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Knowledge, attitudes and practices of health personnel of maternities in the prevention of mother-to-child transmission of HIV in a sub-Saharan African region with high transmission rate: some solutions proposed

机译:撒哈拉以南非洲传播率高的地区,成熟卫生人员在预防艾滋病毒母婴传播方面的知识,态度和做法:提出了一些解决方案

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High mother-to-child (MTC) transmission rate of HIV might contribute to the increased pandemic rate. The aim of this study was to identify the knowledge, attitude and practices of health personnel working in maternities in the prevention of MTC transmission of HIV. This cross-sectional descriptive study was carried out from 20th February to 30th April, 2017. All health personnel working in the maternity wards were included in this study. The variables recorded included their age, grade, experience (number of year of practice), gender, educational level, health structure and the training in prevention of MTC transmission of HIV. Analyses were done using SPSS 21.0. The Pearson Chi-square test or Fisher’s exact test and logistic regression were used for comparison. The level of significance was P?
机译:艾滋病毒的高母婴传播率可能导致大流行率上升。这项研究的目的是确定在预防艾滋病毒的MTC传播方面成熟的卫生人员的知识,态度和做法。这项横断面描述性研究于2017年2月20日至4月30日进行。本研究包括所有在产科病房工作的卫生人员。记录的变量包括年龄,职等,经验(工作年限),性别,教育程度,健康结构以及预防MTC传播HIV的培训。使用SPSS 21.0进行分析。使用Pearson卡方检验或Fisher精确检验和逻辑回归进行比较。显着性水平为P≤0.05。总共招募了140名卫生人员。其中73名(52.1%)的知识不足。与足够的知识显着相关的因素是助产士资格(aOR 9.01,95%CI 1.82–48.60)和预防HIV的MTC传播的培训(aOR 2.23,95%CI 1.02–4.81)。在态度方面,有85位从业者(60.7%)持否定态度。只有年龄≥33岁的人与积极态度显着相关(aOR 2.34,95%CI 1.14–4.23)。在实践方面,只有32名从业者(22.9%)有良好实践。只有助产士与良好做法相关(aOR 3.23,95%CI 1.21-9.95)。在该区域大多数卫生人员中,在预防MTC传播HIV方面的知识,态度和做法不足。因此,对预防知识的缺乏会导致艾滋病毒母婴传播率的上升。为了降低这一比率,应培训更多的卫生人员,特别是助产士,以预防MTC传播HIV。此外,所有艾滋病毒携带者的分娩应由受过训练的助产士进行,或至少在受过训练的助产士的监督下进行,尤其是那些年满33岁的助产士。

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