Impact of education on knowledge, attitudes, and practices for gestational toxoplasmosis

J Infect Public Health. 2024 Sep;17(9):102516. doi: 10.1016/j.jiph.2024.102516. Epub 2024 Aug 10.

Abstract

Background: Toxoplasmosis is potentially avoidable, treatable, and curable by simple and direct preventive measures. Knowledge, attitudes, and practices (KAP) assessments concerning gestational toxoplasmosis were evaluated in a cohort of pregnant women from Armenia-Quindío (Colombia, South America).

Methods: This cross-sectional descriptive KAP-type study was performed with informed consent between October 2021 and March 2022. The intervention involved a ten-minute talk administered by prenatal clinic nurses to pregnant women. This took place in the public health clinic RedSalud and the private clinic Happy Maternity with a post-KAP survey after pregnancy.

Results: The findings of the initial KAP survey revealed that approximately 42.8 % of the 250 mothers surveyed had IgG anti-T. gondii antibodies present. A strong correlation was observed between a lower frequency of antibodies and a higher level of education. Following an educational intervention, 73 seronegative women demonstrated a significant improvement in their knowledge and behavior. Among the 111 mothers who received the intervention, 42 (37 %) were followed until delivery. Unfortunately, their level of compliance with prenatal serological follow-up was lower compared to previous historical records of cohort of mothers in the same health center during pre-pandemic periods. No seroconversion occurred, although the small number of cases makes the outcome inconclusive with respect to statistical significance.

Conclusions: Education plays a crucial role in imparting valuable knowledge and fostering effective practices. It holds significant potential to prevent toxoplasmosis in pregnant seronegative mothers. Prenatal check-ups have proven to be a critical determinant in leveraging the benefits of education for seronegative mothers. Reporting and observed behaviors differed, identifying areas for improvement.

Keywords: Education; Pregnant women; Prenatal care; Prevention; Toxoplasmosis.

MeSH terms

  • Adolescent
  • Adult
  • Antibodies, Protozoan / blood
  • Colombia
  • Cross-Sectional Studies
  • Female
  • Health Knowledge, Attitudes, Practice*
  • Humans
  • Immunoglobulin G / blood
  • Pregnancy
  • Pregnancy Complications, Parasitic / prevention & control
  • Pregnant Women / psychology
  • Prenatal Care
  • Surveys and Questionnaires
  • Toxoplasma / immunology
  • Toxoplasmosis* / prevention & control
  • Young Adult

Substances

  • Antibodies, Protozoan
  • Immunoglobulin G