To measure the levels of various aspects of Knowledge, Attitude and Practice (KAP), the questionnaire was divided into three distinct modules. This includes respondents’ attitude, knowledge about diabetes and related complications, risk factors, treatment of diabetes, monitoring of diabetes and usual practices in daily life. The questionnaire was designed to capture five important aspects of KAP among the population in the sample area. Questionnaire Design and Data Analysis: The idea of this questionnaire was obtained originally by a study Asad Jiskani et al. Sampling technique was a non-probability quota sampling. One respondent (male or female) from each sample household was selected from all clusters in UCs. Total sample of the study was 692 households. The response rate for the study sample was 98.8% (692/700*100). Sample selection in union council was done through stratified sampling procedure and 100 questionnaires were conducted in each UC. The study includes all seven union councils of Bin Qasim Town namely Ibrahim Hyderi, Rehri, Cattle Colony, Quaidabad, Landhi, Gulshan-e-Hadeed and Ghaghar Phatak. The primary sampling unit (PSU) was union council in which sample population was drawn through random sampling technique. The primary data collection tool was field survey of the household in the selected sample area, for key demographic indicators secondary sources of information were also utilized. Ethical considerations were fulfilled by obtaining verbal consent and maintaining the confidentiality. Informed consent was obtained from individual respondents and community leaders. The questionnaire is based on both quantitative and qualitative research variables that form basis for use of mix method approach for in-depth contextualization of research question.īefore starting study, the permission from Research Ethical Committee (REC) of Al-Ibrahim Eye Hospital was obtained.
The descriptive design allows researcher to obtain information about the current status of the phenomenon while exploratory design familiarizes the researcher with basic details, settings and insights about the problem that have not been studied so far.Ī pre-tested questionnaire was developed to investigate community behavior towards key research questions. The study design was qualitative with a mix of descriptive, cross sectional and exploratory research design tools. There is one tertiary level private hospital in UC Gulshan-e-Hadeed and a tertiary eye hospital run by an NGO adjacent to this town.Īim of this study was to assess the knowledge, attitude and practice of the people in Bin Qasim Town, Karachi, regarding diabetes and DR. This town has 13 public sector health facilities, 09 lady health supervisors (LHS) and 247 lady health workers (LHW).There is one secondary health care center at Union Council Ibrahim Hyderi, one rural health center at Rehri, three Basic Health Unit one each in UC 7, UC 3 (cattle colony) and UC 5 (Landhi), 34 dispensaries and one Maternity Child Health centers in UC 7. The incidence of poverty and illiteracy are high resulting in poor eye care behavior. Administratively it is divided into 7 union councils. In order to enhance the information, a study was conducted in Bin Qasim town which is a semi urban area that comprises of mixed population in respect of ethnicity, occupation and education.īin Qasim (BQ) Town is geographically located in eastern part of Karachi and has population of 315,684 (1998 census). Base line study was done in 2012 9 in one of the rural town of Karachi. 7, 8 In order to create awareness in the community, insight into the gaps of knowledge, attitudes and practices regarding diabetes and blindness due to diabetes is important. In low economy countries Prevention of diabetes through awareness and education of the community is the most cost effective management of diabetes and its related complications. 6 This needs highly trained Human resource and costly sophisticated equipment.
Timely treatment of diabetes and regular screening for complications can reduce or delay the complications of diabetes by as much as 50%. Health care providers are exploring ways and means to control blindness due to diabetes. Out of 39 million global blindness due to various eye diseases, 4.8% (1.8 million) is due to Diabetic Retinopathy (DR) 1 - 3 Nationally every fourth patient with diabetes has some level of DR 4, 5 with improved care the diabetics are living longer and are exposed to the risk of chronic complications like DR resulting in increasing blindness. Diabetic Retinopathy (DR) is a well-recognized complication of diabetes mellitus.
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