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Utilization of HIV testing services among pregnant mothers in low income primary care settings in northern Ethiopia: a cross sectional study.
BMC Pregnancy Childbirth. 2017 Jun 24; 17(1):199.BP

Abstract

BACKGROUND

HIV testing of women in child bearing age is an entry point for preventing mother-to-child transmission of HIV (MTCT). This study aims to identify the proportion of women tested for HIV and to determine factors associated with utilization of HIV testing services among pregnant mothers in primary care settings in northern Ethiopia.

METHODS

A cross sectional study was conducted in 416 pregnant women from four primary care centers between October 2, 2012 and May 31, 2013 in East Gojjam, Ethiopia.

RESULTS

The proportion of mothers who tested for HIV was 277(67%). Among mothers who were not tested for HIV, lack of HIV risk perception (n = 68, 49%) was a major self-reported barrier for HIV testing. A multivariable logistic regression analysis showed that those pregnant women who had comprehensive knowledge about MTCT had an Adjusted Odd Ratio (AOR) of 3.73 (95% CI: 1.56, 8.94), having comprehensive knowledge on prevention of mother to child transmission (PMTCT) of HIV an AOR of 2.56 (95% CI: 1.26, 5.19), and a favorable attitude towards persons living with HIV an AOR of 2.42 (95%CI, 1.20, 4.86) were more likely to be tested for HIV.

CONCLUSION

One third of pregnant women had never been tested for HIV until the time of the study. Efforts should be made to improve mother's knowledge about MTCT and PMTCT to increase uptake of HIV testing. Enhancing mother's HIV risk perception to scale up HIV testing in resource limited setting is highly recommended.

Authors+Show Affiliations

Institute of Public Health, Heidelberg University, Heidelberg, Germany. yihun.mulugeta@yahoo.com. School of Public Health, College of Medicine and Health Science, Bahir Dar University, Bahir Dar, Ethiopia. yihun.mulugeta@yahoo.com.School of Public Health, College of Medicine and Health Science, Bahir Dar University, Bahir Dar, Ethiopia.Institute of Public Health, Heidelberg University, Heidelberg, Germany.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

28646888

Citation

Alemu, Yihun Mulugeta, et al. "Utilization of HIV Testing Services Among Pregnant Mothers in Low Income Primary Care Settings in Northern Ethiopia: a Cross Sectional Study." BMC Pregnancy and Childbirth, vol. 17, no. 1, 2017, p. 199.
Alemu YM, Ambaw F, Wilder-Smith A. Utilization of HIV testing services among pregnant mothers in low income primary care settings in northern Ethiopia: a cross sectional study. BMC Pregnancy Childbirth. 2017;17(1):199.
Alemu, Y. M., Ambaw, F., & Wilder-Smith, A. (2017). Utilization of HIV testing services among pregnant mothers in low income primary care settings in northern Ethiopia: a cross sectional study. BMC Pregnancy and Childbirth, 17(1), 199. https://doi.org/10.1186/s12884-017-1389-2
Alemu YM, Ambaw F, Wilder-Smith A. Utilization of HIV Testing Services Among Pregnant Mothers in Low Income Primary Care Settings in Northern Ethiopia: a Cross Sectional Study. BMC Pregnancy Childbirth. 2017 Jun 24;17(1):199. PubMed PMID: 28646888.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Utilization of HIV testing services among pregnant mothers in low income primary care settings in northern Ethiopia: a cross sectional study. AU - Alemu,Yihun Mulugeta, AU - Ambaw,Fentie, AU - Wilder-Smith,Annelies, Y1 - 2017/06/24/ PY - 2015/10/01/received PY - 2017/06/20/accepted PY - 2017/6/26/entrez PY - 2017/6/26/pubmed PY - 2018/4/18/medline KW - HIV testing KW - Pregnant mothers KW - Utilization SP - 199 EP - 199 JF - BMC pregnancy and childbirth JO - BMC Pregnancy Childbirth VL - 17 IS - 1 N2 - BACKGROUND: HIV testing of women in child bearing age is an entry point for preventing mother-to-child transmission of HIV (MTCT). This study aims to identify the proportion of women tested for HIV and to determine factors associated with utilization of HIV testing services among pregnant mothers in primary care settings in northern Ethiopia. METHODS: A cross sectional study was conducted in 416 pregnant women from four primary care centers between October 2, 2012 and May 31, 2013 in East Gojjam, Ethiopia. RESULTS: The proportion of mothers who tested for HIV was 277(67%). Among mothers who were not tested for HIV, lack of HIV risk perception (n = 68, 49%) was a major self-reported barrier for HIV testing. A multivariable logistic regression analysis showed that those pregnant women who had comprehensive knowledge about MTCT had an Adjusted Odd Ratio (AOR) of 3.73 (95% CI: 1.56, 8.94), having comprehensive knowledge on prevention of mother to child transmission (PMTCT) of HIV an AOR of 2.56 (95% CI: 1.26, 5.19), and a favorable attitude towards persons living with HIV an AOR of 2.42 (95%CI, 1.20, 4.86) were more likely to be tested for HIV. CONCLUSION: One third of pregnant women had never been tested for HIV until the time of the study. Efforts should be made to improve mother's knowledge about MTCT and PMTCT to increase uptake of HIV testing. Enhancing mother's HIV risk perception to scale up HIV testing in resource limited setting is highly recommended. SN - 1471-2393 UR - https://www.unboundmedicine.com/medline/citation/28646888/Utilization_of_HIV_testing_services_among_pregnant_mothers_in_low_income_primary_care_settings_in_northern_Ethiopia:_a_cross_sectional_study_ L2 - https://bmcpregnancychildbirth.biomedcentral.com/articles/10.1186/s12884-017-1389-2 DB - PRIME DP - Unbound Medicine ER -