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|Title: ||Acceptability of provider initiated HIV counseling and testing in pregnant mothers attending ANC at Nekemte town government health facilities East Wollega zone, Nekemte, Ethiopia, June 2009.|
|Authors: ||TAHIR, HASEN|
|Advisors: ||Hussein Mekonnen (MPH)|
|Copyright: ||Jun-2009 |
|Date Added: ||10-May-2012 |
|Abstract: ||Background: Acceptability is the willingness of pregnant women to accept HIV
counseling and testing (HCT) under the initiation of health care providers. It is one
method of controlling and preventing HIV/AIDS. This study was conducted to
determine the acceptability of PIHCT to pregnant mothers attended ANC at Nekemte
government health facilities (Nekemte hospital and health center), east wollega zone.
Objective: To determine the acceptability of provider initiated HCT of pregnant
mothers attended ANC at Nekemte hospital and health center.
A cross-sectional study was conducted from May 25, to June 7, 2009.
Valid and reliable modified standardized questionnaires and in-depth interviews were
administered to pregnant women attended antenatal care during the study period.
Results: Totally there were 422 participants involved, of these 274 respondents were
from Nekemte hospital and the rest 148 from Nekemte health center. The mean age of
the study participants were 24.24 with SD of 5.02 and their age ranges were16 to 40.
The overall acceptability rates of the respondents were 370(87.7%). Almost all the
respondents 412(97.6%) were knowledgeable to the three cardinal ways of prevention
of HIV/AIDS (i.e. Abstinence, avoiding multiple sexual partners & sharing sharps). But
151(35.8%) of the respondents were knowledgeable to PMTCT during Pregnancy, child
birth & breast feeding. Three hundred ten (73.9%) of the respondents perceived
themselves not at risk of contracting HIV/AIDS. Pre-test counseling was given for
337(79.9%) of the mothers and the rest undergone with no pre-test counseling. (P=
0.002, X2=9.25, OR=2.744(1.466-5.136), df=1). Three hundred thirty four (79.1%) of
the mothers had the information to PIHCT. Health workers 260(61.6%) were the most
common source of information. Media and religious leaders played a little role in
dissemination of information. The percentages of mothers satisfied by the HCWs were
372(88.2%)(P=0.00, OR=4.531(2.276-9.021), df=1). and the trusting relationship
between them was 392(92.9%). (P=0.00, X2=16.383, OR=4.531(2.276-9.021), df=1).
Conclusion: The study gives useful information to health care providers to introduce
measures that could improve the utilization of antenatal HIV testing. Acceptability of
pregnant mothers to PIHCT in this study is remarkable.
Improving participation of
religious leaders and media, partner involvement and encouraging couple counseling,
improving the relationship between mothers and HCWs by giving continuous in-service
and pre-service training for newly graduating HCWs and designing strategies on change
of attitude and practice were recommended.|
|Appears in:||Thesis - Nursing|
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