Knowledge, Practices and Attitude of Pregnant Women on Prevention and Transmission of HIV, Hepatitis B and C With Respect to Educational Level among Pregnant Women Visiting Health Centers at the Mifi Health District in Cameroon

A. Asobochia, Ulrich Dama, F. Akoa, M. Dzeuta, Désiré Tchoffo, J. Abanda, Henri Kamga
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Abstract

Purpose: Human immunodeficiency virus (HIV) and hepatitis B virus (HBV) , hepatitis C virus are causes of significant morbidity and mortality across the World .HIV and HBV&HCV are blood-borne viruses transmitted usually through sexual contact and use of unsterilized needles. Their similar means of transmission increases the risk of contracting both infections concurrently. This study was aimed at assessing the knowledge, practices and attitude of pregnant women on prevention and transmission of HIV, hepatitis B and C with respect to educational level at the Mifi health district. Methodology: This study was a descriptive cross sectional study involving pregnant women who visited different health centers with the Mifi health district between the month of January to june 2023. Sampling was done by convenience Data was analysed using version 20.0. and the data was presented in tables and bar graphs, meanwhile the pearson chi square test was used to compare variables under investigation at a confidence interval of 95%, providing a 5% error margin. Descriptive values were expressed as the frequency, percentage, and mean ± standard deviation (SD). Findings: Out of the 467 participants, 80.73% were within the poor knowledge range whereas 12.63% showed good knowledge (while 6.63 recorded excellent knowledge scores. 44.96% were within the poor practice range while 55.03% showed good practice. majority showed poor attitude toward transmission and prevention of HIV, HBV and HCV as only 18(3.85%) were willing to meet the doctor if they were diagnosed of any of the above mention infections meaning 449 (96.14%) will embrace fear and sadness. Majority of pregnant women in this study had good knowledge regarding prevention and transmission of HIV,HBV and. Irrespective of the knowledge, practices and attitude of the participants were generally poor at the Mifi health district in Cameroon. Unique Contribution to Theory, Practice and Policy: This research have come to set standard in health facilities in the mifi health district by proving beyond doubt that pregnant women are co infected with both HIV,HBV, and HCV and giving the poor attitude and  practices among women that fuel the transmissions of these infections, we stand to advocate that all women presenting for ANC, should be compulsorily tested for HIV,HBV and HCV and equally much education on the transmission mode of these infections by the nurses should be implemented. This study have saved as an eye opener to policy makers to impost the testing of HIV, HBV and HCV during every first ANC visit and possibly two weeks before delivery.
在喀麦隆米菲卫生区保健中心就诊的孕妇对预防和传播艾滋病毒、乙型肝炎和丙型肝炎的知识、做法和态度与受教育程度的关系
目的:人类免疫缺陷病毒(HIV)和乙型肝炎病毒(HBV)以及丙型肝炎病毒是导致全球重大疾病和死亡的原因。HIV 和 HBV&HCV 是血液传播病毒,通常通过性接触和使用未经消毒的针头传播。它们相似的传播方式增加了同时感染这两种病毒的风险。本研究旨在评估米菲卫生区孕妇在预防和传播艾滋病毒、乙型肝炎和丙型肝炎方面的知识、做法和态度,并考虑其教育水平。研究方法:本研究是一项描述性横断面研究,涉及 2023 年 1 月至 6 月期间在米菲卫生区不同保健中心就诊的孕妇。数据使用 20.0 版进行分析,并以表格和条形图的形式呈现,同时使用皮尔森秩方检验对调查变量进行比较,置信区间为 95%,误差范围为 5%。描述性数值以频率、百分比和平均值 ± 标准差(SD)表示。研究结果在 467 名参与者中,80.73% 的人知识水平较低,12.63% 的人知识水平较高,6.63 的人知识水平较高。大多数人对 HIV、HBV 和 HCV 的传播和预防表现出很差的态度,只有 18 人(3.85%)愿意在确诊感染上述任何一种病毒时去看医生,这意味着 449 人(96.14%)会感到恐惧和悲伤。在这项研究中,大多数孕妇对艾滋病毒、乙肝病毒和艾滋病的预防和传播有很好的了解。尽管如此,在喀麦隆米菲卫生区,参与者的知识、实践和态度普遍较差。对理论、实践和政策的独特贡献:这项研究为米菲卫生区的卫生机构制定了标准,毫无疑问地证明了孕妇同时感染艾滋病毒、乙肝病毒和丙肝病毒,而妇女们的不良态度和做法助长了这些感染的传播,因此,我们主张所有来做产前检查的妇女都必须接受艾滋病毒、乙肝病毒和丙肝病毒检测,护士也应开展有关这些感染传播方式的教育。这项研究让政策制定者们大开眼界,他们应该在每次产前检查的第一次就诊时,可能的话在分娩前两周进行 HIV、HBV 和 HCV 检测。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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