RESEARCH PAPER
Comparison of knowledge, attitude, and practice of healthcare staff toward sexually transmitted infections in Markazi Province, Iran
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1
Arak University of Medical Sciences, Markazi, Iran
 
2
Department of Epidemiology, School of Public Health and Safety, Shahid Beheshti University of Medical Sciences, Tehran, Iran
 
3
Cancer Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran
 
 
Submission date: 2021-02-02
 
 
Final revision date: 2021-05-11
 
 
Acceptance date: 2021-05-17
 
 
Publication date: 2022-04-13
 
 
HIV & AIDS Review 2022;21(2):155-163
 
KEYWORDS
TOPICS
ABSTRACT
Introduction:
Sexually transmitted infections (STIs) incidence, as most common acute diseases in the world, has been increasing. We investigated knowledge, attitude, and practice (KAP) of healthcare staff, including physicians and healthcare providers, such as health professionals and midwifes.

Material and methods:
In this cross sectional study, self-made questionnaire was applied. Data collection was performed between September and November 2019. Participants were selected using stratified random sampling method, and 226 healthcare staff were included in the study. Mann-Whitney and Kruskal-Wallis tests were used to compare median and interquartile range (IQR) score of KAP among participants. KAPs were classified into poor, moderate, and desirable. Data were analyzed in SPSS version 21.

Results:
Total median (interquartile range) score of KAP was 14 (4), 29 (8), 30 (9), respectively. Knowledge score of health professionals were low (52%), midwives and physicians scored average (74% and 75%, respectively). Most health professionals, midwives, and physicians scored moderate on attitudes (61%, 78%, and 80%, respectively). The results indicated that 60% of midwives performed well, with 46% of health professionals and 45% of physicians having mediocre performance.

Conclusions:
In this study, health professionals performed well, but their level of knowledge was low. This means that they perform well according to their duties, but did not have enough knowledge. Therefore, they need more training to improve the quality of their services.

REFERENCES (46)
1.
Newman L, Rowley J, Vander Hoorn S, et al. Global estimates of the prevalence and incidence of four curable sexually transmitted infections in 2012 based on systematic review and global reporting. PLoS One 2015; 10: e0143304.
 
2.
Ärnlöv J, Larsson A. Global, regional, and national incidence, prevalence, and years lived with disability for 301 acute and chronic diseases and injuries in 188 countries, 1990-2013: a systematic analysis for the Global Burden of Disease Study 2013. Lancet 2015; 386: 743-800.
 
3.
Secco AA, Akselrod H, Czeresnia J, et al. Sexually transmitted infections in persons living with HIV infection and estimated HIV transmission risk: trends over time from the DC Cohort. Sex Transm Infect 2020; 96: 89-95.
 
4.
CDC. STD diagnoses among key US populations, 5-year trends. 2018. Available at: https://npin.cdc.gov/publicati...-.
 
5.
among-key-us-populations-5-year-trends.
 
6.
Sexually transmitted infections. 2018. 2018. Available at: https://www.who.int/en/news-ro...).
 
7.
Francis SC, Parajuli A, Mardh O, Falconer J, Andreasen A, Harding-.
 
8.
Esch E. Technologies, strategies and approaches for testing populations at risk of sexually transmitted infections: a systematic review protocol to inform prevention and control in EU/EEA countries. Syst Rev 2020; 9: 64.
 
9.
Gottlieb SL, Low N, Newman LM, Bolan G, Kamb M, Broutet N. Toward global prevention of sexually transmitted infections (STIs): the need for STI vaccines. Vaccine 2014; 32: 1527-1535.
 
10.
Sexually transmitted infections. 2018. Available at: https://www.who.int/health-top....
 
11.
WHO. Global health sector strategy on sexually transmitted infections 2016-2021: toward ending STIs. World Health Organization; 2016.
 
12.
Amin A, Moreno CG. S03. 3 Addressing gender-based violence to reduce risk of STI and HIV. Sex Transm Infect 2013; 89: A8-A8.
 
13.
Mayer KH, de Vries H. HIV and sexually transmitted infections: responding to the “newest normal”. J Int AIDS Soc 2018; 21: e25164.
 
14.
WHO. Global strategy for the prevention and control of sexually transmitted infections: 2006-2015. World Health Organization; 2007.
 
15.
Shahesmaeili A, Karamouzian M, Shokoohi M, et al. Symptom-.
 
16.
based versus laboratory-based diagnosis of five sexually transmitted infections in female sex workers in Iran. AIDS Behav 2018; 22: 19-25.
 
17.
Kazerooni PA, Motazedian N, Motamedifar M, et al. The prevalence of human immunodeficiency virus and sexually transmitted infections among female sex workers in Shiraz, South of Iran: by respondent-driven sampling. Int J STD AIDS 2014; 25: 155-161.
 
18.
Janghorban R, Azarkish F. An overview on sexually transmitted infections in Iran. Int J Reprod Contracept Obstet Gynecol 2016; 5: 585-595.
 
19.
Kassaian N, Ataei B, Yaran M, Babak A, Shoaei P. Hepatitis B and C.
 
20.
among women with illegal social behavior in Isfahan, Iran: seroprevalence and associated factors. Hepat Mon 2011; 11: 368-371.
 
21.
Hussain M, Khanani MR, Siddiqui SE, Manzar N, Raza S, Qamar S.
 
22.
Knowledge, attitudes & practices (KAP) of general practitioners (GPS) regarding sexually transmitted diseases (STDS) and HIV/AIDS in Karachi, Pakistan. J Pak Med Assoc 2011; 61: 202-205.
 
23.
Iipinge SN, Pretorius L. The delivery and quality of sexually transmitted infections treatment by private general practitioners in Windhoek Namibia. Glob J Health Sci 2012; 4: 156-171.
 
24.
Alemayehu A, Godana W. Knowledge and practice of clinicians regarding syndromic management of sexually transmitted infections in public health facilities of Gamo Gofa Zone, South Ethiopia. J Sex Transm Dis 2015; 2015: 310409.
 
25.
Dong X, Sun M, Wang J, Yang Z, Hu B. Understanding the hierarchical relationships in female sex workers’ social networks based on knowledge, attitude, and practice. Int J Environ Res Public Health 2019; 16: 3841.
 
26.
Todd C, Ahmadzai M, Atiqzai F, et al. Prevalence and correlates of HIV, syphilis, and hepatitis knowledge among intrapartum patients and health care providers in Kabul, Afghanistan. AIDS Care 2009; Amiri FB, Doosti-Irani A, Sedaghat A, Fahimfar N, Mostafavi E. Knowledge, attitude, and practices regarding HIV and TB among.
 
27.
homeless people in Tehran, Iran. Int J Health Policy Manag 2018; 7: 549-555.
 
28.
Machowska A, Bamboria BL, Bercan C, Sharma M. Impact of ‘HIV-.
 
29.
related stigma-reduction workshops’ on knowledge and attitude of healthcare providers and students in Central India: a pre-test and post-test intervention study. BMJ Open 2020; 10: e033612.
 
30.
Mazmanian PE, Davis DA. Continuing medical education and the physician as a learner: guide to the evidence. JAMA 2002; 288: 1057-1060.
 
31.
Andersson GZ, Reinius M, Eriksson LE, et al. Stigma reduction interventions in people living with HIV to improve health-related quality of life. Lancet HIV 2020; 7: e129-e140.
 
32.
Ham DC, Hariri S, Kamb M, et al. Quality of sexually transmitted infection case management services in Gauteng Province, South Africa: an evaluation of health providers’ knowledge, attitudes, and practices. Sex Transm Dis 2016; 43: 23-29.
 
33.
Doda A, Negi G, Gaur DS, Harsh M. Human immunodeficiency.
 
34.
virus/acquired immune deficiency syndrome: a survey on the knowledge, attitude, and practice among medical professionals at a tertiary health-care institution in Uttarakhand, India. Asian J Transfus Sci 2018; 12: 21-26.
 
35.
Mtengezo J, Lee H, Ngoma J, et al. Knowledge and attitudes toward HIV, hepatitis B virus, and hepatitis C virus infection among health-.
 
36.
care workers in Malawi. Asia Pac J Oncol Nurs 2016; 3: 344-351.
 
37.
Folasayo AT, Oluwasegun AJ, Samsudin S, Saudi SNS, Osman M,.
 
38.
Hamat RA. Assessing the knowledge level, attitudes, risky behaviors and preventive practices on sexually transmitted diseases among university students as future healthcare providers in the central zone of Malaysia: a cross-sectional study. Int J Environ Res Public Health 2017; 14: 159.
 
39.
Lotfipour SM, Ravari A, Akbarinasab J. Attitude and behavior of nonmedical students towards transmission and prevention of HIV/AIDS in Rafsanjan. Zahedan J Res Med Sci 2014; 16: 83-85.
 
40.
Chen M, Liao Y, Liu J, et al. Comparison of sexual knowledge, attitude, and behavior between female Chinese college students from urban areas and rural areas: a hidden challenge for HIV/AIDS control in China. Biomed Res Int 2016; 2016: 8175921.
 
41.
Ryalat ST, Sawair FA, Shayyab MH, Amin WM. The knowledge and attitude about HIV/AIDS among Jordanian dental students: (Clinical versus pre clinical students) at the University of Jordan. BMC Res Notes 2011; 4: 191.
 
42.
Ali A, Ali NS, Nasir U, et al. Comparison of knowledge and attitudes of medical and dental students towards HIV/AIDS in Pakistan. Cureus 2018; 10: e2426.
 
43.
Terpstra S, Beekman A, Abbing J, Jaken S, Steendam M, Gilissen R.
 
44.
Suicide prevention gatekeeper training in the Netherlands improves gatekeepers’ knowledge of suicide prevention and their confidence to discuss suicidality, an observational study. BMC Public Health 2018; 18: 637.
 
45.
Pourjam R, Kandi ZRK, Estebsari F, et al. An analytical comparison of knowledge, attitudes, and practices regarding HIV/AIDS among medical and non-medical students in Iran. HIV AIDS (Auckl) 2020; 12: 165-173.
 
46.
Kaushal P, Singh T, Padda A, et al. Impact of health education on the knowledge, attitude and practices of teachers regarding reproductive health of adolescents of Amritsar, Punjab. J Clin Diagn Res 2015; 9: LC18-LC21.
 
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