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首页> 外文期刊>BMC Public Health >Prevalence and barriers to HIV testing among mothers at a tertiary care hospital in Phnom Penh, Cambodia. Barriers to HIV testing in Phnom Penh, Cambodia
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Prevalence and barriers to HIV testing among mothers at a tertiary care hospital in Phnom Penh, Cambodia. Barriers to HIV testing in Phnom Penh, Cambodia

机译：柬埔寨金边三级医院的母亲中进行艾滋病毒检测的普遍性和障碍。柬埔寨金边的艾滋病毒检测障碍

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Background One-third of all new HIV infections in Cambodia are estimated to be due to mother-to-child transmission. Although the Ministry of Health adopted a policy of provider-initiated HIV testing and counseling (PITC), nearly a quarter of pregnant mothers were not tested in 2007. Greater acceptance of HIV testing is a challenge despite Cambodia's adoption of the PITC policy. Methods A hospital-based quantitative and cross-sectional survey was conducted to assess the prevalence of and barriers to HIV testing among mothers after delivery at the National Maternal and Child Health Center in Phnom Penh. The Center is one of the largest maternal and child care hospitals in the country to offer PITC services. All 600 eligible mothers who were admitted to the hospital after delivery from October to December 2007 were approached and recruited. Data were collected via a semi-structured questionnaire. Results The prevalence of HIV testing among women who delivered at the hospital was 76%. In multivariate logistic regression, factors such as the perceived need to obtain a partner's permission to be tested (OR=0.27, 95% CI=0.14-0.51, p Conclusion To achieve greater acceptance of HIV testing, counseling on HIV prevention and treatment must be provided not only to mothers but also to their partners. In addition, utilization of non-laboratory staff such as midwives to provide HIV testing services in rural health facilities could lead to the greater acceptance of HIV testing.
机译：背景估计柬埔寨所有新的艾滋病毒感染中有三分之一是由于母婴传播。尽管卫生部采用了由提供者发起的艾滋病毒检测和咨询（PITC）政策，但2007年有近四分之一的怀孕母亲没有接受艾滋病毒检测。尽管柬埔寨采用了PITC政策，但对艾滋病毒检测的更大接受仍然是一个挑战。方法在金边的国家母婴健康中心，进行了一项基于医院的定量和横断面调查，以评估分娩后母亲中艾滋病毒检测的普遍性和障碍。该中心是全国最大的提供PITC服务的妇幼保健医院之一。与2007年10月至2007年12月分娩后入院的所有600名合格母亲进行了接触和招募。通过半结构化问卷收集数据。结果在医院分娩的妇女中，艾滋病毒检测的患病率为76％。在多因素logistic回归中，诸如认为需要获得伴侣的检测许可等因素（OR = 0.27，95％CI = 0.14-0.51，p）结论为了获得对HIV检测的更大接受，必须提供有关HIV预防和治疗的咨询不仅向母亲而且还为其伴侣提供服务;此外，利用非实验室工作人员（例如助产士）在农村卫生机构提供艾滋病毒检测服务，可能会导致人们更广泛地接受艾滋病毒检测。

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