Utilization of HIV Counseling and Testing Service and predictors of intention to use it among Teachers of Harari Region

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Addis Abeba University


Background: The HIV/AIDS pandemic remains one of the global health problems ever faced by mankind including Ethiopia. Cognizant of the problem, various interventions have been made among which HIV counseling and testing (HCT) is one of crucial intervention package in the country. Objective: This study aimed to assess the utilization of HCT and predictors of intention to use it among teachers of Harari Region. Methods: A cross sectional study design with analytic component was conducted among 566 teachers drawn from 20 selected schools of Harari Region from March to April 2009. Socio- demographic and other important data was collected using self administered questionnaire developed based on the theory of planned behavior. The data were entered and analyzed using SPSS version 16.0 statistical package. Logistic and multiple linear regressions were used to identify association among variables and assess predictors of utilization & intention to use HCT service. A p-value of <0.05 was considered significant. Result: about half (46.3%) of the study population were tested for HIV. The odds of having tested for HIV increased with being female and age below 35 years. The result of multiple linear regression analysis indicate that subjective norm (β=.31, p<0.001), perceived behavior control (β=.25, p<0.001) and attitude toward using HCT service (β=.19, p<0.001) were found to be the predictors of intended use of HCT service. The addition of perceived susceptibility increase the explained variance marginally by about 6 %( p<0.05). Conclusion and Recommendation: Large proportion of teachers in the region has been tested for HIV. The TPB variables were found to be significant predictors of intended use of HCT with subjective norm being the strongest followed by perceived behavioral control and attitude toward the use of HCT. when planning any program targeting increase uptake of HCT service among teachers, particular attention should be paid on their referents and changing their perception of control in order to strengthen their intention to use HCT service.



HIV Counseling , Testing Service