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Assesment Of Knowledge, Attitude And Practice Towards Cholera Prevention And Control
[A CASE STUDY OF ILORIN METROPOLIS KWARA STATE, NIGERIA] -
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APPENDIX I
CONSENT FORM
I am MUHAMMAD BALA from the Department of Community Health Science Kwara State University Malete hereby to conduct a study on knowledge, attitudes and practice on cholera prevention and control utilization of Salt Sugar Solution (SSS) among people living in Ilorin metropolis. The study is trying to assess the knowledge, attitude and practice on cholera prevention among people of Ilorin metropolis and also to investigate factors affecting SSS utilization during cholera episode so that we could recommend proper intervention toward cholera prevention among people.
I have few questions about cholera prevention and related factors affecting SSS utilization. Your answers will be written and then used for analysis. All information you provide will be handled as confidential and your individual answers will not be known, excepting the interviewer and the coordinator of this study. The results will be used only to improve strategies for prevention of cholera. We will need at least 10 minutes of your time to discuss and record the information. You can withdraw from the interview at any stage without any consequences if you do not wish to continue.
Will you participate in this study? Yes ( ) No ( )
Do you have any question?
Thank you.
Date: …../……./2018.
Respondent’s signature: …………………
Interviewer’s signature: …………………
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APPENDIX A -- [Total Page(s) 1]
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APPENDIX A -- [Total Page(s) 1]
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