As part of the national effort to prevent further spread of HIV/AIDS, rural health workers in Tanzania are asked to promote safer sex practices among the sexually active population.
We conducted a survey among health workers in Moshi Rural District, Kilimanjaro, designed to assess their attitudes, perceived norms and self-efficacy with respect to the promotion of safer sexual practices among young adults 15-35 years old.
Health workers at all private and governmental health facilities were included (n=342 ; participation rate of 68.4%). We observed relatively strong associations between the frequency and quality of reported counselling behaviour and perceived norms, attitudes and self-efficacy (standardized regression coefficients (beta) of 0.329,0.252 and 0.159 respectively).
In addition, exposure to behaviour change strategies during formal training and marital status of the health workers were associated with counselling behaviour (beta of 0.133 and 0.118 respectively).
Overall, these factors accounted for 40.8% of the observed variance in reported counselling behaviour.
It is recommended that continued education for health workers focus on providing normative support for promoting safer sex, provide information which may help foster positive attitudes and teach practical counselling skills to further increase the self-efficacy regarding counselling young people.
Mots-clés Pascal : Education sanitaire, Rôle professionnel, Travailleur social, Tanzanie, Prévention, Relation sexuelle, Prise risque, Milieu rural, Environnement social, Conseil clinique, Facteur risque, Attitude, Norme sociale, Efficacité personnelle, Personnel sanitaire, Homme, Promotion santé, Afrique
Mots-clés Pascal anglais : Health education, Occupational role, Social worker, Tanzania, Prevention, Sexual intercourse, Risk taking, Rural environment, Social environment, Clinical counseling, Risk factor, Attitude, Social norm, Self efficacy, Health staff, Human, Health promotion, Africa
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 95-0569920
Code Inist : 002B30A03B. Création : 01/03/1996.