Knowledge of HIV and its treatment among health care providers in South Africa

Ruud, Karine Wabø; Srinivas, S.; Toverud, Else‐Lydia

doi:10.1007/s11096-013-9902-9

Cited by 10 publications

(15 citation statements)

References 26 publications

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“…Since the 1950s, the driving forces of industrial and agricultural development have dramatically decreased the amount of water flowing into the lake, resulting is a reduction in the lake water area from 1000 km 2 to 500 km 2 . As the lake has dried up, the ecological environment of the lake basin has visibly deteriorated [ 28 ].…”

Section: Methodsmentioning

confidence: 99%

Assessment of the Distribution, Sources and Potential Ecological Risk of Heavy Metals in the Dry Surface Sediment of Aibi Lake in Northwest China

2015

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The distribution, sources and potential ecological risk of heavy metals in the sediment of lakes in eastern China and other areas of the world that have undergone rapid economic development have been widely researched by scholars. However, this is not true for heavy metals in the sediment of rump lakes in the arid regions of China and world-wide. Because of this, we chose Aibi Lake to serve as a typical rump lake in an oasis in an arid area in northwest China for our study. Sediment samples were collected from the lake and then the quantities of the heavy metals Pb, Ni, Cd, Cu, Zn, Hg and Cr were measured. Then using a variety of statistical methods, we analyzed the distribution, sources, pollution status and the potential ecological risk of these metals. The results show that: (1) The amounts of the seven heavy metals all fell within the Second Soil National Standard, but the average and maximum values were all higher than the background values of Xinjiang in northwest China. (2) Multivariate statistical analysis determined that the Cd, Pb, Hg and Zn in the sediment were mainly derived from man-sources, and Cu, Ni, and Cr were mainly from the natural geological background. (3) Enrichment factor analysis and the geo-accumulation index evaluation method show that Cd, Hg and Pb in the surface sediment of the Aibi Lake were at low and partial pollution levels, while Zn, Cr, Ni and Cu were at no and low pollution levels. (4) Calculation of the potential ecological hazards index found that, among the seven tested heavy metals, Cd, Hg and Pb were the main potential ecological risk factors, and the contribution of each was 42.6%, 28.6%, and 24.0%, respectively. Cd is the main potential ecological risk factor, followed by Hg and Pb. This work revealed that recent economic development of the Aibi Lake Basin has negatively influenced the accumulation of heavy metals in the sediments of the lake, and, therefore, we should pay increasing attention to this problem and take effective measures to protect the ecology of the Aibi Lake Basin. This work can provide a scientific basis for an early warning of heavy metal pollution and for protection of the environment. Furthermore, it can serve as a reference when creating policies for the economic development in Aibi Lake Basin and environmental protection of rump lakes in arid regions of northwest China and other areas of the world.

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Section: Methodsmentioning

confidence: 99%

Assessment of the Distribution, Sources and Potential Ecological Risk of Heavy Metals in the Dry Surface Sediment of Aibi Lake in Northwest China

2015

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“…Forty‐seven questions in nine papers were on antiretroviral medications for HIV/AIDS . In these papers, it is reported that HCPs lacked knowledge on use of microbicides to prevent HIV and other sexually transmitted diseases, that they were unable to identify medications used for post‐exposure prophylaxis (PEP), and did not know the time point to initiate PEP, duration of treatment and effectiveness of PEP.…”

Section: Resultsmentioning

confidence: 99%

“…Forty-seven questions in nine papers were on antiretroviral medications for HIV/AIDS [30][31][32][33][34][35][36][37][38]. In these papers, it is reported that HCPs lacked knowledge on use of microbicides Tool (questionnaires) validation: a Self-made with expanded/formal validation process, b Self-made with pretest only, c Cited previous developed tool and used as such, or d Cited previously developed tool with modification, and e Self-made without clear explanation for validation…”

Section: Disease Focusmentioning

confidence: 99%

Healthcare professionals' level of medication knowledge in Africa: a systematic review

Berhe

Taxis

Haaijer‐Ruskamp

et al. 2018

Brit J Clinical Pharma

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AimsUnderstanding how much healthcare professionals (HCPs) know about medication can help in devising strategies to improve rational medication use. This study aimed to synthesize information on the level of medication knowledge of HCPs in Africa.MethodWe performed a systematic literature study in Embase and PubMed. We included original studies quantifying HCPs' medication knowledge, published between 2012 and 2016. We extracted disease focus, country, number and type of HCPs included and all medication‐related knowledge questions and scored the quality of papers. The outcome measure was the percentage of HCPs who correctly answered medication knowledge questions.ResultsWe identified 64 studies from 12 African countries, comprising 13 911 HCPs, mostly nurses/midwifes and physicians. We extracted 306 medication‐related knowledge questions, and only 52% (SD 28) of HCPs correctly answered them. Knowledge questions were mainly about medication prescribed for communicable diseases (70%), followed by non‐communicable diseases (11%), and family planning/gynaecology (10%). Most papers concluded that there was a considerable medication knowledge gap among HCPs.ConclusionWe found a low level of medication knowledge across different disease areas, countries and HCPs. This underlines the continuous need to strengthen the undergraduate and postgraduate education in (clinical) pharmacology and therapeutics in Africa.

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“…In one such study over three quarters of pharmacy personnel were found to have a poor knowledge on diabetes mellitus management despite the fact that the majority of patients consult with them more than the physicians (Jinqi M, Nansseu JR, Noubiap JJ 2015). Also, from a recent study in Cameroon, Physicians' knowledge towards diabetes evaluation and management was found not to be optimal (Ruud KW, Srinivas SC, Toverud EL 2014). This trend poses a great danger considering the silent nature of DM and also hypertension at their initial stages.…”

Section: Discussionmentioning

confidence: 99%

“…In a study done in South Africa evaluating the knowledge of health care providers on HIV and its treatment, Nurses and Auxiliary staff were found to have some basic knowledge about symptoms and mode of transmission of HIV, but great uncertainty was seen regarding treatment with ARV drugs. As much as 39% of the Nurses claimed that nutritious food could also treat HIV disease (Ruud KW, Srinivas SC, Toverud EL 2014). No doubt, good diet is necessary so as to respond to treatment and to supply the minerals that help immunity to build, but treating an ailment that has a causation factor entails either the removal, incapacitation or slowing the replication of such factor as the case may be.…”

Section: Discussionmentioning

confidence: 99%

Knowledge of Diabetes mellitus-HIV Co-Infection Among Health Care Workers in Primary and Secondary Health Facilities in Osun State, South West Nigeria

Farinloye¹,

Adeleke²,

Adebimpe³

et al. 2016

Sierra Leone j. biomed. res.

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Advent of drug combinations in Highly Active Antiretroviral Therapy (HAART) has been a major achievement in the management of HIV/AIDS. However, some of the drugs involved e.g. protease inhibitors have as side effects metabolic disorders like diabetes mellitus DM and dyslipidemia due to affectation of the pancreas and other organs.A cross-sectional study to determine the knowledge of health care workers on DM, HIV and how some of the drugs used in treating HIV infection secondarily cause metabolic disease like DM. Self-administered, pre-tested questionnaires were distributed to 279 health workers from the primary and secondary health care facilities in Osun state attending state wide workshops on GDM organized by Strategy for Improving Diabetes Care in Nigeria (SIDCAIN) team.Two thirds (66.2%) of the respondents had good knowledge on DM, while about three quarters (76.3%) had good knowledge on HIV. Only about a third (32.4%) of all respondents had good knowledge on effects of drugs management of HIV on DM. Health care providers have poor knowledge of HAART induced DM. Regular update workshops are therefore recommended for such awareness.

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Knowledge of HIV and its treatment among health care providers in South Africa

Cited by 10 publications

References 26 publications

Assessment of the Distribution, Sources and Potential Ecological Risk of Heavy Metals in the Dry Surface Sediment of Aibi Lake in Northwest China

Assessment of the Distribution, Sources and Potential Ecological Risk of Heavy Metals in the Dry Surface Sediment of Aibi Lake in Northwest China

Healthcare professionals' level of medication knowledge in Africa: a systematic review

Knowledge of Diabetes mellitus-HIV Co-Infection Among Health Care Workers in Primary and Secondary Health Facilities in Osun State, South West Nigeria

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