Knowledge and attitude toward HIV voluntary counseling and testing services among pregnant women attending an antenatal clinic in Sudan
Knowledge and attitude toward HIV voluntary counseling and testing services among pregnant women attending an antenatal clinic in Sudan
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DOI：
10.1002/jmv.20850
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发表时间：
2007-05-01
影响因子：
12.7
通讯作者：
Adam, Ishag
中科院分区：
文献类型：
--
作者：
Mahmoud, Mariam M.;Nasr, Abubakr M.;Adam, Ishag
人体免疫机能丧失病毒（艾滋病毒）感染和后天免疫机能丧失综合症（艾滋病）的发展正以惊人的速度增加，特别是在撒哈拉以南地区。易感染艾滋病毒的孕妇及其对胎儿的传播为实施预防新生儿感染艾滋病毒的战略提供了独特的机会。2005年8月至12月期间，在喀土穆教学医院Fath-Elrahman Elbashir产前诊所进行了一项横断面研究，调查孕妇对艾滋病毒和母婴传播的基本知识和态度，以及自愿咨询和检测情况。由专业咨询师向产前护理人员发放预先测试的结构化问卷。他们的基本社会人口和产科特征。调查对象对艾滋病毒和母婴传播知识的掌握情况进行了测试。此外，还报告了他们对艾滋病毒检测的意愿。在接受调查的1 005名妇女中，79%对艾滋病毒有基本了解。居住在喀土穆、年龄≥ 26.1岁、教育程度为中学及以上的人对艾滋病毒的了解更多。超过一半的受访者知道母婴传播。年龄较大（>= 26.1岁），受过教育，工作的母亲被认为是更了解母婴传播。72.8%的受访者表示愿意接受测试。然而，只有30.3%的人做了测试。老年妇女、孕妇和穆斯林对自愿咨询和检测的接受程度较高。有必要在所有产前诊所推广自愿咨询和检测方案。此外，还需要提高教育水平，提高对艾滋病毒和母婴传播的健康意识。
Human immunodeficiency virus (HIV) infection and the development of the acquired immunodeficiency syndrome (AIDS) are increasing at an alarming rate especially in the sub-Saharan region. Pregnant women susceptible to HIV and its transmission to the fetus provide a unique opportunity for implementing preventive strategy against HIV infection of newborn babies. During the period of August-December 2005 a cross-sectional study was conducted at the Fath-Elrahman Elbashir antenatal clinic, Khartoum Teaching Hospital, to investigate pregnant women's basic knowledge and attitude toward HIV and mother to child transmission as well as voluntary counseling and testing. Pre-tested structured questionnaires were given to antenatal attendants by professional counselors. Their basic socio-demographic and obstetric characteristics were obtained. Respondents' knowledge about HIV and mother to child transmission were tested. In addition, their willingness toward HIV testing was also reported. Out of the 1,005 women investigated, 79% had basic knowledge about HIV. Those who were resident in Khartoum and whose age was >= 26.1 years and their education level was secondary and above were found to be more knowledgeable about HIV. More than half of respondents were aware of mother to child transmission. Older (>= 26.1 years), educated, and working mothers were found to be more knowledgeable about mother to child transmission. Willingness to undergo the test was demonstrated in 72.8% of respondents. However, only 30.3% had the test done. Older women, primigravidae, and Muslims have higher acceptance of voluntary counseling and testing. There is a need to extend the voluntary counseling and testing program in all antenatal clinics. In addition, there is a need to increase the level of education and raise health awareness about HIV and mother to child transmission.