Knowledge, Attitude and Practice of Community Members Regarding Influenza A H1N1 in Rajkot District, Gujarat, India


  • Dhara V Thakrar Americal International Institute of Medical Sciences, Udaipur
  • Jasmin R Oza Gujarat Adani Institute of Medical Sciences, Bhuj, Gujarat
  • Umed V Patel PDU Government Medical College, Rajkot
  • Dhara N Jahangirporia PDU Government Medical College, Rajkot
  • Zalak R Matariya PDU Government Medical College, Rajkot
  • Harshida K Namera PDU Government Medical College, Rajkot


Influenza A, H1N1, Flu, Practice, Symptoms


Back ground: In 2009, a novel strain of influenza A H1N1 emerged from the USA and Mexico. The first confirmed case with the virus in India was documented in May 2009. After that, a large numbers of positive cases were reported throughout India. The objective of this study was to assess knowledge, attitude and practice (KAP) of community members regarding influenza A H1N1.

Methods: Out of 14 talukas of Rajkot district, a study was conducted in 7 talukas where positive cases of H1N1 Influenza A were reported by purposive sampling method during March 2015. Total 18 areas were surveyed and total 8 persons each from different family were interviewed, thus total of 144 such persons were interviewed.

Results: Most of the respondents were male. Almost half of participants were in age group 21-40 yrs. Majority of them were literate and educated up to secondary level. 93.75% of community members heard about influenza A H1N1. TV (57.78%) was the main source of knowledge.. 65.97% of community members had correct knowledge on any one key symptom of Influenza A (e.g. Fever/Cough/Sore throat). Majority (81.25%) of the persons consult Family/Private doctor for treatment of ARI.

Conclusion: Health care service provides and media should take lead in spreading awareness especially during transmission season so that can avoid panic in the community.


Centers for Disease Control and Prevention. US outbreak of swine origin influenza A (H1N1) virus infection-Mexico. March-April 2009. Available at: http:// /mmwr/preview/mmwrhtml/mm58d0430a2.htm. (15 Au-gust 2016, date last accessed).

Pappaioanou M, Gramer M. Lessons from pandemic H1N1 2009 to improve prevention, detection and response to in-fluenza pandemics from a one health perspective. ILAR J 2010; 51:268–80.

Fisher D, Hui DS, Gao Z, et al. Pandemic response lessons from influenza H1N1 2009 in Asia. Respirology 2011;16:876–82.

La Torre G, Semyonov L, Mannocci A, Boccia A. Knowledge, attitude, and behaviour of public health doc-tors towards pandemic influenza compared to the general population in Italy. Scand J Public Health 2012;40:69–75.

Rubin GJ, Amloˆ t R, Page L, Wessely S. Public perceptions, anxiety, and behaviour change in relation to the swine flu outbreak: cross sectional telephone survey. BMJ 2009;339:b2651.

Lino M, Di Giuseppe G, Albano L, Angelillo IF. Parental knowledge, attitudes and behaviours towards influenza A/H1N1 in Italy. Eur J Public Health 2012;22: 568–72.

Director General of Health Services. Human swine influen-za: A pandemic threat. Vol. 12. Government of India: CD Alert; 2009. p. 1-8.

The Times of India. First swine flu case surfaces in Gujarat. 18th June, 2009. Available from: http://www.timesofindia. last accessed on 2016 Sep 1.

The Indian Express. Saurashtra`s first confirmed swine flu case detected. 19th August, 2010. Available from: last accessed on 2016 August 27.

Dominguez-Cherit G, Lapinsky SE, Macias AE, Pinto R, Espinosa-Perez L, de la Torre A, et al. Critically ill patients with 2009 influenza A (H1N1) in Mexico. JAMA 2009;302:1880-7.

Kumar A, Zarychanski R, Pinto R, Cook DJ, Marshall J, La-croix J, et al. Critically ill patients with 2009 influenza A (H1N1) infection in Canada. JAMA 2009;302:1872-9. PUBMED

Kiviniemi M, Ram P, Kozlowski L, Smith K: Perceptions of and willingness to engage in public health precautions to prevent 2009 H1N1 influenza transmission. BMC Publ Health 2011, 11:152.

Rubin GJ, Amlôt R, Page L, Wessely S: Public perceptions, anxiety, and behaviour change in relation to the swine flu outbreak: cross sectional telephone survey. BMJ 2009, 339:b2651

Morrison LG, Yardley L: What infection control measures will people carry out to reduce transmission of pandemic influenza? A focus group study. BMC Publ Health 2009, 9:258

Bults M, Beaujean DJ, Zwart OD, Kok G, Empelen PV, Steenbergen JE, Richardus J, Voeten HA: Perceived risk, anxiety, and behavioural responses of the general public during the early phase of the Influenza A (H1N1) pandemic in the Netherlands: results of three consecutive online sur-veys. BMC Publ Health 2011, 11:2

de Zwart O, Veldhuijzen IK, Richardus JH, Brug J: Monitor-ing of risk perception and correlates of precautionary be-haviour related to human avian influenza during 2006–2007 in the Netherlands: Results of seven consecutive surveys. BMC Infect Dis 2010, 10:114.

Kozlowski LT, Kiviniemi MT, Ram PK: Easier said than done: behavioural conflicts in following social-distancing recommendations for influenza prevention. Public Health Rep 2010, 125:789–792.

Wong L, Sam I: Knowledge and attitudes in regard to pan-demic influenza a(H1N1) in a multiethnic community of Malaysia. Int J Behav Med 2011, 18(2):112–121

Gray L, MacDonald C, Mackie B, Paton D, Johnston D, Baker M: Community responses to communication cam-paigns for influenza A (H1N1): a focus group study. BMC Publ Health 2012, 12:205.

Holmes BJ: Communicating about emerging infectious dis-ease: The importance of research. Health, Risk & Society 2008, 10:349–360

Vaughan E, Tinker T: Effective risk communication about pandemic influenza for vulnerable population. Am J Public Health 2009, 99:S324–S332

Kok G, Jonkers R, Gelissen R, Meertens R, Schaalma H, de Zwart O: Behavioural intentions in response to an influenza pandemic. BMC Publ Health 2010, 10:174.

Census 2011. Available from: http://www.census2011. Accessed on 31 July 2016.

Myers KP, Oslen CW, Gray GC. Cases of swine influenza in humans: a review of the literature. Clin Infect Dis. 2007;44 (8):1084-8.

Deng JF, Olowokure B, Kaydos-Deniels SC, Chang HJ, Bar-wick RS, Lee ML et al. The SARS international Field Team. Severe acute respiratory syndrome (SARS): knowledge, atti-tudes, practices and sources of information among physi-cians answering a SARS fever htline service. Public Health, 2006;120:15-9.

De Zwart O, Veldhujizen IK, Elam G, Aro AR, Abraham T, Bishop GD et al. Avain influenza risk perception, Europe and Asia. Emerg infect Dis. 2007;13:290-3.

Di Giuseppe G, Abbate R, Albano L, Marinelli P, Angelillo IF. A survey of knowledge, attitudes and practices towards avian influenza in an adult population of Italy. BMC infect Dis. 2008;8:36.

Dayanand G, Rana MM et al. Knowledge, awareness, prac-tice and preventive measures regarding swine flu among community people: a cross sectional study from Pokhara, Nepal. CMRA Public Access. MS. 2015 June; 3(2):225-232.

Sarmiento MP, Suárez O, Sanabria JA, Pérez CE, Cadena Ldel P, Niño ME. Knowledge and practices about the pre-vention and the control of the influenza A H1N1 in the community of Floridablanca, Santander. Biomedica. 2011 Mar;31(1):91-9. doi: 10.1590/S0120-41572011000100011

Shilpa K, Kumar P, Kumar Y, Ugargol A, Naik V, Mallapur M. A study on awareness regarding swine flu (influenza A H1N1) pandemic in an urban community of Karnataka. Medical Journal of Dr. D.Y. Patil University. Nov-Dec 2014. Vol 7 .Issue 6.

Naik JD, Swapnil Jain, Babar SD, Mathurkar M.P, Kamble SV, Patil V. A Study on Awareness Regarding Swine Flu (Influenza A H1N1) pandemic in an Urban Community of Maharashtra. Sch. J. App. Med. Sci., 2015; 3(8B):2891-2894.




How to Cite

Thakrar DV, Oza JR, Patel UV, Jahangirporia DN, Matariya ZR, Namera HK. Knowledge, Attitude and Practice of Community Members Regarding Influenza A H1N1 in Rajkot District, Gujarat, India. Natl J Community Med [Internet]. 2017 Nov. 30 [cited 2023 Sep. 25];8(11):627-31. Available from:



Original Research Articles