Perceptions of Leprosy in the Maldives: A cross-sectional study

Abstract

The aim of the study is to assess the knowledge, attitude and practices regarding leprosy. A cross sectional survey of a nationally representative sample was implemented among the resident adult population (18 years and above) across the islands of Maldives. The survey sample size estimated was 1181 and a total of 1024 respondents completed the survey accounting for a response rate of 86.7%. The questions to measure indicators of knowledge, attitude and practices regarding leprosy were adopted from existing validated instruments used for leprosy KAP studies. The findings show a low level of knowledge with a mean of 3.5 in the KAP measure, where the maximum score is eight. However, the attitude and practices score does not indicate a high level of negative attitudes and practices (below the mid-point). The mean score of EMIC-CSS is 12, slight inclination towards less negative attitudes (EMIC-CSS scale scores ranges from zero = no negative attitudes, to 30 = most negative attitudes). The mean score of SDS is 8.9 indicating moderate level of negative practices (SDS scale scores ranges from zero = no negative practices to 21 = most negative practices). As Leprosy in the Maldives is no longer a public health burden, and the disease prevalence is extremely low, it has created a situation where there is very little awareness and correct knowledge about the disease among the public as well as health care workers. The attitudes and practices from the family and community are not at alarming levels in terms of stigma and social distancing. However, the low level of knowledge raises the concern that cases may be missed and as patients may be missed as they may not seek healthcare for early diagnosis and treatment