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Title: Assessment of the uptake of provider initiated HIV testing and counseling among OPD clients with possible clinical sign of HIV infection in Addis Ababa, Ethiopia
Authors: Selamawit, Girma Yirgu
Advisors: Dr. Fikre Enquselassie
Keywords: public health
Copyright: Jun-2008
Date Added: 4-May-2012
Publisher: AAU
Abstract: Introduction: Developments have been seen in recent years in global efforts to address the AIDS epidemic, including increased access to effective treatment and prevention programmes. HIV counseling and testing (HCT) is the key entry point to prevention, care, treatment and support services. Still, in many high-prevalence countries, fewer than one in ten HIV positive individuals are aware they are infected with the virus. The slow uptake cannot be improved only through the traditional VCT alone and different alternatives have been proposed, namely routine HIV testing and counseling of patients, also called provider- initiated HIV testing and counseling. Objectives: To assess uptake of provider initiated HIV testing and counseling among OPD clients with possible clinical sign of HIV infection and factors associated with it. Methods: Facility based cross sectional study was conducted on 423 out patient department clients with possible clinical sign of HIV infection in 12 health centers in Addis Ababa. Once the health facilities were selected randomly from each sub cities, study subjects who came to the health centers consecutively were interviewed. Regression model was used to assess factors associated with willingness and acceptability of PITC. Result: The response rate was 91.5%. Majority of the participants were female 216(56%), in the age group 25-34 years 154(39.8%), Orthodox Christian by religion 284 (73.4%). The pre-test, post-test and overall acceptability rates were 0.97, 0.98 and 0.67, respectively. HIV prevalence rate among the study participants was 37.6%. Comparing with age group 15-24 , subjects 25-34 years old have higher rate of willingness (AOR =8.98; 95%CI=1.2- 66.5) and acceptability (AOR =6.4 CI=1.2-33.6). On the other hand those who had "less" support for PITC were less likely to be willing (AOR= 0.03; CI=0.002-0.43) and accept the test (AOR=0.02; 95% CI=0.02-0.3) than who supported it "extremely". Conclusion: The relatively high willingness and acceptability identified in this study is promising for prevention and control of HIV/AIDS. The high HIV prevalence rate (37.6%) noted also indicates how useful the approach is detecting cases so; it needs to be implemented in all levels following the national guidelin
URI: http://hdl.handle.net/123456789/2488
Appears in:Thesis - Public Health

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