Assessment of Magnitude of HIV and Syphilis and Associated Factors among Pregnant Women Attending Antenatal Care in Wolemera District

Chegen, Abenezer (2017) Assessment of Magnitude of HIV and Syphilis and Associated Factors among Pregnant Women Attending Antenatal Care in Wolemera District. Masters thesis, Addis Ababa University.

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Abstract

Sexually transmitted infections (STIs) are highly prevalent in Ethiopia among people who are in their reproductive and productive prime. Among STIs, syphilis and HIV are significant public health problems in Ethiopia and causes several adverse pregnancy outcomes. Thus this study aims to assess magnitude of both infections among pregnant women attending antenatal care in Wolemera District, Oromia region. General Objective To assess the magnitude of syphilis and HIV among pregnant women attending antenatal care services (ANC) in Wolemera district. Method Facility based retrospective cross-sectional study (record review) was carried out in Wolemera district public health centers stratifying facilities by place. Record of 1665 pregnant women who had attended antenatal care clinic (ANC) from January 2013 to December 2015 was extracted from individual ANC chart using structured checklist. Descriptive, binary and logistic regression analyses were conducted using SPSS version 21. Result The overall prevalence of HIV was 2.9% [95% CI: 2.1%-3.7%], syphilis were [1.2% 95% CI 0.33%-2%] and HIV-syphilis co-infection was, 0.3%. The prevalence of HIV was significantly higher among pregnant women living in urban setting [AOR (95% CI) 3.82 (1.445-7.448)], those who had history of stillbirth [AOR (95% CI) 4.4 (1.4-13.8)], age group 25-34 [AOR (95% CI) 3.51 (1.59-7.72)] and 35-49 years [AOR (95% CI) 4.73 (1.66-13.47)]. Having negative sexual partner protective factor for HIV [AOR (95% CI) 0.31 (0.008-0.122)]. Syphilis was highly prevalent in HIV positive pregnant women (16.7%) than HIV negative [0.8 95% CI [0.01-1.6]. This study showed declining trend of HIV and syphilis in those three years. Conclusion This study reveled that HIV was highly prevalent among pregnant women in Wolmera district. Low syphilis testing was seen in the study area. Intensifying syphilis screening among pregnant women attended ANC is recommended for Elimination of both infections.

Item Type:	Thesis (Masters)
Subjects:	R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine
Divisions:	Africana
Depositing User:	Vincent Mpoza
Date Deposited:	01 Oct 2018 12:05
Last Modified:	01 Oct 2018 12:05
URI:	http://thesisbank.jhia.ac.ke/id/eprint/5821

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