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dc.contributor.authorAlitubeera, Phoebe Hilda
dc.date.accessioned2018-05-29T19:43:05Z
dc.date.available2018-05-29T19:43:05Z
dc.date.issued2017
dc.identifier.citationAlitubeera, P. H. (2017). Utilization of post exposure prophylaxis among health workers following percutaneous injuries in public health facilities in Kampala Capital City. Unpublished master's dissertation, Makerere University, Kampala, Ugandaen_US
dc.identifier.urihttp://hdl.handle.net/10570/6188
dc.descriptionA thesis submitted in partial fulfillment of the requirements for the award of the Masters of Science Degree in Health Services Research of Makerere Universityen_US
dc.description.abstractBackground: Of the 3 million percutaneous exposures that occur annually among health workers, 90% are in low income countries. The estimated prevalence of percutaneous exposures among health workers in Uganda is 57-82%. However, utilization of post exposure prophylaxis following percutaneous exposure remains largely undetermined. Methods: This cross-sectional study aimed to determine the level of utilization of post exposure prophylaxis for HIV and Hepatitis B following percutaneous injuries among clinical health workers in public health facilities in Kampala Capital City and the associated determinants. A total of 709 Health workers of various cadres across various levels of health facilities in Kampala were included. Results: 28% (n=709) of HWs had sustained percutaneous injuries in the preceding 12 months. 14% (n=197) of the exposed HWs had been immunised against Hep B. Prevalence of injuries was higher among HWs in lower level facilities (Adjusted prevalence ratio-APR 1.1, 95% CI 1.02-1.26) and International Hospital Kampala (APR 1.3, 95% CI 1.04-1.52). 15% (n=197) of the exposed HWs initiated HIV PEP and 0.5% Hep B PEP. 69% (n=29) completed HIV PEP treatment and 100% (n=1) completed Hep B PEP treatment. Being a consultant and having moderately deep injury were significantly associated with PEP uptake. 6 of 7 health facilities lacked a reporting procedure following percutaneous injury. Conclusion: Health workers are vulnerable to blood borne pathogens across all levels of Health care institutions. Much as PEP for HIV is widely available across all Health facilities, PEP utilization is low. Comprehensive measures to ensure Health worker safety including mandatory Hep B immunisation and occupational exposure surveillance are called for.en_US
dc.description.sponsorshipFogarty International Centreen_US
dc.language.isoenen_US
dc.publisherMakerere Universityen_US
dc.subjectHealth workersen_US
dc.subjectHepatitis Ben_US
dc.subjectHIV/AIDSen_US
dc.subjectImmunisationen_US
dc.subjectPost exposure prophylaxisen_US
dc.subjectPercutaneousen_US
dc.subjectKampala, Ugandaen_US
dc.titleUtilization of post exposure prophylaxis among health workers following percutaneous injuries in public health facilities in Kampala Capital Cityen_US
dc.typeThesis/Dissertation (Masters)en_US


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