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Citation Information

Type Thesis or Dissertation - Master of Medicine in Ophthalmology
Title Knowledge, attitude and practice on ophthalmic features of HIV/AIDS among clinicians in comprehensive care centres in Nyanza
Author(s)
Publication (Day/Month/Year) 2014
URL http://erepository.uonbi.ac.ke/bitstream/handle/11295/74359/Onyango_Knowledge, Attitude And Practice​On Ophthalmic.pdf?sequence=4
Abstract
Background:1.33 million Kenyans are infected with HIV/AIDS.The prevalence is highest in
Nyanza region (13.9%). There is no data on knowledge, attitude and practice on ophthalmic
features of HIV/AIDS among clinical officers/medical officers.Being the primary physicians,it,s
prudent to evaluate their skills in assessing and referring patients with these features.
Design: A cross-sectional study
Objective:Assessknowledge, attitude and practice onophthalmic features of HIV/AIDS in adults
among clinicians.
Methodology: The study was carried out in Nyanza, Kenya and the study participants were
clinical officers and medical officers working in comprehensive care centres.
One on one interview was performed using a questionnaire and data collected was coded and
entered in pre-designed Microsoft access database.Analysis was done using SPSS version 17
software.The results were presented in tables and graphs.
Results: 73 clinicians were interviewed over a period of 2 months.Their ages ranged from 22 to
55 years.93.2% were clinical officers and 6.8% were medical officers while the male to female
ratio was 2:1 and 1:4 respectively.
89.7% of clinical officers (CO) compared to all the medical officers (MO) had knowledge on
ophthalmic features of HIV/AIDS.Herpes zoster was the commonest ophthalmic feature of
HIV/AIDS that was known by 50.8% of COs and 80% of MOs.57.4% of COs compared to 80%
of MOs were aware that the ocular adnexae was affected by HIV/AIDS infection while 86.8%
and 100% respectively knew that the level of CD4 count determined occurrence.Majority did not
know ophthalmic features of HIV/AIDS that occurred at different levels of CD4 counts.
The practice was poor with 72.1% of the COs and 60% of MOs not taking ocular history while
72.1% and 80% respectively were not performing an ocular examination.However, majority of
them referred patients with complaints.
Conclusion:The study established that the clinicians had adequate general knowledge on
ophthalmic features of HIV/AIDS though gaps existed on the specific features and on role of the
CD4 count as a determinant of occurrence. The attitudes were good though this did not reflect on
practice.

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