title: Are healthcare workers at higher risk of HIV infection than the general population in Burkina Faso?
abstract: In order to assess the HIV prevalence in healthcare workers (HCWs) in Burkina Faso, we conducted a national survey in 97 health facilities from urban and rural areas. Of 1570 HCWs who agreed to participate, 1013 (64·5%) provided a urine sample for HIV testing. The crude prevalence of HIV in HCWs was 3·5% (95% CI 2·3-4·6). HIV prevalence was 0·7% in students and trainees, 3·8% in nurses and midwives, 4·5% in administrative workers, and 4·6% in laboratory workers. After age and area standardization, men from the Demographic Health Survey (DHS) had a similar HIV prevalence (2·3%, 95% CI 1·4-2·9) as male HCWs (2·5%, 95% CI 1·1-4·0), while female HCWs were more infected (4·5%, 95% CI 2·5-6·0) than women from the DHS (2·1%, 95% CI 1·3-2·4). A voluntary counselling and testing (VCT) programme should be specifically implemented and adapted for female HCWs.
authors.affiliation: Pôle Epidémiologie et Biostatistique, Institut de Recherche Expérimentale et Clinique (IREC), Faculté de Santé Publique (FSP), Université catholique de Louvain (UCL), Bruxelles, Belgique.
authors.forename: F
authors.initials: F
authors.lastname: Kirakoya-Samadoulougou
authors.affiliation: Centre Muraz, Bobo-Dioulasso, Burkina Faso.
authors.forename: P
authors.initials: P
authors.lastname: Fao
authors.affiliation: Centre Muraz, Bobo-Dioulasso, Burkina Faso.
authors.forename: S
authors.initials: S
authors.lastname: Yaro
authors.affiliation: Centre Muraz, Bobo-Dioulasso, Burkina Faso.
authors.forename: M-C
authors.initials: MC
authors.lastname: Defer
authors.affiliation: Centre Muraz, Bobo-Dioulasso, Burkina Faso.
authors.forename: N
authors.initials: N
authors.lastname: Meda
authors.affiliation: Pôle Epidémiologie et Biostatistique, Institut de Recherche Expérimentale et Clinique (IREC), Faculté de Santé Publique (FSP), Université catholique de Louvain (UCL), Bruxelles, Belgique.
authors.forename: A
authors.initials: A
authors.lastname: Robert
authors.affiliation: INSERM U1058 'Infection by HIV and by agents with muco-cutaneous tropism: from pathogenesis to prevention', Université Montpellier 1 & CHRU Montpellier, France.
authors.forename: N
authors.initials: N
authors.lastname: Nagot
mesh_terms: D000293:Adolescent; D000328:Adult; D002050:Burkina Faso / Q000453:epidemiology; D005260:Female; D015658:HIV Infections / Q000453:epidemiology* / Q000652:urine; D006282:Health Personnel; D006306:Health Surveys; D006801:Humans; D008297:Male; D008875:Middle Aged; D016273:Occupational Exposure; D015995:Prevalence; D012307:Risk Factors