Knowledge and attitude towards pregnancy-related issues of Zika virus infection among general practitioners in Indonesia

Harapan Harapan, Yogambigai Rajamoorthy, Prattama S. Utomo, Samsul Anwar, Abdul M. Setiawan, Alma Alleta, Alfredo Bambang, Muhammad R. Ramadana, Ikram Ikram, Nur Wahyuniati, Reza Maulana, Ichsan Ichsan, Rosaria Indah, Abram L. Wagner, Ulrich Kuch, David A. Groneberg, Alfonso J. Rodriguez-Morales, Mohd Andalas, Ruth Müller, Mudatsir MudatsirAllison Imrie

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Background The aim of this study was to assess the knowledge and attitudes towards pregnancy-related issues of Zika virus (ZIKV) infection among general practitioners (GPs), a frontline healthcare worker group, in Indonesia. Methods A cross-sectional, online survey assessing knowledge and attitudes towards ZIKV infection on multiple-item scales was sent to GPs in the Sumatra and Java islands of Indonesia. The associations between independent factors and either knowledge or attitude were assessed with logistic regressions. The correlation and association between knowledge and attitude were estimated. Results We included 457 (53.7%) out of 850 responses in the analysis. Among these, 304 (66.5%) and 111 (24.2%) respondents had a good knowledge and attitude, respectively. No demographic, workplace, professional development, or experiential characteristics related to ZIKV infection were associated with knowledge. In the multivariate analysis, only contact experience was associated with attitude. There was a significant, positive correlation between knowledge and attitude scores. Conclusions Although knowledge of pregnancy-related complications of ZIKV infection is relatively high among GPs in Indonesia, more than 75% of them had a poor attitude towards pregnancy-related issues of Zika. Strategies for enhancing the capacity of GPs to develop positive attitudes and respond to ZIKV infection are needed.

Original languageEnglish
Article number693
JournalBMC Infectious Diseases
Issue number1
Number of pages12
Publication statusPublished - 2019


  • Adult
  • Cross-Sectional Studies
  • Female
  • General Practitioners
  • Health Knowledge, Attitudes, Practice
  • Health Surveys
  • Humans
  • Indonesia
  • Male
  • Multivariate Analysis
  • Pregnancy
  • Pregnancy Complications, Infectious/virology
  • Zika Virus Infection/etiology

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