Skip to main content
Top
Published in: BMC Infectious Diseases 1/2019

Open Access 01-12-2019 | Zika Virus | Research article

Knowledge and attitude towards pregnancy-related issues of Zika virus infection among general practitioners in Indonesia

Authors: Harapan Harapan, Yogambigai Rajamoorthy, Prattama S. Utomo, Samsul Anwar, Abdul M. Setiawan, Alma Alleta, Alfredo Bambang, Muhammad R. Ramadana, Ikram Ikram, Nur Wahyuniati, Reza Maulana, Ichsan Ichsan, Rosaria Indah, Abram L. Wagner, Ulrich Kuch, David A. Groneberg, Alfonso J. Rodríguez-Morales, Mohd Andalas, Ruth Müller, Mudatsir Mudatsir, Allison Imrie

Published in: BMC Infectious Diseases | Issue 1/2019

Login to get access

Abstract

Background

The aim of this study was to assess the knowledge and attitudes towards pregnancy-related issues of Zika virus (ZIKV) infection among general practitioners (GPs), a frontline healthcare worker group, in Indonesia.

Methods

A cross-sectional, online survey assessing knowledge and attitudes towards ZIKV infection on multiple-item scales was sent to GPs in the Sumatra and Java islands of Indonesia. The associations between independent factors and either knowledge or attitude were assessed with logistic regressions. The correlation and association between knowledge and attitude were estimated.

Results

We included 457 (53.7%) out of 850 responses in the analysis. Among these, 304 (66.5%) and 111 (24.2%) respondents had a good knowledge and attitude, respectively. No demographic, workplace, professional development, or experiential characteristics related to ZIKV infection were associated with knowledge. In the multivariate analysis, only contact experience was associated with attitude. There was a significant, positive correlation between knowledge and attitude scores.

Conclusions

Although knowledge of pregnancy-related complications of ZIKV infection is relatively high among GPs in Indonesia, more than 75% of them had a poor attitude towards pregnancy-related issues of Zika. Strategies for enhancing the capacity of GPs to develop positive attitudes and respond to ZIKV infection are needed.
Appendix
Available only for authorised users
Literature
1.
go back to reference Sabogal-Roman JA, Murillo-Garcia DR, Yepes-Echeverri MC, Restrepo-Mejia JD, Granados-Alvarez S, Paniz-Mondolfi AE, Villamil-Gomez WE, Zapata-Cerpa DC, Barreto-Rodriguez K, Rodriguez-Morales AJ. Healthcare students and workers’ knowledge about transmission, epidemiology and symptoms of Zika fever in four cities of Colombia. Travel Med Infect Dis. 2016;14(1):52–4.PubMedCrossRef Sabogal-Roman JA, Murillo-Garcia DR, Yepes-Echeverri MC, Restrepo-Mejia JD, Granados-Alvarez S, Paniz-Mondolfi AE, Villamil-Gomez WE, Zapata-Cerpa DC, Barreto-Rodriguez K, Rodriguez-Morales AJ. Healthcare students and workers’ knowledge about transmission, epidemiology and symptoms of Zika fever in four cities of Colombia. Travel Med Infect Dis. 2016;14(1):52–4.PubMedCrossRef
3.
go back to reference Suy A, Sulleiro E, Rodo C. Prolonged Zika virus viremia during pregnancy. NEJM. 2016;375(26):2609–11.CrossRef Suy A, Sulleiro E, Rodo C. Prolonged Zika virus viremia during pregnancy. NEJM. 2016;375(26):2609–11.CrossRef
4.
go back to reference de Araujo TVB, Ximenes RAA, Miranda-Filho DB, Souza WV, Montarroyos UR, de Melo APL, Valongueiro S, de Albuquerque M, Braga C, Filho SPB, et al. Association between microcephaly, Zika virus infection, and other risk factors in Brazil: final report of a case-control study. Lancet Infect Dis. 2018;18(3):328–36.PubMedCrossRef de Araujo TVB, Ximenes RAA, Miranda-Filho DB, Souza WV, Montarroyos UR, de Melo APL, Valongueiro S, de Albuquerque M, Braga C, Filho SPB, et al. Association between microcephaly, Zika virus infection, and other risk factors in Brazil: final report of a case-control study. Lancet Infect Dis. 2018;18(3):328–36.PubMedCrossRef
5.
go back to reference Cauchemez S, Besnard M, Bompard P, Dub T, Guillemette-Artur P, Eyrolle-Guignot D, Salje H, Van Kerkhove MD, Abadie V, Garel C, et al. Association between Zika virus and microcephaly in French Polynesia, 2013-15: a retrospective study. Lancet. 2016;387(10033):2125–32.PubMedPubMedCentralCrossRef Cauchemez S, Besnard M, Bompard P, Dub T, Guillemette-Artur P, Eyrolle-Guignot D, Salje H, Van Kerkhove MD, Abadie V, Garel C, et al. Association between Zika virus and microcephaly in French Polynesia, 2013-15: a retrospective study. Lancet. 2016;387(10033):2125–32.PubMedPubMedCentralCrossRef
6.
go back to reference de Araujo TVB, Rodrigues LC, Ximenes RADA, Miranda-Filho DDB, Montarroyos UR, de Melo APL, Valongueiro S, de Albuquerque MDFPM, Souza WV, Braga C, et al. Association between Zika virus infection and microcephaly in Brazil, January to may, 2016: preliminary report of a case-control study. Lancet Infect Dis. 2016;16(12):1356–63.PubMedCrossRef de Araujo TVB, Rodrigues LC, Ximenes RADA, Miranda-Filho DDB, Montarroyos UR, de Melo APL, Valongueiro S, de Albuquerque MDFPM, Souza WV, Braga C, et al. Association between Zika virus infection and microcephaly in Brazil, January to may, 2016: preliminary report of a case-control study. Lancet Infect Dis. 2016;16(12):1356–63.PubMedCrossRef
7.
go back to reference Vissoci JRN, Rocha TAH, Silva NCD, de Sousa Queiroz RC, Thomaz EBAF, Amaral PVM, Lein A, Branco MDRFC, Aquino J Junior, Rodrigues ZMR, et al. Zika virus infection and microcephaly: Evidence regarding geospatial associations. PLoS Negl Trop Dis. 2018;12(4):e0006392.PubMedPubMedCentralCrossRef Vissoci JRN, Rocha TAH, Silva NCD, de Sousa Queiroz RC, Thomaz EBAF, Amaral PVM, Lein A, Branco MDRFC, Aquino J Junior, Rodrigues ZMR, et al. Zika virus infection and microcephaly: Evidence regarding geospatial associations. PLoS Negl Trop Dis. 2018;12(4):e0006392.PubMedPubMedCentralCrossRef
8.
go back to reference Schuler-Faccini L, Ribeiro EM, Feitosa IML, Horovitz DDG, Cavalcanti DP, Pessoa A, Doriqui MJR, Neri JI, Neto JMD, Wanderley HYC, et al. Possible association between Zika virus infection and microcephaly - Brazil, 2015. MMWR Morb Mortal Wkly Rep. 2016;65(3):59–62.PubMedCrossRef Schuler-Faccini L, Ribeiro EM, Feitosa IML, Horovitz DDG, Cavalcanti DP, Pessoa A, Doriqui MJR, Neri JI, Neto JMD, Wanderley HYC, et al. Possible association between Zika virus infection and microcephaly - Brazil, 2015. MMWR Morb Mortal Wkly Rep. 2016;65(3):59–62.PubMedCrossRef
9.
go back to reference de Oliveira WK, de Franca GVA, Carmo EH, Duncan BB, de Souza KR, Schmidt MI. Infection-related microcephaly after the 2015 and 2016 Zika virus outbreaks in Brazil: a surveillance-based analysis. Lancet. 2017;390(10097):861–70.PubMedCrossRef de Oliveira WK, de Franca GVA, Carmo EH, Duncan BB, de Souza KR, Schmidt MI. Infection-related microcephaly after the 2015 and 2016 Zika virus outbreaks in Brazil: a surveillance-based analysis. Lancet. 2017;390(10097):861–70.PubMedCrossRef
10.
go back to reference Gulland A. Zika virus is a global public health emergency, declares WHO. BMJ. 2016;352. Gulland A. Zika virus is a global public health emergency, declares WHO. BMJ. 2016;352.
11.
go back to reference Moi ML, Nguyen TTT, Nguyen CT, Vu TBH, Tun MMN, Pham TD, Pham NT, Tran T, Morita K, Le TQM, et al. Zika virus infection and microcephaly in Vietnam. Lancet Infect Dis. 2017;17(8):805–6.PubMedCrossRef Moi ML, Nguyen TTT, Nguyen CT, Vu TBH, Tun MMN, Pham TD, Pham NT, Tran T, Morita K, Le TQM, et al. Zika virus infection and microcephaly in Vietnam. Lancet Infect Dis. 2017;17(8):805–6.PubMedCrossRef
12.
go back to reference Wongsurawat T, Athipanyasilp N, Jenjaroenpun P, Jun SR, Kaewnapan B, Wassenaar TM, Leelahakorn N, Angkasekwinai N, Kantakamalakul W, Ussery DW et al. Case of microcephaly after congenital infection with Asian lineage Zika virus, Thailand. Emerg Infect Dis. 2018;24(9):1758-61.PubMedCentralCrossRef Wongsurawat T, Athipanyasilp N, Jenjaroenpun P, Jun SR, Kaewnapan B, Wassenaar TM, Leelahakorn N, Angkasekwinai N, Kantakamalakul W, Ussery DW et al. Case of microcephaly after congenital infection with Asian lineage Zika virus, Thailand. Emerg Infect Dis. 2018;24(9):1758-61.PubMedCentralCrossRef
14.
go back to reference Dick GWA, Kitchen SF, Haddow AJ. Zika Virus .1. Isolations and serological specificity. T Roy Soc Trop Med H. 1952;46(5):509–20.CrossRef Dick GWA, Kitchen SF, Haddow AJ. Zika Virus .1. Isolations and serological specificity. T Roy Soc Trop Med H. 1952;46(5):509–20.CrossRef
15.
go back to reference Macnamara F. Zika virus: a report on three cases of human infection duringan epidemic of jaundice in Nigeria. T Roy Soc Trop Med H. 1954;48:139–45.CrossRef Macnamara F. Zika virus: a report on three cases of human infection duringan epidemic of jaundice in Nigeria. T Roy Soc Trop Med H. 1954;48:139–45.CrossRef
16.
go back to reference Duffy MR, Chen TH, Hancock WT, Powers AM, Kool JL, Lanciotti RS, Pretrick M, Marfel M, Holzbauer S, Dubray C, et al. Zika virus outbreak on Yap Island, Federated States of Micronesia. N Engl J Med. 2009;360(24):2536–43.PubMedCrossRef Duffy MR, Chen TH, Hancock WT, Powers AM, Kool JL, Lanciotti RS, Pretrick M, Marfel M, Holzbauer S, Dubray C, et al. Zika virus outbreak on Yap Island, Federated States of Micronesia. N Engl J Med. 2009;360(24):2536–43.PubMedCrossRef
17.
go back to reference Hennessey M, Fischer M, Staples JE. Zika virus spreads to new areas - region of the Americas, may 2015-January 2016. MMWR Morb Mortal Wkly Rep. 2016;65(3):55–8.PubMedCrossRef Hennessey M, Fischer M, Staples JE. Zika virus spreads to new areas - region of the Americas, may 2015-January 2016. MMWR Morb Mortal Wkly Rep. 2016;65(3):55–8.PubMedCrossRef
19.
go back to reference Messina JP, Kraemer MU, Brady OJ, Pigott DM, Shearer FM, Weiss DJ, Golding N, Ruktanonchai CW, Gething PW, Cohn E, et al. Mapping global environmental suitability for Zika virus. Elife. 2016;5:e15272. Messina JP, Kraemer MU, Brady OJ, Pigott DM, Shearer FM, Weiss DJ, Golding N, Ruktanonchai CW, Gething PW, Cohn E, et al. Mapping global environmental suitability for Zika virus. Elife. 2016;5:e15272.
20.
go back to reference Dyer O. Zika virus is set to spread through Asia, WHO says: BMJ. 2016;355:i5577. Dyer O. Zika virus is set to spread through Asia, WHO says: BMJ. 2016;355:i5577.
21.
go back to reference Bogoch II, Brady OJ, Kraemer MU, German M, Creatore MI, Brent S, Watts AG, Hay SI, Kulkarni MA, Brownstein JS. Potential for Zika virus introduction and transmission in resource-limited countries in Africa and the Asia-Pacific region: a modelling study. Lancet Infect Dis. 2016;16(11):1237–45.PubMedPubMedCentralCrossRef Bogoch II, Brady OJ, Kraemer MU, German M, Creatore MI, Brent S, Watts AG, Hay SI, Kulkarni MA, Brownstein JS. Potential for Zika virus introduction and transmission in resource-limited countries in Africa and the Asia-Pacific region: a modelling study. Lancet Infect Dis. 2016;16(11):1237–45.PubMedPubMedCentralCrossRef
22.
go back to reference Dhimal M, Dahal S, Dhimal ML, Mishra SR, Karki KB, Aryal KK, Haque U, Kabir MI, Guin P, Butt AM, et al. Threats of Zika virus transmission for Asia and its Hindu-Kush Himalayan region. Infect Dis Poverty. 2018;7(1):40.PubMedPubMedCentralCrossRef Dhimal M, Dahal S, Dhimal ML, Mishra SR, Karki KB, Aryal KK, Haque U, Kabir MI, Guin P, Butt AM, et al. Threats of Zika virus transmission for Asia and its Hindu-Kush Himalayan region. Infect Dis Poverty. 2018;7(1):40.PubMedPubMedCentralCrossRef
23.
24.
go back to reference Olson J, Ksiazek T, Gubler D, Lubis S, Simanjuntak G, Lee V, Nalim S, Juslis K, See R. A survey for arboviral antibodies in sera of humans and animals in Lombok, Republic of Indonesia. Ann Trop Med Parasitol. 1983;77(2):131–7.PubMedCrossRef Olson J, Ksiazek T, Gubler D, Lubis S, Simanjuntak G, Lee V, Nalim S, Juslis K, See R. A survey for arboviral antibodies in sera of humans and animals in Lombok, Republic of Indonesia. Ann Trop Med Parasitol. 1983;77(2):131–7.PubMedCrossRef
25.
go back to reference Olson J, Ksiazek T. Zika virus, a cause of fever in Central Java, Indonesia. Trans R Soc Trop Med Hyg. 1981;75(3):389–93.PubMedCrossRef Olson J, Ksiazek T. Zika virus, a cause of fever in Central Java, Indonesia. Trans R Soc Trop Med Hyg. 1981;75(3):389–93.PubMedCrossRef
26.
go back to reference Sasmono RT, Dhenni R, Yohan B, Pronyk P, Hadinegoro SR, Soepardi EJ, Ma'roef CN, Satari HI, Menzies H, Hawley WA, et al. Zika virus seropositivity in 1-4-year-old children, Indonesia, 2014. Emerg Infect Dis. 2018;24(9):1740-3. Sasmono RT, Dhenni R, Yohan B, Pronyk P, Hadinegoro SR, Soepardi EJ, Ma'roef CN, Satari HI, Menzies H, Hawley WA, et al. Zika virus seropositivity in 1-4-year-old children, Indonesia, 2014. Emerg Infect Dis. 2018;24(9):1740-3.
27.
28.
go back to reference Leung GH, Baird RW, Druce J, Anstey NM. Zika virus infection in Australia following a monkey bite in Indonesia. Southeast Asian J Trop Med Public Health. 2015;46(3):460–4.PubMed Leung GH, Baird RW, Druce J, Anstey NM. Zika virus infection in Australia following a monkey bite in Indonesia. Southeast Asian J Trop Med Public Health. 2015;46(3):460–4.PubMed
29.
go back to reference Perkasa A, Yudhaputri F, Haryanto S, Hayati RF, Ma’roef CN, Antonjaya U, Yohan B, Myint KSA, Ledermann JP, Rosenberg R. Isolation of Zika virus from febrile patient, Indonesia. Emerg Infect Dis. 2016;22(5):924-5.PubMedPubMedCentralCrossRef Perkasa A, Yudhaputri F, Haryanto S, Hayati RF, Ma’roef CN, Antonjaya U, Yohan B, Myint KSA, Ledermann JP, Rosenberg R. Isolation of Zika virus from febrile patient, Indonesia. Emerg Infect Dis. 2016;22(5):924-5.PubMedPubMedCentralCrossRef
30.
go back to reference Piltch-Loeb R, Kraemer J, Lin KW, Stoto MA. Public health surveillance for Zika virus: data interpretation and report validity. Am J Public Health. 2018;108(10):1358–62.PubMedCrossRef Piltch-Loeb R, Kraemer J, Lin KW, Stoto MA. Public health surveillance for Zika virus: data interpretation and report validity. Am J Public Health. 2018;108(10):1358–62.PubMedCrossRef
31.
go back to reference Gyurech D, Schilling J, Schmidt-Chanasit J, Cassinotti P, Kaeppeli F, Dobec M. False positive dengue NS1 antigen test in a traveller with an acute Zika virus infection imported into Switzerland. Swiss Med Wkly. 2016;146:w14296.PubMed Gyurech D, Schilling J, Schmidt-Chanasit J, Cassinotti P, Kaeppeli F, Dobec M. False positive dengue NS1 antigen test in a traveller with an acute Zika virus infection imported into Switzerland. Swiss Med Wkly. 2016;146:w14296.PubMed
32.
go back to reference Garcia Serpa Osorio-de-Castro C, Silva Miranda E, Machado de Freitas C, Rochel de Camargo K Jr, Cranmer HH. The Zika virus outbreak in Brazil: knowledge gaps and challenges for risk reduction. Am J Public Health. 2017;107(6):960–5.PubMedPubMedCentralCrossRef Garcia Serpa Osorio-de-Castro C, Silva Miranda E, Machado de Freitas C, Rochel de Camargo K Jr, Cranmer HH. The Zika virus outbreak in Brazil: knowledge gaps and challenges for risk reduction. Am J Public Health. 2017;107(6):960–5.PubMedPubMedCentralCrossRef
33.
go back to reference Cheema S, Maisonneuve P, Weber I, Fernandez-Luque L, Abraham A, Alrouh H, Sheikh J, Lowenfels AB, Mamtani R. Knowledge and perceptions about Zika virus in a Middle East country. BMC Infect Dis. 2017;17(1):524.PubMedPubMedCentralCrossRef Cheema S, Maisonneuve P, Weber I, Fernandez-Luque L, Abraham A, Alrouh H, Sheikh J, Lowenfels AB, Mamtani R. Knowledge and perceptions about Zika virus in a Middle East country. BMC Infect Dis. 2017;17(1):524.PubMedPubMedCentralCrossRef
34.
go back to reference Huang Y, Xu S, Wang L, Zhao Y, Liu H, Yao D, Xu Y, Lv Q, Hao G, Wu Q. Knowledge, attitudes, and practices regarding Zika: paper- and internet-based survey in Zhejiang, China. JMIR Public Health Surveill. 2017;3(4):e81.PubMedPubMedCentralCrossRef Huang Y, Xu S, Wang L, Zhao Y, Liu H, Yao D, Xu Y, Lv Q, Hao G, Wu Q. Knowledge, attitudes, and practices regarding Zika: paper- and internet-based survey in Zhejiang, China. JMIR Public Health Surveill. 2017;3(4):e81.PubMedPubMedCentralCrossRef
35.
go back to reference Khan MU, Ahmad A, Arief M, Saleem F, Hassali MA, Bhagavathula AS. Public knowledge and attitudes towards Zika virus and its prevention in Malaysia. Value Health. 2016;19(7):A423.CrossRef Khan MU, Ahmad A, Arief M, Saleem F, Hassali MA, Bhagavathula AS. Public knowledge and attitudes towards Zika virus and its prevention in Malaysia. Value Health. 2016;19(7):A423.CrossRef
36.
go back to reference Khawar. Knowledge and risk perceptions of Zika virus among attendees of the 2016 summer olympic games. Acad Emerg Med. 2017;24:S272. Khawar. Knowledge and risk perceptions of Zika virus among attendees of the 2016 summer olympic games. Acad Emerg Med. 2017;24:S272.
37.
go back to reference Ramírez G, Álvarez L. Knowledge, attitudes and practices regarding dengue, chikungunya, and zika and their vector Aedes aegypti in Villavicencio, Colombia. Open Public Health J. 2017;10:80–9.CrossRef Ramírez G, Álvarez L. Knowledge, attitudes and practices regarding dengue, chikungunya, and zika and their vector Aedes aegypti in Villavicencio, Colombia. Open Public Health J. 2017;10:80–9.CrossRef
38.
go back to reference Curry CL, Tse C, Billero V, Hellerstein L, Messore M, Fein L. Knowledge and perceptions of Zika virus among reproductive-aged women after public announcement of local mosquito-borne transmission. J Obstet Gynaecol Res. 2018;44:505-8.PubMedCrossRef Curry CL, Tse C, Billero V, Hellerstein L, Messore M, Fein L. Knowledge and perceptions of Zika virus among reproductive-aged women after public announcement of local mosquito-borne transmission. J Obstet Gynaecol Res. 2018;44:505-8.PubMedCrossRef
39.
go back to reference Raman A, Dubaut J, Burks H, Quaas A. Knowledge, attitudes and practices regarding zikavirus in patients presenting for infertility treatment and health care professionals. Fertil Steril. 2017;108(3 Supplement 1):e328–9.CrossRef Raman A, Dubaut J, Burks H, Quaas A. Knowledge, attitudes and practices regarding zikavirus in patients presenting for infertility treatment and health care professionals. Fertil Steril. 2017;108(3 Supplement 1):e328–9.CrossRef
40.
go back to reference Berenson AB, Trinh HN, Hirth JM, Guo F, Fuchs EL, Weaver SC. Knowledge and prevention practices among U.S. pregnant immigrants from Zika virus outbreak areas. Am J Trop Med Hyg. 2017;97(1):155–62.PubMedPubMedCentralCrossRef Berenson AB, Trinh HN, Hirth JM, Guo F, Fuchs EL, Weaver SC. Knowledge and prevention practices among U.S. pregnant immigrants from Zika virus outbreak areas. Am J Trop Med Hyg. 2017;97(1):155–62.PubMedPubMedCentralCrossRef
41.
go back to reference Mouchtouri VA, Papagiannis D, Katsioulis A, Rachiotis G, Dafopoulos K, Hadjichristodoulou C. Knowledge, attitudes, and practices about the prevention of mosquito bites and Zika virus disease in pregnant women in Greece. Int J Environm Res Publ Health. 2017;14(4):E367.PubMedCentralCrossRef Mouchtouri VA, Papagiannis D, Katsioulis A, Rachiotis G, Dafopoulos K, Hadjichristodoulou C. Knowledge, attitudes, and practices about the prevention of mosquito bites and Zika virus disease in pregnant women in Greece. Int J Environm Res Publ Health. 2017;14(4):E367.PubMedCentralCrossRef
42.
go back to reference Villers M, Edwards J, Heine R, Small M. Knowledge of Zika virus and patient prenatal screening and testing preferences. Am J Obstet Gynecol. 2017;216(1 Supplement 1):S206.CrossRef Villers M, Edwards J, Heine R, Small M. Knowledge of Zika virus and patient prenatal screening and testing preferences. Am J Obstet Gynecol. 2017;216(1 Supplement 1):S206.CrossRef
43.
go back to reference Whittemore K, Tate A, Illescas A, Saffa A, Collins A, Varma JK, Vora NM. Zika virus knowledge among pregnant women who were in areas with active transmission. Emerg Infect Dis. 2017;23(1):164–6.PubMedPubMedCentralCrossRef Whittemore K, Tate A, Illescas A, Saffa A, Collins A, Varma JK, Vora NM. Zika virus knowledge among pregnant women who were in areas with active transmission. Emerg Infect Dis. 2017;23(1):164–6.PubMedPubMedCentralCrossRef
44.
go back to reference Moore KJ, Qualls W, Brennan V, Yang X, Caban-Martinez AJ. Mosquito control practices and Zika knowledge among outdoor construction workers in Miami-Dade County, Florida. J Occup Environ Med. 2017;59(3):e17–9.PubMedCrossRef Moore KJ, Qualls W, Brennan V, Yang X, Caban-Martinez AJ. Mosquito control practices and Zika knowledge among outdoor construction workers in Miami-Dade County, Florida. J Occup Environ Med. 2017;59(3):e17–9.PubMedCrossRef
45.
go back to reference Betancourt-Trejos ML, Narvaez-Maldonado CF, Ortiz-Erazo WF, Arias-Guzman JS, Gil-Restrepo AF, Sanchez-Rueda MA, Munoz-Calle NJ, Maya-Betancourth JG, Rodriguez-Morales AJ. Healthcare students and workers’ knowledge about Zika and its association with microcephaly in two cities of Colombia. Travel Med Infect Dis. 2016;14(3):283–5.PubMedCrossRef Betancourt-Trejos ML, Narvaez-Maldonado CF, Ortiz-Erazo WF, Arias-Guzman JS, Gil-Restrepo AF, Sanchez-Rueda MA, Munoz-Calle NJ, Maya-Betancourth JG, Rodriguez-Morales AJ. Healthcare students and workers’ knowledge about Zika and its association with microcephaly in two cities of Colombia. Travel Med Infect Dis. 2016;14(3):283–5.PubMedCrossRef
46.
go back to reference Bhat S, Gabbur N. Zika knowledge among pregnant women in an inner-city urban hospital. Obstet Gynecol. 2017;129:135S.CrossRef Bhat S, Gabbur N. Zika knowledge among pregnant women in an inner-city urban hospital. Obstet Gynecol. 2017;129:135S.CrossRef
47.
go back to reference Gokce A, Ozer A, Bentli R, Tekedereli I. Knowledge level of medical students about Zika virus disease in Malatya, an eastern city of Turkey. Eur J Pub Health. 2016;26:452.CrossRef Gokce A, Ozer A, Bentli R, Tekedereli I. Knowledge level of medical students about Zika virus disease in Malatya, an eastern city of Turkey. Eur J Pub Health. 2016;26:452.CrossRef
48.
go back to reference Ibrahim NK, Moshref RH, Moshref LH, Walid JB, Alsati HS. Knowledge and attitudes towards Zika virus among medical students in King Abdulaziz University, Jeddah, Saudi Arabia. J Infect Public Health. 2017;11:18-23.PubMedCrossRef Ibrahim NK, Moshref RH, Moshref LH, Walid JB, Alsati HS. Knowledge and attitudes towards Zika virus among medical students in King Abdulaziz University, Jeddah, Saudi Arabia. J Infect Public Health. 2017;11:18-23.PubMedCrossRef
49.
go back to reference Gupta N, Randhawa RK, Thakar S, Bansal M, Gupta P, Arora V. Knowledge regarding Zika virus infection among dental practitioners of tricity area (Chandigarh, Panchkula and Mohali), India. Niger Postgrad Med J. 2016;23(1):33–7.PubMedCrossRef Gupta N, Randhawa RK, Thakar S, Bansal M, Gupta P, Arora V. Knowledge regarding Zika virus infection among dental practitioners of tricity area (Chandigarh, Panchkula and Mohali), India. Niger Postgrad Med J. 2016;23(1):33–7.PubMedCrossRef
50.
go back to reference Yung CF, Tam CC, Rajadurai VS, Chan JK, Low MS, Ng YH, Thoon KC, Tan LK. Rapid assessment Zika virus knowledge among clinical specialists in Singapore: a cross-sectional survey. PLoS Curr. 2017;9:ecurrents.outbreaks.44b19196298e01f3a6dcd4c09f235fa8. Yung CF, Tam CC, Rajadurai VS, Chan JK, Low MS, Ng YH, Thoon KC, Tan LK. Rapid assessment Zika virus knowledge among clinical specialists in Singapore: a cross-sectional survey. PLoS Curr. 2017;9:ecurrents.outbreaks.44b19196298e01f3a6dcd4c09f235fa8.
51.
go back to reference Harapan H, Aletta A, Anwar S, Setiawan A, Maulana R, Wahyuniati N, Ramadana R, Haryanto S, Rodríguez-Moralesh A, Jamil K. Healthcare workers’ knowledge towards Zika virus infection in Indonesia: a survey in Aceh. Asian Pac J Trop Med. 2017;10(2):189–94.PubMedCrossRef Harapan H, Aletta A, Anwar S, Setiawan A, Maulana R, Wahyuniati N, Ramadana R, Haryanto S, Rodríguez-Moralesh A, Jamil K. Healthcare workers’ knowledge towards Zika virus infection in Indonesia: a survey in Aceh. Asian Pac J Trop Med. 2017;10(2):189–94.PubMedCrossRef
52.
go back to reference Iqbal M, Lokanayagi S, Rahul R, Sunil K, Tahir M. Knowledge, attitude and perception of Zika virus among healthcare students of medicine, pharmacy and dentistry of Aimst University. Value Health. 2016;19(7):A484.CrossRef Iqbal M, Lokanayagi S, Rahul R, Sunil K, Tahir M. Knowledge, attitude and perception of Zika virus among healthcare students of medicine, pharmacy and dentistry of Aimst University. Value Health. 2016;19(7):A484.CrossRef
53.
go back to reference Painter JE, Plaster AN, Tjersland DH, Jacobsen KH. Zika virus knowledge, attitudes, and vaccine interest among university students. Vaccine. 2017;35(6):960–5.PubMedCrossRef Painter JE, Plaster AN, Tjersland DH, Jacobsen KH. Zika virus knowledge, attitudes, and vaccine interest among university students. Vaccine. 2017;35(6):960–5.PubMedCrossRef
54.
go back to reference Wong LP, Alias H, Hassan J, AbuBakar S. Attitudes towards Zika screening and vaccination acceptability among pregnant women in Malaysia. Vaccine. 2017;35(43):5912–7.PubMedCrossRef Wong LP, Alias H, Hassan J, AbuBakar S. Attitudes towards Zika screening and vaccination acceptability among pregnant women in Malaysia. Vaccine. 2017;35(43):5912–7.PubMedCrossRef
55.
go back to reference Dickson DA, Mankee-Sookram S, Jess N, Minto-Bain CL, Ramsewak S. Knowledge, attitudes and practices of patients of a fertility clinic in a Zika-endemic Caribbean country. Fertil Steril. 2017;108(3):E327–8.CrossRef Dickson DA, Mankee-Sookram S, Jess N, Minto-Bain CL, Ramsewak S. Knowledge, attitudes and practices of patients of a fertility clinic in a Zika-endemic Caribbean country. Fertil Steril. 2017;108(3):E327–8.CrossRef
56.
go back to reference Harapan H, Alleta A, Anwar S, Setiawan AM, Maulana R, Wahyuniati N, Ramadana MR, Ikram I, Haryanto S, Jamil KF, et al. Attitudes towards Zika virus infection among medical doctors in Aceh province, Indonesia. J Infect Public Health. 2018;11(1):99-104.PubMedCrossRef Harapan H, Alleta A, Anwar S, Setiawan AM, Maulana R, Wahyuniati N, Ramadana MR, Ikram I, Haryanto S, Jamil KF, et al. Attitudes towards Zika virus infection among medical doctors in Aceh province, Indonesia. J Infect Public Health. 2018;11(1):99-104.PubMedCrossRef
57.
go back to reference Indonesian Medical Council. Standar Kompetensi Dokter Indonesia. Jakarta: Indonesian Medical Council; 2012. Indonesian Medical Council. Standar Kompetensi Dokter Indonesia. Jakarta: Indonesian Medical Council; 2012.
58.
go back to reference Meaney-Delman D, Rasmussen SA, Staples JE, Oduyebo T, Ellington SR, Petersen EE, Fischer M, Jamieson DJ. Zika virus and pregnancy: what obstetric health care providers need to know. Obstet Gynecol. 2016;127(4):642–8.PubMedCrossRef Meaney-Delman D, Rasmussen SA, Staples JE, Oduyebo T, Ellington SR, Petersen EE, Fischer M, Jamieson DJ. Zika virus and pregnancy: what obstetric health care providers need to know. Obstet Gynecol. 2016;127(4):642–8.PubMedCrossRef
59.
60.
go back to reference Harapan H, Anwar S, Bustaman A, Radiansyah A, Angraini P, Fasli R, Salwiyadi S, Bastian RA, Oktiviyari A, Akmal I, et al. Modifiable determinants of attitude towards dengue vaccination among healthy inhabitants of Aceh, Indonesia: findings from a community-based survey. Asian Pac J Trop Med. 2016;9(11):1092–8.CrossRef Harapan H, Anwar S, Bustaman A, Radiansyah A, Angraini P, Fasli R, Salwiyadi S, Bastian RA, Oktiviyari A, Akmal I, et al. Modifiable determinants of attitude towards dengue vaccination among healthy inhabitants of Aceh, Indonesia: findings from a community-based survey. Asian Pac J Trop Med. 2016;9(11):1092–8.CrossRef
61.
go back to reference Harapan H, Anwar S, Bustamam A, Radiansyah A, Angraini P, Fasli R, Salwiyadi S, Bastian RA, Oktiviyari A, Akmal I, et al. Willingness to pay for a dengue vaccine and its associated determinants in Indonesia: a community-based, cross-sectional survey in Aceh. Acta Trop. 2017;166:249–56.PubMedCrossRef Harapan H, Anwar S, Bustamam A, Radiansyah A, Angraini P, Fasli R, Salwiyadi S, Bastian RA, Oktiviyari A, Akmal I, et al. Willingness to pay for a dengue vaccine and its associated determinants in Indonesia: a community-based, cross-sectional survey in Aceh. Acta Trop. 2017;166:249–56.PubMedCrossRef
62.
go back to reference Harapan H, Anwar S, Setiawan AM, Sasmono RT, Study AD. Dengue vaccine acceptance and associated factors in Indonesia: a community-based cross-sectional survey in Aceh. Vaccine. 2016;34(32):3670–5.PubMedCrossRef Harapan H, Anwar S, Setiawan AM, Sasmono RT, Study AD. Dengue vaccine acceptance and associated factors in Indonesia: a community-based cross-sectional survey in Aceh. Vaccine. 2016;34(32):3670–5.PubMedCrossRef
63.
go back to reference Harapan H, Rajamoorthy Y, Anwar S, Bustamam A, Radiansyah A, Angraini P, Fasli R, Salwiyadi S, Bastian RA, Oktiviyari A, et al. Knowledge, attitude, and practice regarding dengue virus infection among inhabitants of Aceh, Indonesia: a cross-sectional study. BMC Infect Dis. 2018;18:96. Harapan H, Rajamoorthy Y, Anwar S, Bustamam A, Radiansyah A, Angraini P, Fasli R, Salwiyadi S, Bastian RA, Oktiviyari A, et al. Knowledge, attitude, and practice regarding dengue virus infection among inhabitants of Aceh, Indonesia: a cross-sectional study. BMC Infect Dis. 2018;18:96.
64.
go back to reference Harapan H, Mudatsir M, Yufika A, Nawawi Y, Wahyuniati N, Anwar S, Yusri F, Haryanti N, Wijayanti NP, Rizal R, et al. Community acceptance and willingness-to-pay for a hypothetical Zika vaccine: A cross-sectional study in Indonesia. Vaccine. 2019;37(11):1398-6PubMedCrossRef Harapan H, Mudatsir M, Yufika A, Nawawi Y, Wahyuniati N, Anwar S, Yusri F, Haryanti N, Wijayanti NP, Rizal R, et al. Community acceptance and willingness-to-pay for a hypothetical Zika vaccine: A cross-sectional study in Indonesia. Vaccine. 2019;37(11):1398-6PubMedCrossRef
65.
go back to reference Harapan H, Mudatsir M, Yufika A, Nawawi Y, Wahyuniati N, Anwar S, Yusri F, Haryanti N, Wijayanti NP, Rizal R. Willingness to participate and associated factors in a Zika vaccine trial in Indonesia: a cross-sectional study. Viruses. 2018;10(11):E648.PubMedCentralCrossRef Harapan H, Mudatsir M, Yufika A, Nawawi Y, Wahyuniati N, Anwar S, Yusri F, Haryanti N, Wijayanti NP, Rizal R. Willingness to participate and associated factors in a Zika vaccine trial in Indonesia: a cross-sectional study. Viruses. 2018;10(11):E648.PubMedCentralCrossRef
66.
go back to reference Bonett DG, Wright TA. Sample size requirements for estimating Pearson, Kendall and Spearman correlations. Psychometrika. 2000;65(1):23–8.CrossRef Bonett DG, Wright TA. Sample size requirements for estimating Pearson, Kendall and Spearman correlations. Psychometrika. 2000;65(1):23–8.CrossRef
68.
go back to reference Indonesian Medical Council. Standar Kompetensi Dokter Indonesia. Jakarta: Indonesian Medical Council; 2006. Indonesian Medical Council. Standar Kompetensi Dokter Indonesia. Jakarta: Indonesian Medical Council; 2006.
69.
go back to reference Harapan H, Mudatsir M, Indah R, Utomo P, Anwar A, Wahyuniati N, Maulana R, Ichsan I, Aletta A, Ikram I, et al. Knowledge towards Zika among medical students, interns and general practitioners in Indonesia: a cross-sectional study in Aceh. Clin Epidemiol Glob Health. 2019; https://doi.org/10.1016/j.cegh.2018.12.006. Harapan H, Mudatsir M, Indah R, Utomo P, Anwar A, Wahyuniati N, Maulana R, Ichsan I, Aletta A, Ikram I, et al. Knowledge towards Zika among medical students, interns and general practitioners in Indonesia: a cross-sectional study in Aceh. Clin Epidemiol Glob Health. 2019; https://​doi.​org/​10.​1016/​j.​cegh.​2018.​12.​006.
70.
go back to reference Schmidt HG, Rikers RMJP. How expertise develops in medicine: knowledge encapsulation and illness script formation. Med Educ. 2007;41(12):1133–9.PubMed Schmidt HG, Rikers RMJP. How expertise develops in medicine: knowledge encapsulation and illness script formation. Med Educ. 2007;41(12):1133–9.PubMed
71.
go back to reference Vogel T, Wanke M. Attitudes and attitude change 2nd edition edn. New York: Routledge; 2016.CrossRef Vogel T, Wanke M. Attitudes and attitude change 2nd edition edn. New York: Routledge; 2016.CrossRef
72.
go back to reference Monajemi A, Rikers RMJP, Schmidt HG. Clinical case processing: a diagnostic versus a management focus. Med Educ. 2007;41(12):1166–72.PubMedCrossRef Monajemi A, Rikers RMJP, Schmidt HG. Clinical case processing: a diagnostic versus a management focus. Med Educ. 2007;41(12):1166–72.PubMedCrossRef
73.
go back to reference Yardley S, Teunissen PW, Dornan T. Experiential learning: AMEE Guide No. 63. Med Teach. 2012;34(2):E102.PubMedCrossRef Yardley S, Teunissen PW, Dornan T. Experiential learning: AMEE Guide No. 63. Med Teach. 2012;34(2):E102.PubMedCrossRef
74.
go back to reference Nicolini D, Powell J, Conville P, Martinez-Solano L. Managing knowledge in the healthcare sector. A review. Int J Management Rev. 2008;10(3):245–63.CrossRef Nicolini D, Powell J, Conville P, Martinez-Solano L. Managing knowledge in the healthcare sector. A review. Int J Management Rev. 2008;10(3):245–63.CrossRef
75.
go back to reference Davis D, O'Brien MAT, Freemantle N, Wolf FM, Mazmanian P, Taylor-Vaisey A. Impact of formal continuing medical education - do conferences, workshops, rounds, and other traditional continuing education activities change physician behavior or health care outcomes? J Amer Med Assoc. 1999;282(9):867–74.CrossRef Davis D, O'Brien MAT, Freemantle N, Wolf FM, Mazmanian P, Taylor-Vaisey A. Impact of formal continuing medical education - do conferences, workshops, rounds, and other traditional continuing education activities change physician behavior or health care outcomes? J Amer Med Assoc. 1999;282(9):867–74.CrossRef
76.
go back to reference Cervero RM, Gaines JK. The impact of CME on physician performance and patient health outcomes: an updated synthesis of systematic reviews. J Contin Educ Health Prof. 2015;35(2):131–8.PubMedCrossRef Cervero RM, Gaines JK. The impact of CME on physician performance and patient health outcomes: an updated synthesis of systematic reviews. J Contin Educ Health Prof. 2015;35(2):131–8.PubMedCrossRef
Metadata
Title
Knowledge and attitude towards pregnancy-related issues of Zika virus infection among general practitioners in Indonesia
Authors
Harapan Harapan
Yogambigai Rajamoorthy
Prattama S. Utomo
Samsul Anwar
Abdul M. Setiawan
Alma Alleta
Alfredo Bambang
Muhammad R. Ramadana
Ikram Ikram
Nur Wahyuniati
Reza Maulana
Ichsan Ichsan
Rosaria Indah
Abram L. Wagner
Ulrich Kuch
David A. Groneberg
Alfonso J. Rodríguez-Morales
Mohd Andalas
Ruth Müller
Mudatsir Mudatsir
Allison Imrie
Publication date
01-12-2019
Publisher
BioMed Central
Keyword
Zika Virus
Published in
BMC Infectious Diseases / Issue 1/2019
Electronic ISSN: 1471-2334
DOI
https://doi.org/10.1186/s12879-019-4297-4

Other articles of this Issue 1/2019

BMC Infectious Diseases 1/2019 Go to the issue
Obesity Clinical Trial Summary

At a glance: The STEP trials

A round-up of the STEP phase 3 clinical trials evaluating semaglutide for weight loss in people with overweight or obesity.

Developed by: Springer Medicine

Highlights from the ACC 2024 Congress

Year in Review: Pediatric cardiology

Watch Dr. Anne Marie Valente present the last year's highlights in pediatric and congenital heart disease in the official ACC.24 Year in Review session.

Year in Review: Pulmonary vascular disease

The last year's highlights in pulmonary vascular disease are presented by Dr. Jane Leopold in this official video from ACC.24.

Year in Review: Valvular heart disease

Watch Prof. William Zoghbi present the last year's highlights in valvular heart disease from the official ACC.24 Year in Review session.

Year in Review: Heart failure and cardiomyopathies

Watch this official video from ACC.24. Dr. Biykem Bozkurt discuss last year's major advances in heart failure and cardiomyopathies.