Assessment of Knowledge and Attitude About Prevention of Mother to Child Transimion of Hiv Option B+ and Associated Factors Among Anc Clients In Dessie Town, South Wollo Amhara Regional State
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Date
2015-06
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Addis Ababa University
Abstract
Introduction:HIV still remains a major challenge globally despite decades of, advocacy,awareness raising and investing in programs to control the spread of HIV. TheGlobal Plan towards the elimination of new HIV infections among children by2015 and keeping their mothers alive was well underway, with ambitious goals ofreducing the number of new HIV infections in children by 90% and HIV-relatedmaternal deaths by 50%. There was now unprecedented collaboration andpolitical will to accomplish these goals. The national PMTCT program in Ethiopia was launched in 2001 through implementing the first PMTCT guideline that wasfocusing on opt-in approach and use of single dose NVP for the mother and thebaby. Following the launch of the Global e-MTCT plan in 2011, Ethiopia haslaunched the accelerated plan of PMTCT in 2012 focusing on site expansion,quality improvement, demand creation and use of more efficient PMTCT regimenand adapted PMTCT option B+ .
Objective: To assess knowledge, attitude about PMTCT option B+ and associatedfactors among ANC clients in Dessie.
Method: A cross sectional study design that employed simple &systematicrandom probability sampling, quantitative data collection method supplementedby qualitative FGD conducted on a sample size of 301 study subjects from march14 to April16 2015G.C. Descriptive, bivariate and multivariate logistic regressionanalyses were conducted. Statistical tests were done at a level of significance of p= 0.05. Tables and graphs were used to present result.
Results: In this study 297 (99.7 %) of the required sample pregnant womenattending antenatal care were participate 199(66.1%) had positive attitude and167(55%) had the knowledge of HIV/AIDS transmission ways. 168(55.8%) wereknown what the service PMTCT option B+ mean, however, 129(42.9%) were nothave clear understanding. 243(80.7 %) study participants thought to receivereactive results face to face without their husband. Professional women were 4.53times [Adj.OR & (95%CI) = 4.53(1.23-15.31)] more than 1-4th grade womenpositive opinion for the PMTCT option B+ services utilization and Muslimfollowers were 0.03 times [Adj.OR & (95%CI) = 0.03(0.15-0.83)] more positiveopinion on PMTCT option B+ services utilization than orthodox followers.
Conclusion: Most of the study participants in this study knew that HIV could betransmitted from an infected mother to her baby and most of them know what didthe service PMTCT option B+ mean and its benefit and they had also positiveattitude on PMTCT option B+ service but worried about discrimination by theirpartner.
Key words: Prevention of mother to child transmission option B+ Antenatal care
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Prevention of mother to child transmission option B+ Antenatal care