{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T20:31:49Z","timestamp":1787776309157,"version":"build-2784847793"},"reference-count":23,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"2","license":[{"start":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T00:00:00Z","timestamp":1775001600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2026,4]]},"abstract":"\n Background & objectives:<\/jats:title>\n In 2021, a yellow fever (YF) outbreak occurred in rural and mostly nomadic communities within the Savannah region of Ghana, leading to over 40 deaths. Following this outbreak, we determined the knowledge, attitude, and practice (KAP) of YF in these hotspot communities.<\/jats:p>\n <\/jats:sec>\n \n Methods:<\/jats:title>\n A cross-sectional study was conducted using a random sampling technique and a standard questionnaire involving face-to-face interviews from June to July 2022. Four districts were selected among the hotspot areas of the 2021 YF outbreak. The participants were residents aged 15 years and above.<\/jats:p>\n <\/jats:sec>\n \n Results:<\/jats:title>\n The majority (80.8%) had heard about YF through healthcare personnel in all four districts. Most of them associated the cause with poor sanitation, but 14% specifically associated it with mosquito bites (n=869). The level of education was associated with awareness of YF (p=0.008), however, a pairwise analysis did not show any association between those with no formal education and the highest education (p=0.903). Vaccination rates were high (average 78%), and the distance to health facility influenced the vaccination status (p< 0.0001). Preventive measures employed included vaccination, sleeping under insecticide-treated bed nets, clearing bushes and getting rid of stagnant water.<\/jats:p>\n <\/jats:sec>\n \n Interpretation & conclusion:<\/jats:title>\n There was high awareness of YF and vaccination rates among the participants. The emergency mass YF vaccination conducted in 2021 in response to the outbreak increased community awareness. Preventive practices employed may be associated with participants\u2019 knowledge of mosquito-borne diseases such as malaria. YF education should be integrated with routine health service delivery.<\/jats:p>\n <\/jats:sec>","DOI":"10.4103\/jvbd.jvbd_92_25","type":"journal-article","created":{"date-parts":[[2025,8,7]],"date-time":"2025-08-07T08:00:07Z","timestamp":1754553607000},"page":"212-221","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":1,"title":["Knowledge, attitude, and practice (KAP) of yellow fever among community members in four districts after an outbreak in the Savannah Region, Ghana"],"prefix":"10.4103","volume":"63","author":[{"given":"Millicent","family":"Captain-Esoah","sequence":"first","affiliation":[{"name":"Department of Applied Biology, School of Environment and Life Sciences, C K Tedam University of Technology and Applied Sciences, Navrongo, Ghana"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kwadwo Kyereme","family":"Frempong","sequence":"additional","affiliation":[{"name":"Department of Parasitology, Noguchi Memorial Institute for Medical Research, College of Health Sciences, University of Ghana, Legon, Accra, Ghana"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Francis Balungnaa Dhari","family":"Veriegh","sequence":"additional","affiliation":[{"name":"Department of Biological Science, School of Sciences, University of Energy and Natural Resources, Sunyani, Ghana"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abigail","family":"Mahama","sequence":"additional","affiliation":[{"name":"Department of Applied Biology, School of Environment and Life Sciences, C K Tedam University of Technology and Applied Sciences, Navrongo, Ghana"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthew","family":"Gabienu","sequence":"additional","affiliation":[{"name":"Department of Applied Biology, School of Environment and Life Sciences, C K Tedam University of Technology and Applied Sciences, Navrongo, Ghana"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ishmael T","family":"Alhassan","sequence":"additional","affiliation":[{"name":"Department of Applied Biology, School of Environment and Life Sciences, C K Tedam University of Technology and Applied Sciences, Navrongo, Ghana"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Enoch","family":"Arthur","sequence":"additional","affiliation":[{"name":"Department of Applied Biology, School of Environment and Life Sciences, C K Tedam University of Technology and Applied Sciences, Navrongo, Ghana"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gloria Y","family":"Deku","sequence":"additional","affiliation":[{"name":"Department of Applied Biology, School of Environment and Life Sciences, C K Tedam University of Technology and Applied Sciences, Navrongo, Ghana"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Iddrisu","family":"Fuseini","sequence":"additional","affiliation":[{"name":"Department of Applied Biology, School of Environment and Life Sciences, C K Tedam University of Technology and Applied Sciences, Navrongo, Ghana"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Martin Ntiamoah","family":"Donkor","sequence":"additional","affiliation":[{"name":"Department of Biochemistry and Forensic Sciences, School of Chemical and Biochemical Sciences, C K Tedam University of Technology and Applied Sciences, Navrongo, Ghana"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chrysantus","family":"Kubio","sequence":"additional","affiliation":[{"name":"Ghana Health Service, Regional Health Directorate, Savannah Region, Damongo, Ghana"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abdul Malik","family":"Hussein","sequence":"additional","affiliation":[{"name":"Department of Applied Biology, School of Environment and Life Sciences, C K Tedam University of Technology and Applied Sciences, Navrongo, Ghana"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dorothy","family":"Obuobi","sequence":"additional","affiliation":[{"name":"Center for International Health, Ludwig Maximilian University of Munich, Germany"},{"name":"Department of Conservation Biology and Entomology, University of Cape Coast, Cape Coast, Ghana"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Godwin","family":"Deku","sequence":"additional","affiliation":[{"name":"Department of Conservation Biology and Entomology, University of Cape Coast, Cape Coast, Ghana"},{"name":"Centre for Chemical Biology, University Sains Malaysia, Penang, Malaysia"},{"name":"School of Hygiene, Ministry of Health, Korle-Bu, Accra"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael Rockson","family":"Adjei","sequence":"additional","affiliation":[{"name":"Center of Tropical Medicine and Travel Medicine, Department of Infectious Diseases, Amsterdam University Medical Centers, University of Amsterdam, Amsterdam, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel Adjei","family":"Boakye","sequence":"additional","affiliation":[{"name":"Department of Parasitology, Noguchi Memorial Institute for Medical Research, College of Health Sciences, University of Ghana, Legon, Accra, Ghana"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Samuel Kweku","family":"Dadzie","sequence":"additional","affiliation":[{"name":"Department of Parasitology, Noguchi Memorial Institute for Medical Research, College of Health Sciences, University of Ghana, Legon, Accra, Ghana"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2026,6,1]]},"reference":[{"issue":"3","key":"R2-20260604","doi-asserted-by":"crossref","first-page":"372","DOI":"10.3390\/vaccines10030372","article-title":"Yellow Fever: Origin, Epidemiology, Preventive Strategies and Future Prospects","volume":"10","author":"Gianchecchi","year":"2022","journal-title":"Vaccines"},{"issue":"14","key":"R4-20260604","doi-asserted-by":"crossref","first-page":"1459","DOI":"10.1016\/S1286-4579(02)00028-X","article-title":"The epidemiology of yellow fever in Africa","volume":"4","author":"Mutebi","year":"2002","journal-title":"Microbes Infect"},{"issue":"1","key":"R5-20260604","doi-asserted-by":"crossref","DOI":"10.1186\/s12879-021-06728-x","article-title":"The incidence and mortality of yellow fever in Africa: a systematic review and meta-analysis","volume":"21","author":"Nwaiwu","year":"2021","journal-title":"BMC Infect Dis"},{"issue":"3","key":"R9-20260604","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pgph.0000733","article-title":"Knowledge, attitudes and practice towards yellow fever among nomadic populations: A cross-sectional study in yellow fever outbreak communities in Ghana","volume":"3","author":"Inusah","year":"2023","journal-title":"PLOS Glob Public Health"},{"key":"R10-20260604","doi-asserted-by":"crossref","first-page":"1225","DOI":"10.2147\/RMHP.S250930","article-title":"Knowledge, Attitude, and Practice of Jinka University Students About Yellow Fever, Ethiopia: A Cross-Sectional Study","volume":"13","author":"Endale","year":"2020","journal-title":"Risk Manag Healthc Policy"},{"issue":"9","key":"R12-20260604","doi-asserted-by":"crossref","first-page":"e07892","DOI":"10.1016\/j.heliyon.2021.e07892","article-title":"Tourism amid COVID-19 pandemic: impacts and implications for building resilience in the eco-tourism sector in Ghana\u2019s Savannah region","volume":"7","author":"Soliku","year":"2021","journal-title":"Heliyon"},{"issue":"1","key":"R13-20260604","first-page":"14","article-title":"Sample size calculation in medical studies","volume":"6","author":"Pourhoseingholi","year":"2013","journal-title":"Gastroenterol Hepatol Bed Bench"},{"issue":"10","key":"R14-20260604","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pgph.0003337","article-title":"Yellow fever in Ghana: Predicting emergence and ecology from historical outbreaks","volume":"4","author":"Judson","year":"2024","journal-title":"PLOS Glob Public Health"},{"issue":"5","key":"R15-20260604","doi-asserted-by":"crossref","first-page":"e1001638","DOI":"10.1371\/journal.pmed.1001638","article-title":"Yellow Fever in Africa: Estimating the burden of disease and impact of mass vaccination from outbreak and serological data","volume":"11","author":"Garske","year":"2014","journal-title":"PLoS Med"},{"issue":"1","key":"R18-20260604","doi-asserted-by":"crossref","first-page":"164","DOI":"10.1046\/j.1365-3156.2003.01162.x","article-title":"Malaria transmission dynamics at a site in northern Ghana proposed for testing malaria","volume":"9","author":"Appawu","year":"2004","journal-title":"Trop Med Int Heal"},{"issue":"4","key":"R19-20260604","doi-asserted-by":"crossref","first-page":"1239","DOI":"10.1093\/jme\/tjaa024","article-title":"Biting behavior and molecular identification of Aedes aegypti (Diptera: culicidae) subspecies in some selected recent yellow fever outbreak communities in Northern Ghana","volume":"57","author":"Captain-Esoah","year":"2020","journal-title":"J Med Entomol"},{"issue":"1","key":"R20-20260604","doi-asserted-by":"crossref","first-page":"1684","DOI":"10.1186\/s12889-024-19170-w","article-title":"Analyzing the association between perceived knowledge, and attitudes on Lassa Fever infections and mortality risk factors in lower Bambara Chiefdom","volume":"24","author":"Kamara","year":"2024","journal-title":"BMC Public Health"},{"issue":"5","key":"R21-20260604","doi-asserted-by":"crossref","first-page":"e0012173","DOI":"10.1371\/journal.pntd.0012173","article-title":"Perceptions of yellow fever emergency mass vaccinations among vulnerable groups in Uganda: A qualitative study","volume":"18","author":"Huebl","year":"2024","journal-title":"PLoS Negl Trop Dis"},{"key":"R22-20260604","first-page":"69","article-title":"Knowledge, attitude and practice of dengue fever and health education programme among students of Alam Shah Science School, Cheras, Malaysia","volume":"15","author":"Al-Zurfi","year":"2015","journal-title":"Malaysian J Public Heal Med"},{"issue":"4","key":"R23-20260604","doi-asserted-by":"crossref","first-page":"A244","DOI":"10.1016\/j.jval.2012.03.1317","article-title":"PIN41 Cost-effectiveness of vaccination against Yellow Fever in Ghana","volume":"15","author":"Ankrah","year":"2012","journal-title":"Value Heal"},{"issue":"10","key":"R24-20260604","doi-asserted-by":"crossref","first-page":"3857","DOI":"10.1590\/1413-812320202510.30712018","article-title":"Sanitation, Arboviruses, and Environmental Determinants of disease: impacts on urban health","volume":"25","author":"Almeida","year":"2020","journal-title":"Cien Saude Colet"},{"issue":"1","key":"R25-20260604","first-page":"1","article-title":"Sanitation from above: Yellow Fever and Foreign Intervention in Peru, 1919-1922","volume":"72","author":"Cueto","year":"1992","journal-title":"Hispanic American Historical Review"},{"issue":"7","key":"R26-20260604","doi-asserted-by":"crossref","first-page":"e2620","DOI":"10.1371\/journal.pone.0002620","article-title":"Knowledge, awareness and practices regarding dengue fever among the adult population of dengue hit cosmopolitan","volume":"3","author":"Itrat","year":"2008","journal-title":"PLoS One"},{"key":"R27-20260604","article-title":"Timely vaccination and its associated factors among parents with children aged from 0 to 23 months in wolaita zone public hospitals, Southern Ethiopia, 2024: A Facility-Based Cross-Sectional Study","volume":"11","author":"Geta","year":"2024","journal-title":"Glob Pediatr Health"},{"key":"R28-20260604","doi-asserted-by":"crossref","first-page":"476","DOI":"10.1186\/1471-2458-12-476","article-title":"The association between travel time to health facilities and childhood vaccine coverage in rural Ethiopia. A community based cross sectional study","volume":"12","author":"Okwaraji","year":"2012","journal-title":"BMC Public Health"},{"key":"R29-20260604","doi-asserted-by":"crossref","first-page":"38","DOI":"10.1186\/1476-072X-9-38","article-title":"Physical accessibility and utilization of health services in Yemen","volume":"9","author":"Al-Taiar","year":"2010","journal-title":"Int J Health Geogr"},{"key":"R30-20260604","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1186\/s40794-020-0101-0","article-title":"Yellow fever control: current epidemiology and vaccination strategies","volume":"6","author":"Chen","year":"2020","journal-title":"Trop Dis Travel Med Vaccines"},{"issue":"6","key":"R31-20260604","doi-asserted-by":"crossref","DOI":"10.1016\/S1473-3099(20)30170-5","article-title":"Prevention of yellow fever in travellers: an update","volume":"20","author":"Reno","year":"2020","journal-title":"Lancet Infect Dis"}],"container-title":["Journal of Vector Borne Diseases"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/jvbd.jvbd_92_25","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T20:05:43Z","timestamp":1787774743000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/jvbd.jvbd_92_25"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,4]]},"references-count":23,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2026]]}},"URL":"https:\/\/doi.org\/10.4103\/jvbd.jvbd_92_25","relation":{},"ISSN":["0972-9062"],"issn-type":[{"value":"0972-9062","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,4]]},"assertion":[{"value":"2025-04-18","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-08-01","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}