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Evaluation of the effect of an educational intervention on knowledge and adherence to HIV guidelines among frontline health workers in Alex-Ekwueme Federal University Teaching Hospital Abakaliki, Nigeria.
Akamike, Ifeyinwa Chizoba; Okedo-Alex, Ijeoma Nkem; Uneke, Chigozie Jesse; Uro-Chukwu, Henry Chukwuemeka; Chukwu, Onyedikachi Echefu; Ugwu, Ngozi Immaculata; Agbo, Urudinachi Nnenne; Ezeoha, Abel Ebeh.
Afiliación
  • Akamike IC; African Institute for Health Policy and Health Systems, Ebonyi State University, Abakaliki.
  • Okedo-Alex IN; Department of Community Medicine, Alex-Ekwueme Federal University Teaching Hospital Abakaliki Ebonyi State Nigeria.
  • Uneke CJ; African Institute for Health Policy and Health Systems, Ebonyi State University, Abakaliki.
  • Uro-Chukwu HC; Department of Community Medicine, Alex-Ekwueme Federal University Teaching Hospital Abakaliki Ebonyi State Nigeria.
  • Chukwu OE; African Institute for Health Policy and Health Systems, Ebonyi State University, Abakaliki.
  • Ugwu NI; African Institute for Health Policy and Health Systems, Ebonyi State University, Abakaliki.
  • Agbo UN; African Institute for Health Policy and Health Systems, Ebonyi State University, Abakaliki.
  • Ezeoha AE; African Institute for Health Policy and Health Systems, Ebonyi State University, Abakaliki.
Afr Health Sci ; 20(3): 1080-1089, 2020 Sep.
Article en En | MEDLINE | ID: mdl-33402953
BACKGROUND: The aim of this study was to appraise the implementation of the National HIV guidelines and determine the effect of an educational intervention on health worker knowledge and practice of the guidelines. METHODS: A before and after study design without control was carried out using a self-administered questionnaire and key informant interviews. Data was also collected from client record cards. An educational intervention was carried out using pamphlets containing summarized information on the guideline. Data analysis was carried out using IBM-SPSS version 20. RESULT: Results showed that 54.5% of the respondents were males and 76% were medical doctors. Baseline knowledge level of respondents was high with 97% of respondents having good knowledge with a mean score of 3.9. This increased to 4.1 out of 5 post-intervention. All respondents had good practice of the guidelines before and after intervention with a mean score of 4.5 out of 5. Client records also showed good practice. Barriers to guideline implementation include: poor knowledge, inadequate training, guideline unavailability, poor functioning of the laboratory equipment, poor funding. CONCLUSION: HIV guidelines are being implemented in the clinic to a large extent; however, trainings, funding and provision of the guideline in the clinics are recommended.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Médicos / Pautas de la Práctica en Medicina / Evaluación de Programas y Proyectos de Salud / Infecciones por VIH / Conocimientos, Actitudes y Práctica en Salud / Personal de Salud / Adhesión a Directriz / Terapia Antirretroviral Altamente Activa Tipo de estudio: Diagnostic_studies / Evaluation_studies / Guideline / Prognostic_studies / Qualitative_research Aspecto: Implementation_research Límite: Adult / Female / Humans / Male / Middle aged País/Región como asunto: Africa Idioma: En Revista: Afr Health Sci Asunto de la revista: MEDICINA / SERVICOS DE SAUDE Año: 2020 Tipo del documento: Article Pais de publicación: Uganda

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Médicos / Pautas de la Práctica en Medicina / Evaluación de Programas y Proyectos de Salud / Infecciones por VIH / Conocimientos, Actitudes y Práctica en Salud / Personal de Salud / Adhesión a Directriz / Terapia Antirretroviral Altamente Activa Tipo de estudio: Diagnostic_studies / Evaluation_studies / Guideline / Prognostic_studies / Qualitative_research Aspecto: Implementation_research Límite: Adult / Female / Humans / Male / Middle aged País/Región como asunto: Africa Idioma: En Revista: Afr Health Sci Asunto de la revista: MEDICINA / SERVICOS DE SAUDE Año: 2020 Tipo del documento: Article Pais de publicación: Uganda