African Institute for Health Policy and Health Systems, Ebonyi State University, Abakaliki.
Department of Community Medicine, Alex-Ekwueme Federal University Teaching Hospital Abakaliki Ebonyi State Nigeria.
Afr Health Sci. 2020 Sep;20(3):1080-1089. doi: 10.4314/ahs.v20i3.10.
The aim of this study was to appraise the implementation of the National HIV guidelines and determine the effect of an educational intervention on health worker knowledge and practice of the guidelines.
A before and after study design without control was carried out using a self-administered questionnaire and key informant interviews. Data was also collected from client record cards. An educational intervention was carried out using pamphlets containing summarized information on the guideline. Data analysis was carried out using IBM-SPSS version 20.
Results showed that 54.5% of the respondents were males and 76% were medical doctors. Baseline knowledge level of respondents was high with 97% of respondents having good knowledge with a mean score of 3.9. This increased to 4.1 out of 5 post-intervention. All respondents had good practice of the guidelines before and after intervention with a mean score of 4.5 out of 5. Client records also showed good practice. Barriers to guideline implementation include: poor knowledge, inadequate training, guideline unavailability, poor functioning of the laboratory equipment, poor funding.
HIV guidelines are being implemented in the clinic to a large extent; however, trainings, funding and provision of the guideline in the clinics are recommended.
本研究旨在评估国家艾滋病防治指南的实施情况，并确定教育干预对卫生工作者了解和实践指南的影响。
采用前后对照设计，不设对照组，使用自填式问卷和关键知情人访谈进行研究。还从患者病历卡中收集数据。使用包含指南摘要信息的小册子进行教育干预。数据分析使用 IBM-SPSS 版本 20。
结果显示，54.5%的受访者为男性，76%为医生。基线时受访者的知识水平较高，97%的受访者知识掌握良好，平均得分为 3.9。干预后增加到 4.1 分（满分 5 分）。所有受访者在干预前后的指南实践均良好，平均得分为 4.5 分（满分 5 分）。患者病历也显示出良好的实践。指南实施的障碍包括：知识不足、培训不足、指南不可用、实验室设备功能不佳、资金不足。
诊所很大程度上正在实施艾滋病防治指南；然而，建议加强培训、资金投入，并在诊所提供指南。
