A CROSS-SECTIONAL ASSESSMENT OF PHARMACISTS’ KNOWLEDGE, ATTITUDE AND PRACTICE OF PREVENTION OF MOTHER-TO-CHILD TRANSMISSION OF HIV IN TWO NIGERIAN TEACHING HOSPITALS
Pharmacists’ Knowledge, Attitude and Practice of PMTCT
Keywords:Attitude, HIV, Knowledge, Mother-to-child-transmission, Pharmacists, Practice, Prevention
Background: The pharmacological component of prevention of mother-to-child transmission (PMTCT) services involves the provision of antiretroviral agents (ARVs) to the mothers and/or their babies at any stage of pregnancy. This study assessed the knowledge, attitude and practice (KAP) of Pharmacists about PMTCT.
Materials and Methods: A questionnaire-based cross-sectional study was conducted among consenting Pharmacists at Ahmadu Bello University Teaching Hospital (ABUTH) and University of Nigeria Teaching Hospital (UNTH). Completed questionnaires were collated and analyzed using SPSS Version-25 with appropriate descriptive and inferential statistics. P-values less than 0.05 were considered to be statistically significant.
Results: A total of 77 Pharmacists participated in the study, with 54(70.13%) being from ABUTH. In ABUTH, 15(33.3%) Pharmacists identified as being females, against 16(69.6%) in UNTH. Majority (40,95.2%) of the Pharmacists in ABUTH had less than 10 years working experience as against 8(34.8%) in UNTH. Forty-eight (88.9%) respondents knew the correct meaning of PMTCT. The Pharmacists in ABUTH and UNTH had mean knowledge scores of 58.70±2.88% and 52.17±6.19%, respectively; t(75)=1.094, p=0.760. In ABUTH and UNTH, 16(69.6%) and 22(42.3%) Pharmacists, respectively, strongly agreed that PMTCT can prevent future infections in the infants. Their mean attitude scores were 69.65±1.22% (ABUTH) and 74.09±1.68% (UNTH); t(73)=-2.063, p=0.487. For practice, 4(5.33%) Pharmacists in both hospitals very often dispensed PMTCT drugs, while 37(70.83%) counseled PMTCT treatment-naïve patients.
Conclusion: The Pharmacists assessed in both hospitals had a fair knowledge of PMTCT services. Their attitudes to PMTCT was very good, although only a few of them had experience in providing care for PMTCT patients.
Abdool Karim, S., Abdool Karim, Q., Adhikari, M., Cassol, S., Chersich, M., Cooper, P., Coovadia, A., Coovadia, H., Cotton, M., Coutsoudis, A., Hide, W., Hussey, G., Maartens, G., Madhi, S., Martin, D., Pettifor, J. M., Rollins, N., Sherman, G., Thula, S., … Myers, J. (2002). Vertical HIV transmission in South Africa: translating research into policy and practice. Lancet (London, England), 359(9311): 992–993. https://doi.org/10.1016/S0140-6736(02)08063-7
Aishat, U. and Olubunmi, A. (2016). Prevention of Mother-to-Child Transmission of HIV/AIDS: Perception of Health Care Workers in Rural Areas of Oyo State. Scientifica, 2016. https://doi.org/10.1155/2016/4257180
Anoje, C., Aiyenigba, B., Suzuki, C., Badru, T., Akpoigbe, K., Odo, M., Odafe, S., Adedokun, O., Torpey, K. and Chabikuli, O. N. (2012). Reducing mother-to-child transmission of HIV: findings from an early infant diagnosis program in south-south region of Nigeria. BMC Public Health, 12(1): 184. https://doi.org/10.1186/1471-2458-12-184
Arulogun, O. S., Adewole, I. F., Olayinka-Alli, L. and Adesina, A. O. (2007). Community gate keepers’ awareness and perception of prevention of mother-to-child transmission of HIV services in Ibadan, Nigeria. African Journal of Reproductive Health, 11(1): 67–75. http://www.ncbi.nlm.nih.gov/pubmed/17982949.
Blouin, R. A. (2017). The Role of the Pharmacist in Health Care: Expanding and Evolving. North Carolina Medical Journal, 78(3): 165–167.
Centers for Disease Control and Prevention. (2016). Overview of HIV Prevention in Mothers, Infants, and Young Children (pp. 1–14). https://www.cdc.gov/globalaids/resources/pmtct-care/docs/pm/module_2pm.pdf.
De Cock, K. M., Fowler, M. G., Mercier, E., de Vincenzi, I., Saba, J., Hoff, E., Alnwick, D. J., Rogers, M. and Shaffer, N. (2000). Prevention of mother-to-child HIV transmission in resource-poor countries: translating research into policy and practice. Journal of the American Medical Association, 283(9): 1175–1182. http://www.ncbi.nlm.nih.gov/pubmed/10703780.
Federal Ministry of Health (2014). Integrated National Guidelines For HIV Prevention, Treatment And Care. Federal Ministry of Health, Abuja, Nigeria.
Hussein, M., Jira, C. and Girma, B. (2011). Assessment of Effective Coverage of HIV Prevention of Pregnant Mother to Child Transimission Services in Jimma Zone, South West Ethiopia. Ethiopian Journal of Health Sciences, 21(Suppl 1): 1–7. http://www.ncbi.nlm.nih.gov/pubmed/22435003.
Khan, T. M. and Baig, M. R. (2013). Hospital pharmacists’ knowledge about and attitude toward HIV/AIDS and patients living with HIV/AIDS in Kedah, Malaysia. Archives of Medical Science, 9(6): 1117–1124. https://doi.org/10.5114/aoms.2012.30953.
Linguissi, L. S. G., Sagna, T., Soubeiga, S. T., Gwom, L. C., Nkenfou, C. N., Obiri-Yeboah, D., Ouattara, A. K., Pietra, V. and Simpore, J. (2019). Prevention of mother-to-child transmission (PMTCT) of HIV: A review of the achievements and challenges in Burkina-Faso. HIV/AIDS - Research and Palliative Care, 11: 165–177. https://doi.org/10.2147/HIV.S204661.
Ndikom, C. M. and Onibokun, A. (2007). Knowledge and behaviour of nurse/midwives in the prevention of vertical transmission of HIV in Owerri, Imo State, Nigeria: A cross-sectional study. BMC Nursing, 6: 1–9. https://doi.org/10.1186/1472-6955-6-9.
Nkwabong, E., Meboulou Nguel, R., Kamgaing, N. and Keddi Jippe, A. S. (2018). 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. BMC Pregnancy and Childbirth, 18(1): 1–6. https://doi.org/10.1186/s12884-018-1876-0.
Ogbonna, K., Govender, I., & Tumbo, J. (2016). Knowledge and practice of the prevention of mother-to-child transmission of HIV guidelines amongst doctors and nurses at Odi Hospital, Tshwane District. South African Family Practice, 58(5): 167–171. https://doi.org/10.1080/20786190.2016.1228561.
Okoli, J. C. and Lansdown, G. E. (2014). Barriers to successful implementation of prevention-of-mother-to-child-transmission (PMTCT) of HIV programmes in Malawi and Nigeria: A critical literature review study. Pan African Medical Journal, 19. https://doi.org/10.11604/pamj.2014.19.154.4225.
Pokharel, N., Shrestha, M. and Lama, S. (2012). Awareness on HIV/AIDS and prevention of mother to child transmission of HIV/AIDS among stake holders and people living with HIV/AIDS in Dharan municipality, Sunsari, Nepal. International Journal of Nursing and Midwifery, 4(2): 21–24. https://doi.org/10.5897/IJNM11.034.
The Joint United Nations Programme on HIV and AIDS. (2002). AIDS epidemic Update. In Tropical doctor, 32 (Issue December): 189. http://www.ncbi.nlm.nih.gov/pubmed/12139180.
The Joint United Nations Programme on HIV and AIDS. (2004). Report on the global HIV / AIDS (Issue July). http://data.unaids.org/pub/Report/2002/brglobal_aids_report_en_pdf_red_en.pdf.
Thomson, K. A., Telfer, B., Awiti, P. O., Munge, J., Ngunga, M. and Reid, A. (2018). Navigating the risks of prevention of mother to child transmission (PMTCT) of HIV services in Kibera, Kenya: Barriers to engaging and remaining in care. PLoS ONE, 13(1): 1–20. https://doi.org/10.1371/journal.pone.0191463.
Tsuyuki, R. T., Beahm, N. P., Okada, H. and Al Hamarneh, Y. N. (2018). Pharmacists as accessible primary health care providers: Review of the evidence. In Canadian Pharmacists Journal, 151(1): 4–5. SAGE Publications Ltd. https://doi.org/10.1177/1715163517745517.
Wanyenze, R. K., Goggin, K., Finocchario-Kessler, S., Beyeza-Kashesya, J., Mindry, D., Birungi, J., Woldetsadik, M. and Wagner, G. J. (2018). Utilization of prevention of mother-to-child transmission (PMTCT) services among pregnant women in HIV care in Uganda: A 24-month cohort of women from pre-conception to post-delivery. BMC Research Notes, 11(1): 1–5. https://doi.org/10.1186/s13104-018-3304-y.
Yan, L. C. and Ming, L. W. (1992). An Investigation of Employee Attitudes Towards Training Effectiveness, 510665: 818–824.
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