Lumbar Puncture Knowledge and Attitudes among Patients, Caregivers, and Healthcare Workers in Rural Zambia

• DOI: 10.4269/ajtmh.24-0749
• Publication Date: 2025-05-20T14:59:58Z
• Authors: Deanna R. Saylor; Melissa Elafros; Charles Mang’ombe; Fridah Chiwanza; Henry Mulonga; Moses Chipoya; Charles Mabeta; Oppah Kufa; Somwe Wa Somwe; Gretchen L. Birbeck

Lumbar puncture (LP) is a safe, standard procedure essential in the investigation of variety neurological disorders. However, many regions, LP uptake and performance are low, even when it strongly indicated. We sought to understand patient, caregiver, healthcare worker perspectives rural Zambia. conducted cross-sectional survey adult patients, caregivers pediatric nurses, doctors, clinical officers at two hospitals Southern Province The consisted questions on self-reported knowledge, an knowledge questionnaire, open-ended about perceptions and, for workers, consent process. Descriptive statistics reported quantitative questions, qualitative responses were thematically coded using inductive approach. Of 120 total participants, majority ( n = 97; 81%) they had previously heard LPs indicated having “a little” 71; 59%), with most common source being friends family members. Scores questionnaire low patients (median three out seven possible points). Healthcare scores higher than laypersons (mean 6) but misperceptions still common, half workers reporting cause paralysis. This cohort essentially demonstrated same gaps identified urban Zambian cohort, further supporting need interventions aimed community regardless urbanicity.