Knowledge, Attitudes And Sexual Practices Of University Students For Advancing Peer HIV Education

Objective: To determine the current HIV/AIDS Knowledge, Attitudes and Sexual Practices (KASP) indicators among university students that would facilitate development and implementation of a peer education programme and the subsequent monitoring and evaluation of other HIV/AIDS activities.Design: An institutional based cross-sectional study.Setting: Maseno University, Kenya.Subjects: Five hundred students composed of 60% males and 40% females as dictated by the university’s male to female ratio.Main outcome measures: Levels of HIV and AIDS awareness, knowledge and attitudes and the current related behavioural trends and tendencies, among the students at the University.Results: Of the five hundred respondents included in the study, 68.5% of them reported having ever had sexual intercourse, with males being the majority at 78.2%, while the females were 54.7%. A large majority (77%) of females were in current sexual relationships compared to 66.7% of males. A significant proportion (54.8%) of first year students reported having had their first sexual intercourse at the university. Sexualactivity was seen to increase from 56.9 to 71.2% among the first year students when they got to second year of study at the university. Peer pressure emerged as an important factor in students’ sexual behaviour (P=0.001). Of the students, 32% reported having undergone HIV tests, 70.8% were willing to go for a test while 74.3% perceived theyhad a chance of being infected with the virus based on their previous risky sexual experiences. A significant 77.7% of the respondents affirmed having ever used condoms but only 15.8% reported consistent use.Conclusion: High proportions of students are sexually active with peaks in first and second years of study. This is coupled with an equal inconsistent use of condoms. Peer influence emerged as an important feature in accelerating risky sexual behaviour hence the need for advancing peer education programmes in universities.

Evaluation of a social marketing intervention promoting oral rehydration salts in Burundi

<p>Abstract</p> <p>Background</p> <p>Diarrhea is the second leading cause of death for children under five in Burundi; however, use of oral rehydration salts (ORS), the recommended first-line treatment, remains low. In 2004, PSI/Burundi launched a social marketing intervention to promote ORASEL among caregivers of children under five; the product was relaunched in 2006 with a new flavor. This study evaluates the intervention after the ORASEL relaunch, which included mass media and interpersonal communication activities. The study looks at trends in ORASEL use in Burundi and in behavioral determinants that may be related to its use.</p> <p>Methods</p> <p>In 2006 and 2007, PSI conducted household surveys among Burundian females of reproductive age (15-49). Both surveys used a two-stage sampling process to select 30 households in each of 115 rural and urban collines throughout the nation. Survey respondents were asked about diarrhea treatment-related behavior; key behavioral determinants; and exposure to the ORASEL intervention. Data were analyzed to identify trends over time, characteristics of ORASEL users, and associations between exposure to the intervention and changes in ORASEL use and related behavioral determinants.</p> <p>Results</p> <p>ORASEL use among caregivers at their children's last diarrheal episode increased significantly from 20% in 2006 to 30% in 2007, and there were also desirable changes in several behavioral determinants associated with ORASEL use. Evaluation analysis showed that a higher level of exposure to the social marketing campaign was associated with greater use of ORASEL and with significant improvements in perceived availability, knowledge of the signs of diarrhea and dehydration, social support, and self-efficacy.</p> <p>Conclusions</p> <p>ORS use can be improved through social marketing and educational campaigns that make the public aware of the availability of the product, encourage dialogue about its use, and increase skills and confidence relating to correct product preparation and administration. Further interventions in Burundi and elsewhere should promote ORS through a variety of mass media and interpersonal communication channels, and should be rigorously evaluated in the context of the total market for diarrhea treatment products.</p

The Recognition of and Care Seeking Behaviour for Childhood Illness in Developing Countries: A Systematic Review

Background: Pneumonia, diarrhoea, and malaria are among the leading causes of death in children. These deaths are largely preventable if appropriate care is sought early. This review aimed to determine the percentage of caregivers in low- and middle-income countries (LMICs) with a child less than 5 years who were able to recognise illness in their child and subsequently sought care from different types of healthcare providers. Methods and Findings: We conducted a systematic literature review of studies that reported recognition of, and/or care seeking for episodes of diarrhoea, pneumonia or malaria in LMICs. The review is registered with PROSPERO (registration number: CRD42011001654). Ninety-one studies met the inclusion criteria. Eighteen studies reported data on caregiver recognition of disease and seventy-seven studies on care seeking. The median sensitivity of recognition of diarrhoea, malaria and pneumonia was low (36.0%, 37.4%, and 45.8%, respectively). A median of 73.0% of caregivers sought care outside the home. Care seeking from community health workers (median: 5.4% for diarrhoea, 4.2% for pneumonia, and 1.3% for malaria) and the use of oral rehydration therapy (median: 34%) was low. Conclusions: Given the importance of this topic to child survival programmes there are few published studies. Recognition of diarrhoea, malaria and pneumonia by caregivers is generally poor and represents a key factor to address in attempts to improve health care utilisation. In addition, considering that oral rehydration therapy has been widely recommended for over forty years, its use remains disappointingly low. Similarly, the reported levels of care seeking from community health workers in the included studies are low even though global action plans to address these illnesses promote community case management. Giving greater priority to research on care seeking could provide crucial evidence to inform child mortality programmes

Home Management Of Diarrhea Among Underfives In A Rural Community In Kenya: Household Perceptions And Practices

Introduction: Diarrheal disease is a major cause of morbidity and mortality among under-fives especially in rural and peri-urban communities in developing countries. Home management of diarrhea is one of the key household practices targeted for enhancement in the Community Integrated Management of Childhood Illness (C-IMCI) strategy. Objective: The aim of this study was to determine the perceptions of mothers/caregivers regarding the causes of diarrhea among under-fives and how it was managed in the home before seeking help from Community Health Workers or health facilities. Design: A household longitudinal study was conducted in Nyando district, Kenya in 2004-2006 adopting both qualitative and quantitative approaches. Subjects: A total of 927 mothers/caregivers of under-fives participated in the study. Main outcome measures: Perceived causes of childhood diarrhoea, action taken during diarrhea, fluid intake, recognition of signs of dehydration, feeding during convalescence, adherence to treatment and advice. Results: Majority of the respondents 807(87.1%) reported that their children had suffered from diarrhea within the last 2 weeks before commencement of the study. Diarrhea was found to contribute to 48% of child mortality in the study area. Perceived causes of diarrhea were: unclean water 524(55.6%), contaminated food 508(54.9%), bad eye 464 (50.0%), false teeth 423(45.6%) and breast milk 331(35.8%). More than 70% of mothers decreased fluid intake during diarrhea episodes. The mothers perceived wheat flour, rice water and selected herbs as anti-diarrheal agents. During illness, 239(27.8%) of the children were reported not to have drunk any fluids at all, 487(52.5%) drunk much less and only 93(10.0%) were reported to have drunk more than usual. A significant 831(89.6%) withheld milk including breast milk with the notion that it enhanced diarrhea. Conclusion: Based on these findings, there is need to develop and implement interactive communication strategies for the health workers and mothers to address perceptions and misconceptions and facilitate positive change in the household practice on management of diarrhea among under-fives. East African Journal of Public Health Vol. 5 (3) 2008: pp. 142-14