Effect of Health Education Intervention on Knowledge of Universal Safety Precaution Among Primary Health Care Workers in Rivers State, Nigeria.

Bright Owhonadah Ogbondah



AIMS/OBJECTIVES: To determine the effect of health education (HE) intervention on knowledge of universal safety precaution (USP) among health care workers (HCW) in primary health care centers (PHCC) in Rivers State, Nigeria.

Materials/method: This was a quasi-experimental study which involves assessment of HCW knowledge of USP. Semi structured, self-administered questionnaire was used to collect information from eligible respondents. Data was analyzed using statistical package for social sciences (SPSS) version 17 statistical software. A descriptive analysis of data collected at baseline and six months thereafter were used to determine the effect of the intervention. A bivariate analysis of outcome variables using chi square test for categorical data and students T test for quantitative data was done. The level of statistical significance was set at p value < 0.05. 

Results: A total of three hundred and sixty six health care workers were enlisted for the study with 183 respondents each for study and control groups respectively. There were 52(28.4%) males and 131(71.6%) female in study group with 56(30.6%) males and 127(69.4%) females in control group respectively. For study group, total composite score for good, fair and poor knowledge were 1088(45.7%), 554(23.3%) and 737(31.0%) respectively before intervention, however Post intervention, total composite score for good, fair and poor knowledge of USP were 1850(78.6%), 321(13.6%) and 183(7.8%) respectively (p<0.05). There was no significant change in knowledge in the control group (p=0.98)

Conclusion: Knowledge of USP by HCW in PHCC was poor, intervention by means of HE proved to improve their knowledge.


: universal safety precaution, health education, knowledge, primary health care workers, Nigeria;


CDC. Recommendation for preventing transmission of infection with human T- lymph tropic virus type III lymphadenopathy associated virus in work place. Morb. Mort. Weekly report 1986; 34(45); 681 – 6, 91 – 5.

CDC update: Universal precautions for prevention of transmission of human immunodeficiency virus, Hepatitis B virus, and other blood borne pathogens in health care settings. MMWR MUB Mortal, weekly report 1988:37(24): 377-82, 87-88. Updated Jan. 2013

Aisien AO, Shobowale MO. Health Care Workers Knowledge on HIV and AIDS: Universal Precautions and Attitude towards PLWHA in Benin City, Nigeria. Nigerian Journal of Clinical Practice 2005; 8(2); 74-82

Mark Cichoki RN. Preventing Occupational Exposure to HIV.About.com.guide.updated August 06, 2006. Assessed 6.8.2012

Hopmans TE, Block H E, Troelstra A, Bonten M J. Prevalence of hospital acquired infections during successive surveillance survey conducted at a university hospital in Netherlands.

Infection control Hospital epidemiology. 2007; 28: 459 – 465

Worker health chart book 2004. Blood borne infections and other percutaneous exposures.

DHHS (NIOSH) Publication No. 2004: 146

NIOSH Alert: preventing needle stick injuries in health care settings Washington DC, Natural institute for Occupational safety & health. 1999 (Publication No. 2000 :108

Iynch P, Jackson MM, Cummings MJ, Stamm NE. Rethinking the role of isolation practices in the prevention of nosocomial infection. Annals of internal medicine. 1987; 107(2): 243-246.

Cando DM, Culver DH, Ciesielski CA et al. A case control study of HIV sero conversion in Health care workers after percutaneous exposure.

New England Journal of Medicine. 1997; 337: 1485 – 1490

Twitchell KT. Blood borne pathogens. What you need to know part 1. Journal of the American association of Occupational Health Nurses. 2003; 51(1): 38-45

Puro V, Ranshino M, Profile F. Occupational Exposure to blood and risk of HIV Transmission in a general hospital. European Journal of Epidemiology 1990; 6(1): 67-70

Perry J. Railer G, Jagger J. Epi NET report: 2003. Percutaneous injury rates. Adv. exposure prev. 2005; 7: 42-5

Washington MG, Ross JJ, Bergeon EK. Post-traumatic stress disorder after occupational exposure: Two cases and a literature review. Infection control Hospital epidemiology. 2006;27:215-217

Shiao j, Guo L, Mc Laws ML. Estimation of risk of blood borne pathogen to health care workers after needle stick injury in Taiwan. American Journal of Infection Control. 2002; 30: 15-20

Ippolito G, Puro V, De Caili G. The Halian study group on occupational risk of health workers infection: The risk of occupational HIV Infection in health care workers. Arch intern. med. 1997; 153: 1451

Welss ES, Makary MA, Wans T et – al. Prevalence of blood borne pathogens in an urban university based general surgical practice Ann. Surg. 2005; 241: 803 – 9

Betrami EM, William IT, Shapiro CN, Chamberlain ME: Risk and management of blood borne infection in health care workers. Clinical microbiology Review. 2000; 13: 385 – 417

Pruss – Ustun A, Rapiti E, Hutin Y. Sharp’s injuries: Global burden of disease from sharps injuries to health care workers. Genève. World Health Organization. 2003 (WHO Environmental burden of disease series no 3.)

Madan AK, Raafat A, Hunt JP, Rentz D, Wahle MJ, flint LM. Barrier precautions in trauma: is knowledge enough. Journal of trauma. 2002; 52(3): 540-543.Hopmans TE, Block H E, Troelstra A, Bonten M J. Prevalence of hospital acquired infections during successive surveillance survey conducted at a university hospital in Netherlands.

Infection control Hospital epidemiology. 2007; 28: 459 – 465

Paudval P, Simkhada P, Bruce J. Infection control knowledge, attitude and practice among

Nepalese HCW American journal of infection control. 2008; 36(8):595-597.

Abdulraheem IS, Amodu MO, Saka MJ, Bolarinwa OA, Uthman MMB.

Knowledge, awareness and compliance with standard precaution among health workers in north eastern Nigeria. Journal of community medicine and wealth education 2012; 2:131. Doi:10.4172/jcmhe.1000131

Fasunloro A, Owotade FJ, Occupational Hazards among clinical dental staff. Journal of Contemporary Dental Practice 2004; 5(2): 134-152

Vas k, McGrowder D, Alexander-lindo R, Gordon L, Brown P, Irving R. Knowledge, awareness and compliance with universal precaution among health care workers at the university hospital of West Indies, Jamaica. International Journal of Occupational and Environmental Medicine 2010; 1(4):171-180

Ofili AN, Asuzu MC, Okojie OH. Knowledge and Practice of Universal Precaution among Nurses in Central Hospital, Benin City, Nigerian. Post Graduate Medical Journal. 2003; 10:26-31

Beghdadi B, Belhads D, Chabane W, Ghomari O, Kandouli AB, Fanello S. “Standard Precaution” Practices Among Nurses in a University Hospital in Western Algeria. Sante Publique. 2008; 20:445-453

Statement for the record on NSI by Linda Rosenstock, Director national institute for occupational safety and health CDC, US department of health and human services, before the house subcommittee on workforce protection committee on education and the work force June 22, 2000

Faiza Ali N. Impact of Universal precaution training on nurse midwives knowledge, attitude and practice towards prevention of HIV transmission in Khartoum state teaching hospital. Journal of US – China medical science 2014; 11(2): 94-107

Oguamanam OE, Diwe KC. knowledge, perception and practice of injection safety and health care waste management among teaching hospital staff in South East Nigeria. An intervention study. The pan African Medical Journal 2014; 17: 218. 3084.

Adinna ED, Ezema C, Adinma JI, Asuzu MC. Knowledge and practice of universal precaution against house officers and nurses in a tertiary health institution in South East Nigeria. Nigerian Journal of Clinical Practice. 2009; 12(4): 398-402

Isah HO, Sabitu K, Ibrahim MTO. Profile of Institutional Infrastructure for Implementing Universal Precautions in Primary health Care facilities in Sokoto State, Nigeria: Implication for occupational safety. African Journal of clinical and experimental microbiology. 2003;51(8):347-352

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