A cross-sectional study assessing the knowledge, attitudes, and practice of first aid in trauma care among professional intercity drivers in the North-West Region of Cameroon
Background: First aid (FA) provided by trained layperson first responders to individuals injured in road traffic accidents has been shown to improve injury outcomes, especially in resource-limited settings. This study aimed to assess the knowledge, attitude, and practice of FA provided to injured individuals among professional intercity drivers in the North-West Region of Cameroon (NWRC) and to identify barriers that may impede effective delivery of FA by these drivers.
Methods: Using a cross-sectional study design, we conducted interviews regarding the knowledge, attitudes, and practices of FA in a convenience sample of 600 professional intercity drivers in the NWRC in February 2018. Interviews were done using a context-appropriate, structured questionnaire. In each section, questions were scored as 1, 0.5, or 0 for correct (or positive), partially correct, and incorrect (or negative) responses, respectively. Total scores in each section were scaled to a range of 0 to 10. Mean scores were obtained for drivers’ knowledge, attitudes, and practice of FA. Analyses included paired-samples t tests and multinomial regression.
Results: We enrolled 589 drivers; the mean age of drivers was 38 years. In total, 107 (18.2%) had prior training in FA, and most drivers (83.2%) received FA training while in driving school. The mean scores for knowledge and practice were significantly lower than the mean score for attitude (P<0.001). FA kit possession was significantly associated with prior provision of FA to individuals injured in road traffic accidents (OR, 2.32; 95% CI, 1.61-3.34). Almost all drivers (95.9%) agreed that provision of FA improves injury outcomes, and 90% of them were willing to attend workshops on FA training.
Conclusions: FA knowledge and practice among professional intercity drivers in the NWRC is inadequate despite high scores for attitude towards FA. Training workshops on FA and the integration of basic FA training into driving school curricula may improve FA knowledge among professional intercity drivers in Cameroon.
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