Osuji Alice, Pharr Jennifer R, Nwokoro Uche, Ike Anulika, Ali Christiana, Ejiro Ogheneaga, Osuyali John, Obiefune Michael, Fiscella Kevin, Ezeanolue Echezona E
Prevention, Education, Treatment, Training and Research-Global Solutions-PeTR-GS, Plot 25 Liberty Estate, Independence Layout Enugu, Enugu State 400001, Nigeria.
School of Community Health Sciences, University of Nevada, Las Vegas, 4505 S. Maryland Parkway, Box 453067, Las Vegas, NV 89154, USA.
Int J Environ Res Public Health. 2015 Feb 10;12(2):1969-82. doi: 10.3390/ijerph120201969.
Nigeria is second in the world for the number of people with HIV and has a high rate of mother-to-child transmission (MTCT). Over 60% of births in Nigeria occur outside of health care facilities, and because of this, Traditional Birth Attendants (TBAs) play a significant role in maternal and child health. It is important that TBAs be knowledgeable about HIV prevention. The purpose of this study was to determine the impact of HIV testing and counseling (HTC) knowledge on the HIV prevention practices among TBAs in Nigeria. Five hundred TBAs were surveyed. Chi-square and logistic regression were used to assess differences in HIV prevention practices between TBAs with and without HTC knowledge. TBAs with HTC knowledge are significantly more likely to engage in HIV prevention practices than TBAs without HTC. Prevention practices included: wearing gloves during delivery (p < 0.01), sterilization of delivery equipment (p < 0.01), participation in blood safety training (p < 0.01), and disposal of sharps (p < 0.01). As long as a high percent of births occur outside health care facilities in Nigeria, there will be a need for TBAs. Providing TBAs with HTC training increases HIV prevention practices and can be a key to improve maternal and child health.
尼日利亚的艾滋病病毒感染者数量位居世界第二，母婴传播率很高。尼日利亚超过60%的分娩在医疗保健机构之外进行，因此，传统接生员在母婴健康方面发挥着重要作用。传统接生员了解艾滋病病毒预防知识非常重要。本研究的目的是确定艾滋病病毒检测与咨询知识对尼日利亚传统接生员艾滋病病毒预防措施的影响。对500名传统接生员进行了调查。采用卡方检验和逻辑回归分析，评估有无艾滋病病毒检测与咨询知识的传统接生员在艾滋病病毒预防措施方面的差异。了解艾滋病病毒检测与咨询知识的传统接生员比不了解的更有可能采取艾滋病病毒预防措施。预防措施包括：分娩时戴手套（p<0.01）、对分娩设备进行消毒（p<0.01）、参加血液安全培训（p<0.01）以及处理锐器（p<0.01）。只要尼日利亚有很大比例的分娩在医疗保健机构之外进行，就需要传统接生员。为传统接生员提供艾滋病病毒检测与咨询培训可增加艾滋病病毒预防措施，这可能是改善母婴健康的关键。
