Knowledge Attitude and Practice of HIV Self Testing Among Health Workers of Kampala International University Teaching Hospital Bushyeni Uganda

TABLE OF CONTENTS

DECLARATION................................................................................................................I

DEDICATION.................................................................................................................III

ACKNOWLEDGMENTS ..............................................................................................IV

LIST OF TABLES ........................................................................................................... V

LIST OF FIGURES ........................................................................................................VI

ABSTRACT................................................................................................................... VII

LIST OF ABBREVIATIONS AND ACRONYMS .................................................... XII

OPERATIONAL DEFINITIONS ..............................................................................XIII

CHAPTER ONE ............................................................................................................... 1

INTRODUCTION............................................................................................................. 1

1.1 BACKGROUND ......................................................................................................... 1

1.2 PROBLEM STATEMENT ........................................................................................ 3

1.3 OBJECTIVE OF THE STUDY................................................................................. 5

1.3.1 GENERAL OBJECTIVE........................................................................................ 5

1.3.2 SPECIFIC OBJECTIVES ...................................................................................... 5

1.4 RESEARCH QUESTIONS........................................................................................ 5

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1.5 SIGNIFICANCE OF THE STUDY .......................................................................... 5

1.6 SCOPE OF THE STUDY........................................................................................... 6

1.6.1 GEOGRAPHICAL SCOPE.................................................................................... 6

1.6.2 CONTENT SCOPE ................................................................................................. 6

1.6.3 TIME SCOPE........................................................................................................... 6

1.7 CONCEPTUAL FRAME WORK............................................................................. 7

1.7.1 DESCRIPTION OF CONCEPTUAL FRAMEWORK ....................................... 7

LITERATURE REVIEW ................................................................................................ 8

2.1 IMPACT OF HIV ON HEALTH CARE WORKERS............................................ 8

2.2 INCREASING UPTAKE OF TESTING.................................................................. 9

2.3 BARRIERS TO TESTING ...................................................................................... 10

2.4 GLOBAL HTC POLICY ......................................................................................... 11

2.5 INFORMAL AND FORMAL SELF-TESTING AMONG HEALTH WORKERS

........................................................................................................................................... 11

CHAPTER THREE........................................................................................................ 13

METHODOLOGY ......................................................................................................... 13

3.1 STUDY DESIGN....................................................................................................... 13

3.2 STUDY POPULATION ........................................................................................... 13

3.2.1 INCLUSION CRITERIA...................................................................................... 13

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3.2.2 EXCLUSION CRITERIA..................................................................................... 13

3.3 SAMPLE SIZE DETERMINATION...................................................................... 13

3.4 SAMPLING TECHNIQUE ..................................................................................... 13

3.5 DATA COLLECTION TOOLS .............................................................................. 13

3. 6 VALIDITY AND RELIABILITY OF THE RESEARCH INSTRUMENTS..... 14

3.7 DATA ANALYSIS.................................................................................................... 14

3.8 ETHICAL CONSIDERATIONS............................................................................. 14

3.9 AUTONOMY AND INFORMED CONSENT....................................................... 14

3.10 RISK AND BENEFITS ...........................ERROR! BOOKMARK NOT DEFINED.

CHAPTER FOUR........................................................................................................... 16

RESULTS ........................................................................................................................ 16

4.1 SOCIO-DEMOGRAPHIC CHARACTERISTICS OF THE STUDY

POPULATION................................................................................................................ 16

4.2 LEVEL OF KNOWLEDGE ON HIVST................................................................ 18

4.3 ATTITUDES AND PRACTICES OF HEALTH CARE WORKERS TOWARDS

HIVST.............................................................................................................................. 18

CHAPTER FIVE ............................................................................................................ 20

DISCUSSIONS, CONCLUSION AND RECOMMENDATIONS ............................. 20

5.1 DISCUSSIONS.......................................................................................................... 20

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5.2 CONCLUSION ......................................................................................................... 21

5.3 RECOMMENDATIONS.......................................................................................... 21

REFERENCES................................................................................................................ 22

APPENDICES................................................................................................................. 24

APPENDIX I: INTRODUCTION AND CONSENT................................................... 24

APPENDIX II: QUESTIONNAIRE ............................................................................. 25

APPENDIX III: PROPOSED BUDGET...................................................................... 27

APPENDIX IV: WORK PLAN..................................................................................... 27

APPENDIX V: LETTER OF INTRODCUTION FROM KIU.................................. 28

APPENDIX VI: MAP OF ISHAKA MUNICIPALITY SHOWING KAMPALA

INTERNATIONAL UNIVERSITY-WESTERN CAMPUS....................................... 29