Assessment of “Trends in HIV Test and Sero Prevalence” Among Randomly Selected Antenatal Care Attendees in Government Health Centers in Addis Ababa
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Date
2007
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Addis Ababa University
Abstract
Despite increasing availability of PMTCT of HIV services, improved awareness of
women about MTCT of HIV and grave psychological, social and economic consequences
that MTCT of HIV poses at all socio-economic levels, information based on serial data
from PMTCT program are limited at global, regional and national levels to asses and
track trends in service utilization and HIV sero prevalence among pregnant mothers.
Therefore, to asses trends, in HIV test and sero prevalence among ANC attendees
in government owned health centers in Addis Ababa since 2002, a retrospective record
review was conducted in Addis Ababa in April 2007.
A total of 2402 randomly selected individual PMTCT counseled client’s records from
2002- 2006 were reviewed retrospectively. All required data related to client’s HIV test
and relevant socio demographic factors were gathered. Data entry, cleaning and analysis
were subsequently conducted using Epi-Info software program. Analysis was done
mainly focusing on changes in HIV tests and sero prevalence from one year to another
during the study period (2002-2006) and comparing each year’s prevalence with the one
in 2002.
For the years 2002-2006, the overall prevalence of HIV test among PMTCT
counseled ANC attendees and sero-prevalence among voluntarily tested ANC attendees
were, 93% ( range, 88.3% - 96%) and 9.5% (range, 6% - 13.2%) respectively.
Prevalence of HIV testing acceptance among counseled ANC attendees has significantly
increased (p-value < 0.05, 2 for trend=4.490) from 90% in 2002 to 96% in 2006.
Taking the 2002 HIV sero prevalence rate of 11.7% in this study as baseline prevalence,
no statistically significant decline ( 2 for trend =1.391, p value > 0.1), in HIV sero
prevalence was observed since 2002. Moreover, only 39% of pregnant mothers in Addis
Ababa utilized PMTCT services.
Trends in HIV testes among PMTCT counseled ANC attendees in Addis Ababa
are increasing mainly because of an opt-out strategy. HIV sero prevalence among ANC
attendees in Addis Ababa has not shown any significant decline since 2002, though
figures show mixed pattern of increase and decline among this group of mothers.
PMTCT services utilization rate is generally low among pregnant mothers in Addis
Ababa
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Keywords
PMTCT of HIV, HIV