Factors Determining Acceptance of Voluntary HIV Testing among Pregnant Women Attending Antenatal Clinic at Armed Force Hospitals in Addis Ababa

Worku, Getachew (2005) Factors Determining Acceptance of Voluntary HIV Testing among Pregnant Women Attending Antenatal Clinic at Armed Force Hospitals in Addis Ababa. Masters thesis, Addis Ababa University.

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Abstract

Back ground Mother-to-child transmission (MTCT) is by far the largest source of HIV infection in children below the age of 15 years. The virus may be transmitted during pregnancy child birth or breast feeding. Globally 2.7 million children under the age of 15 years have died of AIDS since the beginning of the epidemics. Over 9 in 10 were infected by their mothers. For many years little was known about preventing transmission of HIV infection from mother to child. Recently however, many interventions are available to reduce mother to child transmission, such as anti retroviral drug and avoidance of breast feeding. For women to take advantage of measures to reduce transmission, they need to know their HIV status. Despite this fact many women are not willing to take voluntary HIV counseling and testing. Objective The main objective of the study is to identify factors determining acceptance of voluntary HIV testing among pregnant women at army hospitals in Addis Ababa. Method Unmatched case control study was conducted on 88 acceptors and 176 non-acceptors of VCT using structured pretested questionnaire from December 2004 to January 2005, at army hospitals in Addis Ababa. Results Among socio-demographic factors the odds of VCT acceptance was higher among better educated, married, with higher income women and among women whose husbands live at home. Women who had better knowledge of VCT and MTCT and women with at least two ANC visit had significantly higher VCT acceptance than their counterparts.Adjusted for socio-demographic and some reproductive characters tics VCT acceptance was significantly associated with knowledge about MTCT (OR=7.34, 95% CI= 3.44, 15.67), previous VCT experience (OR= 2.51, 95% CI= 1.03, 6.17) and husbands residence ( at home) (OR= 4.97, 95% CI = 2.15,11.46). Conclusions and recommendation Education of the mother, knowledge of MTCT and VCT and partner participation were important factors of VCT acceptance. Health education targeted on pregnant women on PMTCT and VCT would have paramount importance using different sources.

Item Type:	Thesis (Masters)
Uncontrolled Keywords:	acceptance, HIV testing, pregnant women, antenatal care
Subjects:	R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine
Divisions:	Africana
Depositing User:	Emmanuel Ndorimana
Date Deposited:	28 Jun 2018 10:23
Last Modified:	28 Jun 2018 10:23
URI:	http://thesisbank.jhia.ac.ke/id/eprint/6150

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