Knowledge, Attitudes and Practices of Health Personnel on Sexuality, HIV and AIDS in Cochabamba, a 20-Year Comparative Study.
DOI:
https://doi.org/10.52428/20756208.v14i38.322Keywords:
AIDS, Antiretrovirals, Health personnel, HIV, PrEP, TaSPAbstract
35 years passed since the first AIDS case was diagnosed in Cochabamba, during this time there was a continuous increase in people infected with HIV and stigmatization reactions by Cochabamba health personnel towards this population. The study on knowledge, attitudes and practices aims to compare the results of three surveys carried out in 1997, 2008 and 2018. It is a descriptive cross-sectional study, carried out on health personnel in public and private health services in Cochabamba. The first survey was applied to 303 people, the second to 305 people; and the third to 308 people. Likewise, in the present work, a ecrease in the perception of the severity of HIV and AIDS as a public health problem was observed, as well as the perception
of the population at risk in recipients of blood transfusions. Although discrimination, rejection, and fear of people with HIV has decreased, there is a slight increase in the percentage of staff who cared for people with HIV, as health personnel feel less able to care for these patients.
The results reflect the poor knowledge of health personnel related to sexuality, HIV and AIDS, due to the lack of continuous training policies, that is, workshops and updates in health services, and even lack of motivation to a self-learning.
At the level of attitudes and practices, the inadequate infrastructure of health services and the lack of biosafety inputs generate concern and fear of transmitting HIV to health personnel, therefore, stigmatization of these patients persists.
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Choque H, Morgensten R. Estudio de siete casos de síndrome de inmunodeficiencia adquirida hospitalizados en el Instituto de Gastroenterología Boliviano Japonés de Cochabamba. Acta gastroenterol Bolív. 1995;(5): p. 22-24.
Ministerio de Salud. Situación epidemiológica de las ITS. Presentación Power Point. Cochabamba:,Programa Departamental ITS/VIH y SIDA SEDES Cochabamba; 2019.
Valdez E, Saudan A. El personal de Salud frente al sida: Conocimientos, actitudes y prácticas. Revista Médica. 1997 Noviembre; 2(12): p. 35- 46.
Valdez E. El Sida en el reino de la impunidad, hasta las últimas consecuencias. Cochabamba: Asamblea Permanente de los derechos humanos ; 2006.
Valdez E. Sexo, amor y miedo entre tradiciones y realidades. Cochabamba: Instituto para el Desarrollo Humano , Tierra de Hombres- Suiza; 2007.
Valdez E, Vargas A, Apaza M. Conocimientos, actitudes y prácticas del personal de salud sobre el VIH y sida en Cochabamba. Revista Médica. 2010 Septiembre ; 1(21): p. 53-63.
FHI, DFID, USAID. Encuestas de Vigilancia del Comportamiento. Directrices para encuestas del comportamiento repetidas en poblaciones de riesgo al VIH. ; 2000.
OMS. Protocole pour les enquetes repatees dans la population generale. Ginebra: GPA/CNP/EVA/326; 1993.
OMS. Protocolo de investigación: Conocimientos, actitudes y prácticas relativas al SIDA/VIH (CACP) Ginebra; 1990.
De Muynck A. Notes du Cours D'épidémiologie et de Bio statistique. In ; 1991; Antwerpen.
Goldberg M. L'épidémiologie sans peine Lausanne; 1985.
Ministerio de Salud. Instructivo técnico (nuevo) algoritmo de diagnóstico para VIH. [Online].; 2016 [cited 2016 Diciembre 21. Available from: http://www.minsalud.gob.bo/35-libros-y-normas/1572-area-sida.
Honorable Congreso Nacional Boliviano. Ley para la prevencion del vih-sida, proteccion de los derechos humanos y asistencia integral multidisciplinaria para la personas que viven con el vih-sida. [Online].; 2007 [cited 2019 Agosto 20. Available from: http://www.sipi.siteal.iipe.unesco.org/sites/default/files/sipi_normativa/ley_ndeg_3729_de_2007_para_la_prevencion_del_vih.pdf.
Ministerio de Salud. Generalidades: Antecedentes. In Salud Md. Obtención del consentimiento informado. La Paz; 2018. p. 2.
InfoSIDA. Prevención e investigación del VIH y SIDA- Profilaxis posexposición (PEP). [Online].; 2019 [cited 2019 Mayo 21. Available from: https://infosida.nih.gov/understanding-hiv-aids/factsheets/20/87/profilaxis-posexposicion--pep-.
ONUSIDA- Unaids. 90-90-90 Un ambicioso objetivo de tratamiento para contribuir al fin de la epidemia de sida. [Online].; 2013 [cited 2019 Junio 8. Available from: https://www.unaids.org/sites/ default/files/media_asset/90_90_90_es.pdf.
InfoSIDA. Prevención e investigación del VIH y SIDA- Profilaxis preexposición (PrEP). [Online].; 2019 [cited 2019 Agosto 8. Available from: https://infosida.nih.gov/understanding-hiv-aids/factsheets/20/85/profilaxis-preexposicion--prep-.
InfoSIDA. Prevención e investigación del VIH y SIDA- Tratamiento como prevención (TasP). [Online].; 2019 [cited 2019 Junio 8. Available from: https://infosida.nih.gov/understanding-hiv-aids/glossary/4703/tratamiento-como-prevencion.
Coalition Plus - GAT. La investigación comunitaria en acción. Conocimientos, actitudes y comportamientos de los-as profesionales de la salud en los servicios de atención primaria respecto al VIH y a las poblaciones más expuestas al VIH en Portugal. 2015-2018;: p. 66-67.
Uribe AF, Orcasita LT. Evaluación de conocimientos, actitudes, susceptibilidad y autoeficacia frente al VIH/sida en profesionales de la salud. Avances en enfermería. 2011 Diciembre; XXIX(2): p. 271-284.
OMS. Encuestas sobre conocimientos, actitudes, creencias y prácticas referentes al SIDA: fase 2.Cuestionario. Ginebra:; 1993.
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Copyright (c) 2019 Edgar Valdez Carrizo, Joaquín Salcedo Cuellar, Lucia Elena Alvarado Arnez, Iván Rivera Carrasco, Nayra Rojas Escalie
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