Exploration of the beliefs and practices related to snakebite envenomation and effectiveness of multifaceted snakebite envenomation education programme on knowledge among agricultural workers: A mixed methods study

IF 2.3 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Clinical Epidemiology and Global Health Pub Date : 2025-06-07 DOI:10.1016/j.cegh.2025.102092

N. Dhanesh Kumar, E. Devakirubai, P. Andal

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引用次数: 0

Abstract

Background

Snakebite envenomation (SBE) remains a significantly neglected public health issue, despite its considerable contribution to morbidity and mortality, particularly in developing countries. Although numerous reports highlights the impact of SBE on rural populations, there remains a substantial lack of awareness and preventive knowledge among agricultural workers.

Aim

To explore the beliefs and practices related to snakebite envenomation and to evaluate the effectiveness of a multifaceted snakebite envenomation education program (MSEEP) on knowledge regarding SBE among agricultural workers.

Methods

A mixed-method intervention design was adopted for the study. In Phase 1, a descriptive qualitative approach was used to identify the beliefs and practices related to snakebite envenomation. Ten participants were recruited for the qualitative strand of the study using a purposive sampling technique called intensity sampling. Qualitative data was collected by using a semi-structured interview schedule, and the data were analyzed using thematic analysis. Then, the researcher refined & developed the MSEEP (Multifaceted Snakebite Envenomation Education Programme) based on the qualitative data and the expert's opinion. In Phase 2, 100 participants were selected purposively, out of which 50 were allotted to the experimental group and 50 to the control group. Quantitative data were collected using a structured knowledge questionnaire by interview method, and the data were analyzed using descriptive and inferential statistics.

Results

There are various beliefs about snakebites & notions related to snakebite envenomation, and a range of traditional treatments were described. The study found that the mean post-test knowledge score of 18.78 was significantly higher than the pre-test score of 10.5, with the statistical difference between the experimental and control group (t = 39.6, P = 0.001∗); (t = 1.07, P = 0.28). There is a statistically significant association between pre-test knowledge scores and variables like age (P = 0.001∗), gender (P = 0.008∗), and education (P = 0.016∗).

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探索与蛇咬伤有关的信仰和实践，以及农业工人多方面蛇咬伤知识教育计划的有效性：一项混合方法研究

背景蛇咬伤（SBE）仍然是一个被严重忽视的公共卫生问题，尽管它对发病率和死亡率有相当大的贡献，特别是在发展中国家。尽管许多报告强调了性侵对农村人口的影响，但农业工人仍然严重缺乏意识和预防知识。目的探讨与蛇咬伤有关的信仰和实践，并评估多方面蛇咬伤教育计划（MSEEP）对农业工人SBE知识的有效性。方法采用混合干预设计。在第一阶段，一个描述性的定性方法被用来确定信仰和实践有关蛇咬伤的毒害。10名参与者被招募进行定性研究，使用一种称为强度抽样的有目的抽样技术。采用半结构化访谈时间表收集定性数据，并采用专题分析对数据进行分析。然后，研究人员对&；根据定性数据和专家意见，制定了MSEEP （Multifaceted Snakebite poisoning Education program）。在第2阶段，有目的地选择了100名参与者，其中50名分配给实验组，50名分配给对照组。采用结构化知识问卷访谈法收集定量数据，采用描述性统计和推理统计对数据进行分析。结果关于蛇咬伤有不同的说法。描述了与蛇咬伤中毒有关的概念，以及一系列传统治疗方法。研究发现，测验后知识平均得分18.78显著高于测验前得分10.5，实验组与对照组之间有统计学差异（t = 39.6, P = 0.001 *）；（t = 1.07, P = 0.28）。测验前知识得分与年龄（P = 0.001∗）、性别（P = 0.008∗）和教育（P = 0.016∗）等变量之间存在统计学上显著的关联。

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来源期刊

Clinical Epidemiology and Global Health PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-

CiteScore

4.60

自引率

7.70%

发文量

218

审稿时长

66 days

期刊介绍： Clinical Epidemiology and Global Health (CEGH) is a multidisciplinary journal and it is published four times (March, June, September, December) a year. The mandate of CEGH is to promote articles on clinical epidemiology with focus on developing countries in the context of global health. We also accept articles from other countries. It publishes original research work across all disciplines of medicine and allied sciences, related to clinical epidemiology and global health. The journal publishes Original articles, Review articles, Evidence Summaries, Letters to the Editor. All articles published in CEGH are peer-reviewed and published online for immediate access and citation.