Objectives: The availability of emergency obstetric and newborn care (EmONC) services is one of the key strategies in improving maternal health and achieving Sustainable Development Goal 3. Health staff knowledge and competency on these interventions are crucial to ensure the effective handling and management of obstetric and newborn emergencies. Health workers, despite having undergone formal training, require regular refresher courses to keep up with new, evidence-based information on EmONC intervention; and to ensure compliance with national and local referral guidelines. A two-day workshop was implemented to assess the knowledge and skills of health workers in Legazpi, Albay, regarding obstetric emergency cases and referral guidelines.

Methods: A pretest was conducted on the first day to assess the knowledge of the participants. A series of lectures were given before administering a posttest at the end of these lectures. An Objective Structured Clinical Examination (OSCE) was conducted on the second day, which aimed to assess the skills of the participants.

Results: The pretest findings indicated that the participants are generally knowledgeable about areas such as handwashing and prenatal care. Results of the posttest show that participants had difficulty with the category of referrals. Moreover, comparing the pretest and posttest scores, there is strong evidence that there is a difference in the median values of the pretest scores as compared to the posttest scores. The results of the OSCE also indicate the need for further training on partograph use and adherence to an EINC protocol. More than half of the participants passed all five parts of the OSCE.

Conclusion: The workshop contributed to an improvement in the knowledge of health care workers in obstetric emergency cases. Skills-wise, more frequent training may need to be conducted to improve other competencies such as partograph utilization and the practice of EINC interventions.

Key Words: emergency obstetric care, training, skilled birth attendants, knowledge, skills

Background: Clinical competency depends on student's knowledge of basic sciences including the learned concept in Anatomy. But what if students forget the learned knowledge of human anatomy? Objectives: This research investigated knowledge gain post instruction, knowledge retention (or loss) of basic and clinical concepts five months after. It also compared the effect of delayed-multiple testing and delayedsingle testing in the retention of acquired knowledge. Methodology: This is an experimental study conducted among first year medical students who underwent neuroanatomy module and later followed-up after five months using a 32-item test-retest. Items were categorized as basic knowledge and clinical correlation. Participants were randomly assigned into two groups; delayed-multiple and delayed-single testing. Mean difference in scores between the 2 testing periods (end-ofmodule and terminal delayed test) were analyzed using paired samples t-test while mean difference between basic and clinical correlation were analyzed using independent samples t-test. The degree of knowledge loss was determined using the computed Knowledge Loss Percentage (KLP). Results: Knowledge gain was noted at the end of instruction (p value<0.001). Knowledge loss is higher among basic knowledge (p value<0.001) and demonstrated a higher computed KLP. Repeated testing demonstrates a higher retention (KLP=4.34) compared to those administered with a single test only (KLP=26.73). Conclusion Knowledge loss occurs post instruction and more pronounced among basic concepts. Clinical correlation and frequent testing demonstrate a significant retention capability. To reduce the effect of knowledge loss among basic concepts, this study recommends the implementation of multiple testing.
Knowledge

Background: Public health workers play significant roles in communities in terms of disaster management. Disaster risk reduction management laws and country plans serve as the legal basis and framework in preparing for, mitigating, and responding to a disaster. Objective: This study was conducted to assess the knowledge and practices of Rural Health Unit (RHU) personnel on disaster preparedness. Methodology: A descriptive survey design using a self-report questionnaire developed by the researchers obtained from the Philippine Disaster Risk Reduction and Management (PDRRM) Act of 2010 and the National Disaster Risk Reduction and Management Plan (NDRRMP) 2011-2028 was employed. Via total enumeration, participants from eight RHUs in Aurora Province voluntarily consented to take part. The data were analyzed by employing descriptive statistics such as frequencies, percentages, and measure of central tendency or median by SPSS statistics. Results: The majority of the participants were aged 55 years and above (25.90%), females (78.42%), and were Rural Health Midwives (RHMs) (39.57%). One hundred and thirty-eight (99%) of the RHU personnel in Aurora Province were found to be knowledgeable about disaster preparedness and 90 (65%) of the participants had practiced activities in this regard. Conclusion The Rural Health Unit (RHU) personnel of Aurora Province are knowledgeable about disaster preparedness and its practices. Public health workers with these characteristics are pillars of strength for the local government units (LGUs). They can continue to enhance comprehensive disaster preparedness education programs in their communities, and assist their LGUs during municipal disaster management planning.
Knowledge

This cross-sectional study aims to investigate high-school students’ experiences with exergames, their knowledge, attitudes, and practice of exercise in Pulau Pinang, Malaysia. A relevant questionnaire has been effectively adapted by inserting another section to assess the respondents’ experiences regarding exergames. The modified questionnaire was used as the research instrument in this study. The sampling size consisted of 377 Malaysian high school students in Pulau Pinang, Malaysia. The five-section questionnaire provided statements and questions about the respondents’ sociodemographic data and exergames’ experiences, as well as their knowledge, attitude, and practice of exercise. The time frame was between October 2021 and January 2022. Data were analysed by using descriptive statistics of frequency and percentages. The association between gender, age and experience, knowledge, and attitude was examined using the chi-square test. p value of < 0.05 considered as statistically significant. Based on the quantitative results, 97.9% of the respondents have had adequate knowledge about exercise and 83.6% of the respondents displayed positive exercise attitudes. Approximately, half of the students allocated between 30 and 60 minutes daily to perform moderate-to-vigorous intensity workouts. However, a statistically significant difference was perceived in their experiences of exergames. Specifically, female respondents demonstrated that they have more experience than their male counterparts. Holistic efforts are essential to raise high-school students’ awareness of exercise given its outstanding potential to enable children and adolescents’ physical activity engagement.
Knowledge

Perioperative Patient Blood Management is part of the patient blood management (PBM) program specifically focused on surgical patients. Even though this concept had been introduced in 2010 by World Blood Organization (WHO), earlier studies in Europe had shown poor knowledge and practice among clinicians in this area. In Malaysia, PBM approach is still not comprehensive, and there was no published data to relate this problem with clinicians’ lack of knowledge and practice. Therefore, our main objective was to study the knowledge and practice of PBM among clinicians mainly involved in the perioperative field at Hospital Universiti Sains Malaysia (Hospital USM), Kelantan. A cross-sectional study was done from 1st December 2019 to 31st October 2020 using a structured and validated questionnaire containing 41 items. Logistic regression was used to evaluate the association between socio-demographic variables with knowledge level. A total of 252 participants were involved in this study. About 61.5% of the clinicians had a poor knowledge level. Poor knowledge level among clinicians was significantly associated with clinicians' age, primary field, previous knowledge about PBM, and PBM course attendance (p<0.05). The practice was at a moderate level. Overall, there were significant knowledge gaps and inadequate practice of PBM in perioperative patients among clinicians in Hospital USM. These results might guide the local clinical division to formulate more constructive and effective training strategies to strengthen the clinicians’ knowledge and practice of PBM in perioperative patients.
Knowledge

Human Immunodeficiency Virus (HIV) is a serious infection that attacks the body's immune system, and its means of transmission include the use of injecting drugs. Effective preventive measures are crucial for reducing the prevalence of HIV in society. Therefore, this study aims to determine the factors influencing HIV/AIDS preventive measures among injecting drug users (IDUs) in Makassar City. A cross-sectional study design was employed, and 124 IDUs were enrolled as participants through an accidental sampling technique. The data collected were analyzed with chi-square bivariate analysis and multivariate logistic regression. The results showed knowledge (p-value = 0.005), attitude (p-value = 0.013), peer influence (p-value = 0.004), support from health workers and NGOs (p-value = 0.029), availability of sterile injecting equipment services (p-value = 0.029), and voluntary counseling and testing (VCT) services were significantly correlated with the preventive measures among IDUs in Makassar city (p-value < 0.001). Furthermore, VCT services were found to be the most influential factor in HIV/AIDS preventive measures (OR = 6.369; 95%CI = 2.181-18.597; p-value = 0.001). In conclusion, knowledge, attitudes, peer influence, support from health workers and NGOs, the availability of sterile injecting equipment services, and VCT services have a relationship with HIV/AIDS preventive measures among IDUs. Participants who engaged in VCT are advised to disseminate information about HIV and the associated services to their partners and communities.
Knowledge

Finding some clinical features of urinary tract stone and survey chemical component of urinary tract stone in 3 areas of Thua Thien Hue province. Stones were collected from patients surgeried and crushed stones from 1/2003 to 5/2004. The result show that: the man patients ‘s average age were: 46±12,4 : the man patients ‘s average age were: 42±12,1 với nữ. The common symtoms: pain, biting urinate, big kidney. 100% stones were calci stone, most of them were calci oxalate.
knowledge of women

A social investigation was carried out by questionnaire in 37 people in the Domax village and 15 people in Jri village, in which male: 29, female: 23, Gia Rai minority: 28 people and Bana minority: 13 people. The results have shown that, people's knowledge, in generally, was low. 86% of questioned people thought that the leprosy can be treated at home. 67.3% of those said that the disease can be eliminated. 71,2% of population thought that patients with leprosy should live at home together with their families. 84.6% of population knew the leprosy chemotherapy. 21.2% of population thought that it should not contact with patients with leprosy, and 28.8% of population thought that it should not live together with patients with leprosy
Leprosy ; Knowledge

Knowledge management is an important method for the organization to manage information and knowledge systematically and make knowledge innovate continuously. Knowledge management includes the stages of knowledge acquisition, sharing and use, and finally achieves the goal of taking knowledge as the production factor and improving work efficiency in an organization. The core work of technical evaluation of medical devices is typical knowledge work, and the knowledge management system is of great significance to the review agency in improving work efficiency, promoting talent training, improving management level and service quality. This study briefly introduces the framework of the knowledge management system of medical device technical evaluation in the Center for Certification and Evaluation, SHFDA, and provides reference for relevant organizations to carry out knowledge management of medical device technical evaluation.
Knowledge Management

Objectives: To determine the knowledge, attitude, and practices (KAP) on rabies prevention and control among primary care providers of children 0-18 years old. Methodology: This is an analytical cross-sectional study conducted among primary care providers of children 0- 18-years old in Barangay Sambag I, Cebu City, Philippines. A questionnaire to determine the KAP on rabies prevention and control, originally developed by Lañada et al., was modified and contextualized to the local setting. Respondents with at least 75% correct answers per domain were considered to have good overall knowledge, attitude, and practices. Furthermore, each question under the above domains was analyzed separately to determine any gaps in KAP. Results were recorded as frequencies and percentages. The association of KAP to one another and the respondents’ profiles were analyzed using Chi-square test with a level of significance of 0.05. Results: Among 285 respondents, 59.3% had poor knowledge, 35.8% had wrong practices, and 21.8% had negative attitude on rabies prevention and control. We found that 92.6% did not know that rabies is incurable. As to practices, performing “tandok” (42.5%), or the act of removal of rabies from a wound by using an animal horn, and applying herbal medicines (34%) were still done. Use of dog restraint (44.6%) and euthanasia (40%) weren’t favorable to study participants. Surprisingly, non-dog owners had good knowledge and positive attitude than dog owners. Conclusion Our study showed that majority of the study population had poor knowledge on rabies prevention and control, on disease transmission, and on the incurability of rabies. While majority had a positive attitude and correct practices, the unacceptability on the use of a dog restraint and euthanasia, especially among dog owners, were still evident.
Rabies ; Knowledge