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M94A2175.TXT
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1994-10-25
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Document 2175
DOCN M94A2175
TI Compliance with universal precautions and client counseling among
pharmacy operators in two Nigerian towns.
DT 9412
AU Uwakwe C; Lurie P; Mansaray A; Onwu G; Ibadan University, Department of
Guidance and Counselling,; Ibadan, Nigeria.
SO Int Conf AIDS. 1994 Aug 7-12;10(1):364 (abstract no. PD0063). Unique
Identifier : AIDSLINE ICA10/94370400
AB OBJECTIVE: About .5 million Nigerians are infected with HIV. In Nigeria
and many developing countries, pharmacy operators provide primary health
care and even perform minor surgery. This study was designed to assess
the degree of compliance with universal precautions as well as the
extent of client counseling among pharmacy operators in two Nigerian
towns, Owerri and Umuahia. METHODS: 64 pharmacies were selected from the
83 in these two Nigerian towns. Data were generated by focus group
discussions and a self-administered knowledge, attitudes, behaviors, and
practices questionnaire administered to these pharmacy operators.
Subjects were asked about their practices in drawing blood, giving
intramuscular injections, handling body fluids, performing or assisting
in performing surgery, and physical examinations. In addition, research
staff posing as patients with a sexually transmitted disease (STD) were
used to assess the validity of the self-reports of client counseling and
to observe the presence of posters, condoms, pamphlets, and other AIDS
educational materials. RESULTS: The pharmacy operators engaged in
clinical procedures for which they were not well trained, including
abortions and blood transfusions. 67% of the pharmacy operators knew
that HIV can be transmitted sexually, but only 19% knew that it can be
transmitted by transfusion. Only 41% followed recommended procedures for
syringe disinfection. 33% sell condoms, but none had condoms or AIDS
educational materials on display. No pharmacy operator spontaneously
counseled the dummy STD patients about HIV, although 54% did so when
prompted. DISCUSSION AND CONCLUSION: Low HIV/AIDS knowledge by Nigerian
pharmacy operators may account for their non-compliance with universal
precautions. Implementing intensive HIV/AIDS-related occupational health
training to improve sterilization practices and enhance client
counseling is a potential route for preventing HIV transmission in
developing countries.
DE *Counseling Educational Status Human HIV Infections/*PREVENTION &
CONTROL/TRANSMISSION *Knowledge, Attitudes, Practice Nigeria
*Pharmacists Primary Health Care *Universal Precautions MEETING
ABSTRACT
SOURCE: National Library of Medicine. NOTICE: This material may be
protected by Copyright Law (Title 17, U.S.Code).