Assessment of Acceptability of Provider Initiated HIV Counseling and Testing Among Tuberculosis and non -Tuberculosis Patients in Shashemene Town, West Arsi Zone, Oromia Region, Ethiopia
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Date
2010-06
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Addis Abeba Universty
Abstract
Background: HIV counseling and testing is fundamental to both HIV/AIDS prevention
and treatment. Patients need to know their sero-status to benefit from available care and
treatment options. Provider Initiated HIV Counseling and Testing has been implemented
in most health facilities utilizing Directly Observed Treatment Short course to increase
uptake of HIV counseling and testing as the most important opportunity. Different factors
might affect the up take of PIHCT services which demand timely assessment.
Objective: the objective of the study was to assess the acceptability of PIHCT and
factors influencing its service uptake among TB and non TB patients in Shashemene
town of West Arsi Zone.
Methods: Institution-based, comparative cross-sectional study was conducted from
January to Feburary 2010, on 237 TB patients attending Tuberculosis clinics and 236 non
TB patients who were offered PIHCT from outpatient department in Shashemene hospital
and Shashemene health center. Data were collected using consecutive sampling until the
required sample size was attained using structured questionnaire
Results: Majority of the participants were male 136(57.4%) among TB and150 (63.3%)
among non TB, in the age group 25-34 years 79(33.3%) among TB and 93(39.4%) non
TB, musilim by religion 116(50%) among TB and 116(50%) among non TB. Among 473
study participants 86.3% (89.9% TB vs 82.6% non TB) had accepted PIHCT. TB patients
are more likely to accept PICHT than non TB patients at AOR= 2.4; 95% CI (1.3, 4.6).
Those who support importance of PIHCT were more likely to accept PIHCT at AOR=14;
95% CI (6.1, 33.4) than those who are against PIHCT.
Conclusions: The acceptance rate of PIHCT is relatively higher in this study; TB patients
were more likely to accept PIHCT than non TB patients. The programme needs to be
strengthened in all settings for both TB and non TB patients since HIV testing and
counseling stands out as paramount both in treatment and in prevention of HIV/AIDS.
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Assessment of Acceptability of Provider Initiated HIV Counseling