Effectiveness of interventions to prevent mother-to-child transmission of HIV in Southern Ethiopia
Identifieur interne : 003D79 ( Main/Exploration ); précédent : 003D78; suivant : 003D80Effectiveness of interventions to prevent mother-to-child transmission of HIV in Southern Ethiopia
Auteurs : Behailu Merdekios [Éthiopie] ; Adebola A. Adedimeji [États-Unis]Source :
- International Journal of Women's Health [ 1179-1411 ] ; 2011.
Abstract
In Ethiopia, Progress in Reducing Mother-to-Child-Transmission (PMTCT) of human immunodeficiency virus (HIV) is being curtailed by behavioral and cultural factors that continue to put unborn children at risk, and mother-to-child transmission is responsible for more than 90% of HIV infection in children. The objective of this study was to assess PMTCT services by examining knowledge about reducing vertical transmission among pregnant women.
A multistaged sampling institution-based survey was conducted in 113 pregnant women in Arba Minch. Qualitative and quantitative data were obtained.
Of the 113 respondents, 89.4% were from Arba Minch, 43.4% were at least 25 years of age, 73.4% had formal education at primary level or above, 100% reported acceptance of voluntary counseling and testing, 92.0% were knowledgeable about mother-to-child transmission, and 90.3% were aware of the availability of the PMTCT service in the health facility. Of 74 HIV-positive women in PMTCT, only three (4.1%) had had skilled birth attendants at delivery. There was an unacceptable degree of loss of women from PMTCT. Maternal educational level had a statistical association with income (
In the area studied, intervention to reduce mother-to-child transmission of HIV is failing to reach its goal. This is an alarming discovery requiring quick reconsideration and strengthening of preventive strategies at all levels.
Url:
DOI: 10.2147/IJWH.S23124
PubMed: 22140322
PubMed Central: 3225464
Affiliations:
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Le document en format XML
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<author><name sortKey="Merdekios, Behailu" sort="Merdekios, Behailu" uniqKey="Merdekios B" first="Behailu" last="Merdekios">Behailu Merdekios</name>
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<author><name sortKey="Adedimeji, Adebola A" sort="Adedimeji, Adebola A" uniqKey="Adedimeji A" first="Adebola A" last="Adedimeji">Adebola A. Adedimeji</name>
<affiliation wicri:level="2"><nlm:aff id="af2-ijwh-3-359">Albert Einstein College of Medicine, Jack and Pearl Resnick Campus, New York, USA</nlm:aff>
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<author><name sortKey="Adedimeji, Adebola A" sort="Adedimeji, Adebola A" uniqKey="Adedimeji A" first="Adebola A" last="Adedimeji">Adebola A. Adedimeji</name>
<affiliation wicri:level="2"><nlm:aff id="af2-ijwh-3-359">Albert Einstein College of Medicine, Jack and Pearl Resnick Campus, New York, USA</nlm:aff>
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<front><div type="abstract" xml:lang="en"><sec><title>Background</title>
<p>In Ethiopia, Progress in Reducing Mother-to-Child-Transmission (PMTCT) of human immunodeficiency virus (HIV) is being curtailed by behavioral and cultural factors that continue to put unborn children at risk, and mother-to-child transmission is responsible for more than 90% of HIV infection in children. The objective of this study was to assess PMTCT services by examining knowledge about reducing vertical transmission among pregnant women.</p>
</sec>
<sec><title>Methods</title>
<p>A multistaged sampling institution-based survey was conducted in 113 pregnant women in Arba Minch. Qualitative and quantitative data were obtained.</p>
</sec>
<sec><title>Results</title>
<p>Of the 113 respondents, 89.4% were from Arba Minch, 43.4% were at least 25 years of age, 73.4% had formal education at primary level or above, 100% reported acceptance of voluntary counseling and testing, 92.0% were knowledgeable about mother-to-child transmission, and 90.3% were aware of the availability of the PMTCT service in the health facility. Of 74 HIV-positive women in PMTCT, only three (4.1%) had had skilled birth attendants at delivery. There was an unacceptable degree of loss of women from PMTCT. Maternal educational level had a statistical association with income (<italic>P</italic>
< 0.001) and voluntary counseling and testing for pregnant women (<italic>P</italic>
< 0.05). Factors that determined use of PMTCT included culture, socioeconomic status, and fear of stigma and discrimination.</p>
</sec>
<sec><title>Conclusion</title>
<p>In the area studied, intervention to reduce mother-to-child transmission of HIV is failing to reach its goal. This is an alarming discovery requiring quick reconsideration and strengthening of preventive strategies at all levels.</p>
</sec>
</div>
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