Page 87 - MJHP MALAYSIAN JOURNAL OF HEALTH PROMOTION Volume 2, 2020
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MALAYSIAN JOURNAL OF HEALTH PROMOTION Volume 2, 2020



                three months and longer, and PRP based in retail  settings but currently
                on attachment  in health  clinics. Data  accessed  from the  head  office  of
                JKWPKL&P reveals  that  there  are  a  total  of 158 registered  pharmacists
                working in all 17 health clinics in Kuala Lumpur and Putrajaya. Name list
                of these pharmacists is also obtained from the head office. All pharmacists
                in the name list fulfilling the inclusion criteria are recruited as participants.
                In total, data  of 156 participants  have answered the questionnaire.  Two
                participants are dropped out due to their absence from the facility for long-
                term leave.
                     All study sites, namely all of the 17 health clinics, have been visited
                to obtain consent from participants  and to administer  the questionnaire.
                Appointments are scheduled among the investigators and the pharmacists-
                in-charge  before  visitation.  Participants  are  informed  about  the  study
                goals and issues  of confidentiality prior to being given questionnaires.
                Questionnaires are answered anonymously by participants in a room with
                privacy to avoid distractions. There was no time limit given for participants
                to complete the questionnaires but all participants are able to submit within
                20 minutes. Completed questionnaire is placed in a sealed envelope and will
                be collected by investigator. The clinics have been visited repeatedly in order
                to collect responses from participants who are not available in the previous
                visits until response has collected from all participants under JKWPKL&P.
                No incentives are given to the study participants. The study is approved by
                the Medical Research and Ethics Committee of Ministry of Health Malaysia
                (NMRR--18-1275-40588) (IIR).
                     The associations among the independent  and dependent  variables
                that are analysed in this study is summarized in Figure 1. The independent
                variables include the socio-demographic characteristics of the participants,
                including sex, age, religion, years of service and the HIV-related training
                received by participants. The trainings consist of the subjects of HIV stigma
                and discrimination, infection control and universal precautions, participants’
                informed  consent, privacy  and confidentiality  as well as key population
                stigma and discrimination. In addition, the health facility environment was
                assessed by asking participants’ experience of servicing PLHIV in the past
                12 months, observing healthcare workers unwilling to care, provide poorer
                quality of care and talk badly for PLHIV. Hesitancy of healthcare workers
                in their own facility to work alongside a co-worker living with HIV was
                assessed. Another independent variable is health facility policies, including


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