Amare, Kassayenew (2014) Assessment of Knowledge, Attitude and Practice towards Post Exposure Prophylaxis to HIV Infection among Medical Laboratory Professionals in a Selected Health Facilities under Addis Ababa City Administration Health Bureau, Addis Ababa, Ethiopia. Masters thesis, Addis Ababa University.
![[img]](http://thesisbank.jhia.ac.ke/style/images/fileicons/application_pdf.png) |
PDF (Assessment of Knowledge, Attitude and Practice towards Post Exposure Prophylaxis to HIV Infection among Medical Laboratory Professionals in a Selected Health Facilities under Addis Ababa City Administration Health Bureau, Addis Ababa, Ethiopia)
Kassayenew PDF.pdf - Accepted Version Restricted to Repository staff only Download (582kB) | Request a copy |
Abstract
Background: An occupational exposure to blood/ other possible infectious body fluids that can lead to take post exposure prophylaxis by a medical workers who are at risk of HIV infection is a percutaneous injury, contact of mucous membrane of the skin due to which universal precaution not applied at actual site of work. A study conducted in Gondar indicated that 36.9% were found to have inadequate knowledge about PEP and out of 33.8% of injured respondents 25.7% didn’t take PEP (32), in Jima also among 68.5% injured respondents 81.6% didn’t use PEP. Therefore, exploring the level of knowledge, attitudes and practices of medical laboratory professionals towards risk prevention and post exposure prophylaxis measures on occupational HIV risks is important. Objectives: To assess knowledge, attitude and practice of medical laboratory professionals towards post exposure prophylaxis for HIV infection in selected health institutions under Addis Ababa city administration health Bureau. Methods and Materials: A cross sectional study was conducted in Addis Ababa from March to April 2014. A pre tested, self administered, structured questionnaire were applied to 246 medical laboratory professionals for data collection. To assess the structural and functional aspects of medical laboratories, observation checklist was also used. Data were coded and entered using 15 version SPSS software. Attitude score was calculated by using three level Likert scale and giving a value of one for disagree, value of two was assigned for neutral response; three for agree response respectively for those. The mean and median scores for the overall attitudes, knowledge and practice were calculated. Median of the summary score of attitude was used to classify as positive attitudes and negative attitudes since the distribution of summary scores was skewed. Logistic regression models was also use to examine the effect of selected variables on Laboratory’ professionals’ knowledge and attitude towards post exposure prophylaxis by using Odds Ratio (OR) with a 95% Confidence Interval (CI). P-Value less than 0.05 were taken as statistically significant. Results: Out of the total of 256 respondents 246 were filled the questionnaire properly, which make the response rate 96.1%. Among those 143(58.1%) were males. The overall adequate knowledge, positive attitude and satisfactory practice of the respondents towards post exposure prophylaxis were 61%, 74% and 31.3% respectively. The main associated factors for adequateknowledge were greater than 10 years work experience 3.95(1.43 – 10.90), knowing the presence of guide line for PEP management program 2.54(1.34 – 4.82) and training opportunity as a source of information on PEP 2.67(1.41 – 5.02). Regarding association factor for positive attitude was less than or equal to 1 year of last training obtained 2.97(1.43 – 6.18). The practice of respondents were found to be less satisfactory with wearing protective glove/ single pair/patient/,13.8 and taking shower after work, 11.8%. Conclusion: The overall knowledge of the respondents about PEP was 61% which was below the median value (75%). Lack of training, absence of guideline, and less work experience were the major factors associated with low knowledge. The practice of laboratory professionals to prevent risk and use of post exposure prophylaxis was unsatisfactory, 31.3% which was less than the median value 57.1% and their attitudes towards PEP were 74%. Therefore, there will be an urgent need for policy makers in the health sector to put in place programs that focus on the availability of standard personal protective equipments, sustainable awareness creation on risk reduction and management strategies and availability of expert counselor on psychological burden after injury, and this will rapidly scale up PEP services in health care settings, because of low level of knowledge and practice of the laboratory professionals towards PEP.
| Item Type: | Thesis (Masters) |
|---|---|
| Subjects: | R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine |
| Divisions: | Africana |
| Depositing User: | Emmanuel Ndorimana |
| Date Deposited: | 06 Jul 2018 07:50 |
| Last Modified: | 06 Jul 2018 07:50 |
| URI: | http://thesisbank.jhia.ac.ke/id/eprint/6659 |
Actions (login required)
 |
View Item |