KNOWLEDGE, ATTITUDE AND WILLINGNESS OF PHYSICIAN TO TREAT HIV/AIDS PATIENTS ATTENDING ANTI-RETROVIRAL CLINICS IN THE PUNJAB, PAKISTAN
Main Article Content
Keywords
Physician, HIV/AIDS, Antiretroviral Therapy
Abstract
Background: HIV/AIDS is a public health problems and has been since long stigmatized due to its initial method of transmission. This stigma and discrimination also account for refusal of services in public and private sectors. HIV/AIDS attached stigma and discrimination is also found amongst and with health care providers attached with care of this disease. To treat HIV/AIDS anti retrovirals drugs are used in various combinations, commonly referred to as highly active retroviral therapy. Very few studies are available about discrimination behavior of health care providers including doctors, nurses and other hospital staff, so this study was planned to have an idea of description of knowledge, attitude and willingness practices.
Objective: To find out the knowledge, attitude and willingness of Physicians to treat HIV/AIDS patients, attending Anti-retroviral Clinics of Punjab, Pakistan
Methodology: This cross sectional study was done at all Anti-retroviral Clinics, established in Public Sector in Punjab, Pakistan. Total 62 physicians were enrolled. Informed consent and demographic detail was noted. about knowledge, attitude and willingness of Physician to treat HIV/AIDS patients were found out with the help of questionnaire. All the collected data was entered and analyzed on SPSS version 24.
Results: Among 62 healthcare professionals participants having age range between 20 - <30 years were 12(19.35%), 27(43.55%) participants were male and 45(72.58%) participants had post-graduation. all the 62 (100%) participants responded that HIV/AIDS is a sexually transmitted disease, it is also transmitted through unsafe blood transfusion, unsafe needle and syringe, mother to child. 32(51.6%) among physicians of our region. The attitude and willingness of the physicians of region was found to be satisfactory (84.1%) towards HIV/AIDS patients. 1.6% to 12.9% were invariably stigmatized during patient care in different aspects.
Objective: To find out the knowledge, attitude and willingness of Physicians to treat HIV/AIDS patients, attending Anti-retroviral Clinics of Punjab, Pakistan
Methodology: This cross sectional study was done at all Anti-retroviral Clinics, established in Public Sector in Punjab, Pakistan. Total 62 physicians were enrolled. Informed consent and demographic detail was noted. about knowledge, attitude and willingness of Physician to treat HIV/AIDS patients were found out with the help of questionnaire. All the collected data was entered and analyzed on SPSS version 24.
Results: Among 62 healthcare professionals participants having age range between 20 - <30 years were 12(19.35%), 27(43.55%) participants were male and 45(72.58%) participants had post-graduation. all the 62 (100%) participants responded that HIV/AIDS is a sexually transmitted disease, it is also transmitted through unsafe blood transfusion, unsafe needle and syringe, mother to child. 32(51.6%) among physicians of our region. The attitude and willingness of the physicians of region was found to be satisfactory (84.1%) towards HIV/AIDS patients. 1.6% to 12.9% were invariably stigmatized during patient care in different aspects.
References
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11. Souville M, Msellati P, Carrieri M-P, Brou H, Tape G, Dakoury G, et al. Physicians' knowledge and attitudes toward HIV care in the context of the UNAIDS/Ministry of Health Drug Access Initiative in Cote d'Ivoire. Aids. 2003;17:S79-S86.
12. Quach L, Mayer K, McGarvey ST, Lurie MN, Do P. Knowledge, attitudes, and practices among physicians on HIV/AIDS in Quang Ninh, Vietnam. AIDS Patient Care & STDs. 2005;19(5):335-46.
13. Stone VE, Mansourati FF, Poses RM, Mayer KH. Relation of physician specialty and HIV/AIDS experience to choice of guideline‐ recommended antiretroviral therapy. Journal of general internal medicine. 2001;16(6):360-8.
14. Landon BE, Wilson IB, Wenger NS, Cohn SE, Fichtenbaum CJ, Bozzette SA, et al. Specialty training and specialization among physicians who treat HIV/AIDS in the United States. Journal of General Internal Medicine. 2002;17(1):12-22.
15. Oberoi SS, Sharma N, Mohanty V, Marya C, Rekhi A, Oberoi A. Knowledge and attitude of faculty members working in dental institutions towards the dental treatment of patients with HIV/AIDS. International scholarly research notices. 2014;2014.
16. Azodo CC, Ehigiator O, Oboro HO, Ehizele AO, Umoh A, Ezeja EB, et al. Nigerian dental students’ willingness to treat HIV‐positive patients. Journal of dental education. 2010;74(4):446-52.
17. Nutt S, Ellis E, Burry A. The truth about HIV/AIDS and infection control practices in dentistry. Journal-Canadian Dental Association. 1999;65:334-6.
18. Singh A, Purohit BM, Bhambal A, Saxena S, Singh A, Gupta A. Knowledge, attitudes, and practice regarding infection control measures among dental students in Central India. Journal of dental education. 2011;75(3):421-7.
19. Hussain M, Khanani MR, Siddiqui SE, Manzar N, Raza S, Qamar S. Knowledge, attitudes & practices (KAP) of general practitioners (GPS) regarding sexually transmitted diseases (STDS) and HIV/AIDS in Karachi, Pakistan. JPMA The Journal of the Pakistan Medical Association. 2011;61(2):202-5.
20. Rowe PM. New guidelines set for occupational HIV exposure. The Lancet. 1996;348(9019):48.
21. Hu S-W, Lai H-R, Liao P-H. Comparing dental students' knowledge of and attitudes toward hepatitis B virus-, hepatitis C virus-, and HIV-infected patients in Taiwan. AIDS Patient Care & STDs. 2004;18(10):587-93.
22. Uti O, Agbelusi G, Jeboda S. Are Nigerian dentists willing to treat patients with HIV infection? Nigerian Dental Journal. 2007;15(2):66-70.
23. Utomi I, Onajole A, Arotiba J. HIV/AIDS: Knowledge and attitudes of dentists in South-Western Nigeria. Nigerian Journal of Health and Biomedical Sciences. 2008;7(1):36-41.
24. Solomon ES, Gray CF, Gerbert B. Issues in the dental care management of patients with bloodborne infectious diseases: an opinion survey of dental school seniors. Journal of dental education. 1991;55(9):594-7.
25. Nuttall N, Gilbertt A. Final year dental students' views on cross- infection precautions. Journal of dentistry. 1993;21(2):105-10.
26. Seacat JP, Inglehart MR. Education about treating patients with HIV infections/AIDS: the student perspective. Journal of Dental Education. 2003;67(6):630-40.
27. Angelillo IF, Villari P, D'Errico MM, Grasso GM, Ricciardi G, Pavia M. Dentists and AIDS: a survey of knowledge, attitudes, and behavior in Italy. Journal of public Health dentistry. 1994;54(3):145-52.
28. Yadav SS, Yadav S, Mishra P. Knowledge and risk perception regarding HIV among healthcare workers in a medical college hospital. Int J Med Sci Public Health. 2014;3(1):73-5.
29. Gledović Z, Rakočević B, Mugoša B, Grgurević A. HIV-related knowledge, attitudes and practice among health care workers in Montenegro. Coll Antropol. 2015 Mar;39(1):81-5
30. Bennett ME, Weyant RJ, Wallisch JM, Green G. DENTISTS'ATTITUDES TOWARD THE TREATMENT OF HIV-POSITIVE PATIENTS. The Journal of the American Dental Association. 1995;126(4):509-14.
31. Oboro H, Azodo C, Sede M. Perception of HIV/AIDS among preclinical dental students. Journal of preventive medicine and hygiene. 2010;51(4).
32. El‐Maaytah M, Al Kayed A, Al Qudah M, Al Ahmad H, Al‐Dabbagh K, Jerjes W, et al. Willingness of dentists in Jordan to treat HIV‐infected patients. Oral Diseases. 2005;11(5):318-22.
2. Schwetz TA, Fauci AS. The extended impact of human immunodeficiency virus/AIDS research. The Journal of infectious diseases. 2019;219(1):6-9.
3. Khan R, Bilal A. Knowledge about HIV and Discriminatory Attitudes toward People Living with HIV in Pakistan. Pakistan Journal of Public Health. 2019;9(1):37-41.
4. Pescosolido BA. Stigma as a mental health policy controversy: Positions, options, and strategies for change. The Palgrave handbook of American mental health policy: Springer; 2020. p. 543-72.
5. Jacobi CA, Atanga PN, Bin LK, Fru AJC, Eppel G, Mbome VN, et al. “My Friend with HIV Remains a Friend”: HIV/AIDS Stigma Reduction through Education in Secondary Schools—A Pilot Project in Buea, Cameroon. Journal of the International Association of Providers of AIDS Care (JIAPAC). 2020;19:2325958219900713.
6. Hawa RN, Underhill A, Logie CH, Islam S, Loutfy M. South Asian immigrant women’s suggestions for culturally-tailored HIV education and prevention programs. Ethnicity & health. 2019;24(8):945-59.
7. BR, Hines J, Thomas R, Calder D, Carter B, et al.HIV/AIDS‐related stigma, immediate families, and proactive coping processes among a clinical sample of people living with HIV/AIDS in Philadelphia, Pennsylvania. Journal of community psychology. 2019;47(7):1787-98.
8. Lee HJ KD, Na YJ, Kwon MR, Yoon HJ, Lee WJ, Woo SH. . Factors associated with HIV/AIDS-related stigma and discrimination by medical professionals in Korea: A survey of infectious disease specialists in Korea. . Nigerian journal of clinical practice. 2019 May 1;22(5):675
9. Hafeez T, Riaz SH, Ali I, Irum N. A study of knowledge and attitude of health care providers working at tertiary care hospitals of Lahore, Pakistan (having HIV/AIDS treatment facility) towards HIV/AIDS. Acta Medica International. 2017;4(1):124
10. San PB, Dzung P, Hong KT, Oanh KTH, Tuan T. Evaluation of the National AIDS Program January 1996–June 2001 in Vietnam. Hanoi: National AIDS Standing Bureau, VIE/98/006 Project–HIV/AIDS Capacity Development. 2002.
11. Souville M, Msellati P, Carrieri M-P, Brou H, Tape G, Dakoury G, et al. Physicians' knowledge and attitudes toward HIV care in the context of the UNAIDS/Ministry of Health Drug Access Initiative in Cote d'Ivoire. Aids. 2003;17:S79-S86.
12. Quach L, Mayer K, McGarvey ST, Lurie MN, Do P. Knowledge, attitudes, and practices among physicians on HIV/AIDS in Quang Ninh, Vietnam. AIDS Patient Care & STDs. 2005;19(5):335-46.
13. Stone VE, Mansourati FF, Poses RM, Mayer KH. Relation of physician specialty and HIV/AIDS experience to choice of guideline‐ recommended antiretroviral therapy. Journal of general internal medicine. 2001;16(6):360-8.
14. Landon BE, Wilson IB, Wenger NS, Cohn SE, Fichtenbaum CJ, Bozzette SA, et al. Specialty training and specialization among physicians who treat HIV/AIDS in the United States. Journal of General Internal Medicine. 2002;17(1):12-22.
15. Oberoi SS, Sharma N, Mohanty V, Marya C, Rekhi A, Oberoi A. Knowledge and attitude of faculty members working in dental institutions towards the dental treatment of patients with HIV/AIDS. International scholarly research notices. 2014;2014.
16. Azodo CC, Ehigiator O, Oboro HO, Ehizele AO, Umoh A, Ezeja EB, et al. Nigerian dental students’ willingness to treat HIV‐positive patients. Journal of dental education. 2010;74(4):446-52.
17. Nutt S, Ellis E, Burry A. The truth about HIV/AIDS and infection control practices in dentistry. Journal-Canadian Dental Association. 1999;65:334-6.
18. Singh A, Purohit BM, Bhambal A, Saxena S, Singh A, Gupta A. Knowledge, attitudes, and practice regarding infection control measures among dental students in Central India. Journal of dental education. 2011;75(3):421-7.
19. Hussain M, Khanani MR, Siddiqui SE, Manzar N, Raza S, Qamar S. Knowledge, attitudes & practices (KAP) of general practitioners (GPS) regarding sexually transmitted diseases (STDS) and HIV/AIDS in Karachi, Pakistan. JPMA The Journal of the Pakistan Medical Association. 2011;61(2):202-5.
20. Rowe PM. New guidelines set for occupational HIV exposure. The Lancet. 1996;348(9019):48.
21. Hu S-W, Lai H-R, Liao P-H. Comparing dental students' knowledge of and attitudes toward hepatitis B virus-, hepatitis C virus-, and HIV-infected patients in Taiwan. AIDS Patient Care & STDs. 2004;18(10):587-93.
22. Uti O, Agbelusi G, Jeboda S. Are Nigerian dentists willing to treat patients with HIV infection? Nigerian Dental Journal. 2007;15(2):66-70.
23. Utomi I, Onajole A, Arotiba J. HIV/AIDS: Knowledge and attitudes of dentists in South-Western Nigeria. Nigerian Journal of Health and Biomedical Sciences. 2008;7(1):36-41.
24. Solomon ES, Gray CF, Gerbert B. Issues in the dental care management of patients with bloodborne infectious diseases: an opinion survey of dental school seniors. Journal of dental education. 1991;55(9):594-7.
25. Nuttall N, Gilbertt A. Final year dental students' views on cross- infection precautions. Journal of dentistry. 1993;21(2):105-10.
26. Seacat JP, Inglehart MR. Education about treating patients with HIV infections/AIDS: the student perspective. Journal of Dental Education. 2003;67(6):630-40.
27. Angelillo IF, Villari P, D'Errico MM, Grasso GM, Ricciardi G, Pavia M. Dentists and AIDS: a survey of knowledge, attitudes, and behavior in Italy. Journal of public Health dentistry. 1994;54(3):145-52.
28. Yadav SS, Yadav S, Mishra P. Knowledge and risk perception regarding HIV among healthcare workers in a medical college hospital. Int J Med Sci Public Health. 2014;3(1):73-5.
29. Gledović Z, Rakočević B, Mugoša B, Grgurević A. HIV-related knowledge, attitudes and practice among health care workers in Montenegro. Coll Antropol. 2015 Mar;39(1):81-5
30. Bennett ME, Weyant RJ, Wallisch JM, Green G. DENTISTS'ATTITUDES TOWARD THE TREATMENT OF HIV-POSITIVE PATIENTS. The Journal of the American Dental Association. 1995;126(4):509-14.
31. Oboro H, Azodo C, Sede M. Perception of HIV/AIDS among preclinical dental students. Journal of preventive medicine and hygiene. 2010;51(4).
32. El‐Maaytah M, Al Kayed A, Al Qudah M, Al Ahmad H, Al‐Dabbagh K, Jerjes W, et al. Willingness of dentists in Jordan to treat HIV‐infected patients. Oral Diseases. 2005;11(5):318-22.
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Published
Sep 13, 2024
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How to Cite
Dr Munir Ahmad Malik, Dr Muhammad Waheed Asghar Bhatti, Dr. Hassan Zaid, Iqra Habib, & Summayya Maryam. (2024). KNOWLEDGE, ATTITUDE AND WILLINGNESS OF PHYSICIAN TO TREAT HIV/AIDS PATIENTS ATTENDING ANTI-RETROVIRAL CLINICS IN THE PUNJAB, PAKISTAN. Journal of Population Therapeutics and Clinical Pharmacology, 31(9), 3487-3501. https://doi.org/10.53555/cdpcgp03
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Author Biographies
Dr Munir Ahmad Malik
Public health specialists, University of Lahore
Dr Muhammad Waheed Asghar Bhatti
Public health specialists, University of Lahore
Dr. Hassan Zaid
Public health specialists, University of Lahore
Iqra Habib
Assistant Professor, University of Lahore
Summayya Maryam
Biochemist, University of Lahore
How to Cite
Dr Munir Ahmad Malik, Dr Muhammad Waheed Asghar Bhatti, Dr. Hassan Zaid, Iqra Habib, & Summayya Maryam. (2024). KNOWLEDGE, ATTITUDE AND WILLINGNESS OF PHYSICIAN TO TREAT HIV/AIDS PATIENTS ATTENDING ANTI-RETROVIRAL CLINICS IN THE PUNJAB, PAKISTAN. Journal of Population Therapeutics and Clinical Pharmacology, 31(9), 3487-3501. https://doi.org/10.53555/cdpcgp03