Ogena Jonathan, Opii Didan Jacob, Nakku Betty, Aceng Cindrella, Oola Tonny, Kobusinge Veronica, Rukundo Godfrey Zari, Auma Anna Grace
Lira University, P.O.BOX 1035, Faculty of Health Sciences Lira University, Lira, Ouganda.
Department of Psychiatry, Mbarara University of Science and Technology, Mbarara, Ouganda.
PAMJ One Health. 2023;11. doi: 10.11604/pamj-oh.2023.11.10.39159. Epub 2023 Jun 30.
despite significant progress made in HIV care and research, there are still many misconceptions on acquisition, treatment and progress of HIV especially in rural communities. Different strategies have been utilized to spread reliable knowledge to different audiences. One of the strategies has been the use of community awareness campaigns. However, it is not clear if these campaigns have been effective and if they reached the different sub-populations in the community. This study aimed to assess the knowledge and practices of HIV community awareness campaigns and associated factors among pregnant women living with HIV in Oyam district in northern Uganda.
it was a quantitative cross-sectional study in a consecutively selected sample of 416 pregnant women living with HIV. An interviewer-administered questionnaire was used to collect data on awareness, sources of information, content of the messages, utilization of the awareness messages and the perceptions about the campaigns. In addition, we determined factors associated with knowledge about the community campaigns. The level of knowledge was determined by the participant' response indicating whether they had prior knowledge about awareness campaigns or not. Data were analyzed using SPSS version 23 using Chi-square and logistic regression at 95% confidence interval and a p-value of 0.05 for statistical significance.
of the 416 participants in the study, 92.5% (n=385) had prior knowledge about HIV awareness campaigns and 97.6% (n=406) had specifically heard about anti-HIV-related stigma campaigns. The most common sources of information were radio (43.3%), health education sessions at health facilities (44%), and family members (2.9%). The received information was on HIV transmission, antiretroviral therapy, HIV related stigma as well the effect of stigma on self-esteem, hopelessness, HIV related abuse and ART adherence. Knowledge was associated with having a source of income (OR= 0.162, 95%CI 0.034-0.775, P= 0.023), having heard about HIV-related Stigma (OR=0.051, 95%CI 0.003-.949, P= 0.046), availability of community linkage facilitators (OR= 0.077, 95% CI 0.011-0.537, P= 0.010), use of awareness messages by community members (OR= 13.887, 95% CI 1.316-146.6, P=0.029) and the source of HIV awareness information (OR= 0.462, 95% CI 0.237-.902, P=0.024).
although there is still high HIV-related stigma in general public, there is increased awareness among pregnant women. Availability of community linkage facilitators and use of appropriate sources of information seems to be helping with increasing community knowledge about HIV awareness campaigns.
尽管在艾滋病护理和研究方面取得了重大进展，但对于艾滋病的感染、治疗和病情发展仍存在许多误解，尤其是在农村社区。人们采用了不同策略向不同受众传播可靠知识。其中一种策略是开展社区宣传活动。然而，尚不清楚这些活动是否有效，以及是否覆盖了社区中的不同亚群体。本研究旨在评估乌干达北部奥亚姆区感染艾滋病的孕妇对艾滋病社区宣传活动的了解情况、相关做法及相关因素。
这是一项针对连续选取的416名感染艾滋病的孕妇的定量横断面研究。采用访谈式问卷收集有关知晓情况、信息来源、信息内容、宣传信息的利用情况以及对这些活动的看法的数据。此外，我们还确定了与社区宣传活动知识相关的因素。知识水平通过参与者的回答来确定，即他们是否对宣传活动有先验知识。使用SPSS 23版软件进行数据分析，采用卡方检验和逻辑回归，置信区间为95%，p值为0.05时具有统计学意义。
在该研究的416名参与者中，92.5%（n = 385）对艾滋病宣传活动有先验知识，97.6%（n = 406）特别听说过与艾滋病相关的消除耻辱运动。最常见的信息来源是广播（43.3%）、医疗机构的健康教育课程（44%）和家庭成员（2.9%）。所接收的信息涉及艾滋病传播、抗逆转录病毒疗法、与艾滋病相关的耻辱感以及耻辱感对自尊、绝望、与艾滋病相关的虐待行为和抗逆转录病毒治疗依从性的影响。知识与有收入来源（OR = 0.162，95%CI 0.034 - 0.775，P = 0.023）、听说过与艾滋病相关的耻辱感（OR = 0.051，95%CI 0.003 - 0.949，P = 0.046）、有社区联系促进者（OR = 0.077，95%CI 0.011 - 0.537，P = 0.010）、社区成员对宣传信息的使用（OR = 13.887，95%CI 1.316 - 146.6，P = 0.029）以及艾滋病知晓信息的来源（OR = 0.462，95%CI 0.237 - 0.902，P = 0.024）相关。
尽管公众中与艾滋病相关的耻辱感总体上仍然很高，但孕妇中的知晓率有所提高。社区联系促进者的存在以及使用适当的信息来源似乎有助于提高社区对艾滋病宣传活动的了解。
