Lungu, Monica Mapenzi (2013) Knowledge and Utilization of HIV Post Exposure Prophylaxis among Student Nurses at Ndola School of Nursing, Ndola Zambia. Masters thesis, University of Zambia.
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Abstract
The aim of the study was to determine knowledge and utilization of post exposure prophylaxis (PEP), to assess the relationship between knowledge and utilization of PEP, and also to examine the relationship between other variables and knowledge and utilization of PEP among student nurses at Ndola School of Nursing This study was conducted among students in all the three (3) academic years. A purposive sampling method was used to select study units and a sample of 118 was selected. Data were collected using self-administered questionnaires and a focus group discussion guide. Participants for the focus group discussion were also purposely selected from among students who did not participate in answering the selfadministered questionnaire. Two focus group discussions were held. Each focus group discussion included six participants four females and two males and the combination of the members was as follows; two from the first years, two from the second years and two from the third years. The total number of participants for all the two focus group discussions was 12. Epi info version 6 and Epi Data version 3.1 software computer packages were used to analyze data. Chi- square was used to measure associations between dependent variables (knowledge and utilization of PEP) and the independent variables (stigma, religion, level of training, youth friendly services, low risk perception and quality of service). With the confidence interval set at 95%, the P value was used to ascertain the degree of significance by using the decision rule which rejects the null hypothesis if P value is equal or less than that of 0.05. Qualitative data were presented in narrative form and a full report of the focus group discussion was written using participants’ own words. Key statements and ideas expressed for each topic of discussion were listed down. Data were categorized and responses from the two focus group discussions were summarized.Illustrative quotations that emerged from the discussions were selected to illustrate the main ideas. The total number of respondents was 118 and all were drawn from student nurses at Ndola School of Nursing: There were 32 (27.1%) first year students, 44 (37.2%) second year students, and 41 (43.7%) third year students. The total sample comprised of, 35 (29.7%) males and 87 (70.3%) females. The findings revealed that 33 (28%) of the respondents had low levels of knowledge about the HIV PEP procedure/ PEP protocol and that 98 (87.5%) of the respondents did not know where the PEP services were offered. Furthermore the study also revealed that 68 (58%) of the respondents had been exposed to blood and body fluids, suggesting that the students were exposed to a high risk of HIV infection. Utilization of PEP services was low as only 27 (40%) of the exposures had been reported to the PEP Unit. The main reasons for not reporting were: 20 (48.8%) of the respondents thought they were not at risk, 14 (34.1%) did not know how and who to report the exposure to and 4 (10%) did not want to do the HIV test. The findings also suggested that the main reason for not using Ndola Central Hospital PEP unit was lack of knowledge on PEP as stated by 31 (34%) respondents. The results of the study also revealed that 100 (85%) of the respondents stated that counselling and testing were supportive measures offered to students who got exposed. The results also showed that 100 (85%) of the respondents stated that the services offered by Ndola central hospital PEP Unit were good. A significant association was found between knowledge of PEP protocol and reporting the exposure, as 72% of the respondents who did not have knowledge on PEP protocol indicated that they did not report the exposure to PEP Unit. This association was statistically significant (Chi-square value 10.81. P value < 0.001).
| Item Type: | Thesis (Masters) |
|---|---|
| Uncontrolled Keywords: | knowledge, utilization, HIV post exposure prophylaxis, student nurses |
| Subjects: | Q Science > QR Microbiology R Medicine > RT Nursing |
| Divisions: | Africana |
| Depositing User: | Geoffrey Obatsa |
| Date Deposited: | 04 Dec 2018 09:10 |
| Last Modified: | 04 Dec 2018 09:10 |
| URI: | http://thesisbank.jhia.ac.ke/id/eprint/8783 |
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