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Title: Assessment of factors affecting willingness to HIV counselling and testing among patients presenting with the conventional Sexually Transmitted Infections (STIs) in Addis Ababa.
Authors: Legese, Alemayehu
Advisors: Professor Ahmed Ali (BSc, MPH, PhD)
Copyright: 2007
Date Added: 22-Apr-2008
Publisher: Addis Ababa University
Abstract: Abstract There is ample scientific evidence that a person with an untreated STI, particularly those inducing ulcers or discharge, is at an increased risk of passing on or acquiring HIV during sexual intercourse. HIV CT for STI cases is thus an important tool in the public health response to HIV/AIDS. A descriptive, cross-sectional study, involving 422 STI cases, was conducted to assess factors affecting willingness towards HIV CT among patients presenting with the conventional STIs in Addis Ababa, from December 2006 to April 2007. STI patients were consecutively selected during an outpatient visit in ten government health centers which were purposively selected mainly on the basis of their high STI case load. A pre-tested, interviewer administered, structured questionnaire was applied for data collection. OR with 95% CI was used to measure the degree of association between associated factors and willingness towards HIV CT and, logistic regression analysis was done to identify predictors of willingness towards HIV CT. Overall, 73.9% of STI patients said that they would be willing to undergo HIV CT at the time or 3 months after their STI diagnosis. Furthermore, 97.4% and 71.8% of STI patients had heard about HIV/AIDS and STIs, respectively. Nearly 93% of STI patients knew at least one prevention method, and 61.2% identified all the three major methods for preventing HIV/AIDS. Overall, 43.8% of the STI patients had at least one misconception, and 38% had comprehensive knowledge about HIV/AIDS. Moreover, 74% of STI patients said that they never used condoms during the previous 12 months. The proportion of those who reported ever had HIV test was 45%. More than half (61.5%) of the STI patients reported ‘no or low chance’ of acquiring HIV and the main reason they gave was they trusted their partner. One or more stigmatizing attitudes also prevailed in 33.3% of the STI patients. Ever tested for HIV, being in the age group of 15-34 years, and perceiving small or moderate chance of contracting the HIV infection were found out to be significantly associated with willingness towards HIV CT. The findings of this study indicated the need for promotion and expansion of sustainable provider initiated HIV CT with subsequent follow up to STI patients as part of a continuum of services and support, and intensive patient-centered risk reduction counseling for STI cases during the initial visit to health care facilities.
Description: Thesis submitted to the School of Graduate Studies of Addis Ababa University in partial fulfillment of the requirements for the degree of Master of Public Health
URI: http://hdl.handle.net/123456789/862
Appears in:Thesis - Public Health

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