Maternity and Reproductive Health Nursing

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Browsing Maternity and Reproductive Health Nursing by Author "Abere Kerebih( MSc)"

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    Seroprevalence and Associated Factors of Human Immunol Eficiency Virus, Hepatitis B Virus, and Syphilis Among Pregnant Mothers Attending Antenatal Care at Governmental Hospitals in Addis Ababa, Ethiopia, 2021.
    (Addis Ababa University, 2021-06) Genetu Kassa; Tachbele Erdaw (Professor); Abere Kerebih( MSc)
    Introduction: Human immunodeficiency virus, hepatitis B virus, and syphilis infections are a widespread problem among pregnant women around the world, with difficulties that are passed on to their newborn babies. In Ethiopia, STIs such as syphilis, HBV, and HIV are major public health issues that result in a wide range of adverse pregnancy outcomes. Objective: The study aimed to determine the seroprevalence and associated factors of the human immunodeficiency virus, hepatitis B virus, and Syphilis infection and associated factors among pregnant mothers attending antenatal clinics at governmental hospitals in Addis Ababa, Ethiopia, 2021. Method: An Institutional based cross-sectional study design was employed among 281 mothers from February to March 2021. Systematic random sampling technique was employed to select the study participants and socio-demographic data, hospital-related factors, and risky socio-cultural and behavioral factors were collected by face-to-face interview using a structured questionnaire. Seroprevalence of HIV, HBV, and Syphilis was taken from the routinely prescribed laboratory test results of the pregnant mothers. Data was entered into Epi-data 3.1, and SPSS version 25.0 was used to modify, clean, and analyze it. Descriptive statistics, bivariate and multivariable logistic regression analysis were used. Variables with a P-value of < 0.05 were considered determinant factors for HIV, hepatitis B virus, and syphilis infection. Result: Human immunodeficiency virus, hepatitis B virus, and syphilis seroprevalence were 5.3%,3.2 %, and 1.8% respectively. STIs (HIV, HBV, and Syphilis) were found in 26 (9.3%) of the women, and 1.1% of the women had both HIV and syphilis co-infections. There were no HIV/HBV, HBV/Syphilis and HIV/HBV/Syphilis co-infection. The history of multiple sexual partners (AOR 3.42, 955 CI 1.0-11.63) and history of STIs (AOR 3.7; 955CI 1.07-13.45) were significantly associated to HIV infection. Likewise, history of abortion (AOR 7.65, 95% CI 1.1749.74),tattooing(AOR9.72,95%CI1.4166.73) and involuntary sex (AOR9.72,95%CI1.4166.73)were significantly associate with hepatitis B virus infection. Husband history of multiple sexual partner (AOR20.9,95%CI1.8-241.8)was significantly associate with syphilis infection. Conclusion and recommendation: There are still a high prevalence of human immunodeficiency virus ,hepatitis B virus, and syphilis in our country Ethiopia herefore,itisimportantto screenthese infections among all pregnant women at every antenatal care visit.