Dakito, Asaminew (2010) Determinants of Provider Initiated HIV Counseling and Testing among Patients Visiting Health Care Facilities in Sheka Zone, South West Ethiopia. Masters thesis, Addis Ababa University.
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Abstract
Background: Ensuring widespread access to and utilization of HIV testing is a central element of a successful response to HIV/AIDS. Increasing the number of people who know their HIV status is an essential means of preventing HIV transmission and of improving the reach of treatment and care services. World Health Organization recommends; all adult patients visiting health facilities should be provided PIHCT as way forward in generalized HIV epidemic setting. Ethiopia has adopted routine HCT since 2007.After implementation of policy the magnitude and possible factors associated with accepting PIHCT were not well documented in Ethiopia in general and sheka zone in particular. Method: Cross-sectional comparative study was employed in order to identify different factors contributing to accepting and non-accepting. Total of 484 subjects 363 acceptors and 121 non-acceptors were selected among physically and mentally capable of giving consent (as part country policy) patients Three acceptors were taken for each non acceptor .Face to face interview was employed using structured questionnaire. For data management and analysis SPSS 11 and Epi –info3.3.2 statistical soft wares were used. Result. Fear of learning own HIV status, confidentiality and less risk perception were mentioned by majority of respondents as barrier of HIV testing. Also some attitude were highlighted as potential barriers ; PIHCT may lead to more violence against women related to test and may lead to avoidance of seeking other health care services for fear of HIV test. After all, being male, (AOR=2.02 CI (1.21, 3.36)) having previous history of HIV test (AOR=2.65 CI (1.60, 4.41)) and belief that ART can improve health of patients (AOR=0.45 CI (0.23, 0.90)) were found to be predictors of PIHCT acceptance. Conclusion and Recommendation: In order to address universal access, implementers should take the above potential barriers under consideration .The authors believe emphasizing on informed consent, confidentiality and counseling can potentially solve most of the problems.
| 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: | 29 Jun 2018 13:46 |
| Last Modified: | 29 Jun 2018 13:46 |
| URI: | http://thesisbank.jhia.ac.ke/id/eprint/6354 |
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