Diphtheria Outbreak Survey | G Nurse Research Hub Nigeria

Consent

Are you 18 years of age or older? * Yes No

Do you voluntarily agree to participate in this research survey? * Yes, I agree No, I do not agree

Section A — Demographic Information

1. Age group *

2. Sex * Male Female Prefer not to say

3. State of residence *

4. Local Government Area

5. Highest level of education

6. Occupation

Section B — Knowledge of Diphtheria

7. Have you heard of diphtheria before? * Yes No

8. Where did you first hear about diphtheria?

9. Is diphtheria an infectious disease? Yes No Don't know

10. How can diphtheria spread? Select all that you believe apply. Coughing or sneezing Close contact with an infected person Respiratory droplets Contaminated objects I don't know

11. Which factors do you think increase the risk of diphtheria? Low vaccination coverage Overcrowded living conditions Close contact with infected people Poor public awareness Poor access to healthcare Don't know

12. Which symptoms do you associate with diphtheria? Sore throat Difficulty breathing Fever Swollen neck Gray or white membrane in the throat Don't know

13. Can diphtheria cause severe complications or death? Yes No Don't know

Section C — Awareness of the Current Outbreak

14. Before this questionnaire, were you aware of the reported diphtheria outbreak in Plateau State? * Yes No

15. Where did you hear about the current outbreak? Facebook WhatsApp Television Radio Health workers Family or friends Other

16. How concerned are you about the outbreak?

17. Do you think people in your community are receiving enough information about diphtheria? Yes No Not sure

Section D — Vaccination

18. Have you ever received routine childhood vaccination? Yes No Don't know

19. If you have children, are they vaccinated according to the recommended schedule? Yes No Some are Not applicable Don't know

20. What is the vaccination status of your children?

21. If vaccination was incomplete or not received, what were the reasons? Lack of information Fear of side effects Distance to health facility Cost Vaccine was unavailable Forgot/missed appointment Other

22. Would you be willing to receive a recommended diphtheria-containing vaccine if advised by health authorities? Yes No Not sure

Section E — Possible Risk and Exposure

23. Have you recently been in close contact with someone suspected or confirmed to have diphtheria? Yes No Don't know

24. Do you currently live or work in an overcrowded environment? Yes No Not sure

25. Have you recently attended a large or crowded gathering? Yes No

26. Have you recently experienced any of the following symptoms? Sore throat Fever Difficulty breathing Swollen neck None of these

27. If you developed symptoms that concerned you, where would you first seek help?

Section F — Prevention and Control

28. Which measures do you believe can help control diphtheria? Vaccination Early medical treatment Contact tracing Isolation of suspected/confirmed cases Public education School/community surveillance

29. Have you seen or heard about any vaccination campaign related to the outbreak? Yes No Not sure

30. Have you received health information about diphtheria from your school, workplace or community? Yes No Not applicable

31. How confident are you that diphtheria can be prevented?

Section G — Information and Social Media

32. Which sources do you trust most for health information? Doctors Nurses Government health authorities Radio Television Social media Family/friends

33. Have you seen information about diphtheria on social media? Yes No

34. How useful do you think social media is for educating people about outbreaks?

35. What do you think is the biggest challenge in controlling the outbreak?

Section H — Your Opinion

36. What do you think should be done to control diphtheria in Plateau State?

37. What information about diphtheria would you like health authorities to provide?

38. Additional comments

✅ Thank You!

Your questionnaire has been submitted successfully.

Your response will contribute to the research on the reported diphtheria outbreak in Plateau State, Nigeria.

🩺 Diphtheria Outbreak Survey

Research Information