{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T14:56:40Z","timestamp":1790607400640,"version":"4.1.0"},"reference-count":49,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T00:00:00Z","timestamp":1786579200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T00:00:00Z","timestamp":1786579200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Public Health Challenges"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Cholera persists as a public health threat in Ghana, particularly in coastal communities with inadequate water, sanitation and hygiene (WASH) infrastructure. This study assessed the knowledge, attitudes and practices (KAP) toward cholera among residents of Ada Foah, a high\u2010risk coastal district in Ghana, to identify gaps and inform targeted interventions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A community\u2010based analytical cross\u2010sectional study was conducted among 400 adults (\u226518 years) selected via multi\u2010stage systematic random sampling. Data were collected using a pretested, structured questionnaire and analysed using descriptive statistics, chi\u2010square tests, exploratory factor analysis (EFA) and multivariable logistic regression. To address quasi\u2010complete separation in the practice model, Firth's penalized likelihood regression was applied.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Awareness of cholera was high (93.5%), but significant knowledge gaps persisted regarding aetiology and symptoms. Although attitudes were predominantly positive (80.5% rated as \u2018Good\u2019), preventive practices were inconsistent. Notably, 43.5% never treated drinking water, and 40.3% reported practising open defecation \u2018sometimes\/always\u2019. Higher educational attainment and peri\u2010urban residence were significant predictors of good knowledge (\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0&lt;\u00a00.05). EFA revealed four distinct practice dimensions: core hygiene, Proactive Food and Water Safety, health system engagement, and risk recognition. Willingness to accept oral cholera vaccine was high (67.0%) despite low awareness (43.0%). Firth's regression confirmed that positive attitude was inversely associated with adequate practice (aOR\u00a0=\u00a00.04, 95% CI: 0.01\u20130.18), whereas the four practice factors showed expected directional associations.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>A significant attitude\u2013behaviour gap exists, with high awareness and positive attitudes not translating into consistent preventive practices. Cholera control in Ada Foah requires a multifaceted strategy integrating targeted health education, sustainable WASH infrastructure improvements and strategic deployment of oral cholera vaccines.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/puh2.70339","type":"journal-article","created":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T15:34:46Z","timestamp":1786635286000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["High Awareness, Poor Practice: The Cholera Prevention Knowledge\u2010Attitude\u2010Practice Gap in Ada Foah, Ghana\u2014A Cross\u2010Sectional Study"],"prefix":"10.1002","volume":"5","author":[{"ORCID":"https:\/\/orcid.org\/0009-0008-9237-761X","authenticated-orcid":false,"given":"Christopher Yaw","family":"Dumevi","sequence":"first","affiliation":[{"name":"Department of Physician Assistantship Studies, School of Medical Sciences Central University  Accra Ghana"},{"name":"Department of Medical Microbiology University of Ghana Medical School  Accra Ghana"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Princess Afia Takyiwaa","family":"Dwomoh","sequence":"additional","affiliation":[{"name":"Department of Physician Assistantship Studies, School of Medical Sciences Central University  Accra Ghana"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hugette Naa Ayeley","family":"Aryee","sequence":"additional","affiliation":[{"name":"Department of Public Health, School of Medical Sciences Central University  Accra Ghana"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joyce Junior","family":"Asiamah","sequence":"additional","affiliation":[{"name":"Department of Public Health, School of Medical Sciences Central University  Accra Ghana"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-2844-6049","authenticated-orcid":false,"given":"Gifty Selorm","family":"Amenya","sequence":"additional","affiliation":[{"name":"Department of Physician Assistantship Studies, School of Medical Sciences Central University  Accra Ghana"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2759-3067","authenticated-orcid":false,"given":"Gloria Amoo","family":"Aidoo","sequence":"additional","affiliation":[{"name":"Department of Physician Assistantship Studies, School of Medical Sciences Central University  Accra Ghana"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-9770-2135","authenticated-orcid":false,"given":"Dorcas Akuokor","family":"Teiko","sequence":"additional","affiliation":[{"name":"Department of Physician Assistantship Studies, School of Medical Sciences Central University  Accra Ghana"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8167-0377","authenticated-orcid":false,"given":"Isaac Ekow","family":"Ennin","sequence":"additional","affiliation":[{"name":"Department of Physician Assistantship Studies, School of Medical Sciences Central University  Accra Ghana"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eric Essandoh","family":"Amuah","sequence":"additional","affiliation":[{"name":"Department of Physician Assistantship Studies, School of Medical Sciences Central University  Accra Ghana"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1535-937X","authenticated-orcid":false,"given":"James\u2010Paul","family":"Kretchy","sequence":"additional","affiliation":[{"name":"Department of Public Health, School of Medical Sciences Central University  Accra Ghana"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4347-0892","authenticated-orcid":false,"given":"Saviour Kweku","family":"Adjenti","sequence":"additional","affiliation":[{"name":"Department of Physician Assistantship Studies, School of Medical Sciences Central University  Accra Ghana"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8764-4463","authenticated-orcid":false,"given":"Patrick F.","family":"Ayeh\u2010Kumi","sequence":"additional","affiliation":[{"name":"Department of Medical Microbiology University of Ghana Medical School  Accra Ghana"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,8,13]]},"reference":[{"key":"e_1_2_13_2_1","doi-asserted-by":"publisher","DOI":"10.2471\/BLT.11.093427"},{"key":"e_1_2_13_3_1","unstructured":"\u201cCholera \u201dWorld Health Organization published December 52024 https:\/\/www.who.int\/news\u2010room\/fact\u2010sheets\/detail\/cholera."},{"key":"e_1_2_13_4_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pntd.0003832"},{"key":"e_1_2_13_5_1","unstructured":"United Nations \u201cThe Sustainable Development Goals Report 2025. 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