Factors Associated with Low Early Uptake of a National Program to Prevent Mother to Child Transmission of HIV (PMTCT): Results of a Survey of Mothers and Providers, Botswana, 2003
Factors Associated with Low Early Uptake of a National Program to Prevent Mother to Child Transmission of HIV (PMTCT): Results of a Survey of Mothers and Providers, Botswana, 2003
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DOI：
10.1007/s10461-007-9322-8
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发表时间：
2009-04-01
影响因子：
4.4
通讯作者：
Kilmarx, Peter H.
中科院分区：
文献类型：
--
作者：
Creek, Tracy;Ntumy, Raphael;Kilmarx, Peter H.
在博茨瓦纳弗朗西斯敦，大约 40% 的孕妇艾滋病毒呈阳性。 PMTCT 自 1999 年开始提供，抗逆转录病毒 (ARV) 治疗自 2001 年开始提供，95% 的妇女接受产前护理 (ANC) 并在医院分娩。然而，2002 年，只有 33% 的 ANC 客户接受了艾滋病毒检测，而且并非所有感染艾滋病毒的妇女都获得了服务。 2003年，我们对504名孕妇和产后妇女进行了一项调查，以探讨计划采用率低的原因，并就预防母婴传播问题采访了82名卫生服务提供者。大多数女性（95%）认为所有孕妇都应该接受艾滋病毒检测。在多变量分析中，与进行艾滋病毒检测相关的因素包括在城市接受采访、具有较高的预防母婴传播知识得分、认识接受预防母婴传播或抗逆转录病毒治疗的人以及有接受过艾滋病毒检测的伴侣。对耻辱的恐惧和伴侣的抵制都不是拒绝艾滋病毒检测的常见原因。 HIV 服务提供者表示对其知识和技能感到不安，84% 的人认为 HIV 检测应该成为常规。确保对艾滋病毒和预防母婴传播有足够的了解，建立系统，使接受护理的艾滋病毒呈阳性的妇女能够教育和支持其他妇女，并使孕妇的艾滋病毒检测成为常规，可能会提高艾滋病毒检测的接受率。
In Francistown, Botswana, approximately 40% of pregnant women are HIV positive. PMTCT has been available since 1999, antiretroviral (ARV) therapy since 2001, and 95% of women have antenatal care (ANC) and deliver in hospital. However, in 2002, only 33% of ANC clients were tested for HIV, and not all women with HIV received services. In 2003, we conducted a survey of 504 pregnant and postpartum women to explore reasons for poor program uptake, and interviewed 82 health providers about PMTCT. Most women (95%) believed that all pregnant women should be tested for HIV. In multivariate analysis, factors associated with having an HIV test included being interviewed at an urban site, having a high PMTCT knowledge score, knowing someone receiving PMTCT or ARV therapy, and having a partner who had been tested for HIV. Neither fear of stigma nor resistance from partners were frequent reasons for refusing an HIV test. Providers of HIV services reported discomfort with their knowledge and skills, and 84% believed HIV testing should be routine. Ensuring adequate knowledge about HIV and PMTCT, creating systems whereby HIV-positive women receiving care can educate and support other women, and making HIV testing routine for pregnant women may improve the uptake of HIV testing.