knowledge and utilization of hiv post exposure prophylaxis among university of nairobi students...
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KNOWLEDGE AND UTILIZATION OF HIV POST EXPOSURE
PROPHYLAXIS AMONG UNIVERSITY OF NAIROBI STUDENTS
NGOMBO BENSON KITHIU29/2010/2010
SUPERVISOR: PROF. FN. KAMAUOCTOBER 2014
INTRODUCTION
• Human Immunodeficiency Virus (HIV) has contributed to a high proportion of morbidity and mortality in the world
• Post Exposure Prophylaxis is intended to prevent sero conversion after exposure to potential risk factors
• Commonly accepted means of HIV prevention for healthcare personnel
• Non-occupational HIV/PEP typically employed after:• Sexual assault, consensual sex, needle stick injuries to
at-risk individuals who are not healthcare personnel
STUDY JUSTIFICATION• The extent and appropriateness of Non-
occupational post exposure prophylaxis (NPEP) utilization in Kenya is not known
• No specific guidelines in Kenya identified for non occupational exposure to HIV risk factors
• There is need for these services to be extended to students
• It is also hoped that information obtained from the study will be used by the university to improve on the strategies that will mitigate the impact of HIV/AIDS among students
AIDS (Acquired Immune Deficiency Syndrome)
OBJECTIVES OF THE STUDYGeneral objective
• To determine HIV-PEP awareness and utilization among University of Nairobi studentsSpecific objectives
• To determine level of knowledge on HIV PEP among University of Nairobi students• Determine the level of utilization of PEP services by
University of Nairobi students• Establish factors associated with utilization of PEP
among students• Identify support measures offered to students seeking
HIV PEP
METHODOLOGY• Study site: University of Nairobi• Sample size: 202 students• Data analysis: Microsoft Office Excel 2007
TABLE 1: NUMBER OF RESPONDENTS PER COLLEGE
College Selected number of students
College of Agriculture & Veterinary Sciences 33
College of Architecture & Engineering 33
College of Biological & Physical Sciences 34
College of Education & External Studies 34
College of Health Sciences 34
College of Humanities and Social Sciences 34
METHODOLOGY CONT…• Students who had been in the university for six months
and above, aged 18-38 years• Purposive sampling was used to select study units• A self-administered questionnaire containing open and
closed ended questions was used• It contained three sections:• Section A with demographic information, Section B
knowledge and Section C utilization• KNH/UON-Ethics & Research Committee was sought• Consent from respondent was obtained
KNH-Kenyatta National HospitalUON-University of Nairobi
RESULTS
SECTION A: • TABLE 2: SOCIO-DEMOGRAPHIC DATA
Frequency Percentage
Age 18-27 202 100%
Sex Male 139 68.80%
Female 63 31.20%
Year of study First 52 25.70%
Second 82 40.60%
Third 68 33.70%
RESULTS CONT…SECTION B: KNOWLEDGE ABOUT POST EXPOSURE PROPHYLAXIS (PEP)
• TABLE 3: HEARD ANY INFORMATION ABOUT HIV-PEP
• TABLE 4: CORRECT MEANING OF HIV-PEP
Frequency Percentage
Yes 137 67.80%
No 65 32.20%
Total 202 100%
Meaning of PEP Frequency Percentage
Yes 76 55.47%
No 61 44.53%
RESULTS CONT…SECTION C: UTILIZATION OF POST EXPOSURE PROPHYLAXIS
• FIGURE 1: EXPOSURE TO HIV RISK FACTORS
• 21% (43) respondents had been exposed to risk factors for HIV infection
RESULTS CONT…• FIGURE 2: REPORTING OF EXPOSURES (N=43)
• Only 19% (8) out of 43 exposures were reported
RESULTS CONT…• FIGURE 4: SUPPORTIVE MEASURES OFFERED TO STUDENTS EXPOSED TO
HIV RISK FACTORS (N=202)
Counseling and testing -main supportive measure offered;74%(149)
DISCUSSION• 65 (32.2%) out of the 202 respondents lacked
information on PEP• 61 (44.5%) out of the 137 who had information on PEP
did not know the correct meaning of PEP• This means there is lack of information regarding PEP
protocol; including the correct time to obtain PEP• The reasons for not utilizing PEP services; respondent
thought was not at risk of contracting HIV infection, no signs of HIV from source, did not want to do HIV test and did not know how and who to report to
CONCLUSION AND RECOMMENDETIONSConclusion
• Low level of knowledge on HIV-PEP• The level of utilization of PEP services was also low• Most students fail to report exposure to potential HIV
risk factorsRecommendations
• Formulation of a clear PEP policy by the university• Offer peer counseling services to students• Creation of awareness on PEP• Provision of youth friendly services to students exposed
to risk factors