Background Human immunodeficiency virus (HIV) testing during pregnancy is crucial for the prevention of mother-to-child transmission of HIV, thus aiding in prompt treatment, care, and support. However, HIV testing among pregnant women in Rwanda has been barely explored. This study, therefore, aimed to determine the prevalence and associated factors of HIV testing among pregnant women in Rwanda.Methods Secondary data from the 2020 Rwanda Demographic and Health Survey comprising 870 pregnant women were used. Multistage stratified sampling was used to select participants. Multivariable logistic regression was conducted to determine the factors associated with HIV testing, using SPSS (version 25).Results Of the 870 pregnant women, 94.0% (95% CI: 92.3–95.4) had tested for HIV during their current pregnancy. Younger age (AOR = 1.54, 95%CI: 1.54–4.42), not working (AOR = 4.29, 95%CI: 1.52–12.08), large household size (AOR = 2.96, 95%CI: 1.01–8.61), multiple sex partners (AOR = 4.16, 95%CI: 3.01–5.74), as well as secondary (AOR = 8.07, 95%CI: 2.15–11.43), primary (AOR = 5.53, 95%CI: 1.28–9.74) and no (AOR = 6.07, 95%CI: 1.21–10.44) education were positively associated with HIV testing. However, being unmarried (AOR = 0.28, 95% CI: 0.19–0.86), belonging to the western region (AOR = 0.20, 95% CI: 0.63–0.66), having not visited a health facility (AOR = 0.22, 95%CI: 0.10–0.48), and not having comprehensive HIV knowledge (AOR = 0.68, 95%CI: 0.30–0.55) were negatively associated with HIV testing.Conclusions A high proportion of pregnant women had tested for HIV. However, there is a need for improved access to HIV education and testing facilities to address regional imbalances. The need for consideration of occupation, family and household dynamics in HIV testing promotion strategies is also highlighted.

Background: Human immunodeficiency virus (HIV) testing during pregnancy is crucial for the prevention of mother-to-child transmission of HIV, thus aiding in prompt treatment, care, and support. However, HIV testing among pregnant women in Rwanda has been barely explored. This study, therefore, aimed to determine the prevalence and associated factors of HIV testing among pregnant women in Rwanda. Methods: Secondary data from the 2020 Rwanda Demographic and Health Survey comprising 870 pregnant women were used. Multistage stratified sampling was used to select participants. Multivariable logistic regression was conducted to determine the factors associated with HIV testing, using SPSS (version 25). Results:Of the 870 pregnant women, 94.0% (95% CI: 92.3-95.4) had tested for HIV during their current pregnancy. Younger age (AOR=1.54, 95%CI: 1.54-4.42), not working (AOR=4.29, 95%CI: 1.52-12.08), large household size (AOR=2.96, 95%CI: 1.01-8.61), multiple sex partners (AOR=4.16, 95%CI: 3.01-5.74), as well as secondary (AOR=8.07, 95%CI: 2.15-11.43), primary (AOR=5.53, 95%CI: 1.28-9.74) and no (AOR=6.07, 95%CI: 1.21-10.44)education were positively associated with HIV testing. However, being unmarried (AOR=0.28, 95% CI: 0.19-0.86), belonging to the western region (AOR=0.20, 95% CI: 0.63-0.66), having not visited a health facility (AOR=0.22, 95%CI: 0.10-0.48), and not having comprehensive HIV knowledge (AOR=0.68, 95%CI: 0.30-0.55) were negatively associated with HIV testing. Conclusions: A high proportion of pregnant women had tested for HIV. However, there is a need for improved access to HIV education and testing facilities to address regional imbalances. The need for consideration of occupation, family and household dynamics in HIV testing promotion strategies is also highlighted.

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 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), Protestant (AOR = 1.28, 95%CI: 1.09–1.50) and other religions (AOR = 1.99, 95%CI: 1.41–2.80), 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 risk factors for HIV acquisition. In contrast, age groups of 25–34 (AOR = 0.56, 95%CI: 0.44–0.71) and 35–44 (AOR = 0.62, 95%CI: 0.48–0.80) years, rural residence (AOR = 0.63, 95%CI: 0.49–0.81) and being from western region (AOR = 0.67, 95%CI: 0.48–0.94) were associated with less odds of risk factors for HIV acquisition. 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 would also be vital strategies in successful HIV prevention programs.

Introduction: During psychiatry, clinical rotation, nursing, and medical students care for mentally ill patients who have abnormal thoughts, behaviors, perceptions, and relationships with others is very important. This makes patient care on the psychiatric ward very special and the attitudes towards patient care on the ward very key to providing quality care. Study purpose: This study sought to explore the attitudes of nursing and medical students towards patient care in the psychiatric ward during clinical rotation. Methodology: A qualitative descriptive design was employed. The study involved 9 fourth-year nursing students and 4 fifth and 2 fourth-year medical students who were selected by purposive sampling. Data were collected using face-to-face semi-structured in-depth interviews and analyzed using thematic analysis. Results: Three themes emerged from 12 categories describing attitudes of nursing and medical students towards patient care on the psychiatric ward during clinical rotation. The emergent themes were positive attitudes, negative attitudes, and uncertainty of attitudes. Conclusion: In conclusion, these qualitative findings suggest that nursing and medical students held both positive and negative attitudes towards patient care on the psychiatric ward during clinical rotation. In some participants the attitudes were uncertain.