Knowledge and Attitude among the
Nursing Students Studying in BPKIHS
Regarding HIV/AIDS

Mehta RS, Karki P, Rijal S
B. P. ...
Introduction
Everybody is
at risk of
getting HIV.
However
certain
Persons have
high risk.
Some Facts about HIV/AIDS
• 4th biggest killer world wide
• More than 95 % cases in low & middle
income countries
• Sympto...
• About 1/3 are aged 15-24 years
• Most people do not know they are infected
• Gravity of Different mode of Transmission:
...
HIV positive to AIDS
– 33 % = Only develop AIDS
– 64 % = Till death live without
Symptoms
– 5-10- 20 yrs = A symptomatic

...
No of Reported Cases
( HIV Infection)
1st case in Nepal --July 1988
Since then increasing
1988 - 4
1992 - 77
1996 - 135
20...
Objective of the study:
To find out the knowledge and
attitude among the nursing
students studying in BPKIHS
regarding HIV...
Methodology:
It was descriptive crosssectional study, conducted
among the nursing students
studying in BPKIHS.
This is baseline cross-sectional,
questionnaire based study
conducted among the female
students of both B. SC. Nursing
and...
The students studying in B. Sc.
Nursing 1st year & 4th year, CN-1st
year & 3rd year (i.e. First and last
years students) c...
Using pre-tested semi-structured
questionnaire data was collected from
the selected students after obtaining
informed verb...
The collected data was entered in
SPSS -11.5 software package
and analyzed. Descriptive as well
as inferential statistics ...
Results:
Demographic profile of the subjects:
• Most of the students (70%) were of
age group of 15-19 years and only
30% were of ag...
Half of the subjects were from villages
and half from Nagarpalika and most
of them were from Kathmandu (17%),
Morang (17%)...
Table-I
Knowledge Profile of the students about HIV/AIDS
Percentage Score (%)
SN

1

CN-I
(N=10)

CN-III
(N=10)

B.Sc. – I...
2 How big is the AIDS
Problem in Nepal?

a. Very big

50

50

80

100

63.3

b. Medium

50

50

20

0

36.7

c. No Problem...
3 Risk of getting HIV/AIDS

A. High risk

10 40

b. May be

60 40 20 60 46.7

c. No risk

30 20 80

4 HIV infection is dia...
5 Knowledge about
confirmation of diagnosis (
steps of tests) by lab test
a. Yes

10 10 20 60 20.0

b. No

40 70 60 40 46....
6. HIV virus is found in ( Yes response)
( MR)
a. Saliva and tears

30

10

20

20

19

b. Blood

90

90

40

100

80

c. ...
Table- II
Knowledge about prevention and care of HIV/AIDS

Percentage Score (%)
S
N

Knowledge about prevention and
care o...
3 Not touching the infected person
0

40

20

93.3

100

90

100

80

16.7

90

90

100

100

93.3

100 100

4 Not sharing...
8
Heared about the term highly
active anti-retroviral therapy
( HAART)

9

10

10

40

AIDS patients are more prone to
dev...
1
1

Knowledge about post exposure
prophylaxis (PEP)

1
2

Bleaching/Chlorine is used to clean blood
spillage on surface

...
Table- III
Extent of knowledge about HIV/AIDS Related services
available at BPKIHS
Percentage Score (%)
S
Knowledge Profil...
2 PMTCT
services
a. Adequate

0

70

0

80

36.7

b. Inadequate

0

30

0

20

13.3

100

0

100

0

50.0

c. Not at all
3 ART services
a. Adequate

0

50

0

0

20

b. Inadequate

10

10

40

60

23.3

c. Not at all

90

40

60

20

56.7

5 C...
6 HIV test
a. Adequate

20

60

0

60

36.7

b. Inadequate

20

30

100

40

40.0

c. Not at all

60

10

0

0

23.3

a. A...
Table – IV
Attitude of the students towards People Living with
HIV/AIDS (N=negative & P=positive) (N=30)
Strongly
Agree
(%...
5

If one of my friends gets AIDS I shall
continue my normal social relationship with
here or her. (P)

7

8

9

20

0

0
...
10

12

13

14

15

86.7

13.3

0

0

0

AIDS patient need live, support and affection.
(P)

93.3

3.3

0

0

3.3

Suggest...
16

17

18

19

20

If one of my family members gets AIDS I will
be ready to care him / her. (P)

93.3

6.7

0

0

0

A pe...
21

HIV/AIDS patient should be treated properly.
(P)

80.0

16.7

3.3

0

0

22

I feel that, counseling plays an importan...
Conclusions:
• Most of the students are teenagers.
• Most of the students had satisfactory knowledge
about causative agent...
• Based on the study we conclude that HIV/AIDS
awareness programme among the students’
nurses as well as other health care...
References:
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.

13.
14.
•

Singh Sk, Saxena A, Krishna G. A profile of HIV infection /...
THANK-YOU
The Theme.

“Stop AIDS.
Keep the
Promise.”
2007
“Take leadership”

2008
Student kap hiv aids
Student kap hiv aids
Student kap hiv aids
Student kap hiv aids
Student kap hiv aids
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Student kap hiv aids

  1. 1. Knowledge and Attitude among the Nursing Students Studying in BPKIHS Regarding HIV/AIDS Mehta RS, Karki P, Rijal S B. P. Koirala Institute of Health Sciences
  2. 2. Introduction Everybody is at risk of getting HIV. However certain Persons have high risk.
  3. 3. Some Facts about HIV/AIDS • 4th biggest killer world wide • More than 95 % cases in low & middle income countries • Symptom free period up to 10 years or More • HIV transmission is 10 times more on STIs • ART Cost: very expensive
  4. 4. • About 1/3 are aged 15-24 years • Most people do not know they are infected • Gravity of Different mode of Transmission: * Sexual intercourse = 80-90 % * Blood Transfusion = 3-15 % * Injecting Drug users = 5 -10 % * Equipments/Needles = < 0.1 % * Perinatal = 0.1%
  5. 5. HIV positive to AIDS – 33 % = Only develop AIDS – 64 % = Till death live without Symptoms – 5-10- 20 yrs = A symptomatic Concentrated epidemic: Sex workers (4%), Migrant Population (4-10%) & IVDUs(51%)
  6. 6. No of Reported Cases ( HIV Infection) 1st case in Nepal --July 1988 Since then increasing 1988 - 4 1992 - 77 1996 - 135 2000 - 700 2004 - 4442 2007 - 10546 Dec.15th
  7. 7. Objective of the study: To find out the knowledge and attitude among the nursing students studying in BPKIHS regarding HIV /AIDS.
  8. 8. Methodology: It was descriptive crosssectional study, conducted among the nursing students studying in BPKIHS.
  9. 9. This is baseline cross-sectional, questionnaire based study conducted among the female students of both B. SC. Nursing and Certificate nursing First year and last year in B. P. Koirala institute of health science.
  10. 10. The students studying in B. Sc. Nursing 1st year & 4th year, CN-1st year & 3rd year (i.e. First and last years students) constitute the population of the study. Using simple random sampling method 25% students were selected from each class i.e. 5 from B.Sc. – I, 5 from B.Sc. –IV, 10 from CN –I, & 10 from CN –III.
  11. 11. Using pre-tested semi-structured questionnaire data was collected from the selected students after obtaining informed verbal consent. The data was collected on the month of November, 2007 i.e. just before starting the clinical duty of B. Sc. –I & CN –I year students.
  12. 12. The collected data was entered in SPSS -11.5 software package and analyzed. Descriptive as well as inferential statistics were used to present the findings and draw the conclusions.
  13. 13. Results:
  14. 14. Demographic profile of the subjects: • Most of the students (70%) were of age group of 15-19 years and only 30% were of age group of 20-23 years, with mean age 18.46, SD 2.344, and range 15-23 years. Most of them (93.3%) were Hindu and unmarried (100%).
  15. 15. Half of the subjects were from villages and half from Nagarpalika and most of them were from Kathmandu (17%), Morang (17%), Rukum (13%), Sunsari (13%), Jhapa (10%) and remaining from other districts. None of the students has participated in HIV/AIDS orientation Programme previously.
  16. 16. Table-I Knowledge Profile of the students about HIV/AIDS Percentage Score (%) SN 1 CN-I (N=10) CN-III (N=10) B.Sc. – I (N=5) B.Sc. -IV (N=5) Average (mean) (N=30) a. Life threatening disease 30 20 0 60 43.3 b. Preventable disease 40 50 0 40 36.7 c. Contagious disease 20 0 0 0 6.7 d. I do not know 10 30 100 0 13.7 Knowledge Profile What is AIDS?
  17. 17. 2 How big is the AIDS Problem in Nepal? a. Very big 50 50 80 100 63.3 b. Medium 50 50 20 0 36.7 c. No Problem 0 0 0 0 0
  18. 18. 3 Risk of getting HIV/AIDS A. High risk 10 40 b. May be 60 40 20 60 46.7 c. No risk 30 20 80 4 HIV infection is diagnosed by blood test (correct response) 100 100 0 100 40 23.3 0 30.0 100 100
  19. 19. 5 Knowledge about confirmation of diagnosis ( steps of tests) by lab test a. Yes 10 10 20 60 20.0 b. No 40 70 60 40 46.7 c. Do not know/Not sure 50 20 20 0 33.3
  20. 20. 6. HIV virus is found in ( Yes response) ( MR) a. Saliva and tears 30 10 20 20 19 b. Blood 90 90 40 100 80 c. Semen/Vaginal Secretion 70 80 20 100 72.6 70 70 100 7 T-Lymphocytes of Blood cells damaged by HIV virus ( Yes response) 80 80
  21. 21. Table- II Knowledge about prevention and care of HIV/AIDS Percentage Score (%) S N Knowledge about prevention and care of HIV/AIDS CN-I (N=10) 1 2 CN-III (N=10) B.Sc. –I (N=5) B.Sc. IV (N=5) Average (mean) (N=30) Applying the principles of Universal Precautions 80 100 100 100 20 Use and administer blood and blood products only after screening 100 90 100 80 93.3
  22. 22. 3 Not touching the infected person 0 40 20 93.3 100 90 100 80 16.7 90 90 100 100 93.3 100 100 4 Not sharing the needles, razors and blades 20 100 100 93.3 100 100 100 80 100 5 Not to conceive if one has HIV/AIDS 6 Practice safe sex 7 Be faithful to the partners
  23. 23. 8 Heared about the term highly active anti-retroviral therapy ( HAART) 9 10 10 40 AIDS patients are more prone to develop opportunistic illness 80 10 0 80 30 60 100 60 73.3 30 40 26.7 Vaccine is available against HIV 40
  24. 24. 1 1 Knowledge about post exposure prophylaxis (PEP) 1 2 Bleaching/Chlorine is used to clean blood spillage on surface 1 3 Linen of AIDS patients should be send to laundry only after disinfection on in chlorine/bleaching 30 20 60 60 36.7 30 100 40 100 66.7 30 70 40 60 50
  25. 25. Table- III Extent of knowledge about HIV/AIDS Related services available at BPKIHS Percentage Score (%) S Knowledge Profile N CN-I (N=10) CN-III (N=10) B.Sc. – I (N=5) B.Sc. -V I (N=5) Average (mean) (N=30) a. Adequate 0 30 0 40 16.7 b. Inadequate 10 10 0 60 16.7 c. Not at all 90 60 100 0 66.7 1 VCT services
  26. 26. 2 PMTCT services a. Adequate 0 70 0 80 36.7 b. Inadequate 0 30 0 20 13.3 100 0 100 0 50.0 c. Not at all
  27. 27. 3 ART services a. Adequate 0 50 0 0 20 b. Inadequate 10 10 40 60 23.3 c. Not at all 90 40 60 20 56.7 5 CD -4 count test a. Adequate 0 50 0 60 26.7 b. Inadequate 10 0 40 20 13.3 c. Not at all 90 50 60 20 60.0
  28. 28. 6 HIV test a. Adequate 20 60 0 60 36.7 b. Inadequate 20 30 100 40 40.0 c. Not at all 60 10 0 0 23.3 a. Adequate 0 30 0 40 16.7 b. Inadequate 0 30 40 60 26.7 100 40 60 0 56.7 8 PEP services c. Not at all
  29. 29. Table – IV Attitude of the students towards People Living with HIV/AIDS (N=negative & P=positive) (N=30) Strongly Agree (%) Agree (%) Uncertain (%) Disagree (%) Strongly Disagree (%) 3.3 0 0 3.3 93.3 Person affected should not be allowed to stay in community. (N) 3.3 3.3 0 10 83.3 3 All the young people/students should know about HIV/AIDS infection. (P) 100 0 0 0 0 4 It is alright for women and men to have premarital sexual relation. (N) 3.3 10 6.7 46.7 33.3 S N Attitude 1 AIDS is caused by curse of God. (N) 2
  30. 30. 5 If one of my friends gets AIDS I shall continue my normal social relationship with here or her. (P) 7 8 9 20 0 0 3.3 93.3 6.7 0 0 0 30 6 76.7 30.3 33.3 10 13.3 Knowing there is no cure for AIDS this is no point in caring for AIDS patients. (N) 10 16.7 3.3 16.7 53.3 It is not good for married men and woman to have extra marital sexual relationship. (P) 66.7 23.3 33 0 6.7 Health education is necessary for woman and men to have safe sex. (P) AIDS is real treat of human population. (N)
  31. 31. 10 12 13 14 15 86.7 13.3 0 0 0 AIDS patient need live, support and affection. (P) 93.3 3.3 0 0 3.3 Suggest AIDS suspected friends for testing his or her blood. (P) 73.3 26.7 0 0 0 80 20 0 0 0 46.7 11 AIDS awareness is one of the important advices of parents for their children. (P) 43.3 3.3 0 6.7 76.7 23.3 0 0 0 Peer group discussion about HIV/AIDS is more effective for its prevention. (P) Open discussion about HIV/AIDS prevention can be done among siblings. (P) Major responsibility of adolescents is to participate in HIV/AIDS prevention programme to being community awareness to control HIV/AIDS. (P)
  32. 32. 16 17 18 19 20 If one of my family members gets AIDS I will be ready to care him / her. (P) 93.3 6.7 0 0 0 A person of any age, race, sex or occupation can contract HIV/AIDS. (P) 70 10 6.7 3.3 10 We should not tell others if one has HIV/AIDS. (N) 23.3 16.7 16.7 13.3 30 Individuals with HIV/AIDS infection must be treated with love and belonging. (P) 66.7 23.3 10 0 0 Individuals with HIV/AIDS infection must be assessed for any potential infection. (P) 66.7 13.3 10 33 6.7
  33. 33. 21 HIV/AIDS patient should be treated properly. (P) 80.0 16.7 3.3 0 0 22 I feel that, counseling plays an important role for an HIV/AIDS infected clients. (P) 80.0 16.7 0 0 3.3 23 I am willing to assist with the delivery of a baby born to a mother with HIV/AIDS. (P) 46.7 40.0 10 0 3.3 30 53.3 10 3.3 3.3 24 I am willing to assist an operation on a patient with HIV/AIDS. (P)
  34. 34. Conclusions: • Most of the students are teenagers. • Most of the students had satisfactory knowledge about causative agent, risk groups and modes of transmission and prevention. • Acquired nature of disease was not known to most of the students. • But on the other hands misconceptions were also prevalent reflected in the form of incorrect answers like kissing, hugging and using common utensils as a mode of transmission.
  35. 35. • Based on the study we conclude that HIV/AIDS awareness programme among the students’ nurses as well as other health care workers is mandatory, however education campaigns should be carefully structured and specifically tailored to particular setting. • To do this, investigation of the current level of knowledge in various settings will be necessary. • Finally the effectiveness of targeted education program on HIV/AIDS should be repeatedly evaluated in the future.
  36. 36. References: 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. • Singh Sk, Saxena A, Krishna G. A profile of HIV infection /AIDS related knowledge among female students of Kanpur district, India. KUMJ. 2007; 5(1): 27-31. Gurubacharya DL, Mathura KC, Karki DB. Knowledge, attitude and practices among health care workers on needle-stick injuries. KUMJ. 2003; 192): 91-4. Hunt, C.K. (2003) Concepts in caregiver Research. Journal of Nursing Scholarships, 35(1): 27-32. Bhardwaj, A., Biswas, R., & Shetty, K.J. (2001) HIV in Nepal: Is it rarer or the tip of an iceberg? Trop Doct, 31: 211-213. Underwood, C. (2006; July-18) HIV/AIDS burdens more than patients. Express News. Donabedian, A. (1980) Explorations in Quality Assessment and Monitoring, Ann Arbor, MI, USA: Health Administration. NCASC (2061), AIDS News letter: Quarterly (Asoj). Women, Girls, HIV & AIDS, 53:13-17. Askarian, Hasheml 2, Jaajari P, Assadian O. Knowledge about HIV infection and attitude of Nursing staff Towards Patients with AIDS in Iran. Infection control and hospital epidemiology. 2006; 27 (1): 48-53. Mathur A, Chopra H, Singh JV, Garg SK, Bhatnagar M, Singh RB. An awareness study about AIDS amongst pre-clinical students of LLRM medical college Meerut. Indian journal of community health. 1994;8 (4): 7-9. Joseph JB. Knowledge and attitude of the college students regarding HIV /AIDS. The Nursing Journal of India. 1998; 8 (12): 272. Amalraj RE, Sunithi CNR, Fanapathy P. et al. First year medical students AIDS knowledge and attitude. Indian J. of community medicine. 1995;20(1):4 Vasundara MK. AIDS related knowledge and attitude of medical students and in-service doctors. CARC calling. 1993;6(1):28. Dobe M. Awareness on AIDS among health car professionals, Indian journal of public health. 1995; 39(3): 105-108. Francis PT, Gill JS, Choudhary N. Knowledge, beliefs and attitude regarding AIDS, STDs and human sexuality among senior secondary students in Delhi. HIV/AIDS Research in India.1992; 162-165.
  37. 37. THANK-YOU The Theme. “Stop AIDS. Keep the Promise.” 2007 “Take leadership” 2008
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