Knowledge about HIV/AIDS, Among Health Workers in Three Provinces in Northern Vietnam: A Cross-Sectional Study

Ha Nguyen Pham, Huy Van Nguyen, Giang Minh Le, Nhu To Nguyen, Minh Van Hoang, Anna Ekeus Thorson

Abstract


An effective response to HIV requires a strong and sustainable health system with a well-trained workforce. This study aims to explore the knowledge about HIV/AIDS among health workers in three provinces in Northern Vietnam. A cross-sectional study was conducted with 610 health workers. Face-to-face interviews with structured questionnaire on knowledge about HIV/AIDS and self-administered questionnaires on drug use, stigma and discrimination, were conducted. Data were entered using ACCESS, and transferred into STATA 10.0 for analysis. The health workers showed strengths in some domains of knowledge but were weak in others. Knowledge about HIV/AIDS epidemiology, prevention and treatment appeared to be sufficient. In contrast though, only 8% of participants have correct knowledge on positive confirmatory tests, role of voluntary counselling and testing (mean=1.48, range=0-2). Another area of deficiency was knowledge about palliative care and nutrition for people living with HIV (PLHIV). Knowledge levels were low in regards to identifying pain level (12 %), starting time for palliative care (8%), and types of palliative care (mean=0.84, range=0-2). In regards to nutrition, though participants know about food groups needed for the patients (mean=2.23, range=1-3), but only 20% understand that increased nutrition is necessary. The participants demonstrated a comparatively good understanding of negative effects of stigma and discrimination on PLHIV (mean=3.16, range=3-4), their families (mean=2.90, range=2-4), and community (mean=2.32, range=2-3). Despite this, knowledge about concepts of stigma (19 %) and discrimination (13%) remained modest. The multivariable linear regression analysis shows that health workers, who do not support the isolation and separation of PLHIV, and who have positive attitude to PLHIV, have better knowledge about stigma and discrimination. This study demonstrates that besides basic knowledge about HIV/AIDS, priorities should be given to training for health workers on stigma and discrimination reduction as well as on palliative care and nutrition for PLHIV.

Keywords


HIV/AIDS; health workers; stigma and discrimination; HIV/AIDS knowledge

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References


WHO. Number of people (all ages) living with HIV 2015; Available from: http://www.who.int/gho/hiv/epidemic_status/cases_all_text/en/.

WHO, Handbook on Monitoring and Evaluation of Human Resources for Health 2009, World Health Organization, WB, USAID Geneva, Switzerland

Management Sciences for Health and WHO, Tools for planning and developing human resources for HIV/AIDS and other health services 2007, Management Sciences for Health: Cambridge Massachusetts.

WHO, Treat, Train and Retain Task Shifting: Global Recommendations and Guidelines 2007, WHO, PEPFAR, UNAIDS: Geneva, Switzerland.

Government of Vietnam, Vietnam AIDS response progress report 2014 March 2014, Socialist Republic of Vietnam. Hanoi

Government of Vietnam, The fourth country report on following up the implementation to the declaration of commitment on HIV and AIDS 2010: Hanoi

Li, L., et al., HIV-related stigma in health care settings: a survey of service providers in China. AIDS Patient Care and STDs, 2007. 21(10): p. 753-762.

Li, L., et al., Stigmatization and shame: consequences of caring for HIV/AIDS patients in China. AIDS Care, 2007. 19(2): p. 258-63.

Webber, G.C., Chinese health care providers' attitudes about HIV: a review. AIDS Care, 2007. 19(5): p. 685-691.

Hair, J.F., et al., Multivariate Data Analysis. 6th ed. 2005, New York: Prentice Hall.

Sarantakos, S., Social Research. 2nd ed. 1998: Macmillan Publishers.

Kline, P., Principles and Practices of Structural Equation Modeling. 2nd ed. 2005: The Guildford Press.

Somarriba, G., et al., The effects of aging, nutrition, and exercise during HIV infection Dovepress 2010. 14(3): p. 191-201.

Serrano, C., et al., Family nutritional support improves survival, immune restoration and adherence in HIV patients receiving ART in developing country Asia Pac J Clin Nutr, 2010. 19(1): p. 68-75

Raiten, D.J., Nutrition and pharmacology: General principles and implications for HIV Am J Clin Nutr 2011. 94.

Raiten, D.J., et al., Executive summary-Nutritional Care of HIV-Infected Adolescents and Adults, including Pregnant and Lactating Women: What Do We Know, What Can We Do, and Where Do We Go from Here. Am J Clin Nutr 2011. 94.

Musoke, P.M. and P. Fergusson, Severe malnutrition and metabolic complications of HIV-infected children in the antiretroviral era: clinical care and management in resource-limited settings. Am J Clin Nutr 2011. 94.

Green, K., et al., Integrating palliative care into HIV outpatient clinical settings: preliminary findings from an intervention study in Vietnam. J Pain Symptom Manage, 2010. 40(1): p. 31-4.

Alexander, C.S., et al., Palliative Care and Support for Persons with HIV/AIDS in 7 African Countries: Implementation Experience and Future Priorities. Am J Hosp Palliat Care, 2011.

Vellucci, R., Heterogeneity of chronic pain. Clin Drug Investig, 2012. 32 Suppl 1: p. 3-10.

Krakauer, E.L., N.T. Cham, and L.N. Khue, Vietnam's palliative care initiative: successes and challenges in the first five years. J Pain Symptom Manage, 2010. 40(1): p. 27-30.

Scholten, W.K. and B. Milani, Providing paediatric palliative care in Kenya. Lancet, 2010. 376(9757): p. 1988.

UNAIDS, Getting to Zero. 2011-2015 Strategy 2010, Geneva.

Haber, D.B., J.L. Roby, and L.D. High-George, Stigma by association: the effects of caring for HIV/AIDS patients in South Africa. Health Soc Care Community, 2011. 19(5): p. 541-9.

Earnshaw, V.A. and R. Chaudoir, From conceptualizing to measuring HIV stigma: A review of HIV stigma mechanism measures. AIDS Behav, 2009. 13: p. 1160-1177.

Government of Vietnam, Decision No. 36/2004/QD-TTG of March 17, 2004 approving the National Strategy on HIV/AIDS prevention and control in Vietnam till 2010 with a vision to 2020.

Government of Vietnam, Decision on approving National Strategy on HIV/AIDS prevention and control in Vietnam till 2020 with a vision to 2030. 2012.

UNESCO, Strategy for HIV/AIDS Prevention Education2004, Paris

UNESCO, Strategy for responding HIV and AIDS 2007, Paris

UNESCO, Strategy for HIV and AIDS 2011Paris

UNESCO. WHO, HIV and AIDS Treatment Education 2006, Paris

UNAIDS, HIV and AIDS Treatment Education 2006, Geneva.

Aggleton, P., E. Yankah, and M. Crewe, Education and HIV/AIDS-30 years on. AIDS Educ Prev. 23(6): p. 495-507.

Aggleton, P. and I. Warwick, Education and HIV/AIDS prevention among young people. AIDS Educ Prev, 2002. 14(3): p. 263-7.

Lutalo, I.M., G. Schneider, and M.R. Weaver, et al., Training needs assessment for clinicians at antiretroviral therapy clinics: evidence from a national survey in Uganda. Human Resources for Health, 2009. 7(76): p. 1-8.

Rasschaert, F., et al., Tackling health workforce shortages during antiretroviral treatment scale-up--experiences from Ethiopia and Malawi. J Acquir Immune Defic Syndr, 2011. 57 Suppl 2: p. S109-12.

Crisp, N., B. Gawanas, and I. Sharp, Training the health workforce: scaling up, saving lives. Lancet, 2008. 371(9613): p. 689-91.