Naseem B. Saadoon, Hayder K. Madlool, Luma H. Ali, Ameer A. Hameed, Abdul Wahhab M. Kamil and Ali R. Mohammed
Abstract
Climate change poses a serious threat to human health by affecting air quality, food and water security, and increasing the incidence of extreme weather events and infectious diseases. To evaluate the levels of knowledge, attitudes, and practices among healthcare workers in Al Najaf Governorate and to examine how these are associated with various demographic factors. A cross-sectional survey was conducted between 22 October and 31 December, 2024, using a structured questionnaire developed in KoboToolbox and distributed electronically to healthcare workers. The questionnaire included sections on demographic information, knowledge, attitude and practice). Descriptive statistics were used to summarize the data. Knowledge, attitude, and practice scores were categorized as good (>75%), moderate (50â75%), or poor (<50%). Data were analyzed using Microsoft Excel 365 and STATA version 17. Only 44% of participants had previously heard the term âclimate change,â indicating limited baseline awareness. However, 87.1% demonstrated good knowledge when informed, particularly regarding human-related causes and health impacts. Attitudes were highly positive, with over 90% recognizing the importance of healthcare workers in climate-related education and public health efforts. Despite strong attitudes, only 30.5% reported practicing environmentally responsible behaviors consistently. Key gaps were observed in recycling, water conservation, and use of sustainable transportation. Despite favorable knowledge and attitudes, climate-related practices among healthcare workers remain limited. Strengthening education, awareness, and institutional support is essential to enhance their role in climate resilience efforts in Al-Najaf.