Comparative effects of educational intervention on knowledge, attitude and practice regarding HIV/AIDS among hospital orderlies in two Tertiary Hospitals

Keywords: Acquired Immunodeficiency Syndrome, Health Care Workers, Human Immunodeficiency Virus, People Living With HIV/AIDS, Tertiary Hospital


Background: HIV (Human Immunodeficiency Virus) and AIDS (Acquired Immunodeficiency Syndrome) pandemic is a major challenge that health care workers are faced with because of increased risk of infection. Despite the high risk of HIV infection among nursing assistants, less attention is currently paid to training this cadre of hospital staff to reduce the risk of infection.

Objective:  To assess the effect of educational intervention on knowledge, attitude and practice about HIV/AIDS among hospital orderlies in two tertiary facilities in Ogun State, South-west, Nigeria.

Methods: The study was a quasi-experimental, non-randomized, controlled group design which was conducted in three phases; a pre-intervention evaluation, immediate post-intervention evaluation and another evaluation three months post-intervention. Hospital orderlies were recruited (108 from the Olabisi Onabanjo University Teaching Hospital, Sagamu (OOUTH) as intervention group and 112 orderlies from the Federal Medical Centre (FMC), Abeokuta as controls).

Results: Significant increase in the knowledge, attitude and practice of the intervention group determined by percentage score was recorded immediately after the training. In the control group, there was a decline in the attitudinal score but an insignificant increase in the knowledge and practice of HIV prevention. Three months post-intervention, further increase in the knowledge score and attitudinal score in the intervention group respectively compared to the pre-test scores ( 83.3% vs. 99.1% and 94.4% vs. 96.3%) were recorded.

Conclusion: The study showed good knowledge of HIV and AIDS which further improved after the educational intervention. Therefore, the need for continuous training for the hospital orderlies is germane.


1. Federal Ministry of Health. Technical Report on 2001 National HIV/Syphilis Seroprevalence Sentinel Survey among Pregnant Women Attending Antenatal Clinics in Nigeria. NASCP, Abuja. 2001. Nigeria.

2. Federal Ministry of Health. Technical Report on the 2008 National HIV/Syphilis Seroprevalence Sentinel Survey among Pregnant Women Attending Antenatal Clinics in Nigeria. NASCP, Abuja. 2010. Nigeria.

3. Federal Ministry of Health. National Guidelines for HIV and AIDS Treatment and Care in Adolescents and Adults. National AIDS/STD Control Programme (NASCP). 2007. Abuja Nigeria.

4. Hentgen V, Jaureguiberry S, Ramiliarisoa A, Andrianantoandro V, Belec M. Knowledge, attitude and Practice of health personnel with regards to HIV/AIDS in Tamatave (Madagascar) Bull Soc Pathol Exot 2002; 95(2): 103-8.

5. Adelekan ML, Jolayemi SO, Ndom RJ, Adegboye J, Babatunde S, Tunde-Ayimode M, et al. Caring for people with AIDS in a Nigerian teaching hospital: staff attitude and knowledge. AIDS Care 1995; (Suppl 1): 563-72.

6. Awosabo-Asare K, Marfo C. Attitude and management of HIV/AIDS among health workers in Ghana: the case of Cape Coast Municipality. Health Transition Rev 1997; (Supplement 7): 271-80.

7. Scrimgeour GE. Who cares? The role of nursing assistants in the labour process of hospital nursing. 2015. Accessed 15th March 2016.

8. Kituara H, Adachi N, Kobayashik K, Yamada T. Knowledge and attitude of Japanese dental health care workers towards HIV-related disease. J Dent 1997; 25(3): 279-83.

9. Gordin FM, Willoughby AD, Levine LA, Gurel L, Neill KM. Knowledge of AIDS among hospital workers: behavior correlates and consequences. AIDS 1987; 1: 183-8.

10. Aisien AO, Shobowale MO. Health care workers’ knowledge on HIV/AIDS: universal precautions and attitude towards PLWHA in Benin-city, Nigeria. Niger J Clin Pract 2005; 8(2): 74-82.

11. Kiragu, Karusa, Mutinta Nyumbu, Thabale J. Ngulube, Panganani Njobvu, Chilufya Mwaba, Arthur Kalimbwe, and Spike Bradford. Caring for caregivers: An HIV/AIDS workplace intervention for hospital staff in Zambia, evaluation results, Horizons Final Report. 2008; pg 38. Washington, DC: Population Council. Accessed 5th May 2013.

12. Araoye MO. Research Methodology with Statistics for Health and Social Sciences. Nathadex Publishers, Ilorin, Nigeria. 2003: 107.

13. Institute of Human Virology- Nigeria. HIV Counselling and Testing Training Lagos Region (Abeokuta), 2007. Accessed on the 18th May 2012.

14. Safety and Supportive Care in the Work Environment. Nigeria National PMTCT Training slide module8 Accessed on 18th of May,2012

15. Koelsch F. Nutrition and diet therapy: A textbook of dietetics. JAMA 1934; 103(26): 2052. doi:10.1001/jama.1934.02750520054030

16. Bamgboye AE. A companion of medical statistics. First Edition. Folbam Publishers, Folbam House, Samonda, Ibadan. 2006: 102-18.

17. World Health Organisation. Global advisory group on Nursing and Midwifery – Report of the sixth meeting. Geneva, 19-22 November 2000. WHO Geneva 2002.

18. National Bureau of Statistics. Employment and labour statistics. Accessed 17th August 2015.

19. Umeh CN, Essien EJ, Ezedinachi EN, Ross MW. Knowledge, Beliefs and attitudes about HIV/AIDS-related issues, and sources of knowledge among Health Care professionals in Southern Nigeria. J Royal Soc Prom Health 2008; 128(5): 233-9.

20. Sadoh AE, Fawole AO, Sadoh WE, Oladimeji AO, Sotiloye OS. Attitude of Health care workers to HIV/AIDS. Afr J Reprod Health 2006; 10(1): 39-46.

21. Adebajo SB, Bamgbala AO, Oyediran MA. Attitude of health care providers to persons living with HIV/AIDS in Lagos State, Nigeria. Afr J Reprod Health 2008; 7 (1): 103-12.

22. Kamiru HN, Ross MW, Bartholomew LK, McCurdy SA, Kline MW. Effectiveness of training programme to increase the capacity of health care providers to provide HIV/AIDS care and treatment in Swaziland. Baylor International Paediatric AIDS Initiatives (BIPAI). AIDS Care 2009; (11): 1463-70. doi: 10.1080/09540120902883093

23. Jeminusi OAD. The Effect of HIV/AIDS education programme on related Knowledge, Attitude and Practice of hospital nurses in Sagamu, Ogun State. A Postgraduate Dissertation submitted to the West African College of Physicians. 2003.
Original Research