Assefa, Berhane (2012) Assessment of Factors Affecting Utilization of PMTCT Services among Pregnant Women in Sebeta and Alemgena Health Centers, Fin Fine Zurya Special Zone of Oromia, Ethiopia. Masters thesis, Addis Ababa University.
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Abstract
Background: The HIV pandemic created an enormous challenge to the survival of mankind worldwide. Ethiopia is one of the country’s most severely hit by the pandemic. Besides the dominant heterosexual transmission, vertical transmission accounts for more than 90% of pediatric AIDS. Thus it is vital to study the utilization of the services by pregnant women to ensure programme effectiveness. Objective: The objective of this study is to assess factors affecting utilization of PMTCT services among pregnant women in Sebeta and Alemgena health centers, Fin Fine Zurya Special Zone of Oromia from March, 2012. Methodology: Facility based cross-sectional study was conducted to determine factors that affect the utilization of PMTCT services. Data were collected using interviewer administered questionnaire among 387 pregnant women following antenatal care in the selected facilities of Fin Fine Zurya Special Zone of Oromia region. Two focus group discussions & 4 in-depth interviews were also conducted. Results: Three hundred eighty seven respondents participated in the study making a response rate of 96%. Out of these, 95.6% were tested for HIV. Pregnant women who had formal schooling were 9 times more likely to utilize voluntary HIV testing compared to illiterate [AOR (95% CI) = 8.99(1.70-15.57)]. With respect to occupation of women, farmers were less likely to undergo voluntary HIV testing compared to non farmers in occupation [AOR (95%C.I.)= 0.44 (0.22-0.99)]. Pregnant women who have had the knowledge that HIV transmission occurs during sexual intercourses were more likely to undergo voluntary HIV testing. Those who perceived that discussions about HIV/AIDS with husband cause marital disharmony were more likely to differ from undergoing voluntary HIV testing. [AOR (95%CI) = 0.20(0.05-0.87)]. Conclusion: Formal educations, occupation, knowledge about HIV transmission, discussion with husbands were found to be the predicators of PMTCT service utilization. Targeted community sensitization and mobilization on PMTCT to reduce stigmatization & discrimination, to increase partners’ involvement in the program & continuous health education to increase knowledge through community based education using outreach, home to home & community conversion to increase PMTCT utilization by pregnant mothers were recommended.
| Item Type: | Thesis (Masters) |
|---|---|
| Subjects: | R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine R Medicine > RA Public aspects of medicine > RA1001 Forensic Medicine. Medical jurisprudence. Legal medicine |
| Divisions: | Africana |
| Depositing User: | Vincent Mpoza |
| Date Deposited: | 04 Jul 2018 10:24 |
| Last Modified: | 04 Jul 2018 10:24 |
| URI: | http://thesisbank.jhia.ac.ke/id/eprint/6604 |
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