Knowledge, attitude and practice towards HIV post-exposure prophylaxis of health professionals of Gimbi town in Ethiopia: a cross-sectional study

Authors

  • Gurmu Tesfaye Department of Pharmacy, College of Medicine and Health Science, Ambo University
  • Habte Gebeyehu Department of Pharmacy, College of Medicine and Health Science, Wollega University
  • Jimma Likisa Department of Pharmacy, College of Medicine and Health Science, Ambo University

Keywords:

PEP, Health care workers, Gimbi, Ethiopia

Abstract

Background:According to World Health Organization (WHO) estimation, about 2.5% of all human immunodeficiency virus (HIV) cases among health workers worldwide are due to the result of exposures to risky conditions. Post exposure prophylaxis (PEP) treatment has been shown to reduce the risk of HIV infection significantly if administered shortly following exposure. However, it has been shown that there is knowledge gap, lower degree of utilization and limited acceptance rate of the method by health care workers (HCWs) in resource limited settings. Therefore, this study aimed at assessing the knowledge, attitude and practice of HIV PEP use among health care workers of Gimbi hospital and Gimbi health center in Ethiopia.

Methods: Facility based descriptive cross-sectional study was undertaken from February, 1 - 30, 2013. Pretested structured questionnaires were used for data collection. SPSS version 20.0 was used to analysis data. Chi-square (X2) was employed to assess association between knowledge, attitude and practice of PEP following HIV.

Results:In this study, all of the study subjects heard about HIV PEP. More than half of them (54.2%) could correctly identify the drugs used for HIV PEP. While, 60 (83.3%) of the study subjects had positive attitude toward PEP use. Half of the study subjects had ever been exposed to HIV risk condition of whom only 6 (16.7%) had ever used PEP. No association had been obtained among knowledge, attitude and practice of the study subjects.

Conclusion: In this study very low rate of PEP utilization up on exposure to HIV risk conditions was seen even though the significant proportion of these professionals had adequate knowledge and positive attitude toward PEP. Much work had to be done by policy makers to increase the uptake of the method by health care workers to mitigate the rising epidemic of HIV/AIDS in the country.

 

References

Global report. UNAIDS report on global AIDS epidemic, 2013. Available at: http://www.unaids.org/en/media/unaids/contentassets/documents/epidemiology/2013/gr2013/UNAIDS_Global_Report_2013_en.pdf.

Decock KM, Flower MG, Mercier E et al. Prevention of mother to child HIV transmission in resource poor countries; translating research into policy and practice. JAMA. 2000;283(9):1175-82.

Cu-uvins, Caliendo AM, Reinert S et al. Effects of highly active antiretroviral therapy on cervicovaginal HIV- 1 RNA. AIDS. 2000;14(4):415-21.

Vernazza PL, Gilliam BL, Fleppy M et al. Effect of antiviral treatment on the shelding of HIV-I in semen. AIDS. 1997;11(10):1249-54.

Cohen MS, Gay C, Kashuba AD, Blower S, Paxton L. Narrative review: antiretroviral therapy to prevent the sexual transmission of HIV-I. Ann Intern Med. 2007;146(8):591-601.

Tsai CC, Follis KE, Sabo A et al. Prevention of SIV infection in macaques by (R)-9-(2-phosphonly methoxypropyl) adenine. Sci. 1995;270(5239):1197-9.

Tsai CC, Emau P, Follis KE et al. Effectiveness of post inoculation (R)-9-(2-phosphonyl methoxy propyl) adenine treatment for prevention of persistent simian immunodeficiency virus SIV MNE infection depends critically on timing of initiation and duration of treatment. J Virol. 1998;72(5):4265-73.

Cardo DML, Culver DH, Cesielsk CA et al. A case –control study of HIV seroconversion in health care worker after percutaneous exposure. Center for disease control and prevention needle stick surveillance group. N Engl J med. 1997:337(21):1485-90.

US public health service. Public health service guidelines for the management of occupational exposures to HBV, HCV, and HIV and recommendations for post exposure prophylaxis. MMWR Recomm Rep. 2001;50(RR-II):1-52.

Bosena T, Chernet H. Assessment of HIV post-exposure prophylaxis use among health workers of governmental health institutions in Jimma zone, Oromiya region, southwest Ethiopia. Ethiop J Health Sci. 2010;20(1):56-64.

Chen YM, Fox E, Rosers AC. Post exposure prophylaxis for human immune deficiency virus: knowledge and experience of junior doctors. Sex Tansm Inf. 2001;77:444-5.

United Nation, author. Post-exposure prophylaxis (PEP) to prevent HIV infection. Guidelines on the use of treatment starter kits, 2008. Available at: www.unescobkk.org/fileadmin/user_upload/ hiv_aids/Documents/Workplace/pepe.pdf. Accessed 15 July 2008.

Rotimi SO, Peter A, Samuel A et al. 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)179-83.

Chogle NL, Chogle MN, Divatia JV, Dasgupta D. Awareness of post-exposure prophylaxis guidelines against occupational exposure to HIV in a Mumbai hospital. Natl Med J India. 2002;15(2):69-72.

Ghanda KM, Dhaduk K, Yadau S. Knowledge of occupational on HIV PEP in India. J Pharm Biomed Sci. 2012;23(15):1-3.

Bairy KL, Ganaraja B, Indira B et al. Awareness of post-exposure prophylaxis guidelines against occupational exposure to HIV in hospital Sungai Petani. Med J Malaysia. 2005;60(1):10-4.

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Published

2017-01-23

How to Cite

Tesfaye, G., Gebeyehu, H., & Likisa, J. (2017). Knowledge, attitude and practice towards HIV post-exposure prophylaxis of health professionals of Gimbi town in Ethiopia: a cross-sectional study. International Journal of Research in Medical Sciences, 2(2), 468–471. Retrieved from https://www.msjonline.org/index.php/ijrms/article/view/2178

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Original Research Articles