Introduction: The global human immunodeficiency virus (HIV) epidemic disproportionately affects sub-Saharan African countries, including Ethiopia. Provider-initiated HIV testing and counseling (PITC) is a tool to identify HIV-positive pregnant women and an effective treatment and prevention strategy. However, its success depends upon the willingness of pregnant women to accept HIV testing.
Objectives: To describe the level of acceptance of PITC and associated factors among pregnant women attending 8 antenatal care clinics in Adama, Ethiopia.
Methods: Trained nursing students and employees from an HIV clinic conducted face-to-face structured interviews in private offices at the clinics from August to September, 2016.
Results: Among the 441 respondents, 309 (70.1%) accepted PITC. Women with more antenatal care visits (odds ratio [OR] = 2.59, 95% CI: 1.01-6.63), reported better quality of the PITC service (OR = 1.91, 95% CI: 1.19-3.08), and higher level of knowledge on mother-to-child transmission (OR = 1.82, 95% CI: 1.03-3.20), were more likely to accept PITC, while women who were older in age (OR = 0.37, 95% CI: 0.19-0.74) and perceived negative attitudes from their partners toward HIV-positive results (OR = 0.31, 95% CI: 0.10-0.94) were less likely to accept the PITC service.
Conclusion: About one-third of pregnant women are not willing to accept PITC. When designing intervention program to improve the acceptance of PITC, we should take into consideration the personal factors, HIV-related knowledge, and attitude of women as well as institutional factors.
[1]Addis Ababa Univ, Coll Hlth Sci, Sch Allied Hlth Sci, Dept Nursing & Midwifery, Addis Ababa, Ethiopia.
[2]Fudan Univ, Affiliated Huashan Hosp, Dept Gen Surg, Shanghai, Peoples R China.
[3]Cent S Univ, Xiangya Sch Nursing, Dept Fundamental Nursing, 172 Tongzipo Rd, Changsha 410013, Hunan, Peoples R China.
[4]Univ Adelaide, Robinson Res Inst, Sch Med, Adelaide, SA, Australia.
(8.0+极速模式)