A Framework for integrating Qualitative and Quantitative Data in Knowledge, attitude, and Practice studies: a case study of Pesticide Usage in eastern Uganda
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Date
2017
Journal Title
Journal ISSN
Volume Title
Publisher
Frontiers in Public Health
Abstract
Knowledge, attitude, and practice (KAP) studies guide the implementation of public
health interventions (PHIs), and they are important tools for political persuasion. The
design and implementation of PHIs assumes a linear KAP relationship, i.e., an awareness
campaign results in the desirable societal behavioral change. However, there is
no robust framework for testing this relationship before and after PHIs. Here, we use
qualitative and quantitative data on pesticide usage to test this linear relationship, identify
associated context specific factors as well as assemble a framework that could be
used to guide and evaluate PHIs. We used data from a cross-sectional mixed methods
study on pesticide usage. Quantitative data were collected using a structured questionnaire
from 167 households representing 1,002 individuals. Qualitative data were
collected from key informants and focus group discussions. Quantitative and qualitative
data analysis was done in R 3.2.0 as well as qualitative thematic analysis, respectively.
Our framework shows that a KAP linear relationship only existed for households with a
low knowledge score, suggesting that an awareness campaign would only be effective
for ~37% of the households. Context specific socioeconomic factors explain why this
relationship does not hold for households with high knowledge scores. These findings
are essential for developing targeted cost-effective and sustainable interventions on
pesticide usage and other PHIs with context specific modifications.
Description
Keywords
Knowledge, Attitudes, Practices, Quantitative and qualitative, Methodology
Citation
Muleme J, Kankya C, Ssempebwa JC, Mazeri S and Muwonge A (2017) A Framework for Integrating Qualitative and Quantitative Data in Knowledge, Attitude, and Practice Studies: A Case Study of Pesticide Usage in Eastern Uganda. Front. Public Health 5:318. doi: 10.3389/fpubh.2017.00318