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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.
Advisors: Hussein Mekonnen (MPH)
Copyright: Jun-2009
Date Added: 10-May-2012
Publisher: AAU
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. Methodology: 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.
URI: http://hdl.handle.net/123456789/2892
Appears in:Thesis - Nursing

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