Assessment of knowledge, attitude and practice towards post exposure prophylaxis for HIV among health care workers in Gondar, North West Ethiopia

BMC Public Health

Agersew Alemu¹  Zelalem Addis⁴  Gemechu Tiruneh³  Meaza Boru³  Sebesbe Kinfe³  Wubet Birhan³  Biniam Mathewos² 

[1] Department of Medical Parasitology, School of Biomedical and Laboratory Sciences, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia;Department of Immunology and Molecular Biology, School of Biomedical and Laboratory Sciences College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia;Department of Clinical Chemistry, School of Biomedical and Laboratory Sciences, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia;Department of Medical Microbiology, School of Biomedical and Laboratory Sciences, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia

关键词: HIV;    Post exposure prophylaxis;    Health care workers;   

Others  :  1162173
DOI  :  10.1186/1471-2458-13-508

 received in 2012-12-17, accepted in 2013-05-21,  发布年份 2013

【 摘 要 】

Background

HIV/AIDS infection in health care facility has become a major health problem. Especially in resource poor setting health care workers are managing huge number of HIV infected patients that made them to be more exposed to HIV infection. This situation makes the use of post exposure prophylaxis for HIV very important. Therefore the aim of the study was to assess knowledge, attitude and practice of health care workers towards post exposure prophylaxis for HIV.

Methods

Cross-sectional study was conducted among 195 health care workers from February 15 to June 20, 2012. Data was collected using self-administered questionnaire and entered and analyzed using SPSS-20 version. Results were summarized in percentages and presented in tables.

Results

Significant proportions of respondents, 72 (36.9%), were found to have inadequate knowledge about post exposure prophylaxis for HIV. However the majority of respondent 147 (75.4%) had good attitude toward the PEP and significant number of the respondents, 66 (33.8%), had been exposed to blood, body fluids, needles or sharp objects once or more times while giving care for patients. Among these exposed, 49 (74.2%) took PEP but the rest 17 (25.7%) didn’t take PEP. From these exposed respondents that took PEP, 23 (46.9%) correctly started taking of PEP at exact initiation time, but the rest started after the recommended initiation time. Among those who took PEP, 39 (79 .6%) completed taking the drug, however 10 (20.4%) didn’t complete the PEP regimen.

Conclusion

As a conclusion, significant proportion of study subjects had less knowledge and practice even though the majority of respondents had favorable attitude towards PEP. Therefore, a formal training for all HCWs regarding PEP for HIV and also establishing a 24 hour accessible formal PEP centre with proper guideline is recommended.

【 授权许可】

   
2013 Mathewos et al.; licensee BioMed Central Ltd.

【 参考文献 】

• [1]Sharma A, Marfatiya YA, Ghiya R: Post-exposure prophylaxis for HIV. Indian J Sex Trans Dis and AIDS 2007, 28:2.61-68.
• [2]Ministry of Health and Family Welfare: Government of India National AIDS Control Organization: Management of Occupational exposure including Post exposure prophylaxis for HIV. NewDelhi: NACO; 2009.
• [3]Ministry of Health and Family Welfare, Government of India National AIDS Control Organization: Antiretroviral Therapy Guidelines for HIV-infected Adults and Adolescents including.post-exposure prophylaxisnone. New Delhi: NACO; 2008.
• [4]Simonsen L, Kane A, Lloyd J, Zaffran M, Kane M: Unsafe injections in the developing world and transmission of blood borne pathogens: a review. Bull World Health Organ 1999, 77:789-800.
• [5]Kane A, Lloyd J, Kane M: Transmission of hepatitis B, hepatitis C and HIV through unsafe injections in the developing world. Bull World Health Organ 1999, 77:801-807.
• [6]Charles SM, Richard DP, Janine J: Risk to health care workers in developing countries. N Engl J Med 2001, 345:538-541.
• [7]Khan AZ, Ducan KM, Escotet X, Miles WEA: do we need to improve awareness about HIV post exposure prophylaxis? Ann R Coll Surg Engl 2002, 84:72-73.
• [8]Bosena T, Chernet H: assessment of HIV exposure prophylaxis among health workers of governmental health institute in jimma zone, Oromia Region, south west Ethiopia. Ethiop J.health sci 2010, 1:55-64.
• [9]Thrusfield M: Veterinary Epidemiology. London: Blackwell Science; 1995.
• [10]Owolabi RS, Alabi P, Ajayi S, Daniel O, Ogundiran A, Akande TM, Onafowokan T: Knowledge and Practice of Post Exposure Prophylaxis (PEP) against HIV Infection among Health Care Providers in a Tertiary Hospital in Nigeria. JIAPAC 2012, 11(3):179-183.
• [11]Alenyo R, Fualal J, Jombwe JJ: Knowledge attitude and practice of staffs towards post exposure prophylaxes for HIV infection at Mulango hospital in Uganda. East and central African J Surgery 2009, 14(2):99-102.
• [12]Chacko J, Isaac R: Percutaneous injuries among medical interns and their knowledge and practice of post exposure prophylaxis for HIV. Indian J Public Health 2007, 51:127-129.
• [13]Chogle NL, Chogle MN, Divatia JV, Dasgupta D: Awareness of post-exposure prophylaxis guidelines against occupational exposure to HIV in a Mumbai hospital. M Natl Med J India 2002, 5(2):69-72.
• [14]Varghese GM, Abraham OC, Mathai D: Post-exposure prophylaxis for blood borne viral infections in healthcare workers. Postgrad Med J 2003, 79:324-328.
• [15]Monera T, Ncube P: Assessment of Knowledge, Attitude and practice of health care workers on Occupational HIV post exposure prophylaxis at Zimbabwean referral hospital. J Int AIDS Soc 2012., 15(4)
• [16]Tetali S, Choudhury PL: Occupational exposure to sharps and splash: Risk among health care Providers in three tertiary care hospital in south india. Indian J Occup Environ Med 2006, 10(1):35-40.
• [17]Bandolier E: Occupational exposure to hospital employees in Italian hospitals over 5.5 years. London: AstraZeneca group; 2003.
• [18]Chagani MM, Manji KP, Manji MP, Sheriff FG: Healthcare workers’ knowledge, attitudes, practices on post exposure prophylaxis for HIV in Dar es Salaam. Tanzania Med J 2011, 25(2):33-38.
• [19]Shevkani M, Kavina B, Kumar P, Purohit H, Nihalani U, Shah A: An overview of post exposure prophylaxis for HIV in health care personals: Gujarat scenario. Indian j sex transm Dis 2011, 32(1):9-13.