Abstract
BackgroundDespite more efforts for prevention of mother to child HIV transmission, still there are problems with provider-initiated HIV testing. This study was done to assess the acceptance rate of provider-initiated HIV testing among antenatal care attendants and its associated factors.MethodsInstitutions based cross sectional study with a sample size of 398 was conducted from February to March 2014 in two health facilities in Assosa town. Proportional allocation of the sample size of health facilities followed by systematic sampling method was done; data were collected using an interviewer administered questionnaire. Bivariate and multivariate regression analysis was employed using SPSS version 20.ResultsA total of 386 pregnant women participated with response rate 97 % and 312 (80.8 %) of them accepted provider-initiated HIV testing. The odds of acceptance of provider-initiated HIV testing was higher among rural residents (AOR 4.04; 95 % CI 1.24–13.11) than urban. It was also higher among students (AOR 6.00; 95 % CI 1.45–24.75), merchants (AOR 4.43; 95 % CI 1.18–16.68) and employed women (AOR 2.15; 95 % CI 1.08–4.30) than housewives. Pregnant women who had no stigmatized attitude towards people living with HIV/AIDS were more likely to accept testing (AOR 3.54; 95 % CI 1.23–10.16) than who had a strong stigmatized attitude. In addition, those who planned to disclose their test results from their husbands were higher odd of acceptance (AOR 14.85; 95 % CI 4.60–47.94) than who secreted.ConclusionAcceptance of provider-initiated HIV testing among pregnant women attending for antenatal care services was relatively high. Mothers from urban residence, occupational satus being housewives, stigmatization and not having a plan to disclose the status of test results were negatively affect the acceptance of provider-initiated HIV testing. During counselling sessions, antenatal care providers should focus on barriers of provider-initiated HIV testing such as residence, occupational status, stigmatized attitudes and disclosure status of results of HIV tests.
Highlights
Despite more efforts for prevention of mother to child human immune virus (HIV) transmission, still there are problems with provider-initiated HIV testing
The higher acceptance rate could be due to pregnant women consider that provider-initiated HIV testing and counselling (PITC) as a standard care for the prevention of mother to child HIV transmission or it may be due to the government gives highest emphasis about the availability of comprehensive HIV/acquired immune deficiency syndrome (AIDS) care
Housewife/farmer women engagement especially through education and skills to create their own work should be done by their family, community and the government so as to improve women’s access to economic resources to enable them to increase their own decision on accessing test of HIV
Summary
Despite more efforts for prevention of mother to child HIV transmission, still there are problems with provider-initiated HIV testing. A total of 34 million people were living with HIV and of these about 69 % were in Sub Saharan Africa. In 2011, around 330,000 children acquired HIV infection mainly from mother to child transmission and of these more than 90 % were in sub-Saharan Africa [1]. In year 2012 only, an estimated 37, 605 children in ager group of 0–4 years were HIV positive, more than 759, 268 people were living with HIV, around 20,158 newly infected in year 2012 and a total of 41,444 AIDS cases died. Of the total people living with HIV/AIDS (PLWHA), more than 22,057 were pregnant women [3]. The prevalence of HIV in Benshangul Gumuz Regional state, Ethiopia was 1.7 % [2] and ANC-based HIV prevalence among pregnant women and Assosa hospital was 17.8 and 7.6 % respectively [4]
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