ASSESSMENT OF KNOWLEDGE AND PRACTICES OF MEDICAL INTERNS IN PEDIATRIC ASTHMA CARE AT SPHMMC
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Abstract
Background: Pediatric asthma is a major cause of morbidity among children in Ethiopia,
particularly in urban settings like Addis Ababa. Healthcare providers' competence is vital for
effective asthma control.
Objective: To assess the knowledge and clinical practice of medical interns regarding pediatric
asthma care at St. Paul’s Hospital Millennium Medical College.
Methods: A cross-sectional study was conducted among 91 medical interns using a structured
self-administered questionnaire assessing asthma knowledge and clinical practice. Data were
analyzed using logistic regression to identify factors associated with knowledge and practice.
Results: Overall, 74.4% of interns demonstrated good overall knowledge across all asthma
related domains. 59% demonstrated good clinical practice. Attendance of asthma-related
seminars (AOR = 7.44; 95% CI: 2.36–23.47) and use of GINA guidelines (AOR = 14.65; 95%
CI: 2.62–81.85) were significantly associated with better practice.
Conclusion: Majority of medical interns at SPHMMC demonstrated good knowledge of
pediatric asthma, but a lower proportion reported good practice, indicating a knowledge
practice gap. Internship duration was associated with good knowledge, while seminar
attendance and use of GINA guidelines were associated with good practice. Focused seminars
and hands-on demonstrations, emphasis on the proper and consistent use of guidelines and
patient education tools may improve quality of pediatric asthma care provided by medical
interns.