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Please use this identifier to cite or link to this item: http://hdl.handle.net/123456789/2895

Authors: Ali, Hussien
Advisors: Fikre Enquoselassie (PhD, Associate professor)
Keywords: ARV prophylaxis
HIV-positive pregnant woman
Copyright: May-2011
Date Added: 10-May-2012
Publisher: AAU
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.
URI: http://hdl.handle.net/123456789/2895
Appears in:Thesis - Public Health

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