Effectiveness of interventions to prevent mother-to-child transmission of HIV in Southern Ethiopia

Behailu Merdekios, Adebola A. Adedimeji

Research output: Contribution to journalArticle

7 Citations (Scopus)

Abstract

Background: In Ethiopia, Progress in Reducing Mother-to-Child-Transmission (PMTCT) of human immunodefciency 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. Methods: A multistaged sampling institution-based survey was conducted in 113 pregnant women in Arba Minch. Qualitative and quantitative data were obtained. Results: 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 (P < 0.001) and voluntary counseling and testing for pregnant women (P < 0.05). Factors that determined use of PMTCT included culture, socioeconomic status, and fear of stigma and discrimination. Conclusion: 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.

Original languageEnglish (US)
Pages (from-to)359-366
Number of pages8
JournalInternational Journal of Women's Health
Volume3
Issue number1
StatePublished - 2011

Fingerprint

Ethiopia
Mothers
Viruses
Pregnant Women
Counseling
Health Facilities
Virus Diseases
Social Class
Fear
Parturition

Keywords

  • Ethiopia
  • Human immunodefciency virus
  • Mother-to-child transmission
  • Pregnant women

ASJC Scopus subject areas

  • Obstetrics and Gynecology
  • Oncology
  • Maternity and Midwifery

Cite this

Effectiveness of interventions to prevent mother-to-child transmission of HIV in Southern Ethiopia. / Merdekios, Behailu; Adedimeji, Adebola A.

In: International Journal of Women's Health, Vol. 3, No. 1, 2011, p. 359-366.

Research output: Contribution to journalArticle

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abstract = "Background: In Ethiopia, Progress in Reducing Mother-to-Child-Transmission (PMTCT) of human immunodefciency 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. Methods: A multistaged sampling institution-based survey was conducted in 113 pregnant women in Arba Minch. Qualitative and quantitative data were obtained. Results: 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 (P < 0.001) and voluntary counseling and testing for pregnant women (P < 0.05). Factors that determined use of PMTCT included culture, socioeconomic status, and fear of stigma and discrimination. Conclusion: 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.",
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