title: Knowledge of, and attitudes to, acquired immune deficiency syndrome (AIDS) among traditional birth attendants (TBAs) in rural communities in Cross River State, Nigeria.
abstract: OBJECTIVE
  To survey knowledge of, and attitudes to, HIV/AIDS held by traditional birth attendants (TBAs) in rural communities in Cross River State, Nigeria.
  
  
  BACKGROUND
  As the HIV/AIDS epidemic continues to spread, undermining development, reversing health gains and exacerbating poverty, TBAs in rural communities in Cross River State, Nigeria are still less informed about this dreadful disease.
  
  
  METHODS
  A survey consisting of structured questionnaires was used with 140 randomly selected TBAs to assess their knowledge of HIV/AIDS, source of information on HIV and protective practices.
  
  
  RESULTS
  Results revealed that 62 (44.3%) of the TBAs had no formal education. Forty-four (31.4%) had primary education, while 19 (13.6%) had secondary education. On knowledge of HIV and sources of information, 49 (35.0%) of respondents reported knowing what HIV means. While 26.4% indicated that they received information about HIV from the government health centres, 23.6% had no information about the disease. There was a great disparity between male (73.7%) and female (28.9%) respondents on knowledge about HIV. On the use of protective safety procedures during delivery, 61 (43.6%) used sterilized blades, while 10.7% admitted wearing protective clothes and gloves. Only three (2.1%) of the respondents said that they were aware of the HIV status of their clients prior to delivery.
  
  
  CONCLUSIONS
  This survey has demonstrated that few TBAs in the communities studied in Cross River State are informed about HIV/AIDS, and this has revealed the urgency of starting a programme specifically designed for TBAs in rural communities towards a massive educational campaign on HIV/AIDS.
authors.affiliation: National Programme on Immunization, Cross Rivers State, Department of Medical Laboratory Services, General Hospital Wuse, Federal Capital Territory, Garki-Abuja, Nigeria.
authors.forename: E B
authors.initials: EB
authors.lastname: Bassey
authors.forename: C O
authors.initials: CO
authors.lastname: Elemuwa
authors.forename: K C
authors.initials: KC
authors.lastname: Anukam
mesh_terms: D000163:Acquired Immunodeficiency Syndrome / Q000453:epidemiology / Q000209:etiology / Q000517:prevention & control*; D000328:Adult; D001291:Attitude of Health Personnel; D036861:Delivery, Obstetric / Q000451:nursing; D004521:Educational Measurement; D004522:Educational Status; D005260:Female; D017144:Focus Groups; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D017053:Infection Control / Q000379:methods; D008297:Male; D008875:Middle Aged; D008880:Midwifery / Q000193:education; D020380:Needs Assessment; D009549:Nigeria / Q000453:epidemiology; D015404:Nursing Methodology Research; D011247:Pregnancy; D011251:Pregnancy Complications, Infectious / Q000453:epidemiology / Q000209:etiology / Q000517:prevention & control*; D011481:Protective Clothing; D036301:Qualitative Research; D012424:Rural Population; D011795:Surveys and Questionnaires