Knowledge, Attitudes and Practices of Medical and Paramedical Staff in Blood Transfusion in the Democratic Republic of Congo

Abstract

Objective: To assess the knowledge, attitudes and practices of providers in blood transfusion, HIV infections and hepatitis B and C in the province of South Kivu (eastern DRC). Methods: This study is comparative cross-sectional. It covered all the staff care. Our sample was composed by doctors, nurses, midwives, and agents' rapid training in activity in health sector in South Kivu between 1 December 2011 and 30 December 2011. Those medical and paramedical staffs came from 12 general reference hospitals, 11 hospitals and 65 health centers in the province of South Kivu. Three hundred and ninety three people were interviewed including 6.5% of physicians, 87.4% of nurses and 5.1% of midwives. Among them, 25.5% had received training in blood transfusion. Results: Overall, 11.7% of providers responded correctly to questions on knowledge and attitude on blood safety. The proportion of correct answers on the knowledge and attitude on exposure accidents was 53.8%. The frequency of caregivers who responded well to the basics of HIV and hepatitis B and C was 15.5%. Notions about the type of donor blood and the risk of blood transfusion received an overall rating of 17.8% and the proportion of correct answers on the knowledge and practice base of blood transfusion was 16.7%. During the six months following the survey, 54.4% of providers have experienced accidental exposure to blood. Conclusion: The lack of knowledge of the medical staff in transfusion is obvious. We must therefore have the possibility of organizing regular training and follow-up activities.

Nurses' Knowledge Assessment Regarding Blood Transfusion to Ensure Patient Safety

“…), this result was in the same line with Tetteh, 2015 (22) who found that nurses' had excellent Knowledge related to patient preparation about blood transfusion .In addition to Yaghoobi, et al,2014 (23) , who mentioned that more than half of studied sample had a good knowledge before blood transfusion…”

Knowledge, attitudes and clinical practice of blood products prescribers in Niamey

“…The proportion of subjects who received training in blood transfusion (22.2%) in our study is comparable to that (29.1%) recorded in Mali in 2010 [13] and the Democratic Republic of Congo in 2011 (25.5%) [17] in relatively similar surveys. Unlike Diakité et al [13] and similarly to Kabinda et al [17], the results of our study showed that the quality of responses was better among prescribers who received training in blood transfusion.…”

“…Unlike Diakité et al [13] and similarly to Kabinda et al [17], the results of our study showed that the quality of responses was better among prescribers who received training in blood transfusion. Thus, as already shown by Tramalloni et al [18], transfusion practice in hospitals could be improved if training is widely provided/strengthened to blood prescribers.…”

“…In the study by Diakité et al [13] in Mali, nurses and midwives, also had the most inadequate knowledge. Similarly, for Kabinda et al, doctors were the best responders for some items [17]. Our survey showed that, unfortunately, monitoring of transfusion is often delegated to nurses and midwives as a result of a lack of practitioners.…”

Knowledge, Attitudes, and Practices of Health-Care Workers About Viral Hepatitis B and C in South Kivu

“…The level of knowledge observed was globally low concerning blood safety and basics about blood-borne pathogens. 8 The aim of this study was to assess the level of knowledge, attitudes, and practices of HCW toward HBV and HCV in Bukavu, an eastern town of DRC.…”