Knowledge, Attitudes, and Practices Related to Meningitis in Northern Ghana

Mary H. Hayden National Center for Atmospheric Research, Boulder, Colorado; Navrongo Health Research Centre, Navrongo, Ghana; School of Public Health, University of Ghana, Accra, Ghana; Research and Development Division, Ghana Health Service, Accra, Ghana; University Corporation for Atmospheric Research, Boulder, Colorado

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Maxwell Dalaba National Center for Atmospheric Research, Boulder, Colorado; Navrongo Health Research Centre, Navrongo, Ghana; School of Public Health, University of Ghana, Accra, Ghana; Research and Development Division, Ghana Health Service, Accra, Ghana; University Corporation for Atmospheric Research, Boulder, Colorado

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Timothy Awine National Center for Atmospheric Research, Boulder, Colorado; Navrongo Health Research Centre, Navrongo, Ghana; School of Public Health, University of Ghana, Accra, Ghana; Research and Development Division, Ghana Health Service, Accra, Ghana; University Corporation for Atmospheric Research, Boulder, Colorado

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Patricia Akweongo National Center for Atmospheric Research, Boulder, Colorado; Navrongo Health Research Centre, Navrongo, Ghana; School of Public Health, University of Ghana, Accra, Ghana; Research and Development Division, Ghana Health Service, Accra, Ghana; University Corporation for Atmospheric Research, Boulder, Colorado

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Gertrude Nyaaba National Center for Atmospheric Research, Boulder, Colorado; Navrongo Health Research Centre, Navrongo, Ghana; School of Public Health, University of Ghana, Accra, Ghana; Research and Development Division, Ghana Health Service, Accra, Ghana; University Corporation for Atmospheric Research, Boulder, Colorado

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Dominic Anaseba National Center for Atmospheric Research, Boulder, Colorado; Navrongo Health Research Centre, Navrongo, Ghana; School of Public Health, University of Ghana, Accra, Ghana; Research and Development Division, Ghana Health Service, Accra, Ghana; University Corporation for Atmospheric Research, Boulder, Colorado

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Jamie Pelzman National Center for Atmospheric Research, Boulder, Colorado; Navrongo Health Research Centre, Navrongo, Ghana; School of Public Health, University of Ghana, Accra, Ghana; Research and Development Division, Ghana Health Service, Accra, Ghana; University Corporation for Atmospheric Research, Boulder, Colorado

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Abraham Hodgson National Center for Atmospheric Research, Boulder, Colorado; Navrongo Health Research Centre, Navrongo, Ghana; School of Public Health, University of Ghana, Accra, Ghana; Research and Development Division, Ghana Health Service, Accra, Ghana; University Corporation for Atmospheric Research, Boulder, Colorado

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Rajul Pandya National Center for Atmospheric Research, Boulder, Colorado; Navrongo Health Research Centre, Navrongo, Ghana; School of Public Health, University of Ghana, Accra, Ghana; Research and Development Division, Ghana Health Service, Accra, Ghana; University Corporation for Atmospheric Research, Boulder, Colorado

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Meningitis has a significant impact in the Sahel, but the mechanisms for transmission and factors determining a person's vulnerability are not well understood. Our survey examined the knowledge, attitudes, and practices of people in a meningitis-endemic area in the Upper East region of northern Ghana to identify social, economic, and behavioral factors that may contribute to disease transmission and possible interventions that might improve health outcomes. Key results suggest potential interventions in response to the risk posed by migration, especially seasonal migration, a lack of knowledge about early symptoms causing delayed treatment, and a need for further education about the protective benefits of vaccination.

Author Notes

* Address correspondence to Mary H. Hayden, National Center for Atmospheric Research, Boulder, CO 80307. E-mail: mhayden@ucar.edu

Financial support: This study was supported by google.org grant no. 31-2008.

Authors' addresses: Mary H. Hayden and Jamie Pelzman, National Center for Atmospheric Research, Boulder, CO, E-mails: mhayden@ucar.edu and pelzman@ucar.edu. Maxwell Dalaba, Timothy Awine, Gertrude Nyaaba, and Dominic Anaseba, Navrongo Health Research Centre, Navrongo, Ghana, E-mails: madalaba@yahoo.com, tawine@navrongo.mimcom.org, nsormah@yahoo.com, and danaseba2010@gmail.com. Patricia Akweongo, University of Ghana, Accra, Ghana, E-mail: akweongo@gmail.com. Abraham Hodgson, Ghana Health Service, Accra, Ghana, E-mail: abraham.hodgson@ghsmail.org. Rajul Pandya, University Corporation for Atmospheric Research, Boulder, CO, E-mail: pandya@ucar.edu.

  • 1.

    Lapeyssonnie L, 1963. Cerebrospinal meningitis in Africa. Bull World Health Organ 28: 3–114.

  • 2.

    Greenwood B, 1999. Meningococcal meningitis in Africa. Trans R Soc Trop Med Hyg 93: 341–353.

  • 3.

    Greenwood BM, Greenwood AM, Bradley AK, Williams K, Hassan-King M, Shenton FC, Wall RA, Hayes RJ, 1987. Factors influencing the susceptibility to meningococcal disease during an epidemic in The Gambia, West Africa. J Infect Dis 14: 167–184.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 4.

    Moore P, 1992. Meningococcal meningitis in Sub-Saharan Africa: a model for the epidemic process. Clin Infect Dis 14: 515–525.

  • 5.

    Stephens DS, Hoffman LH, McGee ZA, 1983. Interaction of Neisseria meningitidis with human nasopharyngeal mucosa: attachment and entry into columnar epithelial cells. J Infect Dis 148: 369–376.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 6.

    Molesworth AM, Cuevas LE, Connor SJ, Morse AP, Thomson MC, 2003. Environmental risk and meningitis epidemics in Africa. Emerg Infect Dis 9: 1287–1293.

  • 7.

    Wagstaff A, 2002. Poverty and health sector inequalities. Bull World Health Organ 80: 97–105.

  • 8.

    McIntyre D, Theide M, Dahlgren G, Whitehead M, 2006. What are the economic consequences for households of illness and of paying for health care in low- and middle-income country contexts? Soc Sci Med 62: 858–865.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 9.

    Colombini A, Bationo F, Zongo S, Ouattara F, Badolo O, Jaillard P, Seini E, Gessner BD, Silva AD, 2009. Costs for households and community perception of meningitis epidemics in Burkina Faso. Clin Infect Dis 49: 1520–1525.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 10.

    Aguilera JF, Perrocheau A, Meffer C, Hahné S, 2002. The W135 working group: outbreak of the serogroup W135 meningococcal disease after the Hajj pilgrimage, Europe, 2000. Emerg Infect Dis 8: 761–767.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 11.

    Nathan N, Rose AM, Legros D, Tiendrebeogo SR, Bachy C, Bjørløw E, Firmenich P, Guerin PJ, Gaugant DA, 2007. Meningitis serogroup W135 outbreak, Burkina Faso, 2002. Emerg Infect Dis 13: 920–923.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 12.

    Boisier P, Nicolas P, Djibo S, Taha MK, Jeanne I, Maïnassara HB, Tenebray B, Kairo KK, Giorgini K, Chanteau S, 2007. Meningococcal meningitis: unprecedented incidence of serogroup X-related cases in 2006 in Niger. Clin Infect Dis 44: 657–663.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 13.

    Stephens DS, Greenwood B, Brandtzaeg P, 2007. Epidemic meningitis, meningococcemia and Neisseria meningitidis. Lancet 369: 2196–2210.

  • 14.

    Badolo O, Tiendrebeogo E, Novak RT, Wu HM, Wei S, Djingarey MH, Diomande F, Kader Konde M, Clark TA, LaForce M, Messonier N, Tiendrebeoggo SM, 2008. Surveillance of meningococcal disease in Burkina Faso. In: Proceedings of the 16th International Pathogenic Neisseria Meeting: 234.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 15.

    Greenwood BM, Blakebrough IS, Bradley AK, Wali S, Whittle HC, 1984. Meningococcal disease and season in sub-Saharan Africa. Lancet 1: 1339–1342.

  • 16.

    Dukic V, Hayden MH, Forgor-Adams A, Hopson T, Akweongo P, Hodgson A, Monaghan A, Weidinmyer C, Yoksas T, Thomson M, Tratska S, Pandya R, 2012. The role of weather in meningitis outbreaks in Navrongo, Ghana: a generalized additive modeling approach. J Agric Biol Environ Stat 17: 442–460.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 17.

    INDEPTH Network 2002. Navrongo DSS Ghana. Population, Health and Survival at INDEPTH Sites. Available at: http://www.indepth-network.net/dss\_site\_profiles/navrongo. Accessed March 23, 2012.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 18.

    National Climatic Data Center (NCDC), 2012. Available at: www.ncdc.noaa.gov. Accessed May 4, 2012.

    • PubMed
    • Export Citation
  • 19.

    Hodgson A, Smith T, Gagneux S, Adjuik M, Pluschke G, Kumasenu Mensah N, Binka F, Genton B, 2001. Risk factors for meningococcal meningitis in northern Ghana. Trans R Soc Trop Med Hyg 95: 477–480.

    • PubMed
    • Search Google Scholar
    • Export Citation
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