Tekleberhan, Alemnesh (2007) Assessment of Factors Influencing Willingness and Utilization of VCT among Pregnant Women in Dessie Town. Masters thesis, Addis Ababa University.
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Abstract
Background-: HIV has spread throughout the world causing untold suffering and death and creating profound development challenges. Worldwide African women are the group most severely affected by the epidemic. Women who are infected by HIV are infecting their infants in turn. Mother to child transmission is the most common cause of HIV/AIDS in children less than 15 years of age. Mother to child transmission can occur during pregnancy, labor and breast-feeding. However the risk of MTCT can be lowered significantly through comprehensive reproductive health services which include voluntary counseling and testing for pregnant women, Anti-retroviral prophylaxis and breast feeding counseling. Objective: - The purpose of this study is to assess factors influencing willingness and utilization of VCT for PMTCT among pregnant women. Methods: - A cross sectional comparative study was conducted From September to October 2006. Study subjects were pregnant women who were identified by house to house registration from randomly selected Ketenas of ten centers in Dessie town. Relevant data were collected using structured questionnaire contains variables related to socio demographic knowledge attitude and practice on HIV/AIDS, VCT and PMTCT. Analysis was made using Epi info version 6and SPSS version 11computer software. Results:-f Out of 438 participants 259(59.1%) had undergone VCT in the past. From the total women who had VCT, 213(82.8%) ANC, users. Were as 46(17.2%) were non users OR (95%CI) = 3.29(1.81-6.0).Women Who were in grade nine and above more likely to utilize VCT compared to illiterate OR (95%CI)=2.69(1.375.27).the association increased as the educational level increases .Women who were primi gravida were more likely to utilize VCT compared to those who had more than five pregnancies OR(95%CI)= 6.86(1.88-16.73). Discussion with partner was significantly associated with VCT utilization OR (95%CI) = 12.98(7.74-23.58). Conclusion: - socio demographic factors such as education, having ANC, knowledge about VCT and PMTCT encouraging the women to utilize VCT. Lack of appropriate knowledge about VCT and PMTCT, stigma and discrimination associated with HIV, fear of partner reaction preventing women from utilizing VCT. Women empowerment, expansion of ANC to address marginalized women, coordinated and targeted IEC program to increase knowledge, promotion of male partner counseling and community involvement are recommended.
| Item Type: | Thesis (Masters) |
|---|---|
| Subjects: | R Medicine > R Medicine (General) R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine |
| Divisions: | Africana |
| Depositing User: | Vincent Mpoza |
| Date Deposited: | 29 Jun 2018 07:24 |
| Last Modified: | 29 Jun 2018 07:24 |
| URI: | http://thesisbank.jhia.ac.ke/id/eprint/6115 |
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