Abstract
Background. HIV transmission from mother to child continues to be the major source of HIV infection among children under the age of fifteen. Targeting pregnant women attending antenatal clinics provides a unique opportunity for implementing prevention of mother-to-child transmission (PMTCT) programs against HIV infection of newborn babies. This study assessed utilization of PMTCT service of HIV and associated factors among ANC attending mothers.Methods. An institutional based cross-sectional study was conducted from February 20 to March 30, 2015, using exit interviews with 377 ANC attendees using consecutive sampling method. In-depth interviews with service provider were conducted to complement the quantitative data. Data were entered and analysed using EpiData and SPSS, respectively.Results. The prevalence of PMTCT service utilization was 86.9% in this study. Only 8.6% of respondents attended the facility for HCT. After controlling confounders using logistic regression, PMTCT service utilization was associated with age (25–34) of respondents (AOR (95% CI) = 0.46 (0.22, 0.97)), mother’s occupational status (being merchant AOR (95% CI) = 0.31 (0.12, 0.83), government employee AOR (95% CI) = 0.05 (0.01, 0.28), student AOR (95% CI) = 0.1 (0.01, 0.44), and daily laborer AOR (95% CI) = 0.13 (0.05, 0.33)), husband’s educational status (lack of formal education (AOR (95% CI) = 3.3 (1.1, 9.9))), having discussion with husband (AOR (95% CI) = 6.1 (2.6, 14.1)), partner tested (AOR (95% CI) = 8.2 (1.9, 34.46)), and being not satisfied with the service (AOR (95% CI) = 0.46 (0.2, 0.99)).Conclusions. This study revealed that utilization of HIV counseling and testing during antenatal care was high among pregnant women in Sebeta town. It highlights that focusing on improvement of quality and coverage of health services has significant effects on PMTCT service utilization. Effective use or uptake of ARV drug among HIV-positive pregnant women should be further investigated so that utilization will be enhanced.
Highlights
Transmission of human immune virus (HIV) from an infected mother to her child during pregnancy, labor, delivery, or breastfeeding is known as mother-to-child transmission and it has created enormous social and economic problems
The study highlights a number of issues useful for understanding level and factors associated with the utilization of prevention of mother-to-child transmission (PMTCT) services at public health facilities in Sebeta town
The PMTCT service utilization among ANC attendees was found to be 86.9% while 13.1% were not tested for HIV
Summary
Transmission of human immune virus (HIV) from an infected mother to her child during pregnancy, labor, delivery, or breastfeeding is known as mother-to-child transmission and it has created enormous social and economic problems. MTCT rates remain high in developing nations, SSA countries where majority of HIV infected women of child bearing age live Such high rates persist mostly due to lack of access to existing prevention interventions, lack of male involvement, Advances in Public Health and women not disclosing their status to their partners [3, 4]. Targeting pregnant women attending antenatal clinics provides a unique opportunity for implementing prevention of mother-to-child transmission (PMTCT) programs against HIV infection of newborn babies. This study revealed that utilization of HIV counseling and testing during antenatal care was high among pregnant women in Sebeta town It highlights that focusing on improvement of quality and coverage of health services has significant effects on PMTCT service utilization. Effective use or uptake of ARV drug among HIV-positive pregnant women should be further investigated so that utilization will be enhanced
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