Supplementary material for: Avian Influenza Preparedness in Ghana: A Cross-Sectional Assessment of Knowledge, Attitudes, and Practices Among Residents of Nsawam-Adoagyiri Municipality, Eastern Region.

QUESTIONNAIRE ASSESSING THE KNOWLEDGE, ATTITUDE, AND PRACTICES (KAP) REGARDING AVIAN INFLUENZA AMONG RESIDENTS OF NSAWAM IN THE EASTERN REGION, GHANA SOCIO-DEMOGRAPHICS All responses are confidential and for research purposes only 1. Gender: Male [ ] Female [ ] 2. Age (years):…………………………….. 3. Marital status: Single [ ] Married [ ] Divorced [ ] Widowed [ ] Cohabiting [ ] 4. Religion: Christian [ ] Muslim [ ] Traditionalist [ ] Other: ……………………………… 5. Residential area: Urban [ ] Peri-urban [ ] Rural [ ] 6. Highest educational attainment: No formal education [ ] Basic school [ ] Secondary [ ] Tertiary [ ] 7. Primary occupation (Select one): Farmer [ ] Government employee [ ] Private sector employee (non-fishing) [ ] Petty trader/Street vendor [ ] Healthcare worker [ ] Teacher/Educator [ ] Student [ ] Unemployed [ ] Other:……………………………………………. 8. Do you own a poultry? Yes [ ] No [ ] KNOWLEDGE 1. Do you know what bird flu is? Yes [ ] No [ ] Unsure [ ] 2. How did you hear about bird flu? (Select all that apply): Friends/family [ ] Social media [ ] Television [ ] Healthcare workers [ ] NCCE [ ] Other:................................. 3. What causes bird flu? (Select all that apply): Bacteria [ ] Virus [ ] Parasite [ ] Fungi [ ] Unsure [ ] 4. Which animals can contract bird flu? (Select all that apply): Fowl [ ] Goats/Sheep [ ] Pigs [ ] Cattle [ ] Dogs [ ] Unsure [ ] 5. What are the symptoms bird flu in humans? (Select all that apply): Fever [ ] Cough [ ] Muscle pains [ ] Difficulty in breathing [ ] Runny nose [ ] Sore throat [ ] Unsure [ ] 6. Can bird flu be transmitted from animals to humans? Yes [ ] No [ ] Unsure [ ] 7. How can humans contract bird flu? (Select all that apply): Direct contact with infected live or dead poultry birds [ ] Contact with saliva, mucus, or feces from infected birds [ ] Eating raw or undercooked poultry [ ] Contact with contaminated areas where infected birds have been [ ] Inhalation of airborne droplets from infected birds and humans [ ] Unsure [ ] 8. Can bird flu be prevented? Yes [ ] No [ ] Unsure [ ] If YES, how? (Select all that apply): Hand washing after handling poultry [ ] Avoiding contact with sick poultry birds [ ] Thorough cooking of poultry products [ ] Proper disposal of dead poultry birds [ ] Vaccinating poultry [ ] 9. Is bird flu treatable in humans? Yes [ ] No [ ] Unsure [ ] 10. Does the consumption of raw or undercooked poultry increase the risk of bird flu? Yes [ ] No [ ] Unsure [ ] 11. Can infected humans or animals and show symptoms? Yes [ ] No [ ] Unsure [ ] ATTITUDE 1. Do you believe bird flu a serious threat in your community? Yes [ ] No [ ] Unsure [ ] 2. How motivated are you to take steps to protect your family from bird flu? Very motivated [ ] Somewhat motivated [ ] Not motivated [ ] Unsure [ ] 3. How important do you think cooking poultry products very well is, for bird flu prevention? Very important [ ] Somewhat important [ ] Not important [ ] Unsure [ ] 4. How comfortable do you feel reminding others to always wash their hands after handling poultry birds? Very comfortable [ ] Somewhat comfortable [ ] Uncomfortable [ ] Unsure [ ] 5. Is avoiding sick birds critical for bird flu prevention? Yes [ ] No [ ] Unsure [ ] 6. Do you believe it is your responsibility to dispose of dead poultry birds properly to prevent bird flu? Yes [ ] No [ ] Unsure [ ] 7. Do you feel it is important to wear protective gear when handling sick or dead poultry birds? Yes [ ] No [ ] Unsure [ ] 8. Do you think veterinary services are worth the cost to manage bird flu? Yes [ ] No [ ] Unsure [ ] 9. Do you prioritize seeking medical care immediately if you suspect bird flu symptoms? Yes [ ] No [ ] Unsure [ ] PRACTICE 1. Do you wash your hands after handling poultry birds? Yes [ ] No [ ] Unsure [ ] 2. Do you cook poultry products very well before eating? Always [ ] Sometimes [ ] Never [ ] 3. Do you avoid contact with sick poultry birds? Always [ ] Sometimes [ ] Never [ ] 4. Do you wear any protective clothing (e.g., gloves, masks) before handling sick or dead poultry birds? Always [ ] Sometimes [ ] Never [ ] 5. Do you dispose dead poultry birds properly? Always [ ] Sometimes [ ] Never [ ] 6. Do you wash equipment that have come into contact dead or sick poultry birds? Always [ ] Sometimes [ ] Never [ ] 7. Do you kill or eat poultry birds showing signs of illness (e.g.diarrhoea)? Always [ ] Sometimes [ ] Never [ ] 8. Would you take a bird flu vaccine if available? Yes [ ] No [ ] Unsure [ ]