In order to interrupt vertical transmission of HIV, the WHO recommends universal HIV testing during antenatal care (ANC), a policy that has been adopted by the Ministry of Health in Honduras. We examined HIV counseling and testing practices during ANC in the Honduras Demographic and Health Survey to understand compliance with this established standard of care. Among currently married women with a child aged five years or younger who attended ANC, only 66% recalled being offered HIV testing during ANC, yet 95% of those got tested. Older, less literate women who lived in a rural area, a small household, or had an older husband were significantly less likely to recall being offered HIV testing. These findings highlight necessary revisions to ANC protocols to ensure that all women in Honduras get HIV testing to interrupt mother-to-child transmission.
Subjective well-being (SWB) is positively associated with improved health outcomes and, in particular, preventative behaviors. Yet, the relationship between SWB and HIV prevention is not well understood, especially in the context of developing countries. Furthermore, young females experience a high burden of HIV as well as sociodemographic factors which influence SWB. Therefore, this descriptive study sought to describe the global landscape of three constructs of SWBhappiness, life satisfaction, and life perception-and the following HIV prevention variables: comprehensive HIV knowledge, HIV testing, and condom use among young adult females aged 15-24 years. Descriptive statistics of Multiple Indicator Cluster Survey (MICS) data for 22 geographical areas representing 19 countries were examined. While SWB constructs were relatively high, HIV prevention variables were reportedly low, with considerable variation among country reported percentages. Literacy/educational attainment may be an important factor interacting with SWB and HIV prevention. Future research should seek to model associations of these variables via regression analyses in order to gather additional insights and expand the knowledge base regarding the relationship between SWB, literacy, and HIV prevention.
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