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Please use this identifier to cite or link to this item: http://hdl.handle.net/123456789/2579

Title: Assessment of factors contributing to voluntary counselling and testing (VCT) utilization among youth in Dire Dawa Administrative Council
Authors: Hiwot, Alemu
Advisors: Dr. Wakgari Deressa (BSc, MPH, PhD)
Keywords: VCT
Copyright: Jul-2008
Date Added: 4-May-2012
Publisher: AAU
Abstract: Background: Voluntary Counseling and Testing (VCT) is the key entry point to prevention, care, treatment and support services, where people learn whether they are infected, and are helped to understand the implications of their HIV status and make informed choices for the future. Youth (15-24 years) are particularly vulnerable to HIV because of the strong influence of peer pressure and the development of their sexual and social identities which often leads to experimentation. As they are initiating sexual behaviour, counselling for safe practice is vital. There are several possible contributing factors that must be addressed if VCT is to have an important role in HIV prevention and care. Objectives: the objective of this study is to identify the contributing factors for VCT utilization among youth (15-24 years) in Dire Dawa Administrative council. Methods: The study design was community based cross-sectional using quantitative method and supplemented by qualitative method and conducted from March to April 2008 using standardized questionnaire, among youth in urban kebeles of Dire Dawa Administrative Council. A multistage sampling method was used and a total of 629 youths were included in the study. Results: All (100%) respondents reported that they heard of HIV/AIDS, the majority of youth (98.5%) had heard about VCT and mass media was the most frequently reported source of information (98.9%). One hundred eighty (28.6%) youths had VCT in the past of which 23.4% were males and 34.5% were females. The majority 74.4% of them utilized the VCT service to know their status followed by 10.6% for pre–marital reasons. Of all socio-demographic and sexual history variables, being female, older youth, and sexually active youth were more likely to be tested [AOR (95%CI) =1.79 (1.17, 2.73)], [AOR (95% CI) =1.67 (1.02, 2.48)], and [AOR (95% CI) =2.17 (1.21, 3.88)] respectively. Knowledge and practice related to HIV/AIDS/VCT showed statistically significant association with VCT users [AOR (95%CI) =6.33 (3.70, 10.83)]. Confidential testing, health worker as counsellor, and face to face of receiving HIV test result were the preferred VCT schemes by most survey respondents and FGD participants. Conclusions: The mass media have become a major source of information about HIV/AIDS and VCT; mass media professionals can exercise their influence by providing accurate and consistent information. It is advisable to provide voluntary HIV counseling and testing services in schools and youth clubs to extend the VCT service to more by younger youth. The existing health institution preferably to provide youth-friendly VCT service and working during extra regular days and hours (weekends and late afternoon).
URI: http://hdl.handle.net/123456789/2579
Appears in:Thesis - Public Health

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