title: Epidemiology of exposure to HIV/AIDS risky conditions in healthcare settings: the case of health facilities in Gondar City, North West Ethiopia.
abstract: BACKGROUND
  It has been estimated that every year more than quarter a million health care workers exposed to HIV risky conditions in health care settings, more so in developing countries, with high incidence of HIV/AIDS and unsafe practices. Particularly, Sub-Saharan African countries share at least half of these occupational exposures to HIV risky conditions among health care workers. The aim of this study was to determine the epidemiology of health care workers' exposure to HIV/AIDS risky conditions and associated factors in the healthcare settings in Gondar city.
  
  
  METHODS
  Institution based quantitative cross sectional study was conducted from April 1-20, 2014. The study included 401 health care workers who were selected from the source population by simple random sampling technique. Data were collected by interviewing health care workers using structured and pretested questionnaire. After the collected data entered to EPI INFO version 3.5.3 statistical software and exported to SPSS version 20.0 for analysis, both binary and multivariable logistic regressions were done to identify factors associated with exposure to HIV/AIDS risky conditions.
  
  
  RESULTS
  From a total of 401 health care workers involved in this study, 162(40.4%) reported at least one history of occupational exposure to HIV/AIDS risky conditions in the last one year. More than half (52.31%) of physicians and 47.62% of anesthetists were exposed to HIV/AIDS risky conditions within one year. Lack of training on infection prevention, 5-10 years work experience, long working hours per week, absence of work guidelines, and dissatisfaction with current job were significantly associated with accidental occupational exposure to HIV/AIDS risky conditions.
  
  
  CONCLUSIONS
  This study found quite high prevalence of health care workers exposure to HIV/AIDS risky conditions in the health care settings in Gondar city. Therefore, effective and goal oriented educational programmes targeting at health care workers and establishment of surveillance systems for registering, reporting and management of occupational exposures in health care settings are quite important.
authors.affiliation: Department of Environmental and Occupational Health and Safety, Institute of Public Health, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia. getkoo@yahoo.com.
authors.forename: Getahun Kebede
authors.initials: GK
authors.lastname: Beyera
authors.forename: Teresa Kisi
authors.initials: TK
authors.lastname: Beyen
mesh_terms: D000163:Acquired Immunodeficiency Syndrome / Q000517:prevention & control / Q000635:transmission*; D000328:Adult; D003430:Cross-Sectional Studies; D003906:Developing Countries; D005002:Ethiopia; D005260:Female; D017408:Guidelines as Topic; D015658:HIV Infections / Q000517:prevention & control / Q000635:transmission*; D006268:Health Facilities; D006282:Health Personnel / Q000706:statistics & numerical data*; D006801:Humans; D017053:Infection Control / Q000706:statistics & numerical data; D017758:Infectious Disease Transmission, Patient-to-Professional / Q000517:prevention & control*; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D016602:Needlestick Injuries / Q000453:epidemiology*; D016273:Occupational Exposure / Q000706:statistics & numerical data*; D015995:Prevalence; D011482:Protective Devices / Q000706:statistics & numerical data*; D011795:Surveys and Questionnaires; D016526:Workload; D055815:Young Adult