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Factors associated with acceptance of provider-initiated HIV testing and counseling among pregnant women in Ethiopia

机译：埃塞俄比亚孕妇接受由提供者发起的艾滋病毒检测和咨询的相关因素

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Introduction: The global human immunodeficiency virus (HIV) epidemic disproportionately affects sub-Saharan African countries, including Ethiopia. Provider-initiated HIV testing and counseling (PITC) is a tool to identify HIV-positive pregnant women and an effective treatment and prevention strategy. However, its success depends upon the willingness of pregnant women to accept HIV testing. Objectives: To describe the level of acceptance of PITC and associated factors among pregnant women attending 8 antenatal care clinics in Adama, Ethiopia. Methods: Trained nursing students and employees from an HIV clinic conducted face-to-face structured interviews in private offices at the clinics from August to September, 2016. Results: Among the 441 respondents, 309 (70.1%) accepted PITC. Women with more antenatal care visits (odds ratio [OR] =2.59, 95% CI: 1.01–6.63), reported better quality of the PITC service (OR =1.91, 95% CI: 1.19–3.08), and higher level of knowledge on mother-to-child transmission (OR =1.82, 95% CI: 1.03–3.20), were more likely to accept PITC, while women who were older in age (OR =0.37, 95% CI: 0.19–0.74) and perceived negative attitudes from their partners toward HIV-positive results (OR =0.31, 95% CI: 0.10–0.94) were less likely to accept the PITC service. Conclusion: About one-third of pregnant women are not willing to accept PITC. When designing intervention program to improve the acceptance of PITC, we should take into consideration the personal factors, HIV-related knowledge, and attitude of women as well as institutional factors.
机译：简介：全球人类免疫缺陷病毒（HIV）流行不成比例地影响了包括埃塞俄比亚在内的撒哈拉以南非洲国家。提供者发起的艾滋病毒检测和咨询（PITC）是一种识别HIV阳性孕妇的工具，也是一种有效的治疗和预防策略。但是，其成功取决于孕妇是否愿意接受艾滋病毒检测。目的：描述在埃塞俄比亚的阿达玛市的8家产前保健诊所就诊的孕妇对PITC的接受程度及相关因素。方法：2016年8月至2016年9月，来自HIV诊所的经过培训的护理学生和员工在诊所的私人办公室进行了面对面的结构化访谈。结果：在441名受访者中，有309名（70.1％）接受了PITC。接受更多产前检查的妇女（优势比[OR] = 2.59，95％CI：1.01-6.63），其PITC服务质量更高（OR = 1.91，95％CI：1.19-3.08），并且知识水平更高母婴传播（OR = 1.82，95％CI：1.03-3.20）上，接受PITC的可能性更高，而年龄较大的女性（OR = 0.37，95％CI：0.19-0.74）并且被感知他们的伴侣对HIV阳性结果的消极态度（OR = 0.31，95％CI：0.10–0.94）接受PITC服务的可能性较小。结论：约三分之一的孕妇不愿接受PITC。在设计干预方案以提高对PITC的接受度时，我们应考虑个人因素，艾滋病毒相关知识，妇女的态度以及体制因素。

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