Healthcare providers’ attitude toward patient with tuberculosis in Misurata, Libya, “An Important Public Health issue”
DOI:
https://doi.org/10.54361/LJMR.20.1.25Keywords:
tuberculosis, assessment, attitude, nurses, LibyaAbstract
Background: Nurses are frontline heathcare providers and have an important role to play in the direct management of tuberculosis (TB) patients and consequently face a high risk of infection. The aim of this study was to assess the attitude about TB patient among nurses in Misurata, Libya. Methodo: A quanitaive analytice cross-sectioanl study using validated self-administered questionnaire among 396 nurses ib public heath facilites of Misurata, Libya.A was used to investigate the nurses’ level of attitude on TB. Results: Out of the participants, 152 (38.4%) were male and 244 (61.6%) were female. The majority of the participants were in the 26–40 years age group. Only 80 (20.8%) out of the 384 participants had positive attitude towards TB. 302 (78.6%) had phobia of TB while, 82(21.4%) of them did not show this phobia, it was found that 269 (70.1%) of the 384 participants considered TB as a social stigma. The attitude was not affected by age and ecucation level among the participants.On other hand, female participants (Adjusted OR =2.99, 95% CI=1.37- 6.53, p = 0 .006) (1.371-6.53) had almost 3 times more phobia from TB compared to male participants.However, nurses with more than five years of experience (Adjusted OR =3.49, 95% CI=1.09-11.16, p = 0 .03) had 3.49 times positive attitude generally towards TB compared to those with less than one year of experience. Conclusion: Majority of the nurses who participated in this study were having nagative attitude and phobia toward TB patient. Active educational interventions, are required to improve attitude, reduce the phobisa and mininmze the social stigma toward TB patients.
Downloads
References
1. top T. Partnership. The global plan to stop TB. 2006;2015:2006.
2. Cusick A, El Sahly RMH. People with disability in Libya are a medicalised minority: Findings of a scoping review. Scandinavian Journal of Disability Research. 2018;20(1).
3. Harries AD, Maher D, Nunn P. Practical and affordable measures for the protection of health care workers from tuberculosis in low-income countries. Bulletin of the World Health Organization. 1997;75(5):477.
4. Yükseltürk, N. a L. Dinç, Knowledge about anti-‐‑tuberculosis treatment among nurses at tuberculosis clinics. International Journal of Nursing Practice, 2013. 19(1): p. 47-53.
5. Akin, S., et al., Knowledge of and attitudes toward tuberculosis of Turkish nursing and midwifery students. Nurse education today, 2011. 31(8): p. 774-779.
6. Woith, W.M., G. Volchenkov, and J.L. Larson, Russian health care workers' knowledge of tuberculosis and infection control [Notes fromthe field]. The international journal of tuberculosis and lung disease, 2010. 14(11): p. 1489-1492.
7. Jurčev-Savičević A. Attitudes towards tuberculosis and sources of tuberculosis-related information: study on patients in outpatient settings in Split, Croatia. Acta Clinica Croatica. 2011;50(1):37-42.
8. Suleiman M, Sahal N, Sodemann M, Elsony A, Aro A. Tuberculosis awareness in Gezira, Sudan: knowledge, attitude and practice case-control survey. EMHJ-Eastern Mediterranean Health Journal 2014; 20 ( 2): 120-129. 2014.
9. Barua A. Methods for decision-making in survey questionnaires with continuous variables. Educ Res J. 2013;3:47-9.
10. White ZN. Survey on the knowledge, attitudes and practices on tuberculosis (TB) among health care workers in Kingston & St. Andrews, Jamaica. 2011
11. Adebanjo OD. Knowledge, attittudes and practices of healthcare workers about prevention and control of multidrug-resistant tuberculosis at Botsabelo Hospital Maseru, Lesotho: University of Limpopo (Medunsa Campus); 2011.
12. Ibrahim LM, Hadjia IS, Nguku P, Waziri NE, Akhimien MO, Patrobas P, et al. Health care workers’ knowledge and attitude towards TB patients under Direct Observation of Treatment in Plateau state Nigeria, 2011. The Pan African Medical Journal. 2014;18(Suppl 1):8.
13. Sima BT, Belachew T, Abebe F. Health care providers’ knowledge, attitude and perceived stigma regarding tuberculosis in a pastoralist community in Ethiopia: a cross-sectional study. BMC health services research. 2019;19(1):19.
14. Shrestha A, Bhattarai D, Thapa B, Basel P, Wagle RR. Health care workers’ knowledge, attitudes and practices on tuberculosis infection control, Nepal. BMC infectious diseases. 2017;17(1):724.
15. Bhebhe LT, Van Rooyen C, Steinberg WJ. Attitudes, knowledge and practices of healthcare workers regarding occupational exposure of pulmonary tuberculosis. African Journal of Primary Health Care and Family Medicine. 2014;6(1):1-6.
16. luba TR, Tang S, Liu Q, Gebremedhin SA, Kisasi MD, Feng Z. Knowledge, attitude and associated factors towards tuberculosis in Lesotho: a population based study. BMC infectious diseases. 2019;19(1):96.
17. Alotaibi B, Yassin Y, Mushi A, Maashi F, Thomas A, Mohamed G, et al. Tuberculosis knowledge, attitude and practice among healthcare workers during the 2016 Hajj. PloS one. 2019;14(1):e0210913.
18. Tudor C, Mphahlele M, Van der Walt M, Farley J. Health care workers’ fears associated with working in multidrug-and or extensively-resistant tuberculosis wards in South Africa. Int J Tuberc Lung Dis. 2013;17(10):22-9.
19. Coreil J, Lauzardo M, Heurtelou M. Anticipated tuberculosis stigma among health professionals and Haitian patients in South Florida. Journal of health care for the poor and underserved. 2012;23(2):636-50.
Downloads
Published
Issue
Section
License
Copyright (c) 2026 Muftah Elbahloul, Khadija Amer, Osama H. Almajdoub (Author)

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Open Access Policy
Libyan journal of medical Research (LJMR).is an open journal, therefore there are no fees required for downloading any publication from the journal website by authors, readers, and institution.
The journal applies the license of CC BY (a Creative Commons Attribution 4.0 International license). This license allows authors to keep ownership f the copyright of their papers. But this license permits any user to download , print out, extract, reuse, archive, and distribute the article, so long as appropriate credit is given to the authors and the source of the work.
The license ensures that the article will be available as widely as possible and that the article can be included in any scientific archive.
Editorial Policy
The publication of an article in a peer reviewed journal is an essential model for Libyan journal of medical Research (LJMR). It is necessary to agree upon standards of expected ethical behavior for all parties involved in the act of publishing: the author, the journal editorial, the peer reviewer and the publisher.
Any manuscript or substantial parts of it, submitted to the journal must not be under consideration by any other journal. In general, the manuscript should not have already been published in any journal or other citable form, although it may have been deposited on a preprint server. Authors are required to ensure that no material submitted as part of a manuscript infringes existing copyrights, or the rights of a third party.
Authorship Policy
The manuscript authorship should be limited to those who have made a significant contribution and intellectual input to the research submitted to the journal, including design, performance, interpretation of the reported study, and writing the manuscript. All those who have made significant contributions should be listed as co-authors.
Others who have participated in certain substantive aspects of the manuscript but without intellectual input should only be recognized in the acknowledgements section of the manuscript. Also, one of the authors should be selected as the corresponding author to communicate with the journal and approve the final version of the manuscript for publication in the LJMR.
Peer-review Policy
- All the manuscripts submitted to LJMR will be subjected to the double-blinded peer-review process;
- The manuscript will be reviewed by two suitable experts in the respective subject area.
- Reports of all the reviewers will be considered while deciding on acceptance/revision or rejection of a manuscript.
- Editor-In-Chief will make the final decision, based on the reviewer’s comments.
- Editor-In-Chief can ask one or more advisory board members for their suggestions upon a manuscript, before making the final decision.
- Associate editor and review editors provide administrative support to maintain the integrity of the peer-review process.
- In case, authors challenge the editor’s negative decision with suitable arguments, the manuscript can be sent to one more reviewer and the final decision will be made based upon his recommendations.











https://portal.issn.org/resource/ISSN/2413-6069