Site factors may be more important than participant factors in explaining HIV test acceptance in the prevention of mother-to-child HIV transmission programme in Kenya, 2005
Site factors may be more important than participant factors in explaining HIV test acceptance in the prevention of mother-to-child HIV transmission programme in Kenya, 2005
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DOI：
10.1111/j.1365-3156.2009.02367.x
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发表时间：
2009-10-01
影响因子：
3.3
通讯作者：
Diaz, Theresa
中科院分区：
文献类型：
--
作者：
Anand, Abhijeet;Shiraishi, Ray W.;Diaz, Theresa
目的 确定在选择退出检测策略的情况下，参与者因素对接受母婴预防 (PMTCT) HIV 检测计划的作用。方法 我们分析了产前诊所 (ANC) HIV 哨点监测数据。 2005 年肯尼亚 ANC 监测的所有 43 个地点均提供选择退出 PMTCT 服务，并记录妇女是否接受 PMTCT HIV 检测以及她们是否接受或拒绝。使用逻辑回归来确定参与者层面因素对 PMTCT 接受度的作用。 结果 在哨点监测期间，有 13 026 名女性参加了 ANC，并向 12 030 名女性提供了检测。在提供的测试中，9690 个（80.5%）接受了，但不同地点的接受者百分比差异很大。年龄、居住地和教育状况是预防母婴传播接受度的重要决定因素。然而，在调整地点后，参与者层面的因素都不是 PMTCT 接受度的显着决定因素。 结论 在调整地点后，参与者层面的因素并不是 PMTCT HIV 测试接受度的显着决定因素。 PMTCT 计划应收集并评估现场层面（提供者和检测服务）因素对 PMTCT 接受度的作用。改善现场因素可以提高 PMTCT 的采用率。
OBJECTIVE To determine the role of participant factors on the acceptance of a Prevention-of-Mother-to-Child (PMTCT) HIV test programme in a situation with an opt-out testing strategy.METHODS We analysed antenatal clinic (ANC) HIV sentinel surveillance data. All 43 sites in the 2005 round of Kenya's ANC surveillance offered opt-out PMTCT services and recorded if women were offered PMTCT HIV testing and whether they accepted or refused. Logistic regression was used to determine the role of participant-level factors on PMTCT acceptance.RESULTS During the period of sentinel surveillance, 13 026 women attended ANC and testing was offered to 12 030 women. Of those offered testing, 9690 (80.5%) accepted, with a large variation in the percent of acceptors by site. Age, residence and educational status were significant determinants of PMTCT acceptance. However, after adjusting for site none of the participant-level factors were significant determinants of PMTCT acceptance.CONCLUSIONS Participant level factors were not significant determinants of PMTCT HIV test acceptance after adjusting for sites. PMTCT programmes should collect and evaluate the role of site-level (provider and testing service) factors on PMTCT acceptance. Improvement of site-level factors could improve PMTCT uptake.