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Please use this identifier to cite or link to this item: http://hdl.handle.net/123456789/2546

Title: Assessment of Health Care Workers Occupational Exposure to HIV and Post-Exposure Prophylaxis (PEP) in Health Centers and Hospitals of Addis Ababa
Authors: Tadesse, Alemayehu
Advisors: Abera Kumie (MD, MSc, Ass. Professor)
Keywords: HIV
health care workers
post-exposure prophylaxis
needle stick injuries
Occupational exposure
Copyright: Jul-2008
Date Added: 4-May-2012
Publisher: AAU
Abstract: Background: An occupational exposure that may place a worker at risk of HIV infection is a percutaneous injury, contact of mucous membrane or skin with blood or other body fluids to which universal precaution apply. Exploring the knowledge, extent of exposures and practices of health care workers on occupational HIV risks is important. Objectives: The objective of the study was to assess occurrence of occupational exposures and knowledge and practice regarding HIV post-exposure prophylaxis among health care workers in health centers and hospitals of Addis Ababa. Methods and Materials: A facility based cross-sectional study, involving 372 health care workers, was conducted in Addis Ababa from March to April 2008. A pre-tested, interviewer administered, structured questionnaire was applied for data collection. Odds ratio with 95% confidence interval and logistic regression analysis were employed to measure the degree of association between factors and identify the predictors for occurrence of needle stick injuries. Result: The study revealed that 38.2% of health care workers experienced at least one needle stick injury in their life time and 19% of respondents experienced needle stick injury with in the last one year. Rate of needle stick injury in the previous one year was estimated as 1.34 injuries per person. Factors associated with occurrence of injuries were being a nurse (AOR=15.39, 95%CI=3.70-18.05), having work experience for more than 10 years (AOR=2.68, 95%CI=1.30-5.54), working long hours (AOR=1.90, 95%CI=1.10-3.31), attending fewer patients per day (AOR=2.21, 95%CI=1.32-3.58), self perception of high risk HIV (AOR=2.05, 95%CI=1.10-3.82) and non-consistent use of personal protective equipments (AOR=1.67, 95%CI=1.01-2.76). Two hundred sixty four (71.0%) respondents had knowledge about HIV post-exposure prophylaxis. Conclusion and Recommendation: The findings of this study indicated that occupational exposures were common among health care workers. Health facilities should make available to their system that includes a standardized written protocol and reporting unit for management of occupational exposures. Improvement of work environment and appropriate management of exposed cases, including addressing the psychosocial burden health workers face after exposure is also imperative.
URI: http://hdl.handle.net/123456789/2546
Appears in:Thesis - Public Health

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