HIV testing during pregnancy for prevention of mother-to-child transmission of HIV in Ethiopia

Ejigu, Yohannes; Tadesse, Biniyam

doi:10.1371/journal.pone.0201886

Cited by 38 publications

(65 citation statements)

References 22 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In Ethiopia, a nationally-representative study found that 33.7% of the sample population received early ANC visits [3]. Regarding HIV tests during pregnancy, Ejigu et al showed that in Ethiopia, more than 35% of the sample population were tested for HIV [25], which is quite low compared with 75.4% in the present study. This is understandable based on the fact that Ethiopia (2.4%) also has a far lower HIV rate compared with Mozambique (13.2% as of 2015) [26].…”

Section: Discussioncontrasting

confidence: 62%

Determinants of prenatal care use and HIV testing during pregnancy: a population-based, cross-sectional study of 7080 women of reproductive age in Mozambique

Yaya¹,

Oladimeji

et al. 2019

BMC Pregnancy Childbirth

View full text Add to dashboard Cite

Background:In low-income countries with poor coverage of healthcare services such as Mozambique, antenatal care serves as a vital tool for providing life-saving and cost-effective services for pregnant mothers. Nonetheless, many countries in Africa, including Mozambique, are struggling to attain an optimum level of antenatal care (at least 4 visits) utilisation among pregnant women. In the present study, we aimed to assess the sociodemographic and economic factors associated with antenatal care use in Mozambique. Methods: Cross-sectional data from the latest round of Mozambique Demographic and Health Survey (2011) on women aged 15-49 years (n = 7080) were analysed. The outcome measures were early and adequate antenatal visit and HIV tests during the last pregnancy. Data were analysed using descriptive and multivariate regression methods. The predictor variables included various demographic (e.g. age, parity), empowerment (e.g. type of employment, household wealth status) and sociocultural factors (e.g. ethnicity, religion). Results: Of the 7080 women whose data was analyzed, 15.3 and 60.1% had early and adequate ANC visits respectively while 75.4% received HIV test during ANC visits. The odds of early ANC visits were higher [OR = 1.300, 95%CI = 1.062, 1.592] among women in the rural areas compared with those in the urban areas. However, participants in rural areas had lower odds [OR = 0.788, 0.687,0.902] of receiving HIV tests during ANC visits. Women in the urban areas with secondary [OR = 1.296, 95%CI = 1.007,1.666] and higher [OR = 1.663, 95%CI = 1.052,2.628] education had higher odds of having early ANC visit. Those in the higher wealth quintiles also had significantly increased odds of using all three types of ANC indicators, particularly for rural women in the highest wealth quintile [OR = 4.776, 95%CI = 1.250,18.24]. Being within the higher wealth quintiles was found to significantly increase the odds of using all three types of ANC indicators, particularly women from rural areas with highest wealth quintile [OR = 4.776, 95%CI = 1.250,18.24]. Conclusion: About two-fifth of the women in Mozambique are not using adequate antenatal care and about and a quarter do not take HIV tests during pregnancy. The sources of low and unequal use of these vital health services might be rooted in women's socioeconomic status and cultural issues that require special policy and research attention.

show abstract

Section: Discussioncontrasting

confidence: 62%

Determinants of prenatal care use and HIV testing during pregnancy: a population-based, cross-sectional study of 7080 women of reproductive age in Mozambique

Yaya¹,

Oladimeji

et al. 2019

BMC Pregnancy Childbirth

View full text Add to dashboard Cite

show abstract

“…In this study, pregnant women with a primary and secondary level of education were less likely to accept testing than those with a diploma and above education level, which was in line with a study done in Ethiopia, Congo. [24][25][26] However, this was in contrast with a finding of the study done in Northwest part of Ethiopia; in Gondar and Botswana more pregnant women with no education accepted HIV testing than women with basic education. The possible explanation is that education plays a key role in individual health-seeking behavior, and prevention of mother to child transmission, that promotes human immune virus testing.…”

Section: Discussioncontrasting

confidence: 82%

“…A positive association was observed between awareness of mother to child transmission, and acceptability of HIV testing, which was in line with a previous study done in Ethiopia. 26 Pregnant women with previous knowledge of prevention of mother to child transmission were more likely to accept human immune virus testing than their counterparts, similar to studies done in different parts of Ethiopia. 16,23 This could be due to the higher perceived benefit of human immune virus testing among women who had a better knowledge of mother to child transmission, and prevention of mother to child transmission which in turn influences testing acceptance positively.…”

Section: Discussionsupporting

confidence: 54%

<p>Acceptance Of HIV Testing And Associated Factors Among Pregnant Women Attending Antenatal Care In Gunino Health Center, Southern Ethiopia 2019: An Institutional Based Cross-Sectional Study</p>

Gebeyehu¹,

Wassie²,

Gelaw³

2019

HIV

View full text Add to dashboard Cite

Background: Acceptance of human immune virus testing is an entry point of intervention to end mother to child transmission of the virus among pregnant women. Methods: Institutional based cross-sectional study design with a sample size of 340 was conducted from May 20 to June 15, 2019. The data were collected by using systematic random sampling technique of interviewer administered questionnaire. Those candidate variables at bivariate analysis with a p-value <0.25 were moved to the multivariate logistic regression model to control for potential confounding variables, and P-value <0.05 at multivariate analysis was considered as cutoff point. Result: Among the total of 340 pregnant women who participated with a response rate of 96%, 234 (68.8%) accepted testing. The odds of acceptance of human immune virus testing was higher among respondents who had awareness about mother to child transmission (AOR=2.602, 95%; CI:1.408-4.809) than their counterparts. It was also higher among respondents who had perceived the benefit of testing (AOR=1.838, 95%; CI:1.089-3.104) than those who did not perceive the benefit of testing. Participants who were knowledgeable about the prevention of mother to child transmission were more likely to accept testing (AOR=1.715, 95%; CI:1.030-2.855) than their counterparts. Besides, the odds of acceptance of testing among pregnant women who attended two and above antenatal appointments were higher (AOR= 2.485, 95%; CI:1.462-4.224) than participants who attended only one appointment. Participants who had no formal education (AOR=0.393, 95%; CI:0.160-0.967) and had a primary level of education (AOR=0.357,95%; CI:0.152-0.842) were less likely to accept human immune virus testing than women who had a diploma and above level of educational status. Conclusion: Acceptance of human immune virus testing among pregnant women attending antenatal care clinics was relatively low. Antenatal caregivers should place emphasis on reducing barriers to testing, like lack of awareness, knowledge, and educational background.

show abstract

“…Regarding HIV tests during pregnancy, a more recent Ethiopian study found that 35.10% of the sample population were tested for HIV compared with 65.4% in the present study [21]. However, the prevalence of Gambian women taking HIV tests during pregnancy is lower compared with Uganda (81.50%) and Mozambique (69.40%) [22]. In the multivariable analysis, significant sociodemographic differences were observed in the likelihood of the utilization of the ANC services.…”

Section: Discussioncontrasting

confidence: 63%

Prenatal care and uptake of HIV testing among pregnant women in Gambia: a cross-sectional study

Yaya

Oladimeji

et al. 2020

BMC Public Health

View full text Add to dashboard Cite

Background: Improving the coverage of antenatal care is regarded as an important strategy to reduce the risks of maternal and child mortality in low income settings like Gambia. Nonetheless, a large number of countries in Africa, including Gambia, are struggling to attain an optimum level of healthcare utilization among pregnant women. The role of socioeconomic inequalities in maternal healthcare uptake has received little attention in Gambia. To address this evidence gap, the present study analyses nationally representative data to explore the socioeconomic inequalities in the use of maternal healthcare. Methods: Data on women aged 15-49 years (n = 5351) were extracted from the latest round of Gambia Demographic and Health Survey in 2013 for this study. The outcome measures were early and adequate antenatal visit and HIV tests during the last pregnancy. Data were analyzed using descriptive and multivariate regression methods. Socioeconomic status was assessed through the women's education, type of employment, and household wealth quintile. Results: From the total of 5351 participants included in the study, 38.7 and 78.8% of the women had early and adequate ANC visits respectively with a 65.4% HIV test coverage during ANC visits. The odds of early [OR = 1.30, 95% confidence interval (CI) =1.06, 1.59] and adequate [OR = 1.45, 95%CI = 1.15, 1.82] ANC visits were higher in the rural areas compared with urban. Women with secondary [OR = 1.24, 95%CI = 1.04, 1.48] and higher education [OR = 1.80, 95%CI = 1.20, 2.70] had higher odds of making early ANC visits. Women from richest wealth quintile households had significantly higher odds of having early [OR = 1.49, 95%CI = 1.14, 1.95] and adequate ANC visits [OR = 2.06, 95%CI = 1.48, 2.87], but not of having HIV tests. Having access to electronic media showed a positive association with adequate ANC visits [OR = 1.32, 95%CI = 1.08, 1.62] and with taking HIV test during ANC [OR = 1.48, 95%CI = 1.21, 1.80]. A fewer odds of having unintended child was associated with early ANC visit [OR = 0.70, 95%CI = 0.59, 0.84], but positively associated with taking HIV test [OR = 1.75, 95%CI = 1.42, 2.15]. (Continued on next page)

show abstract

HIV testing during pregnancy for prevention of mother-to-child transmission of HIV in Ethiopia

Cited by 38 publications

References 22 publications

Determinants of prenatal care use and HIV testing during pregnancy: a population-based, cross-sectional study of 7080 women of reproductive age in Mozambique

Determinants of prenatal care use and HIV testing during pregnancy: a population-based, cross-sectional study of 7080 women of reproductive age in Mozambique

<p>Acceptance Of HIV Testing And Associated Factors Among Pregnant Women Attending Antenatal Care In Gunino Health Center, Southern Ethiopia 2019: An Institutional Based Cross-Sectional Study</p>

Prenatal care and uptake of HIV testing among pregnant women in Gambia: a cross-sectional study

Contact Info

Product

Resources

About