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EFFECT OF COMMUNITY-BASED HEALTH EDUCATION ON HOUSEHOLD HANDLING OF DOMESTIC REFUSE IN JOS NORTH AND SOUTH LOCAL GOVERNMENT AREAS, PLATEAU STATE
Abstract
Background
The average risk of transmission of HIV has been shown to be 0.3% after a percutaneous exposure and 0.09% after a mucocutaneous exposure to HIV infected blood. Health trainings on the principles of universal precautions have been shown to be an effective tool to the reduction of HIV transmission in health facilities 9, 18. Improvements in the knowledge and practice of universal basic precautions have been seen after series of intensive and interactive health trainings for health workers 19, 20-22.
Objectives
To assess the effect of training on universal basic precautions on the knowledge and practice among health workers in the primary health care centres.
Materials and methods
This was an intervention study among health care workers in Primary Health Care Centres in Obio-Akpor and Oyibo LGAs of Rivers State to assess the effect of training on the knowledge and practice of universal basic precautions. The multi stage sampling method was used for selection. The health workers in Obio-Akpor LGA were the intervention group while those of Oyibo the control group. A total of 258 health care workers selected by simple random sampling were involved in the study (128 in intervention group and 130 in control group) comprising of doctors, nurses, laboratory technicians, community health extension workers (CHEWs), ward maids and health attendants. The study instruments were self-administered questionnaire filled before the training to get a baseline data and using same questionnaire post intervention. Observation of selected health care workers carrying out their routine duties was also done to assess their practice objectively before and after the training using a check list. Protective devices were given to the health workers as part of the intervention.
Results: There was a statistically significant improvement in the levels of knowledge and practice among the intervention group. Mean knowledge score increased from 60.5% pre intervention to 97.5% at the end of the training among the intervention group. Practice of UBP also improved from 39.73% to 87.8% after the study. Frequency of needlestick injuries and splashes of body fluids into mucus membrane reduced by 47.7% and 72.1% respectively. The control group did not experience such change.
Conclusion: Training together with the provisions of protective devices significantly improved the level of knowledge and practice of universal basic precautions among the health care workers.
Title Page———i
Certification——–ii
Dedication———iii
Acknowledgement——-iv
Abstract ———vi
Table of Content——–vii
Chapter One
1.0 Introduction ——-1
1.1 Statement of Problem——4
1.2 Purpose of the Study——5
1.3 Significance of Study——8
1.4 Limitation——–9
1.5 Scope of Study——-11
Chapter Two
2.0 Review of Related Literature —-12
2.6 Summary of Literature Review—- 19
Chapter Three
3.0 Research Methodology and Procedure—22
3.1 Population ——–22
3.2 Sample and Sampling Technique—-22
3.3 Validation of the Instrument —-23
3.4 Reliability of the Instrument —–23
3.5 Data Analysis——-23
Chapter Four
4.0 Presentation and Discussion of Result—24
4.1 Analysis and interpretaion of Data—25
4.2 Discussion of Results——38
Chapter Five
5.0. Summary, Conclusion, and Recommendation –40
5.1 Summary——–40
5.2 Conclusion——–41
5.3 Recommendation——42
References ———45
Appendix 1——–47
Appendix ———50
EFFECT OF COMMUNITY-BASED HEALTH EDUCATION ON HOUSEHOLD HANDLING OF DOMESTIC REFUSE IN JOS NORTH AND SOUTH LOCAL GOVERNMENT AREAS, PLATEAU STATE
