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|Title: ||UPTAKE OF ANTIRETROVIRAL PROPHYLAXIS AMONG HIV POSITIVE PREGNANT WOMEN IN SOUTH WOLLO ZONE|
|Authors: ||Ali, Hussien|
|Advisors: ||Fikre Enquoselassie (PhD, Associate professor)|
|Keywords: ||ARV prophylaxis|
HIV-positive pregnant woman
|Copyright: ||May-2011 |
|Date Added: ||10-May-2012 |
|Abstract: ||Background – Mother to child transmission remains the most significant route of HIV infection
among children. For the prevention of mother to child transmission of HIV a package of services
including HIV counseling and testing, provision of antiretroviral prophylaxis drugs for mothers
and babies, safe delivery practices and infant feeding counseling is made available. The
effectiveness of PMTCT program largely depends on utilization of prophylactic antiretroviral
drugs by the women and their babies.
Objective: This study was intended in general to assess the uptake of antiretroviral prophylaxis
among HIV positive parturient women (and specifically to determine the magnitude of
antiretroviral prophylactic uptake, to describe factors affecting the uptake and to describe the
extent of partner involvement) in South Wollo Zone, East Amahra Region, Northeast Ethiopia
.Methods: Institution-based cross sectional study was conducted among 356 HIV positive
pregnant women at five selected health facilities in South Wollo Zone,East Amhara Region,
North east Ethiopia between January 2010 and March 2011. All clients were interviewed until
decided sample size obtained. Descriptive statistics was used to assess uptake of antiretroviral
prophylaxis. Associated factors with uptake were assessed using odds ratios and 95%
Confidence Intervals. Four in-depth interviews/among PMTCT services counselors and Woreda
Health Office PMTCT coordinators/ were conducted to complement the quantitative survey.
Result - Of 356 HIV-positive pregnant women interviewed, 151(42.4%) started antiretroviral
prophylaxis, 101(28.4%) were initiated on combination ART and clinical care beyond PMTCT.
Thirty two (8.9%) their gestational age was less than 28 weeks.
72(20.2%) did not start
antiretroviral prophylaxis at their 28 weeks of gestational age.
Conclusion- -Accessibility of
comprehensive PMTCT services have paramount benefits in effective
implementation of ARV prophylaxis uptake. Much of significant associations between variables did not
show. It might be related to limitation of study design used. Stigma was not considered as a barrier for
ARV prophylaxis in this particular study area.|
|Appears in:||Thesis - Public Health|
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