Determinants of Voluntary Hiv Counseling And Testing Among Addis Ababa University Undergraduate Final Year Students

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Addis Ababauniversity


HIV/AIDS has become the most devastating global epidemic the world has ever faced and highly affecting the young and economically active segment of the population. Effective behavioral change communication (BCC) strategies need to be designed to rescue the future development force of the nation. Thus, VCT for HIV is included as one of the strategy for HIV / AIDS prevention in HIV / AIDS policy, yet very little is known about what determines VCT services. This study attempts to identify determinants of Voluntary HIV counseling and test ing among Addis Ababa University undergraduate final year Students. The study design was cross-sectional, including both quantitative and qualitative methods. Using multistage sampling technique comprising a total of 860 Students were selected. Quantitative data were collected through self administered questionnaire information on background characteristics of respondents, cognitive determinants and psychological and system related determinants. In addition, four focus group discussions were a lso conducted to generate the qualitative data required to substantiate the statistical finding. The collected data were ed ited, entered and cleaned with SPSS computer software. The data were summarized, analyzed and organized using tables and texts (descriptive) also used bivariate analysis to show the association between variables and binary logistic regression model used to show the impact of different determinants ofVCT by controlling different confounders. The result of the study showed that students were found to be high knowledge of HIV AIDS transmi ss ion and prevention and all respondents heard about VCT, also most of the respondents non stigmatizing towards PLWHA and most of them favorab le attitude towards VCT serv ice. Thus, the prevalence of HIV testing was found to be 39.7%. The major finding in logistic regression model showed that marital status, childhood place of residence, life time sexual partner, perceived confidentiality of VCT serv ice, willingness to take VCT before marriage, stigma and discrimination and attitude towards VCT were found the key determinants of practicing VCT. While, HIV testing was not determined by sex, religious affiliation and felling being at risk of HIV infection. Regarding intention to take VCT in the future the key determinants were identi fied as, marital status, number of lifetime sexual partner, willingness to take VCT before marri age, care for PLWHA and ever use ofVCT in the past were found the determining factors while willingness to test in the future was not determined by sex, age, religious affi liation, childhood place of residence, felling being at risk ofHIV infection and perceived confidentiality ofVCT services. The results indicated that despite obstacles to VCT and issues surrounding HIV testing, further in formation, education and communication program and awareness raising with regard to HlV/AIDS and gradual scaling up ofVCT service, encouraging marriage and reduce stigma and discrimination should be strengthened.



Testing Among Addis Ababa University