Assessmenet of VCT Utilization among Attendees of Familly Planning, ANC, and Delivery Care Services, Butajira, SNNPR, Ethiopia
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Date
2006-08
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Addis Abeba Universty
Abstract
To date all efforts that are aimed at developing a drug that completely
clears HIV infection and a vaccine that prevents it have ended up in no
conclusive outcomes. The disease is overwhelmingly spreading and it is
resulting in huge tolls of morbidity and mortality of human kind all over the
world. The only option to avert the spread of the infection is changing
behavior through proper behavior change communication. In this study,
Knowledge, Attitude and practices related to HIV test and counseling and
its link with FP, ANC, and Delivery care services were assessed on those
mothers coming to health facilities for the later services.
A cross - sectional study was carried out from Jan10-Feb 15, 2006 among
attendees of FP, ANC, and Delivery care Services at Butajira Hospital and
Butajira Health center. A total of 405 women participants involved using
quota sampling technique. Quantitative and qualitative methodologies
used. Questions addressed socio-demographic characteristics, VCT
related knowledge, attitude and practices, and the linkage between VCT
and FP, ANC, and Delivery care services. Data collected using an
interviewer administered Amharic version structured questioner, nonparticipant
observation checklist for the process of service delivery, and indepth
interview with service providers. Trained interview teams
administered the questioner. Finally the data were analyzed for the target
group as appropriate.
Overall, 52.8% of the study subjects have sufficient knowledge score and
81.2% have favorable attitude and 44% have good VCT practice. There
was a significant difference between ANC and FP attendees, respectively,
level of knowledge 53% & 50%, favorable attitude 86%& 77%, and good
VCT practice 86% and 29% (p<0.05). Generally, VCT service linkage with
FP, ANC and Delivery care services was weak. Specifically the linkage
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with FP was very weak. FP services were not available in VCT settings.
Similarly, on both sides almost no referral. Respondents from ANC and
delivery were better informed and referred for PMTCT.
The study revealed that participants have high level of knowledge and also
favorable attitude but low VCT practice. To increase utilization of services
need to strengthen the PMTCT programs, VCT providers should refer their
clients to MCH (FP&ANC) and vice versa to minimize missed opportunities
and service delivery guideline to integrate especially FP with VCT is
required.
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Assessmenet of VCT Utilization among Attendees of Familly Planning