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. The
Global Plan towards the elimination of new HIV infections among children by
2015 and keeping their mothers alive was well underway, with ambitious goals of
reducing the number of new HIV infections in children by 90% and HIV-related
maternal deaths by 50%. There was now unprecedented collaboration and
political will to accomplish these goals. The national PMTCT program in Ethiopia
was launched in 2001 through implementing the first PMTCT guideline that was
focusing on opt-in approach and use of single dose NVP for the mother and the
baby. Following the launch of the Global e-MTCT plan in 2011, Ethiopia has
launched the accelerated plan of PMTCT in 2012 focusing on site expansion,
quality improvement, demand creation and use of more efficient PMTCT regimen
and adapted PMTCT option B+ .
Objective: To assess knowledge, attitude about PMTCT option B+ and associated
factors among ANC clients in Dessie.
Method: A cross sectional study design that employed simple &systematic
random probability sampling, quantitative data collection method supplemented
by qualitative FGD conducted on a sample size of 301 study subjects from march
14 to April16 2015G.C. Descriptive, bivariate and multivariate logistic regression
analyses 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 women
attending antenatal care were participate 199(66.1%) had positive attitude and
167(55%) had the knowledge of HIV/AIDS transmission ways. 168(55.8%) were
known what the service PMTCT option B+ mean, however, 129(42.9%) were not
have clear understanding. 243(80.7 %) study participants thought to receive
reactive results face to face without their husband. Professional women were 4.53
times [Adj.OR & (95%CI) = 4.53(1.23-15.31)] more than 1-4th grade women
positive opinion for the PMTCT option B+ services utilization and Muslim
followers were 0.03 times [Adj.OR & (95%CI) = 0.03(0.15-0.83)] more positive
opinion on PMTCT option B+ services utilization than orthodox followers.
Conclusion: Most of the study participants in this study knew that HIV could be
transmitted from an infected mother to her baby and most of them know what did
the service PMTCT option B+ mean and its benefit and they had also positive
attitude on PMTCT option B+ service but worried about discrimination by their
partner.
Key words: Prevention of mother to child transmission option B+ Antenatal care
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Keywords
Prevention of mother to child transmission option B+ Antenatal care