Change on Knowledge Attitude and Practice of HIV/AIDS among High School Students

Aniobi, Henrietta Ufuoma (2015) Change on Knowledge Attitude and Practice of HIV/AIDS among High School Students. Masters thesis, Addis Ababa University.

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Background: In 2012 the second highest estimated proportion of adolescents (age 10-19 years) living with HIV/AIDS in 12 selected high burden countries is Nigeria with 8%. The prevalence of HIV within the age group of 15-24 years in Nigeria is 4.33%. In Enugu state the place for this study, the estimated prevalence by state is given as between 6.1-8.6%. This is higher than the national prevalence. In Nigeria adolescents are the majority (median age of 17.7 years). And the first HIV case in Nigeria was in a sexually active 13 year old girl. Poor knowledge on reproductive health and sex education by adolescents is associated with early onset of sexual activities and wrong choices. And a predisposing factor to poor attitude and practices of HIV/AIDS and STIs. Objective: To asses changes in knowledge, attitude and practice about HIV/AIDS among adolescents in rural Nigeria. Methods: An interventional study was conducted among adolescents in a rural community in South Eastern Nigeria. The study population was school adolescents in Nenwe town. The estimated sample size was 196 high school students for controls and the same number (196) for the intervention group. A baseline data was collected followed by intervention. The sampled students were allocated to two groups by lottery method. A health education intervention package on reproductive health, and prevention methods towards HIV was given for 40 minutes, then a repeat survey was conducted after 3 months. A structured self-administered anonymous questionnaire was used for data collection. Descriptive statistics was applied, comparison between the intervention and control groups was done using matched chi-squared statistics and logistic regression was used to assess independent factors on KAP about HIV/AIDS. Results: A total of 396 secondary school participants were enrolled. The data reflects 199 and 197 in intervention and control groups respectively after intervention difference in knowledge of HIV/AIDS among the intervention and control groups (P= 0.012) is observed, significant increase in knowledge that HIV can be prevented by condom use 59% (p=0.001), increase need for HVCT (p=0.045). Conclusion: Although health education results in increase in knowledge, repeated ongoing health education will be required to see changes in attitude and practice of adolescents towards HIV/AIDS. A prospective study may be required to assess when changes in attitude and practice effectively occurs in adolescents after they are exposed to health education.

Item Type: Thesis (Masters)
Subjects: R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine
R Medicine > RJ Pediatrics > RJ101 Child Health. Child health services
Divisions: Africana
Depositing User: Emmanuel Ndorimana
Date Deposited: 03 Jul 2018 10:14
Last Modified: 03 Jul 2018 10:14

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