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Int. J. Environ. Res. Public Health 2015, 12(2), 1969-1982; doi:10.3390/ijerph120201969

Impact of HIV Testing and Counseling (HTC) Knowledge on HIV Prevention Practices Among Traditional Birth Attendants in Nigeria

Prevention, Education, Treatment, Training and Research-Global Solutions-PeTR-GS, Plot 25 Liberty Estate, Independence Layout Enugu, Enugu State 400001, Nigeria
School of Community Health Sciences, University of Nevada, Las Vegas, 4505 S. Maryland Parkway, Box 453067, Las Vegas, NV 89154, USA
HealthySunrise Foundation, 8752 Castle Ridge Avenue, Las Vegas, NV 89129, USA
Ministry of Health, Asaba, Delta State, 1 Onyeka Close, Asaba, Delta State 320242, Nigeria
Delta State Action Committee on AIDS, No. 5 Tom Adigwu St, Off DLA Rd, Asaba, Delta State 320233, Nigeria
Department of Family Medicine, University of Rochester School of Medicine and Wilmot Cancer Center, 1381 South Ave Rochester, New York, NY 14620, USA
Department of Pediatrics, University of Nevada School of Medicine, 2040 West Charleston Boulevard, Las Vegas, NV 89102, USA
These authors contributed equally to this work.
Author to whom correspondence should be addressed.
Academic Editor: Janet Seeley
Received: 29 December 2014 / Accepted: 3 February 2015 / Published: 10 February 2015
(This article belongs to the Special Issue HIV/AIDS: Social Perspectives)
View Full-Text   |   Download PDF [700 KB, uploaded 11 February 2015]


Nigeria is second in the world for the number of people with HIV and has a high rate of mother-to-child transmission (MTCT). Over 60% of births in Nigeria occur outside of health care facilities, and because of this, Traditional Birth Attendants (TBAs) play a significant role in maternal and child health. It is important that TBAs be knowledgeable about HIV prevention. The purpose of this study was to determine the impact of HIV testing and counseling (HTC) knowledge on the HIV prevention practices among TBAs in Nigeria. Five hundred TBAs were surveyed. Chi-square and logistic regression were used to assess differences in HIV prevention practices between TBAs with and without HTC knowledge. TBAs with HTC knowledge are significantly more likely to engage in HIV prevention practices than TBAs without HTC. Prevention practices included: wearing gloves during delivery (p < 0.01), sterilization of delivery equipment (p < 0.01), participation in blood safety training (p < 0.01), and disposal of sharps (p < 0.01). As long as a high percent of births occur outside health care facilities in Nigeria, there will be a need for TBAs. Providing TBAs with HTC training increases HIV prevention practices and can be a key to improve maternal and child health. View Full-Text
Keywords: HIV and AIDS; risk factors; traditional birth attendances; HIV preventive practices; HIV testing and counseling HIV and AIDS; risk factors; traditional birth attendances; HIV preventive practices; HIV testing and counseling
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. (CC BY 4.0).

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MDPI and ACS Style

Osuji, A.; Pharr, J.R.; Nwokoro, U.; Ike, A.; Ali, C.; Ejiro, O.; Osuyali, J.; Obiefune, M.; Fiscella, K.; Ezeanolue, E.E. Impact of HIV Testing and Counseling (HTC) Knowledge on HIV Prevention Practices Among Traditional Birth Attendants in Nigeria. Int. J. Environ. Res. Public Health 2015, 12, 1969-1982.

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