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M9490743.TXT
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1994-09-24
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Document 0743
DOCN M9490743
TI A survey of occupational blood contact and HIV infection among
traditional birth attendants in Rwanda.
DT 9411
AU Habimana P; Bulterys M; Usabuwera P; Chao A; Saah AJ; Centre
Universitaire de Sante Publique (CUSP), School of; Medicine, National
University of Rwanda, Butare.
SO AIDS. 1994 May;8(5):701-4. Unique Identifier : AIDSLINE MED/94338610
AB OBJECTIVE: To investigate the risk of occupationally acquired HIV
infection among traditional birth attendants (TBA) in Rwanda, Africa.
DESIGN AND METHODS: A serosurvey was conducted among 219 TBA practicing
in a rural but densely populated area in southern Rwanda. Each TBA was
interviewed about sociodemographic information, work-related habits and
practices, and presence of nonoccupational risk factors for HIV
infection. The frequency of skin exposure to HIV-infected blood was
estimated for each TBA from HIV seroprevalence data collected previously
from pregnant women stratified by the geographic zones in which the TBA
practiced. RESULTS: Four TBA (1.8%) tested HIV-1-antibody-positive; all
four had reported nonoccupational risk factors for HIV infection. We
estimated that the 215 HIV-negative TBA had 2234 potentially infectious
blood-skin contacts out of a total of approximately 35,000 deliveries
assisted in the past 5 years. However, we found no evidence of HIV
infection caused by occupational blood contact (none out of 2234; upper
limit of the 95% confidence interval because of one potentially
infectious blood-skin contact = 0.2%). CONCLUSION: Although these
findings may not be universal to all TBA in Africa, the risk of
occupationally acquired HIV infection among TBA appears small. The high
frequency of blood-skin contact among TBA in Rwanda highlights the need
to include infection control precautions in the training of TBA.
DE Adult Attitude to Health *Blood/MICROBIOLOGY Female Human Hygiene
HIV Antibodies/BLOOD HIV Infections/BLOOD/*EPIDEMIOLOGY/PREVENTION &
CONTROL/ TRANSMISSION *HIV-1 Male Middle Age *Midwifery
Occupational Diseases/*EPIDEMIOLOGY Pregnancy Pregnancy Complications,
Infectious/BLOOD Risk Factors Rural Population Rwanda/EPIDEMIOLOGY
Seroepidemiologic Methods Support, U.S. Gov't, P.H.S. JOURNAL ARTICLE
SOURCE: National Library of Medicine. NOTICE: This material may be
protected by Copyright Law (Title 17, U.S.Code).