Acceptability of HIV Counselling and Testing among Healthcare Workers and Pregnant Patients at an Urban Tertiary Government Hospital

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Information about Acceptability of HIV Counselling and Testing among Healthcare Workers...

Published on January 20, 2016

Author: HelenMadamba

Source: slideshare.net

1. Acceptability of Human Immunodeficiency Virus Counseling and Testing Among Healthcare Professionals and Pregnant Women Consulting at an Urban Tertiary Government Hospital Helen V. Madamba, MD HV MADAMBA and SR BRAVO 2012. Acceptability of Human Immunodeficiency Virus Counseling and Testing Among Healthcare Professionals and Pregnant Women Consulting at an Urban Tertiary Government Hospital. Unpublished.

2. General Objective to determine acceptability of HIV counseling and testing among healthcare professionals and pregnant women aged 19 to 45 years old consulting at an urban government tertiary hospital. HV MADAMBA and SR BRAVO 2012. Acceptability of Human Immunodeficiency Virus Counseling and Testing Among Healthcare Professionals and Pregnant Women Consulting at an Urban Tertiary Government Hospital. Unpublished.

3. Specific Objectives • to describe the demographic characteristics of the two study groups • to determine the level of knowledge on HIV/AIDS among the study population and to identify the association with demographic characteristics and HIV background of the two study groups • to determine presence of stigma towards people living with HIV among the healthcare professionals group HV MADAMBA and SR BRAVO 2012. Acceptability of Human Immunodeficiency Virus Counseling and Testing Among Healthcare Professionals and Pregnant Women Consulting at an Urban Tertiary Government Hospital. Unpublished.

4. Specific Objectives • to determine attitudes on HIV counseling and testing among the two study groups • to correlate risk assessment with the willingness of high risk groups to undergo HIV counseling and testing • to determine whether or not cost is a factor in offering HIV counseling and testing as part of routine prenatal care HV MADAMBA and SR BRAVO 2012. Acceptability of Human Immunodeficiency Virus Counseling and Testing Among Healthcare Professionals and Pregnant Women Consulting at an Urban Tertiary Government Hospital. Unpublished.

5. Methodology HV MADAMBA and SR BRAVO 2012. Acceptability of Human Immunodeficiency Virus Counseling and Testing Among Healthcare Professionals and Pregnant Women Consulting at an Urban Tertiary Government Hospital. Unpublished.

6. Inclusion criteria for the healthcare professionals group: • Healthcare professionals included consultants, fellows and residents of different departments in the hospital and nurses assigned at different areas in the hospital • There are 96 consultants, 200 fellows and 559 residents at the different departments in the hospital and approximately 1063 nurses assigned at different areas in the hospital. HV MADAMBA and SR BRAVO 2012. Acceptability of Human Immunodeficiency Virus Counseling and Testing Among Healthcare Professionals and Pregnant Women Consulting at an Urban Tertiary Government Hospital. Unpublished.

7. Inclusion criteria for the pregnant women group: • Pregnant patients aged 19 to 45 years old consulting at the outpatient department for prenatal care. • The general obstetrics clinic at the outpatient department caters to 200 patients a day, both consulting for obstetric and gynecologic concerns. HV MADAMBA and SR BRAVO 2012. Acceptability of Human Immunodeficiency Virus Counseling and Testing Among Healthcare Professionals and Pregnant Women Consulting at an Urban Tertiary Government Hospital. Unpublished.

8. Sociodemographic Characteristics of the Study Population • A total of 865 questionnaires were completed by 430 pregnant patients consulting at the outpatient department and 435 healthcare professionals (nurses, residents, fellows and consultants) employed at a tertiary urban government hospital. HV MADAMBA and SR BRAVO 2012. Acceptability of Human Immunodeficiency Virus Counseling and Testing Among Healthcare Professionals and Pregnant Women Consulting at an Urban Tertiary Government Hospital. Unpublished.

9. Pregnant Patients • 77% were from Metro Manila • 45% were married • 87% Roman Catholic, 43% and 44% finished high school and college respectively. • The mean age 28.2 ± 6.8 years with 48% of the study population in the 20-29 year age group HV MADAMBA and SR BRAVO 2012. Acceptability of Human Immunodeficiency Virus Counseling and Testing Among Healthcare Professionals and Pregnant Women Consulting at an Urban Tertiary Government Hospital. Unpublished.

10. Healthcare Professionals • the mean age was 32.4 ± 7.7 years with 48% also in the 20-29 year age group • 29% were male and 71% were female • 60% were single while 38% were married • 36% completed college while 64% are post- graduate • mean of 5.3 ± 6.1 years in the current job and 77% receiving at least Php 20,000 monthly income • Majority (78%) of the study population come from Metro Manila • 84% are Roman Catholic. HV MADAMBA and SR BRAVO 2012. Acceptability of Human Immunodeficiency Virus Counseling and Testing Among Healthcare Professionals and Pregnant Women Consulting at an Urban Tertiary Government Hospital. Unpublished.

11. Background on HIV - HIV Experience Statements Pregnant Patients Healthcare Professionals Currently living with HIV 2 (0) 4 (1) Known someone with HIV 6 (1) 125 (29) Undergone HIV testing None 379 (88) 369 (85) Voluntary 2 (0) 6 (1) Mandatory 46 (11) 42 (10) Both 3 (1) 18 (4) Heard about HIV 399 (92) 429 (99) HV MADAMBA and SR BRAVO 2012. Acceptability of Human Immunodeficiency Virus Counseling and Testing Among Healthcare Professionals and Pregnant Women Consulting at an Urban Tertiary Government Hospital. Unpublished.

12. HIV Experience of Healthcare Professionals with HIV Patients Statement Attended HIV patient 344 (77) Received training 146 (34) Offered HIV counseling and testing to anyone 155 (36) HV MADAMBA and SR BRAVO 2012. Acceptability of Human Immunodeficiency Virus Counseling and Testing Among Healthcare Professionals and Pregnant Women Consulting at an Urban Tertiary Government Hospital. Unpublished.

13. Sources of information on HIV/AIDS Sources Radio 168 (39) Doctor 144 (33) Midwife 36 (8) Church 62 (14) Print ads 175 (41) Flyers 80 (19) Television 370 (86) Nurse 70 (16) Internet 70 (16) HV MADAMBA and SR BRAVO 2012. Acceptability of Human Immunodeficiency Virus Counseling and Testing Among Healthcare Professionals and Pregnant Women Consulting at an Urban Tertiary Government Hospital. Unpublished.

14. Knowledge on the Mode of Transmission of HIV • The healthcare professionals group correctly identified the two common modes of HIV transmission more often compared to the pregnant patients group: – sexual intercourse 14.8 x (432 [99%] vs 389 [91%]) – blood transfusion 12.6 x (430[99%] vs 375 [87%]) HV MADAMBA and SR BRAVO 2012. Acceptability of Human Immunodeficiency Virus Counseling and Testing Among Healthcare Professionals and Pregnant Women Consulting at an Urban Tertiary Government Hospital. Unpublished.

15. Knowledge on the Mode of Transmission of HIV • Pregnant patients group is more aware that HIV may be transmitted from mother to child – during pregnancy (417 [96%] versus 318 [74%]) – through breastfeeding (272[63%] versus 206 [48%]). HV MADAMBA and SR BRAVO 2012. Acceptability of Human Immunodeficiency Virus Counseling and Testing Among Healthcare Professionals and Pregnant Women Consulting at an Urban Tertiary Government Hospital. Unpublished.

16. Factors Associated with Knowledge on the Mode of Transmission of HIV • Age, level of education and being a healthcare professional were some of the factors found to affect the level of knowledge on the mode of HIV transmission. • Being a healthcare professional improved the level of HIV knowledge by 5.2 times. • It is notable that the knowledge odds on HIV increases with increasing level of education. HV MADAMBA and SR BRAVO 2012. Acceptability of Human Immunodeficiency Virus Counseling and Testing Among Healthcare Professionals and Pregnant Women Consulting at an Urban Tertiary Government Hospital. Unpublished.

17. Positive Attitudes towards People Living with HIV/AIDS • level of knowledge on the mode of HIV transmission • the level of education • the number of years employed NOTE: adjusting for other factors, being a healthcare professional is not significantly associated with a positive attitude towards people living with HIV/AIDS compared to the group of pregnant patients HV MADAMBA and SR BRAVO 2012. Acceptability of Human Immunodeficiency Virus Counseling and Testing Among Healthcare Professionals and Pregnant Women Consulting at an Urban Tertiary Government Hospital. Unpublished.

18. Prejudice against People living with HIV/AIDS • only 30% among the pregnant patients group allowed them to get married • only 15% allowed them to have children • 43% opted to remove young children from home if one parent is infected with HIV • 21% would be more sympathetic towards people who get AIDS from blood transfusion than those who get it from sex. HV MADAMBA and SR BRAVO 2012. Acceptability of Human Immunodeficiency Virus Counseling and Testing Among Healthcare Professionals and Pregnant Women Consulting at an Urban Tertiary Government Hospital. Unpublished.

19. Factors Associated with Attitudes towards People Living with HIV/AIDS • Knowledge • Education • Number of years employed ≥ 5 years HV MADAMBA and SR BRAVO 2012. Acceptability of Human Immunodeficiency Virus Counseling and Testing Among Healthcare Professionals and Pregnant Women Consulting at an Urban Tertiary Government Hospital. Unpublished.

20. Positive Attitudes Towards HIV Testing • Overall, attitudes towards HIV counseling and testing was more positive in the healthcare professionals group by as much as 8.3 times compared to the pregnant patients group (OR 8.3, p value < 0.0001). HV MADAMBA and SR BRAVO 2012. Acceptability of Human Immunodeficiency Virus Counseling and Testing Among Healthcare Professionals and Pregnant Women Consulting at an Urban Tertiary Government Hospital. Unpublished.

21. Factors Associated with Attitudes Towards HIV Testing • Level of knowledge • Education • Number of years employed HV MADAMBA and SR BRAVO 2012. Acceptability of Human Immunodeficiency Virus Counseling and Testing Among Healthcare Professionals and Pregnant Women Consulting at an Urban Tertiary Government Hospital. Unpublished.

22. Stigma Among Healthcare Professionals Towards People Living with HIV Statements Willing to treat HIV patient 292 (67) Prefer not to treat HIV patients 97 (22) Ever attended HIV Patients 334 (77) HV MADAMBA and SR BRAVO 2012. Acceptability of Human Immunodeficiency Virus Counseling and Testing Among Healthcare Professionals and Pregnant Women Consulting at an Urban Tertiary Government Hospital. Unpublished.

23. Willingness to Pay for the HIV test Questionnaires Pregnant Patients Healthcare Professionals OR p value n % n % Agree to a free test for HIV 364 85 423 97 6.4 <0.000 1 Agree to pay for an HIV test 169 39 277 64 2.7 <0.000 1 HV MADAMBA and SR BRAVO 2012. Acceptability of Human Immunodeficiency Virus Counseling and Testing Among Healthcare Professionals and Pregnant Women Consulting at an Urban Tertiary Government Hospital. Unpublished.

24. Risk Assessment and willingness to undergo HIV counseling and testing Statement Willing to Undergo HIV Counseling and Testing OR p value n % History of multiple sex partners With Without 16 68 27 18 1.7 0.1161 Symptoms of sexually transmitted infections With Without 2 82 10 20 0.4 0.2688 Use of condoms during sex With Without 18 66 26 18 1.6 0.1371 History of Injecting Drugs With Without 1 83 13 20 0.6 0.6104 HV MADAMBA and SR BRAVO 2012. Acceptability of Human Immunodeficiency Virus Counseling and Testing Among Healthcare Professionals and Pregnant Women Consulting at an Urban Tertiary Government Hospital. Unpublished.

25. Practice of HIV Counseling and Testing Statement Pregnant Patients Healthcare Professional OR P value n % n % All pregnant women should have a mandatory HIV test. 160 37 203 47 1.5 0.004 8 All pregnant women should be offered a test for HIV with the right to refuse. 332 77 399 92 3.3 <0.00 01 HV MADAMBA and SR BRAVO 2012. Acceptability of Human Immunodeficiency Virus Counseling and Testing Among Healthcare Professionals and Pregnant Women Consulting at an Urban Tertiary Government Hospital. Unpublished.

26. Conclusion • There is good level of knowledge on the modes of transmission of HIV both among the pregnant patients group and the health care professionals group • There still exists significant stigma towards people living with HIV/AIDS, which needs to be addressed with programs for stigma reduction to be able to adequately address issues for the prevention and management of HIV/AIDS patients and for the prevention of mother to child transmission. HV MADAMBA and SR BRAVO 2012. Acceptability of Human Immunodeficiency Virus Counseling and Testing Among Healthcare Professionals and Pregnant Women Consulting at an Urban Tertiary Government Hospital. Unpublished.

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