Acceptance Of HIV Testing And Associated Factors Among Pregnant Women Attending Antenatal Care In Gunino Health Center, Southern Ethiopia 2019: An Institutional Based Cross-Sectional Study

Determinants of comprehensive knowledge of HIV transmission and prevention among women of reproductive age 15-49 years in Nigeria

Comprehensive knowledge of HIV transmission and prevention has been reported as a necessary factor for ending the HIV epidemic. Women of reproductive age identified as a vulnerable group to HIV infection require this knowledge to prevent contracting HIV infection. Therefore, this study aimed to identify those factors that impact these women's comprehensive knowledge of HIV transmission and prevention. This study used secondary data from the 2018 Nigerian Demographic and Health Survey. A weighted sample of women of reproductive age with complete data on the determinants and comprehensive knowledge of HIV was included in each analysis. The Chi-square test of Independence was used to determine the association between the determinants and the dependent variable. Bivariable and multivariable logistic regression analysis was done to predict the effects of the determinants on the comprehensive knowledge of women of reproductive age. Variables with a p-value of ≤ .01 were considered statistically significant determinants of comprehensive knowledge of HIV transmission and prevention. The findings showed that women of reproductive age with no or lower level of education, living in rural areas, poor wealth index, do not listen or listen less frequently to radio, and watch television less frequently were more likely to have comprehensive knowledge of HIV transmission and prevention at Alpha = .01. The number of women with comprehensive knowledge of HIV was low compared with those with no comprehensive knowledge. This is a concern that needs to be addressed. Further studies using primary data to validate the findings of this study that individuals with no or lower level of education, living in rural areas, poorer or middle wealth index, do not listen or listen less frequently to radio and do not watch or watch less frequently television were more likely to have comprehensive knowledge of HIV transmission and prevention are recommended.

Influence of knowledge about discriminatory practices towards HIV positive individuals with the uptake of HIV testing during pregnancy among reproductive-aged women in Nigeria

Background

The fear of positive HIV results has been reported as a determinant of HIV testing among pregnant women and women of reproductive age. When pregnant women know about discriminatory practices toward other people based on their HIV-positive status, it may impact their testing for HIV. Therefore, the purpose of this study was to examine the association between Nigerian pregnant women's knowledge of discriminatory practices against persons living with HIV and their self-reported HIV testing during antenatal visits or childbirth.

Methodology

A secondary analysis of data from 659 t women who had experienced pregnancy aged 15-49 years from the 2013 Nigeria Demographic Health Survey (NDHS) was done. Multivariable logistic regression analysis was done to determine the association between knowledge about discriminatory practices towards HIV-positive individuals (independent variable) and HIV testing during pregnancy (dependent variable) after controlling for covariates (demographic characteristics). A P-value of ≤ 0.05 was taken as statistically significant.

Results

Bivariate logistic regression analysis findings showed that educational level, place of residence, and religion statistically significantly predicted HIV testing of pregnant women, while age categories and marital status did not. The women's knowledge of discriminatory practices towards persons living with HIV/AIDS was not statistically significant at Alpha = 0.05 (AOR,1.51; 95% CI: .46, 4.95) Higher levels of education (Primary Education, AOR = 1.81; 95% CI: 1.03, 3.18; Secondary Education, AOR = 3.73; 95% CI: 1.92, 7.25; Higher Education, AOR = 10.92; 95% CI: 4.25, 28.05) and those living in urban areas (AOR = 1.62; 95% CI: 1.04, 2.51) were significantly associated with testing for HIV in the stepwise multivariable regression model of pregnant women's knowledge of discriminatory practices towards persons living with HIV/AIDS.

Conclusion

Although knowledge of discriminatory practices did not predict pregnant women's HIV testing in this study, interventions by stakeholders to eliminate or reduce these practices should be stepped up towards facilitating positive social change.

Prevalence of risk factors for human immunodeficiency virus among sexually active women in Rwanda: a nationwide survey

BACKGROUND

The Human Immunodeficiency Virus (HIV) remains a global health burden, and despite the advancements in antiretroviral therapy and various strategies employed to curb HIV infections, the incidence of HIV remains disproportionately high among women. Therefore, this study aimed to determine the prevalence of the risk factors for the acquisition of HIV among sexually active women in Rwanda.

METHODS

Secondary data from the 2020 Rwanda Demographic Health Survey, comprising 10,684 sexually active women, was used. Multistage stratified sampling was employed to select the study participants. Multivariable logistic regression was conducted to determine the associated risk factors using the SPSS (version 25).

RESULTS

Of the 10,684 sexually active women, 28.7% (95% confidence interval (CI): 27.5-29.4) had at least one risk factor for HIV acquisition. Having no education (AOR = 3.65, 95%CI: 2.16-6.16), being unmarried (AOR = 4.50, 95%CI: 2.47-8.21), being from female-headed households (AOR = 1.75, 95%CI: 1.42-2.15), not having health insurance (AOR = 1.34, 95%CI: 1.09-1.65), no HIV test history (AOR = 1.44, 95%CI: 1.01-2.08), being from the poorest wealth quintile (AOR = 1.61, 95%CI: 1.14-2.27) and lack of exposure to mass media (AOR = 1.30, 95%CI: 1.07-1.58) were associated with higher odds of exposure to at least one HIV acquisition risk factor. In contrast, age groups of 25-34 (AOR = 0.56, 95%CI: 0.44-0.71) and 35-44 years (AOR = 0.62, 95%CI: 0.48-0.80), rural residence (AOR = 0.63, 95%CI: 0.49-0.81) and being from the western region (AOR = 0.67, 95%CI: 0.48-0.94) were associated with less odds of exposure to at least one HIV acquisition risk factor.

CONCLUSION

More than a quarter of sexually active women in Rwanda had exposure to at least one risk factor for HIV acquisition. There is a need to maximize the use of mass media in disseminating HIV prevention and behavioral change messages. Engagement of religious leaders and promotion of HIV testing, especially among the never-testers, may be vital strategies in successful HIV prevention programs.

Utilization of provider-initiated HIV testing and counselling in Ethiopia: a systematic review and meta-analysis

Background

Provider-initiated HIV testing, and counseling (PITC) is a service in which health professionals provide HIV testing to all patients in health facilities. Provider-initiated HIV testing, and counseling is an important opportunity for early screening of individuals, and it is fundamental for both HIV treatment and prevention. Although there are studies conducted in different parts of Ethiopia, their findings are variable. Therefore, this systematic review and meta-analysis aimed to summarize the pooled utilization of PITC in Ethiopia.

Method

All studies conducted on utilization of provider-initiated HIV testing and counseling at outpatient departments (OPD), inpatient departments (IPD), antenatal clinic care (ANC), and tuberculosis (TB) clinics in Ethiopia are eligible for these meta-analyses. A systematic search of the literature was conducted by the authors to identify all relevant primary studies. The databases used to search for studies were PubMed, Science Direct, POPLINE, HENARI, Google Scholar, and Scopus. The extracted data were imported into STATA version 14 software for statistical analysis. The risk of bias was assessed using the Joana Briggs Institute (JBI) criteria for prevalence studies. The heterogeneity among all included studies was assessed by I² statistics and the Cochran’s Q test. Pooled utilization along with its corresponding 95% CI was presented using a forest plot.

Result

About 1738 studies were retrieved from initial electronic searches using international databases and Google, and a total of 10,676 individual clients were included in the meta-analysis. The pooled utilization of PITC in Ethiopia using the random effects model was estimated to be 78.9% (95% CI 73.87–83.85) with a significant level of heterogeneity (I² = 98.5%; P < 0.001). Subgroup analysis conducted on PITC showed the highest percentage among studies conducted in Addis Ababa (93.5%), while lower utilization was identified from a study conducted in the Tigray Region (35%).

Limitation of the study

The drawbacks of this review and meta-analysis were being reported with significant heterogeneity, and the protocol was not registered.

Conclusion

About 21% of health facility clients missed opportunities for PITC in Ethiopia.

Supplementary Information

The online version contains supplementary material available at 10.1186/s41182-022-00420-9.

Effect of the antenatal HIV testing scale up community intervention in South West, Nigeria: a cross-sectional study

INTRODUCTION

HIV/AIDS is a major killer of under five children, with about 25-30% of children born to infected mothers becoming infected with HIV in the absence of Prevention of Mother to Child Transmission of HIV (PMTCT) intervention. This study was carried out to assess the effectiveness of the Antenatal HIV Testing scale up community intervention to increase the uptake of Antenatal HIV Testing Testing. The intervention was implemented to increase the low coverages of Antenatal HIV Testing and PMTCT services in Osun State, South West, Nigeria.

METHODS

the cross-sectional design was utilized for the study. Data was collected using data collection instruments administered to 600 respondents from the 30 Local Government Areas (LGAs) of the State. Data was also extracted from Medical Records generated from the Health Facilities where pregnant women received HIV Testing.

RESULTS

the study revealed that 72% of adult respondent had adequate knowledge of the importance of Antenatal HIV Testing while 98% of female respondent had accepting attitude to getting tested for HIV during their next pregnancy. The number of pregnant women who received HIV Testing increased from 6,254, pre-intervention (April to August 2019) to 8,240, post-intervention (September 2019-January 2021).

CONCLUSION

the Antenatal HIV Testing scale up community intervention is effective in increasing the utilization of Antenatal HIV Testing by increasing awareness and attitude to HIV testing in the community. Thus, efforts to scale it up in Nigeria should be accelerated to improve PMTCT services and reduce Mother to Child Transmission of HIV.