Utilization of PMTCT services and associated factors among pregnant women attending antenatal clinics in Addis Ababa, Ethiopia.
Utilization of PMTCT services and associated factors among pregnant women attending antenatal clinics in Addis Ababa, Ethiopia.
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DOI：
10.1186/1471-2393-14-328
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发表时间：
2014-09-19
影响因子：
3.1
通讯作者：
Enqusellassie F
中科院分区：
文献类型：
--
作者：
Deressa W;Seme A;Asefa A;Teshome G;Enqusellassie F
人类免疫缺陷病毒（艾滋病毒）的母婴传播仍然是幼儿感染艾滋病毒的主要来源。针对到产前诊所就诊的孕妇，为实施防止新生儿感染艾滋病毒的母婴传播（PMTCT）方案提供了独特的机会。本研究旨在探讨影响HIV预防母婴传播可接受性和应用的相关因素。2010年4月，对埃塞俄比亚亚的斯亚贝巴10个保健中心和两家医院产前护理诊所的843名孕妇进行了一项基于机构的横断面研究。训练有素的护士管理结构化问卷，收集有关社会人口特征、母婴传播知识、艾滋病毒检测做法和对产前保健服务满意度的数据。对孕妇进行了6次焦点小组讨论，对服务提供者进行了22次深入访谈，补充了定量数据。约94%的孕妇到卫生机构进行产前检查。分别只有18%和9%的答复者前往艾滋病毒咨询和检测机构并接受抗逆转录病毒预防治疗。大约90%的人知道携带艾滋病毒的母亲可以将病毒传染给她的孩子，大多数妇女（72.4%）认为通过母乳进行母婴传播比在怀孕期间（49.7%）或分娩期间（49.5%）传播更常见。其中约94%的人报告说，她们在目前怀孕期间接受了艾滋病毒检测，60%的人回答说，她们的伴侣也接受了艾滋病毒检测。约80%的受访者表示在咨询期间隐私和保密程度足够（90.8%在医院，78.6%在保健中心），但16%希望有不同的咨询师。缺少咨询师、咨询不良、缺乏对HCT的认识和知识、缺乏兴趣和心理准备是当前怀孕期间不接受艾滋病毒检测的主要原因。非洲人大会与会者的艾滋病毒检测和对母婴传播艾滋病毒的了解相当高。应努力提高艾滋病毒传播服务的质量和覆盖面，并减少阻碍母亲寻求艾滋病毒检测的障碍。应开展进一步的研究，以评估在ANC诊所就诊的艾滋病毒阳性孕妇接受抗逆转录病毒预防治疗的情况。本文的在线版本（doi:10.1186/1471-2393-14-328）包含补充材料，可供授权用户使用。
Mother-to-child transmission (MTCT) of human immunodeficiency virus (HIV) remains the major source of HIV infection in young children. Targeting pregnant women attending antenatal clinics provide a unique opportunity for implementing prevention of mother-to-child transmission (PMTCT) programmes against HIV infection of newborn babies. This study aimed to investigate factors associated with the acceptability and utilization of PMTCT of HIV. An institution based cross-sectional study was conducted in April 2010 using exit interviews with 843 pregnant women attending antenatal care (ANC) clinics of 10 health centers and two hospitals in Addis Ababa, Ethiopia. Trained nurses administered structured questionnaires to collect data on socio-demographic characteristics, knowledge about MTCT, practice of HIV testing and satisfaction with the antenatal care services. Six focus group discussions among pregnant women and 22 in-depth interviews with service providers complemented the quantitative data. About 94% of the pregnant women visited the health facility for ANC check-up. Only 18% and 9% of respondents attended the facility for HIV counselling and testing (HCT) and receiving antiretroviral prophylaxis, respectively. About 90% knew that a mother with HIV can pass the virus to her child, and MTCT through breast milk was commonly cited by most women (72.4%) than transmission during pregnancy (49.7%) or delivery (49.5%). About 94% of them reported that they were tested for HIV in the current pregnancy and 60% replied that their partners were also tested for HIV. About 80% of the respondents reported adequacy of privacy and confidentiality during counseling (90.8% at hospitals and 78.6% at health centers), but 16% wished to have a different counselor. Absence of counselors, poor counselling, lack of awareness and knowledge about HCT, lack of interest and psychological unpreparedness were the main reasons cited for not undergoing HIV testing during the current pregnancy. HIV testing among ANC attendees and knowledge about MTCT of HIV was quite high. Efforts should be made to improve the quality and coverage of HCT services and mitigate the barriers preventing mothers from seeking HIV testing. Further research should be conducted to evaluate the uptake of antiretroviral prophylaxis among HIV-positive pregnant women attending ANC clinics. The online version of this article (doi:10.1186/1471-2393-14-328) contains supplementary material, which is available to authorized users.
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影响因子：
2.8
作者：
Mirkuzie AH;Hinderaker SG;Mørkve O
通讯作者：
Mørkve O
影响因子：
1.8
作者：
Derebe G;Biadgilign S;Trivelli M;Hundessa G;Robi ZD;Gebre-Mariam M;Makonnen M
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DOI：
10.1080/09540120500456425
发表时间：
2006-04-01
影响因子：
1.7
作者：
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通讯作者：
Temmerman, M
影响因子：
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通讯作者：
Martinson, Francis
影响因子：
12.7
作者：
Mahmoud, Mariam M.;Nasr, Abubakr M.;Adam, Ishag
通讯作者：
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