A Resarch Paper n Assessement of Kap of Hiv Positive Mothers on Vct and Infant Feeding in Akaki Kaliti, Addis Abeba, Ethiiopi a
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Date
2014-06
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Addis Ababa University
Abstract
Background: Strategies to respond to the global HIV epidemic include preventing new infections andproviding care and support to infected individuals. Prevention of Mother to Child Transmission of HIV(PMTCT) is one of the strategies given high priority. In Ethiopia, 96 000 children under fifteen live withHIV, which is related to the prevalence rate of HIV/AIDS and mother to child transmission (MTCT) of the virus.Without intervention, the risk of MTCT of HIV is 15-30% in non breastfeeding populations; breastfeeding byan infected mother increases the risk by 5-20% to a total of 20-45%. Studies have also shown the variation inMTCT rates by duration of breastfeeding, exclusivity of breastfeeding, and the danger of mixed feeding.
Objective This study was at determining the levels and identifying determinants of KAP of mothers about VCT andfeeding of infants born to HIV positive women.
Methods: A cross-sectional descriptive study was conducted by using quantitative data collection method withpre tested structured questioner on 300 mothers (79 pregnant and 221 lactating) residing in akaki kality subcity from April to may 2014. Study subjects were selected using simple random sampling. Data wasanalyzed using SPSS version 16. Descriptive statistics were used to describe characteristics of the studysubjects and logistic regression model were used to predict the association of the independent andoutcome variable.
Results: Among the mothers (n=300), 38.8% had sufficient knowledge about MTCT (during pregnancy, labor,breastfeeding), 4 1.8% had sufficient knowledge about PMTCT, 30.5% had sufficient knowledge about infantfeeding options recommended to HIV positive women, 62.4% had favorable attitude towards VCT, 4.7% hadfavorable attitude towards the feeding options, 84.5% visited health institutions for antenatal care and 35.7%used VCT service during their last pregnancy. Beside these lactating mothers (n=221) practiced mixed feeding81.5%, exclusive breastfeeding 13.4% and most (91.1%) of the pregnant mothers intended to mixed feed theirinfants of age 0-6 months. Based on logistic regression analysis, knowledge of the mothers about the infantfeeding options was significantly associated with their, age, husbands being important persons for mothers todecide on how to feed their infants, and counseling mothers on infant feeding during ANC. Infant feedingpractices of lactating mothers was also having a statistically significant association with their ANC use, andplace of delivery.
Conclusion/ recommendation: Mixed feeding increases the risk of non HIV diseases like diarrhea andmalnutrition for infants of age 0-6 months, and for most of mothers didn’t know their HIV status potentiallyincreases risk of MTCT of HIV. Therefore, strengthening counseling mothers on safe infant feeding practices,and introducing an appropriately designed BCC program to the community on safe infant feeding Practicesand importance of partners Involvement in HIV testing and counseling are mandatory
Key words: - Infant feeding, VCT, PMTCT, MTCT
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Keywords
Infant feeding VCT PMTCT MTCT