Determinants for refusal of HIV testing among women attending for antenatal care in Gambella Region, Ethiopia

Reproductive Health

Alemayehu Worku¹  Wondimagegn Fanta² 

[1] School of public health, Addis Ababa University, Addis Ababa, Ethiopia;United Nations Population Fund (UNFPA), Addis Ababa, Ethiopia

关键词: Counseling and testing;    Women attending antenatal care service;    HIV testing;   

Others  :  820880
DOI  :  10.1186/1742-4755-9-8

 received in 2012-02-10, accepted in 2012-07-10,  发布年份 2012

【 摘 要 】

Background

In Gambella region, inhabitants owe socio-cultural factors that might favor refusal for HIV testing service utilization among Antenatal Care attendees.

Objective

To assess determinants for refusal of HIV testing service utilization among ANC attendees in Gambella Region.

Methods

A comparative cross sectional study was conducted among ANC attendees from March 2008 to May 2008 in four selected health facilities of Gambella region. Sample size of 332 participants (83 who refused HIV testing and 249 who accepted HIV testing) were taken for the study. The study was supplemented with four focus group discussions. Multivariate binary logistic regression was employed to control for confounding factors.

Results

When adjusted with other factors pregnant women with 2–3 live births in the past; who claimed divorce as a perceived response of their husband following HIV positive test result; who had not sought agreement from their husband for testing; disclosure of test for husband and being from certain ethnic group (E.g. Mejenger) were independent predictors for refusal of HIV testing among ANC attendees.

Conclusion and recommendation

Based on the findings, the following recommendations were forwarded: Provision of innovative information and education on the pre-test session for those pregnant women having two or more children; community involvement to tackle stigma; women empowerment; designing couple friendly counseling service; and fighting harmful traditional practices related with decision of HIV testing.

【 授权许可】

   
2012 Fanata and Worku; licensee BioMed Central Ltd.

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