Mabe Reatile, Pienaar Michael A, van Zyl Riana
Department of Paediatrics and Child Health, Faculty of Health Sciences, University of the Free State, Bloemfontein, South Africa.
South Afr J HIV Med. 2025 Aug 30;26(1):1720. doi: 10.4102/sajhivmed.v26i1.1720. eCollection 2025.
Paediatric HIV remains a major public health challenge. Little is known about the HIV knowledge, perceptions, and behaviours of healthcare professionals caring for these children.
To assess the level of knowledge, attitudes and practices (KAP) of healthcare workers (HCW) caring for children with HIV in a tertiary hospital setting.
A cross-sectional study was conducted at Pelonomi Tertiary Hospital between July 2022 and September 2022. Healthcare workers, selected through purposive sampling, completed an anonymous self-administered KAP questionnaire on paediatric HIV.
There were 94 participants in this study; 62 were nurses and 32 were medical doctors. Less than half of the HCWs (44.7%) had adequate knowledge. Doctors (87.5%) were more knowledgeable than nurses (22.6%). Areas in which there was a significant difference in knowledge ( < 0.05) were in breastfeeding, vertical transmission prevention, management of HIV and tuberculosis co-infection, the use of the polymerase chain reaction test, and first-line treatment regimens. The attitudes of the majority of HCWs were favourable and optimistic. Regarding practices, more nurses (60.7%) wore gloves than doctors (37.5%). The majority of HCWs (85.7%) disposed of sharps appropriately.
Despite the low levels of knowledge among study participants, particularly among the nursing group, favourable attitudes suggested that HCWs were willing to increase their levels of knowledge. Healthcare workers can be empowered in a supportive workplace by being offered interactive training sessions based on established guidelines.
儿童艾滋病仍然是一项重大的公共卫生挑战。对于照顾这些儿童的医护人员的艾滋病知识、认知和行为知之甚少。
评估在三级医院环境中照顾感染艾滋病儿童的医护人员的知识、态度和实践水平（KAP）。
2022年7月至2022年9月在佩洛诺米三级医院进行了一项横断面研究。通过目的抽样选择医护人员，他们完成了一份关于儿童艾滋病的匿名自填式KAP问卷。
本研究有94名参与者；62名是护士，32名是医生。不到一半的医护人员（44.7%）有足够的知识。医生（87.5%）比护士（22.6%）知识更丰富。在母乳喂养、预防垂直传播、艾滋病与结核病合并感染的管理、聚合酶链反应检测的使用以及一线治疗方案等知识方面存在显著差异（<0.05）。大多数医护人员的态度是积极乐观的。在实践方面，戴手套的护士（60.7%）比医生（37.5%）多。大多数医护人员（85.7%）正确处理锐器。
尽管研究参与者，特别是护理组的知识水平较低，但积极的态度表明医护人员愿意提高自己的知识水平。通过根据既定指南提供互动培训课程，可以在支持性的工作场所增强医护人员的能力。
