritization ofinterventionsto preventbrucellosisusing thePrecede-Proceed Modelin Isfahan rural areas in2015.
Methods: The present cross-sectional study(needs assessmentby Delphi method) was conducted on 402people aged 15 years and older in20 villagesof 44villageswhich wererandomly selectedin theruralRegions of Tiran and Karvancounty of IsfahanProvince. The data were collected throughquestionnaires and a Self-made checklist based on thePrecede-Proceed Modelwhich its content and face validity was approved by expertsand pilot projects. Datacollectedby thesurveytechniquesagreementusingchi-squareandt tests were analyzed by the use of SPSS version 18 software.
Results:This study indicated that the subjects' awareness of the possibility of transmission of brucellosis by skin, breathing contaminated dust, the use of personal protective devices at the time of contact with animals were not appropriate. Increasing the access to veterinary services and vaccination of livestock herders in rural areas and helping in creating storage areas for livestock backcountry villages and moving the livestock to rural areas outside was one of the demands of the population. The present study revealed that between knowledge, attitude and performance of the participants with their educational level was a significant association (p≤0.05). Also, there was a significant relationship between enabling factors, reinforcing factors and skill and practice in the prevention of brucellosis and having cattle(P≤0.05).
Conclusion: Needs assessment performance before implementation of any intervention in the prevention of brucellosis could help the researchers, planners and policy makers to assist the design andimplementation ofinterventionsas well as supplyingeducationalmaterialssituationandpriorities ofinfluentialdisease control and preventionconsiderations to beput intotargetedactionthatwill havemoreimpact and also be more effective.
Hajari A, Shams M, Afrooghi S, Fadaei Nobari R, Abaspoor Najafabadi R. Using the Precede-Proceed Model in Needs Assessment for the Prevention of Brucellosis in Rural Areas of Isfahan, Iran. armaghanj 2016; 21 (4) :396-409 URL: http://armaghanj.yums.ac.ir/article-1-1418-en.html