Facilitating factors for the Prevention of Mother-To-Child Transmission of HIV Service Utilization among Antenatal care attending Pregnant Women in Public health facilities in Dire Dawa

No Thumbnail Available



Journal Title

Journal ISSN

Volume Title


Addis Abeba Universty


Background: Mother-to-Child Transmission of HIV has been identified as the greatest means of HIV infection among children. Studies related to PMTCT utilization has been done in other parts of Ethiopia. However, there were no studies that have examined the magnitude and factors for utilization of PMTCT despite high overall health service coverage in Dire Dawa. Objective: To assess the magnitude and facilitating factors for the prevention of mother-to-child transmission of HIV service utilization among Antenatal care attending pregnant women in public health facilities in Dire Dawa. Methods: A facility based cross-sectional study was conducted using face to face interviews with mothers attending antenatal clinics in public health facilities in Dire Dawa which was supplemented by qualitative study. For quantitative part of the data 389 pregnant women were recruited using systematic random sampling method. Trained data collectors conducted the data collection using a pretested structured questionnaire. The response was coded and entered into the computer using EPI info version 3.5.4 statistical packages. Cleaned data was exported to SPSS version 21.0 for analysis. Bivariate and Multivariate analyses were carried out. Six in-depth interviews were conducted with selected people working on PMTCT in their respective work places. The qualitative interviews were conducted by the principal investigator using the interview guides prepared by me. Results: A total of 389 pregnant women attending antenatal care in Dire Dawa were approached. Of the 389 participants, about 53.2% were between 25-34 years of age, 78.9% had formal education at primary level or above, 95.6% reported acceptance of HIV counseling and testing, 78.9% were aware about mother-to-child transmission of HIV, and 93.8% knew about prevention of mother –to-child transmission of HIV and 82.3% were aware of the availability of ART prophylaxis. Of the 372 tested pregnant women, 361 (97.0%) were negative and only eleven (3.0%) were positive for HIV. Out of 11 women who were positive for HIV 9/11 of them linked to ART care service, but two of them didn’t decide to be linked to ART care services. PMTCT service utilization was positively associated with high monthly income [AOR =3.7(95%CI) (1.2-11.5)], have information about VCT [AOR=4.4(95%CI) (1.1-17.6)], and prefer to have same counselor for discussion before and after the test [AOR=3.6(95%CI) (1.2-10.7)]. Conclusions and Recommendations In general the PMTCT service utilization in Dire Dawa was found to be high. Strengthening the level of PMTCT services in ANC settings and increasing mechanisms to promote involvement of men in PMTCT services is needed. Keywords: Utilization, PMTCT services, pregnant women, ANC, Dire Dawa.



Utilization, PMTCT services, pregnant women, ANC, Dire Dawa.