Assessment of the knowledge, attitude, and practice related to visceral leishmaniasis among residents of Al-Suwaira city, Wasit Governorate, Middle East of Iraq


Practice, Attitude, Knowledge, Visceral leishmaniasis, Iraq


Introduction: It is important to assess the knowledge, attitudes, and practice (KAP) towards visceral leishmaniasis (VL) to implement an effective control program. Hence, this study aimed to shed light in KAP among residents at Al-Suwaira city, Wasit Governorate, Middle East of Iraq.

Methods: During March to May 2021, a cross-sectional study was done on 121 randomly selected residents. A normal self-administered questionnaire was used to measure the KAP. The results were expressed using descriptive analysis.

Results: Overall, participants indicated average knowledge towards VL. However, the incubation period of VL (23.9%), the symptoms of VL (57.9%), and the diseases' transmission ways (54.5%) were recognized as knowledge gaps. The participants had favorable attitude towards VL, as majority of them (more than 70.0%) agreed that VL causes health problems in the local populations and local communities should be actively involved in the fight against VL. Also, majority of the participants agreed that VL is a treatable. Regarding practice towards VL, 110 (90.9%) participants had used preventive measures against sand fly bites. The majority of people (44.6%) chose cleanliness as a disease-prevention technique. The main sources of information used by participants to educate themselves about the condition were the internet (57.0%) and television (19.8%).

Conclusion: Overall, the participants had good knowledge, positive attitudes, and good practice when it came to VL prevention. However, there were some gaps. Hence, it is recommended that knowledge-based strategies be strengthened and rigorously rolled out in order to raise awareness among the residents of the region.


[1] Mann S, Frasca K, Scherrer S, Henao-Martínez AF, Newman S, Ramanan P, Suarez JA. A Review of leishmaniasis: current knowledge and future directions. Curr Trop Med Rep 2021;8(2):121-32. doi: 10.1007/s40475-021-00232-7.
[2] Yasmin H, Adhikary A, Al-Ahdal MN, Roy S, Kishore U. Host–pathogen interaction in Leishmaniasis: Immune response and vaccination strategies. Immuno 2022;2(1):218-54. doi: 10.3390/immuno2010015.
[3] Melkamu HT, Beyene AM, Zegeye DT. Knowledge, attitude and practices of the resident community about visceral leishmaniasis in West Armachiho district, Northwest Ethiopia. Heliyon 2020;6(1):e03152. doi: 10.1016/j.heliyon.2019.e03152.
[4] Torres-Guerrero E, Quintanilla-Cedillo MR, Ruiz-Esmenjaud J, Arenas R. Leishmaniasis: a review. F1000Res 2017;6:750. doi: 10.12688/f1000research.11120.1.
[5] Alvar J, den Boer M, Dagne DA. Towards the elimination of visceral leishmaniasis as a public health problem in east Africa: reflections on an enhanced control strategy and a call for action. Lancet Glob Health 2021;9(12):e1763-9. doi: 10.1016/S2214-109X(21)00392-2.
[6] WHO. Leishmaniasis: [Available from:]. Accessed 18/03/2022.
[7] Guha U, Chatterjee M, Sardar AA, Jana K, Saha P, Maji AK, Guha SK. Assessment of knowledge, attitudes, and practices about visceral leishmaniasis in endemic areas of Malda District, West Bengal, India. Am J Trop Med Hyg 2021;104(2):646-52. doi: 10.4269/ajtmh.20-0720.
[8] Limongi JE, Costa LCGP, Perissato IL, Giorgiani M, Rocha MB, Faria LFD, Valente HCO, Oliveira SV. Knowledge, attitudes and practices concerning visceral leishmaniasis among residents of a sporadic transmission area in southeast Brazil. Trans R Soc Trop Med Hyg 2021;115(6):644-52. doi: 10.1093/trstmh/traa102.
[9] Alemu A, Alemu A, Esmael N, Dessie Y, Hamdu K, Mathewos B, et al. Knowledge, attitude and practices related to visceral leishmaniasis among residents in Addis Zemen town, South Gondar, Northwest Ethiopia. BMC Public Health 2013;13:382. doi: 10.1186/1471-2458-13-382.
[10] Govil D, Sahoo H, Pedgaonkar SP, Das KC, Lhungdim H. Assessing knowledge, attitudes, and preventive practices related to kala-azar: a study of rural Madhepura, Bihar, India. Am J Trop Med Hyg 2018;98(3):857-63. doi: 10.4269/ajtmh.16-0978.
[11] Berhe M, Bsrat A, Taddele H, Gadissa E, Hagos Y, Tekle Y, Abera A. Knowledge attitude and practice towards visceral leishmaniasis among residents and health professionals in welkait district, western tigray, Ethiopia. J Trop Dis 2018;6(1):1000257. doi: 10.4172/2329-891X.1000257.
[12] Kanaan MH, Abdullah SS. Knowledge and attitudes linked to black fever among samples of citizens in some regions of Wassit Province. Curr Res Microbiol Biotechnol 2019;7(3):1686-91.
[13] Gelaye KA, Demissie GD, Ayele TA, Wami SD, Sisay MM, Akalu TY, Teshome DF, Wolde HF. Low knowledge and attitude towards visceral leishmaniasis among migrants and seasonal farm workers in Northwest Ethiopia. Res Rep Trop Med 2020;11:159-68. doi: 10.2147/RRTM.S286212.
[14] JS D, Gupta AK, Veeri RB, Garapati P, Kumar R, Dhingra S, Murti K, Ravichandiran V, Pandey K. Knowledge, attitude and practices towards visceral leishmaniasis among HIV patients: A cross-sectional study from Bihar, India. PloS One 2021;16(8):e0256239. doi: 10.1371/journal.pone.0256239.