The impact of an intervention to change health workers' HIV/AIDS attitudes and knowledge in Nigeria: a controlled trial

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dc.contributor.authorEzedinachi, E.N.U.
dc.contributor.authorRoss, M.W.
dc.contributor.authorMeremiku, M.
dc.contributor.authorEssien, E.J.
dc.contributor.authorEdem, C.B.
dc.contributor.authorEkure, E.N.
dc.contributor.authorIta, O.
dc.date.accessioned2019-11-15T09:25:38Z
dc.date.available2019-11-15T09:25:38Z
dc.date.issued2002-03
dc.descriptionStaff publicationsen_US
dc.description.abstractThe aim of the study was to improve health workers' skills and confidence in dealing with patients with HIV disease and increase attention to patients' human rights. A longitudinal controlled trial was carried out in which one Nigerian state served as the intervention site and the adjacent state served as the control site for an intervention and dissemination of training in clinical management, health education, and attitudinal change toward patients with HIV disease. The intervention group n=1072, control group n=480. Following initial questionnaire-defining focus groups, nurses, laboratory technologists and physicians in all base hospitals in the intervention state were trained by influential role models who attended the initial training. Data were collected in all sites pre-training and 1 y later. Hierarchical multiple regression analysis controlling for baseline data, and orthogonal factor analysis to define scales were used. Data showed significant positive changes after 1 y in the intervention group on perception of population risk assessment, attitudes and beliefs about people with HIV disease, less fear and more sympathy for and responsibility toward HIV patients, and an increase in self-perceived clinical skills. There was increased willingness to treat and teach colleagues about people with HIV. Clinician fear and discrimination were significantly reduced, and the climate of fear that was associated with HIV was replaced with a professional concern. There was increased understanding of appropriate psychosocial, clinical and human rights issues associated with HIV treatment and prevention. This intervention, targeting health workers in an entire state and using HIV/AIDS information, role modeling, diffusion of training and discussions of discrimination and human rights, significantly affected the perception of risk groups and behaviors, perceived skills in treatment and counseling, reduced fears and increased concern for people with HIV disease, and improved the climate of treatment and prevention of HIV disease compared with a control state.en_US
dc.description.sponsorshipWorld AIDS Foundation (Institut Pasteur, Paris, France).en_US
dc.identifier.citationEzedinachi EN, Ross MW, Meremiku M, Essien EJ, Edem CB, Ekure E, Ita O. The impact of an intervention to change health workers' HIV/AIDS attitudes and knowledge in Nigeria: a controlled trial. Public Health. 2002 Mar;116(2):106-12.en_US
dc.identifier.otherPMID: 11961679.
dc.identifier.urihttps://ir.unilag.edu.ng/handle/123456789/6869
dc.language.isoenen_US
dc.publisherElsevieren_US
dc.relation.ispartofseriesPublic Health.;Vol.116(2)
dc.subjectHIVen_US
dc.subjectAIDSen_US
dc.subjectNigeriaen_US
dc.subjectHuman rightsen_US
dc.subjectattitudesen_US
dc.subjectclinical skillsen_US
dc.subjecthealth workersen_US
dc.subjectResearch Subject Categories::MEDICINEen_US
dc.titleThe impact of an intervention to change health workers' HIV/AIDS attitudes and knowledge in Nigeria: a controlled trialen_US
dc.typeArticleen_US
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