Tesfaye, Samson (2009) Assessment of Acceptability of Provider Initiated HIV Counseling and Testing among Tuberculosis Patients on DOTS in Selected areas in Gamo Gofa Zone, SNNPR. Masters thesis, Addis Ababa University.
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Abstract
Background: HIV counseling and testing is fundamental to both HIV/AIDS prevention and treatment. Patients need to know their sero-status to benefit from available care and treatment options. Therefore, multi-focused counseling and testing strategies need to be instituted in order to reach risk groups. Provider Initiated HIV Counseling and Testing (PIHCT) is getting implemented in most facilities utilizing Directly Observed Treatment Short course (DOTS) to increase uptake of HCT as most the important opportunity. Different factors might affect PIHCT service uptake which demand timely assessment. Objective: To assess acceptability of PIHCT and factors influencing its uptake among tuberculosis patients in selected areas in Gamo Gofa zone. Methods: Institution-based, cross-sectional study was conducted from January to April 2009, on 440 patients attending Tuberculosis clinics from four weredas in Gamo Gofa zone. Study site were selected based on their annual TB case load and evidence of HCT service presence. Regression model was used to assess factors associated with acceptability of PIHCT. Results: 373 (84.8%) patients were initiated for HIV counseling and testing by their TB treatment supervisor and of these 336 (89.8%) had under gone HIV testing and the overall acceptability was found to be 76.4%. knowledge and attitude variables like willingness to disclose status of TB to others (AOR= 3.9; 95% CI= 1.9-8.2), believing healthy looking person could be infected with HIV (AOR 8.8, 95%CI=2.5-31.7), agreed that everyone should be tested (AOR=7.1; 95% CI=2.3-22.1), and disagreeing PIHCT has negative influence (AOR=4.9, 95%CI=1.4-16.5) were each associated with higher odds of having tested for HIV following their supervisor initiation. Conclusion and Recommendation: The relatively high acceptability of PIHCT in this study shows fertile ground for the control, prevention and treatment of both HIV/AIDS and TB. The programme needs to be strengthened and TB supervisors should keep their efforts to promote PIHCT.
| Item Type: | Thesis (Masters) |
|---|---|
| Subjects: | R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine |
| Depositing User: | Vincent Mpoza |
| Date Deposited: | 21 Jun 2018 13:59 |
| Last Modified: | 21 Jun 2018 13:59 |
| URI: | http://thesisbank.jhia.ac.ke/id/eprint/5479 |
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