Acceptability of routine offer of HIV testing (opt-out approach) among pregnant women in the Wa municipality

Nyuzaghl, J; Ohene, S; Odoi-Agyarko, Kwasi

doi:10.4314/gmj.v45i1.68916

Cited by 16 publications

(9 citation statements)

References 12 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…19,20 This finding was also higher than the acceptance rate of studies conducted in the Southwest part of Ethiopia; in Illubabor (27%), and Ghana (60%). 21,22 The reason behind the higher acceptance rate could be the time gap between the studies, community sensitization, counseling sessions by health providers, and the presence of on-site rapid HIV testing and awareness through the community play a crucial role in the acceptance of human immune virus testing presently.…”

Section: Discussionmentioning

confidence: 99%

<p>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</p>

Gebeyehu¹,

Wassie²,

Gelaw³

2019

HIV

View full text Add to dashboard Cite

Background: Acceptance of human immune virus testing is an entry point of intervention to end mother to child transmission of the virus among pregnant women. Methods: Institutional based cross-sectional study design with a sample size of 340 was conducted from May 20 to June 15, 2019. The data were collected by using systematic random sampling technique of interviewer administered questionnaire. Those candidate variables at bivariate analysis with a p-value <0.25 were moved to the multivariate logistic regression model to control for potential confounding variables, and P-value <0.05 at multivariate analysis was considered as cutoff point. Result: Among the total of 340 pregnant women who participated with a response rate of 96%, 234 (68.8%) accepted testing. The odds of acceptance of human immune virus testing was higher among respondents who had awareness about mother to child transmission (AOR=2.602, 95%; CI:1.408-4.809) than their counterparts. It was also higher among respondents who had perceived the benefit of testing (AOR=1.838, 95%; CI:1.089-3.104) than those who did not perceive the benefit of testing. Participants who were knowledgeable about the prevention of mother to child transmission were more likely to accept testing (AOR=1.715, 95%; CI:1.030-2.855) than their counterparts. Besides, the odds of acceptance of testing among pregnant women who attended two and above antenatal appointments were higher (AOR= 2.485, 95%; CI:1.462-4.224) than participants who attended only one appointment. Participants who had no formal education (AOR=0.393, 95%; CI:0.160-0.967) and had a primary level of education (AOR=0.357,95%; CI:0.152-0.842) were less likely to accept human immune virus testing than women who had a diploma and above level of educational status. Conclusion: Acceptance of human immune virus testing among pregnant women attending antenatal care clinics was relatively low. Antenatal caregivers should place emphasis on reducing barriers to testing, like lack of awareness, knowledge, and educational background.

show abstract

Section: Discussionmentioning

confidence: 99%

<p>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</p>

Gebeyehu¹,

Wassie²,

Gelaw³

2019

HIV

View full text Add to dashboard Cite

show abstract

“…In the current context, women are routinely offered screening services when it is available at the point of care without cost. Evidence in Ghana suggests that women do not opt out of free services that are offered at health facilities, because of growing confidence in the health worker [ 23 ].…”

Section: Discussionmentioning

confidence: 99%

Factors associated with syphilis screening uptake among pregnant women in health facilities in Brong Ahafo Region of Ghana

Punguyire

Mahama

Letsa

et al. 2015

matern health, neonatol and perinatol

View full text Add to dashboard Cite

BackgroundCongenital syphilis is a consequence of undiagnosed, untreated, or inadequately treated maternal syphilis and results in serious adverse outcomes. It is easily diagnosed and in Ghana it is treated at points of care free; yet most pregnant women attending antenatal clinic (ANC) in Ghana are not screened. This study identified some factors influencing syphilis screening uptake at medical facilities during pregnancy in the Brong Ahafo Region of Ghana.MethodA cross-sectional study was conducted in two districts in Brong Ahafo Region of Ghana. All the health facilities in the selected districts that run antenatal services were assessed on their preparedness to screen syphilis for pregnant women. Interviews were conducted among 390 pregnant women attending ANC at five hospitals in the two districts to identify individual and community level barriers to syphilis screening.ResultsIn all 37 health facilities conducted antennal clinics in the two districts in 2013, 75.7% of the health facilities were public; Techiman had the higher number of health facilities (64.9%), test kits were available in only 29.7% of the health facilities and 43.2% of 37 health facilities were conducting syphilis screening. Majority of the pregnant women (57.7%) were within the age range of 20–29 years, 53.1% were in their third trimester, 32.6% in second trimester and 14.3% were in the first trimester. Syphilis screening was 52.4% among 37 health facilities. Among 390 pregnant women who participated in the study syphilis screening was 21.1%. At the health facility level, screening was significantly associated with the type of hospital (whether private or public), availability of test kits, and trained personnel, such as doctors/midwives and syphilis education. At the individual level, attending a public hospital (OR=5.49; 95% CI=1.71-17.65), willingness to request screening (OR=2.72; 95% CI=1.09-5.88), and being in the third trimester of pregnancy (OR=16.47; 95% CI=2.02-132.81) were significantly associated with syphilis screening uptake.ConclusionDespite government’s free screening policy for syphilis among pregnant women, the coverage of antenatal screening is still low. Training of lower level health workers and regular supply of logistics are crucial for the success of the syphilis prevention programme.

show abstract

“…Although voluntary testing was the preference of nearly two-thirds of women enrolled in this study, more than three-quarters of them accepted the routine testing of all pregnant women initiated by the Public Health Directorate at the Ministry of Health in Oman. It has been proved that the opting out approach to HIV testing is more acceptable and less stigmatizing (28). The Public Health Directorate should achieve a balance between missed preventive opportunities and violation of women's rights to refusal by intensification of educational activities targeting women of reproductive age and by providing pre-testing counselling.…”

Section: Discussionmentioning

confidence: 99%

Knowledge, attitudes and intended behaviours towards HIV testing and self-protection: a survey of Omani pregnant women

Al-Jabri

Youssef

Hasson

et al. 2014

East Mediterr Health J

View full text Add to dashboard Cite

Routine HIV testing of all pregnant women in Oman has been introduced without prior knowledge of women's attitudes towards testing or their behaviour in the event of a positive test. This study recruited 1000 Omani pregnant women from antenatal clinics to explore their knowledge of HIV/AIDS, attitudes towards HIV testing and intended behaviours in the event of a positive test. Mother-to-child transmission was recognized by 86.6% of the women but only 21.0% knew that it was preventable and a few acknowledged the important role of antiviral drugs. Half of the women (51.9%) reported having been tested for HIV and 75.8% agreed about routine HIV testing for all pregnant women. A higher level of knowledge was significantly associated with a favourable intended behaviour related to voluntary testing, disclosure and seeking professional assistance in the event of a positive HIV test. The results are discussed in relation to opt-in and opt-out approaches to voluntary testing during pregnancy. ‫ن‬

show abstract

Acceptability of routine offer of HIV testing (opt-out approach) among pregnant women in the Wa municipality

Cited by 16 publications

References 12 publications

<p>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</p>

<p>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</p>

Factors associated with syphilis screening uptake among pregnant women in health facilities in Brong Ahafo Region of Ghana

Knowledge, attitudes and intended behaviours towards HIV testing and self-protection: a survey of Omani pregnant women

Contact Info

Product

Resources

About