Knowledge, Attitude, and Practices on HIV Preventive Measures Among Students of Lira University, Lira City: A cross-sectional study.

Francise Otike; Ms.  Shamim Namukasa; Dr. Keren Carol Drateru Ayikobua

doi:10.51168/sjhrafrica.v7i3.2447

Authors

Francise Otike Health Tutor’s College Mulago.
Ms. Shamim Namukasa Health Tutor’s College Mulago.
Dr. Keren Carol Drateru Ayikobua Health Tutor’s College Mulago.

DOI:

https://doi.org/10.51168/sjhrafrica.v7i3.2447

Keywords:

HIV prevention (KAP), Lira University, Lira City

Abstract

Background:

Despite decades of global health campaigns, HIV/AIDS remains a major public health issue, particularly among adolescents and young adults. This study aimed to assess the knowledge, attitudes, and practices (KAP) regarding HIV transmission and prevention among Lira University students.

Methodology:

A descriptive cross-sectional study was conducted among 183 university students using a structured self-administered questionnaire. Data were analyzed using SPSS version 20, and results were presented in tables and figures.

Results:

The majority of participants were aged 18–21 years (55%), 53% were male. In terms of knowledge, 70% had received formal education on HIV/AIDS, with 49% recognizing unprotected sex as a transmission mode, and only 30% were aware of PrEP. For attitudes, while 89% acknowledged HIV/AIDS as a serious issue, 69% expressed negative attitudes toward regular HIV testing, and 57% were unwilling to interact with HIV-positive individuals. Regarding practices, 62% had never been tested for HIV, only 20% reported consistent condom use, and 67% had never used or encouraged others to use PrEP.

Conclusion:

Despite moderate knowledge, significant gaps in attitudes and preventive practices were noted, and misconceptions and stigma remain barriers to effective HIV prevention.

Recommendations:

Comprehensive sexual health education should be integrated into all university programs. Stigma-reduction campaigns and accessible, youth-friendly HIV services are also essential to promote behavior change and reduce new infections among students.

Author Biographies

Francise Otike, Health Tutor’s College Mulago.

has a Bachelor of Science in Public Health from Lira University, and completed a postgraduate diploma in medical education from Health Tutor's College Mulago - Makerere University. He's a health tutor at Jerusalem Institute of Health Sciences, Lira.

Ms. Shamim Namukasa, Health Tutor’s College Mulago.

is a research supervisor at Health Tutors College Mulago.

Dr. Keren Carol Drateru Ayikobua, Health Tutor’s College Mulago.

is a research supervisor at Health Tutors College Mulago.

References

Ezelote, J. T., et al. (2024). Access to HIV/AIDS education and voluntary counseling and testing services in low- and middle-income countries.

Faimau, G., Maunganidze, L., Tapera, R., Mosomane, L., & Apau, S. (2016). Knowledge of HIV/AIDS, sexual behavior, and predictors of uptake of HIV testing among university students in Botswana. PLoS ONE, 11(8), e0161393. https://doi.org/10.1371/journal.pone.0161393

Rukundo, A., Abaasa, C., & Natukunda, P. B. (2016). HIV risk factors among adolescents in Uganda: The role of gender inequality and socio-economic factors. African Health Sciences, 16(2), 345–352.

School of Medicine and Health Management, Huazhong University of Science and Technology, & Christine, W. (2014). HIV/AIDS prevalence and transmission in sub-Saharan Africa. BMC Public Health, 14, 1234.

Shokoohi, M., Karamouzian, M., Mirzazadeh, A., Haghdoost, A., Rafierad, A. A., Sedaghat, A., & Sharifi, H. (2016). HIV knowledge, attitudes, and practices among youth: Implications for prevention strategies. Journal of the International AIDS Society, 19(1), 21147.

UNAIDS. (2013). Global report: UNAIDS report on the global AIDS epidemic 2013. Joint United Nations Programme on HIV/AIDS.

UNAIDS. (2023). Global AIDS update 2023: The path that ends AIDS. Joint United Nations Programme on HIV/AIDS. https://doi.org/10.18356/9789210028370

World Health Organization (WHO) & UNAIDS. (2014). Adolescent HIV prevention: Guidance for health workers. World Health Organization

Avert. (2021). HIV prevention programmes for young people in Africa. Avert.

Kagaayi, J., et al. (2018). Uptake of HIV testing among young people in Uganda: Barriers and associated factors. BMC Public Health, 18, 123.

Kirunda, B. E., et al. (2019). HIV-related stigma and disclosure among young adults in Uganda. African Journal of AIDS Research, 18(3), 215–223.

Mbabazi, D., et al. (2021). Attitudes towards HIV prevention campaigns among university students in Uganda. African Health Sciences, 21(2), 678–685.

Mkumbo, K. A. (2017). Assessment of HIV/AIDS knowledge, attitudes, and behaviours among students in higher learning institutions in Tanzania. Global Public Health, 12(1), 1–15.

Mugisha, J., et al. (2020). Sources of HIV information and their influence on sexual behaviour among university students in Rwanda. BMC Research Notes, 13, 456.

Njau, B., et al. (2019). Knowledge, misconceptions, and attitudes towards HIV/AIDS among university students in Kenya. East African Journal of Public Health, 16(2), 89–96.

Oladepo, O., et al. (2018). Attitudes and perceptions towards condom use among Nigerian university students. African Journal of Reproductive Health, 22(3), 45–54.

Peltzer, K., et al. (2020). HIV-related stigma and discrimination among university students in South Africa. SAHARA-J: Journal of Social Aspects of HIV/AIDS, 17(1), 34–42.

Tumwesigye, N. M., et al. (2020). HIV knowledge, attitudes, and sexual behaviour among university students in Uganda. BMC Public Health, 20, 1024.

UNAIDS. (2022). Global AIDS update 2022: In danger. Joint United Nations Programme on HIV/AIDS. https://doi.org/10.18356/9789210019798

Uganda Ministry of Health. (2019). Uganda population-based HIV impact assessment (UPHIA) report 2019. Ministry of Health, Kampala, Uganda.

World Health Organization (WHO). (2019). Consolidated guidelines on HIV prevention, testing, treatment, service delivery, and monitoring. WHO.