Health  Vol.5 No.9 , September 2013
HIV and AIDS related knowledge, beliefs and attitudes among rural communities hard to reach in Sudan

Background and Objective: There is a rising concern about Human Immunodeficiency Virus/Acquired Immunodeficiency Syndrome (HIV/AIDS) related knowledge in rural communities of Sudan. This study focuses on determining the extend of knowledge, beliefs, and attitudes about HIV/ AIDS among rural communities difficult to access in the six States of Sudan. Subjects and Methods: Six thousand and one hundred twenty five respondents were interviewed through the method of house-to-house visits. A structured questionnaire was administered by research assistants recruited from the Faculty of Medicine, Khartoum University during a rural residency campaign in six states of Central, Eastern and Northern Sudan during 2008/2009. Results: Of the total interviewees, 48% were aware of the HIV/AIDS risk; 46% reported to have good health seeking behaviors for HIV/AIDS. 54.4% of women reported to have better knowledge about the disease than men (45.6%). 38% (2005) had not heard of safety use of condom whereas 16% (320) had used it. Logistic regression revealed that 5.3% of knowledge about the disease was explained by gender, education and religion adjusted over age of the respondents. Conclusions: Mass media were the most common source of information about the existent risk of HIV/AIDS in rural communities. These findings could assist Sudanese National Aids Programme (SNAP), healthcare providers and policymakers to develop informative materials and health education programs to educate rural community is about the risk of HIV/AIDS.

Cite this paper: Khamis, A. (2013) HIV and AIDS related knowledge, beliefs and attitudes among rural communities hard to reach in Sudan. Health, 5, 1494-1501. doi: 10.4236/health.2013.59203.

[1]   Nasir, E.F., Astrom, A.N., Jamil David, J. and Ali, R.W. (2008) HIV and AIDS related knowledge, source of information, and reported need for further education among dental students in Sudan across sectional study. BMC Public Health, 8-286.

[2]   Zucca, M.L., Spiegel, P. and Ciantia, F. (2005) AIDS, conflict and the media in Africa: Risks in reporting bad data badly. Emerging Themes in Epidemiology, 2, 2-12. doi:10.1186/1742-7622-2-2

[3]   UNAIDS (2008) 2008 report on the global aids epidemic. World Health Organization and UNAIDS, Geneva.

[4]   Astrom, A. and Nasir, E. (2009) Predicting intention to treat HIV infected patients among Tanzanian and Sudanese medical and dental student using the theory of planned behaviour—A cross sectional study. BMC Health Services Research, 9, 213. doi:10.1186/1472-6963-9-213

[5]   Nasir, E., Astrom, A., Ali, R. and David, J. (2009) Utlization of health care services in the context of HIV epidemic—A cross sectional of dental patients in the Sudan. BMC Oral Health, 9, 30.

[6]   Spiegel, B.P. (2004) HIV /AIDS among conflict-affected and displaced population: Dispelling myths and taking action. Disasters, 28, 322-339. doi:10.1111/j.0361-3666.2004.00261.x

[7]   (2007) Health Information System Assessment. Sudan Report. Draft 1.

[8]   Goffman, E. (1963) Stigma: Notes on the management of spoiled identity. Prentice-Hall, Englewood Cliffs.

[9]   Herek, G.M. and Glunt, E.K. (1988) An epidemic of stigma: Public reactions to AIDS. American Psychologist, 43, 886-891. doi:10.1037/0003-066X.43.11.886

[10]   Herek, G.M., Capitanio. J.P. and Widaman, K.F. (2003) Stigma, social risk, and health policy: Public attitudes toward HIV surveillance policies and the social construction of illness. Health Psychology, 22, 533-540. doi:10.1037/0278-6133.22.5.533

[11]   Herek, G.M. and Capitanio, J.P. (1998) AIDS stigma and HIV-related beliefs in the United States: Results from a national telephone survey. Conference Record of the 12th World AIDS. Geneva.

[12]   Herek, G.M. and Glunt, E.K. (1991) AIDS related attitudes in the United States: Preliminary conceptualization. Journal of Sex Research, 28, 99-123. doi:10.1080/00224499109551597

[13]   Schwartz, J. (1992) Buchanan calls AIDS “nature’s retribution.” San Francisco Examiner.

[14]   Elkamel, F.M. (1996) Can mass media prevent AIDS: The need for well-planned behavior change communication programs. Eastern Mediterranean Health Journal, 2, 449-458.

[15]   El-Mardi, E. (2008) The price of silence: HIV/AIDS control in Sudan. Sudan Tribune, Philadelphia.

[16]   Gray, L.A., Devadas, R.P., Vijayalakshmi, O. and Kamalanathan, G. (1999) Knowledge, attitudes, beliefs about HIV/AIDS among Hindu students from a government women’s college of South India. International Journal for the Advancement of Counseling, 21, 207-219. doi:10.1023/A:1005419002977

[17]   Irwin, K., Bertrand, J., Mibandumba, N., Mbuyi, K., Muremeri, C., Mukoka, M., Munkolenkole, K., Nzilambi, N., Bosenge, N., Ryder, R., Peterson, H., Lee, N.C., Wingo, P., Reilly, K.O. and Rufo, K. (1991) Knowledge, attitudes and beliefs about HIV infection and AIDS among healthy factory workers and their wives, Kinshasa, Zaire. Social Science & Medicine, 32, 917-930. doi:10.1016/0277-9536(91)90247-A

[18]   Dandona, R., Dandona, L., Gutierrez. J.P., Kumar, A.G., McPherson, S., Samuels, F., Bertozzi, S.M. and the ASCI FPP Study Team (2005) High risk of HIV in non-brothel based female sex workers in India. BMC Public Health, 5, 87. doi:10.1186/1471-2458-5-87

[19]   (2008) United Nations General Assembly Special Session on HIV/AIDS (UNGASS). Report 2006-2007.

[20]   Travis, P., Bennett, S., Haines, A., Pang, T., Bhutta, Z., Hyder, A.A., Pielemeier, N.R., Mills, A. and Evans, T. (2001) Overcoming health-systems constraints to achieve the Millennium Development Goals. The Lancet, 364, 900-906. doi:10.1016/S0140-6736(04)16987-0

[21]   Kalichman, S.C. and Simbayi, L.C. (2003) HIV testing attitudes, stigma, and voluntary HIV counselling and testing in a black township in Cape Town, South Africa. Sexually Transmitted Infections, 79, 442-447.

[22]   Kimbombo, R., Neema, S. and Ahmed, F.H. (2007) Perceptions of risk of HIV infection among adolescents in Uganda: Are they related to sextual behaviour. African Journal of Reported Health, 11, 168-181. doi:10.2307/25549738

[23]   Tedd, V.E., Chamblee, S., Timothy, J.B., Johnson, J.W., Bryan, M.J., Lowell, P., Trenschel, R.J., Reyn, C.F., Johnson, L.S. and Horsburg C.R. (2004) Human Immunodeficiency Virus Infection in a Rural Community in the United States. American Journal of Epidemiology, 160, 582-588.

[24]   Bloom, S., Urassa, M., Isingo, R., Ng’Weshemi, J. and Boerma, J. (2002) Community effects on the risk of HIV in rural Tanzania. Sexually Transmitted Infections, 78, 261-266. doi:10.1136/sti.78.4.261

[25]   Naik, E., Karpur, A., Taylor, R., Ramaswami, B., Ramachandra, S., balasubramaniam, B., Galwankar, J.S., Sarah, N. and Hamisu, M.S. (2005) Rural Indian tribal communities S: An emerging high-risk group of HIV/AIDS. BMC International Health and Human Rights, 5, 1. doi:10.1186/1472-698X-5-1

[26]   Siemens, D.F. (1987) AIDS transmission and insects. Science, 238, 134. doi:10.1126/science.2889266

[27]   Mahat, G. and Scoloveno, A.M. (2006) An HIV/AIDS Education intervention for nepalese adolescent females. Nursing Clinics of North America, 41, 409-423. doi:10.1016/j.cnur.2006.05.004

[28]   Brook, U. (1999) AIDS knowledge and attitudes of pupils attending urban high school in Israel. Patient Education and Counseling, 36, 271-278. doi:10.1016/S0738-3991(98)00142-6

[29]   Wolffers, I. (1997) Culture, media, and HIV/AIDS in Asia. Lancet, 349, 52-54. doi:10.1016/S0140-6736(96)07032-8