Impact of Universal Precautions Training Program on Nurse Midwives Performance during Labor in Khartoum State—Sudan 2006-2009

Objective: evaluate the effect of training program on the nurse midwives performance during the process of labor to prevent HIV (Human immunodeficiency virus) transmission. Methods: the study utilized quazi-experimental design to elicit the effect of training program on the NMs (nurse/midwives) practices to prevent HIV transmission. An educational program drawn from six selected hospitals through stratified cluster random sampling method in universal precautions for nurse/ midwives was developed, implemented, and assessed (n = 180). Official permission was obtained from the institutions and consent from participants. The study was implemented in three phases, pre-training base line assessment using a structured interview questionnaire to assess the knowledge, attitudes and practices towards HIV infection and prevention. Observation check list to assess application of universal precautions during the process of labor (two paths pre and post intervention). Training program is offered to participants and they were re-evaluated after six months. Results: universal precautions application scores increased significantly after training from 40.9%-52.2% (P < 0.005). General NMs level of knowledge towards HIV infection and prevention were higher than 80% and 70%, respectively and their attitude level were higher than 60%. The study showed a high rate (> 80%) of needle stick injuries among nurse midwives which may prone them to HIV infection. Conclusion: training program is effective in increasing nurse midwives application of universal precautions. NMs were highly knowledgeable, and their attitudes were fairly appropriate. Recommendation resources needed for practice should always be made available, and creation of a body to supervise application of universal infection control precaution.