Skip to main content
Erschienen in: AIDS and Behavior 5/2010

01.10.2010 | Original Paper

Factors Determining Prenatal HIV Testing for Prevention of Mother to Child Transmission of HIV in Mpumalanga, South Africa

verfasst von: Karl Peltzer, Gladys Mlambo, Khanyisa Phaweni

Erschienen in: AIDS and Behavior | Ausgabe 5/2010

Einloggen, um Zugang zu erhalten

Abstract

This study assessed factors associated with participation in HIV counseling and testing and reported reasons for not taking part in Voluntary HIV Counseling and Testing among 930 pregnant women attending clinics for antenatal care in South Africa. Results indicate that from 930 clients interviewed 87% had agreed to participate in individual pre-test HIV counseling and 81.2% had received their test results in post-test counseling. Fear for taking the test, lack of confidentiality and knowing one’s HIV status were the main reasons why women refused to test. In multivariable analysis trust of HCT provider was associated with participation in HIV pre-test counseling and no risky drinking was associated with participation in HIV post-test counseling. These findings suggest mistrust towards HCT providers should be reduced and screening and brief intervention for alcohol problems provided.
Literatur
1.
Zurück zum Zitat De Cock KM, Fowler MG, Mercier E, de Vincenzi I, Saba J. Prevention of mother-to-child HIV transmission in resource-poor countries: translating research into policy and practice. JAMA. 2000;283(9):1175–82.CrossRefPubMed De Cock KM, Fowler MG, Mercier E, de Vincenzi I, Saba J. Prevention of mother-to-child HIV transmission in resource-poor countries: translating research into policy and practice. JAMA. 2000;283(9):1175–82.CrossRefPubMed
2.
Zurück zum Zitat Paintsil E, Andiman WA. Update on successes and challenges regarding mother-to-child transmission of HIV. Curr Opin Pediatr. 2009;21(1):94–101.CrossRefPubMed Paintsil E, Andiman WA. Update on successes and challenges regarding mother-to-child transmission of HIV. Curr Opin Pediatr. 2009;21(1):94–101.CrossRefPubMed
3.
Zurück zum Zitat Sarker M, Sanou A, Snow R, Ganame J, Gondos A. Determinants of HIV counselling and testing participation in a prevention of mother-to-child transmission programme in rural Burkina Faso. Trop Med Int Health. 2007;12(12):1475–83.CrossRefPubMed Sarker M, Sanou A, Snow R, Ganame J, Gondos A. Determinants of HIV counselling and testing participation in a prevention of mother-to-child transmission programme in rural Burkina Faso. Trop Med Int Health. 2007;12(12):1475–83.CrossRefPubMed
4.
Zurück zum Zitat WHO. Guidance on provider-initiated HIV testing and counselling in health facilities. Geneva: WHO; 2007. WHO. Guidance on provider-initiated HIV testing and counselling in health facilities. Geneva: WHO; 2007.
6.
Zurück zum Zitat Day C, Barron P, Monticelli F, Sello E. The district health barometer—year 2007/08. Durban: Health Systems Trust; 2009. Day C, Barron P, Monticelli F, Sello E. The district health barometer—year 2007/08. Durban: Health Systems Trust; 2009.
7.
Zurück zum Zitat Department of Health. The national HIV and syphilis prevalence survey in South Africa 2007. Pretoria: Department of Health; 2008. Department of Health. The national HIV and syphilis prevalence survey in South Africa 2007. Pretoria: Department of Health; 2008.
8.
Zurück zum Zitat Dahl V, Mellhammar L, Bajunirwe F, Björkman P. Acceptance of HIV testing among women attending antenatal care in south-western Uganda: risk factors and reasons for test refusal. AIDS Care. 2008;20(6):746–52.CrossRefPubMed Dahl V, Mellhammar L, Bajunirwe F, Björkman P. Acceptance of HIV testing among women attending antenatal care in south-western Uganda: risk factors and reasons for test refusal. AIDS Care. 2008;20(6):746–52.CrossRefPubMed
9.
Zurück zum Zitat Mahmoud MM, Nasr AM, Gassmelseed DE, Abdalelhafiz MA, Elsheikh MA, Adam I. Knowledge and attitude toward HIV voluntary counseling and testing services among pregnant women attending an antenatal clinic in Sudan. J Med Virol. 2007;79(5):469–73.CrossRefPubMed Mahmoud MM, Nasr AM, Gassmelseed DE, Abdalelhafiz MA, Elsheikh MA, Adam I. Knowledge and attitude toward HIV voluntary counseling and testing services among pregnant women attending an antenatal clinic in Sudan. J Med Virol. 2007;79(5):469–73.CrossRefPubMed
10.
Zurück zum Zitat Pignatelli S, Simpore J, Pietra V, et al. Factors predicting uptake of voluntary counselling and testing in a real-life setting in a mother-and-child center in Ouagadougou, Burkina Faso. Trop Med Int Health. 2006;11:350–7.CrossRefPubMed Pignatelli S, Simpore J, Pietra V, et al. Factors predicting uptake of voluntary counselling and testing in a real-life setting in a mother-and-child center in Ouagadougou, Burkina Faso. Trop Med Int Health. 2006;11:350–7.CrossRefPubMed
11.
Zurück zum Zitat Bajunirwe F, Muzoora M. Barriers to the implementation of programs for the prevention of mother-to-child transmission of HIV: a cross-sectional survey in rural and urban Uganda. AIDS Res Ther. 2005;2:10–8.CrossRefPubMed Bajunirwe F, Muzoora M. Barriers to the implementation of programs for the prevention of mother-to-child transmission of HIV: a cross-sectional survey in rural and urban Uganda. AIDS Res Ther. 2005;2:10–8.CrossRefPubMed
12.
Zurück zum Zitat Bakari JP, McKenna S, Myrick A, Mwinga K, Bhat GJ, Allen S. Rapid voluntary testing, counseling for HIV. Acceptability and feasibility in Zambian antenatal care clinics. Ann N Y Acad Sci. 2000;918:64–76.CrossRefPubMed Bakari JP, McKenna S, Myrick A, Mwinga K, Bhat GJ, Allen S. Rapid voluntary testing, counseling for HIV. Acceptability and feasibility in Zambian antenatal care clinics. Ann N Y Acad Sci. 2000;918:64–76.CrossRefPubMed
13.
Zurück zum Zitat Fabiani M, Cawthorne A, Nattabi B, Ayella EO, Ogwang M, Declich S. Investigating factors associated with uptake of HIV voluntary counselling and testing among pregnant women living in North Uganda. AIDS Care. 2007;19(6):733–9.CrossRefPubMed Fabiani M, Cawthorne A, Nattabi B, Ayella EO, Ogwang M, Declich S. Investigating factors associated with uptake of HIV voluntary counselling and testing among pregnant women living in North Uganda. AIDS Care. 2007;19(6):733–9.CrossRefPubMed
14.
Zurück zum Zitat Holmes C, Preko P, Bolds R, Baidoo J, Jolly PE. Acceptance of voluntary counselling, testing and treatment for HIV among pregnant women in Kumasi, Ghana. Ghana Med J. 2008;42(1):8–15.PubMed Holmes C, Preko P, Bolds R, Baidoo J, Jolly PE. Acceptance of voluntary counselling, testing and treatment for HIV among pregnant women in Kumasi, Ghana. Ghana Med J. 2008;42(1):8–15.PubMed
15.
Zurück zum Zitat Matovu JK, Gray RH, Makumbi F, et al. Voluntary HIV counseling and testing acceptance, sexual risk behavior and HIV incidence in Rakai, Uganda. AIDS. 2005;19(5):503–11.CrossRefPubMed Matovu JK, Gray RH, Makumbi F, et al. Voluntary HIV counseling and testing acceptance, sexual risk behavior and HIV incidence in Rakai, Uganda. AIDS. 2005;19(5):503–11.CrossRefPubMed
16.
Zurück zum Zitat Kebaabetswe PM. Barriers to participation in the prevention of mother-to-child HIV transmission program in Gaberone, Botswana: a qualitative approach. AIDS Care. 2007;19(3):355–60.CrossRefPubMed Kebaabetswe PM. Barriers to participation in the prevention of mother-to-child HIV transmission program in Gaberone, Botswana: a qualitative approach. AIDS Care. 2007;19(3):355–60.CrossRefPubMed
17.
Zurück zum Zitat Minnie K, Klopper H, van der Walt C. Factors contributing to the decision by pregnant women to be tested for HIV. Health SA Gesondheid. 2008;13(4):50–65. Minnie K, Klopper H, van der Walt C. Factors contributing to the decision by pregnant women to be tested for HIV. Health SA Gesondheid. 2008;13(4):50–65.
18.
Zurück zum Zitat Kominami M, Kawata K, Ali M, Meena H, Ushijima H. Factors determining prenatal HIV testing for prevention of mother to child transmission in Dar Es Salaam, Tanzania. Pediatr Int. 2007;49:286–92.CrossRefPubMed Kominami M, Kawata K, Ali M, Meena H, Ushijima H. Factors determining prenatal HIV testing for prevention of mother to child transmission in Dar Es Salaam, Tanzania. Pediatr Int. 2007;49:286–92.CrossRefPubMed
19.
Zurück zum Zitat Maedot P, Haile A, Lulseged S, Belachew A. Determinants of VCT uptake among pregnant women attending two ANC clinics in Addis Ababa City: unmatched case control study. Ethiop Med J. 2007;45(4):335–42.PubMed Maedot P, Haile A, Lulseged S, Belachew A. Determinants of VCT uptake among pregnant women attending two ANC clinics in Addis Ababa City: unmatched case control study. Ethiop Med J. 2007;45(4):335–42.PubMed
20.
Zurück zum Zitat Varga C, Brookes H. Factors influencing teen mothers’ enrollment and participation in prevention of mother-to-child HIV transmission services in Limpopo Province, South Africa. Qual Health Res. 2008;18(6):786–802.CrossRefPubMed Varga C, Brookes H. Factors influencing teen mothers’ enrollment and participation in prevention of mother-to-child HIV transmission services in Limpopo Province, South Africa. Qual Health Res. 2008;18(6):786–802.CrossRefPubMed
21.
Zurück zum Zitat Painter TM, Diaby KL, Matia DM, et al. Sociodemographic factors associated with participation by HIV-1-positive pregnant women in an intervention to prevent mother-to-child transmission of HIV in Cote d’Ivoire. Int J STD AIDS. 2005;16(3):237–42.CrossRefPubMed Painter TM, Diaby KL, Matia DM, et al. Sociodemographic factors associated with participation by HIV-1-positive pregnant women in an intervention to prevent mother-to-child transmission of HIV in Cote d’Ivoire. Int J STD AIDS. 2005;16(3):237–42.CrossRefPubMed
22.
Zurück zum Zitat Chopra M, Doherty T, Jackson D, Ashworth A. Preventing HIV transmission to children: quality of counselling of mothers in South Africa. Acta Paediatr. 2005;94:357–63.CrossRefPubMed Chopra M, Doherty T, Jackson D, Ashworth A. Preventing HIV transmission to children: quality of counselling of mothers in South Africa. Acta Paediatr. 2005;94:357–63.CrossRefPubMed
23.
Zurück zum Zitat Delva W, Mutunga L, Quaghebeur A, Temmerman M. Quality and quantity of antenatal HIV counselling in a PMTCT programme in Mombasa, Kenya. AIDS Care. 2006;18(3):189–93.CrossRefPubMed Delva W, Mutunga L, Quaghebeur A, Temmerman M. Quality and quantity of antenatal HIV counselling in a PMTCT programme in Mombasa, Kenya. AIDS Care. 2006;18(3):189–93.CrossRefPubMed
24.
Zurück zum Zitat Mfundisi C, Chiranjan N, Rodrigues C, Kirchner L, Bock P, Myer L. Availability of antiretroviral therapy is associated with increased uptake of HIV testing services. S Afr Med J. 2005;95(7):483–5.PubMed Mfundisi C, Chiranjan N, Rodrigues C, Kirchner L, Bock P, Myer L. Availability of antiretroviral therapy is associated with increased uptake of HIV testing services. S Afr Med J. 2005;95(7):483–5.PubMed
25.
Zurück zum Zitat De Paoli MM, Manongi R, Klepp KI. Factors influencing acceptability of voluntary counselling and HIV-testing among pregnant women in Northern Tanzania. AIDS Care. 2004;16(4):411–25.CrossRefPubMed De Paoli MM, Manongi R, Klepp KI. Factors influencing acceptability of voluntary counselling and HIV-testing among pregnant women in Northern Tanzania. AIDS Care. 2004;16(4):411–25.CrossRefPubMed
26.
Zurück zum Zitat Miller KS, Hennessy M, Wendell DA, Webber MP, Schoenbaum EE. Behavioral risks for HIV infection associated with HIV-testing decisions. AIDS Educ Prev. 1996;8(5):394–402.PubMed Miller KS, Hennessy M, Wendell DA, Webber MP, Schoenbaum EE. Behavioral risks for HIV infection associated with HIV-testing decisions. AIDS Educ Prev. 1996;8(5):394–402.PubMed
27.
Zurück zum Zitat Mpairwe H, Muhangi L, Namujju PB, et al. HIV risk perception and prevalence in a program for prevention of mother-to-child HIV transmission: comparison of women who accept voluntary counseling and testing and those tested anonymously. J Acquir Immune Defic Syndr. 2005;39(3):354–8.CrossRefPubMed Mpairwe H, Muhangi L, Namujju PB, et al. HIV risk perception and prevalence in a program for prevention of mother-to-child HIV transmission: comparison of women who accept voluntary counseling and testing and those tested anonymously. J Acquir Immune Defic Syndr. 2005;39(3):354–8.CrossRefPubMed
28.
Zurück zum Zitat Martin-Herz SP, Shetty AK, Bassett MT, et al. Perceived risks and benefits of HIV testing, and predictors of acceptance of HIV counselling and testing among pregnant women in Zimbabwe. Int J STD AIDS. 2006;17(12):835–41.CrossRefPubMed Martin-Herz SP, Shetty AK, Bassett MT, et al. Perceived risks and benefits of HIV testing, and predictors of acceptance of HIV counselling and testing among pregnant women in Zimbabwe. Int J STD AIDS. 2006;17(12):835–41.CrossRefPubMed
29.
Zurück zum Zitat Department of Health and Social Services, Mpumalanga. PMTCT report. Nelspruit: Author; 2008. Department of Health and Social Services, Mpumalanga. PMTCT report. Nelspruit: Author; 2008.
30.
Zurück zum Zitat Nguyen A, Oosterhoff P, Ngoc YP, Wright P, Hardon A. Barriers to access prevention of mother-to-child transmission for HIV positive women in a well-resourced setting in Vietnam. AIDS Res Ther. 2008;5:7.CrossRefPubMed Nguyen A, Oosterhoff P, Ngoc YP, Wright P, Hardon A. Barriers to access prevention of mother-to-child transmission for HIV positive women in a well-resourced setting in Vietnam. AIDS Res Ther. 2008;5:7.CrossRefPubMed
31.
Zurück zum Zitat Boshamer CB, Bruce KE. A scale to measure attitudes about HIV-antibody testing: development and psychometric validation. AIDS Educ Prev. 1999;11:400–13.PubMed Boshamer CB, Bruce KE. A scale to measure attitudes about HIV-antibody testing: development and psychometric validation. AIDS Educ Prev. 1999;11:400–13.PubMed
32.
Zurück zum Zitat Wu E, El-Bassel N, Witte SS, Gilbert L, Chang M. Intimate partner violence and HIV risk among urban minority women in primary health care settings. AIDS Behav. 2003;7(3):291–301.CrossRefPubMed Wu E, El-Bassel N, Witte SS, Gilbert L, Chang M. Intimate partner violence and HIV risk among urban minority women in primary health care settings. AIDS Behav. 2003;7(3):291–301.CrossRefPubMed
33.
Zurück zum Zitat Babor TF, Higgens-Biddle JC, Saunders JB, Monteiro MG. AUDIT: the alcohol use disorders identification test. Guidelines for use in primary care. Geneva: Department of Mental Health and Substance Dependence. World Health Organization, WHO/MSD/MSB/01.6a.; 2001. Babor TF, Higgens-Biddle JC, Saunders JB, Monteiro MG. AUDIT: the alcohol use disorders identification test. Guidelines for use in primary care. Geneva: Department of Mental Health and Substance Dependence. World Health Organization, WHO/MSD/MSB/01.6a.; 2001.
34.
Zurück zum Zitat Freeborn DK, Polen RP, Hollis JF, Senft RA. Screening and brief intervention for hazardous drinking in an HMO: effects on medical care utilization. J Behav Health Serv Res. 2000;27:446–53.CrossRefPubMed Freeborn DK, Polen RP, Hollis JF, Senft RA. Screening and brief intervention for hazardous drinking in an HMO: effects on medical care utilization. J Behav Health Serv Res. 2000;27:446–53.CrossRefPubMed
35.
Zurück zum Zitat Kleinbaum DG. Epidemiologic methods: the ‘art’ in the state of the art. J Clin Epidemiol. 2002;55:1196–200.CrossRefPubMed Kleinbaum DG. Epidemiologic methods: the ‘art’ in the state of the art. J Clin Epidemiol. 2002;55:1196–200.CrossRefPubMed
36.
Zurück zum Zitat Centers for Disease Control and Prevention (CDC). Introduction of routine HIV testing in prenatal care—Botswana, 2004. Morb Mortal Wkly Rept. 2004;53(46):1083–6. Centers for Disease Control and Prevention (CDC). Introduction of routine HIV testing in prenatal care—Botswana, 2004. Morb Mortal Wkly Rept. 2004;53(46):1083–6.
37.
Zurück zum Zitat Kalichman SC, Simbayi LC. HIV testing attitudes, AIDS stigma, and voluntary HIV counseling and testing in a Black township in Cape Town, South Africa. Sex Transm Infect. 2003;79:442–7.CrossRefPubMed Kalichman SC, Simbayi LC. HIV testing attitudes, AIDS stigma, and voluntary HIV counseling and testing in a Black township in Cape Town, South Africa. Sex Transm Infect. 2003;79:442–7.CrossRefPubMed
38.
Zurück zum Zitat WHO. Guidance on global scale-up of the prevention of mother-to-child transmission of HIV towards universal access for women, infants and young children and eliminating HIV and AIDS among children. Geneva: WHO; 2007. WHO. Guidance on global scale-up of the prevention of mother-to-child transmission of HIV towards universal access for women, infants and young children and eliminating HIV and AIDS among children. Geneva: WHO; 2007.
39.
Zurück zum Zitat Anand A, Shiraishi RW, Sheikh AA et al. Site factors may be more important than participant factors in explaining HIV test acceptance in the prevention of mother-to-child HIV transmission programme in Kenya, 2005. Trop Med Int Health. 2009;14(10):1215–9.CrossRefPubMed Anand A, Shiraishi RW, Sheikh AA et al. Site factors may be more important than participant factors in explaining HIV test acceptance in the prevention of mother-to-child HIV transmission programme in Kenya, 2005. Trop Med Int Health. 2009;14(10):1215–9.CrossRefPubMed
Metadaten
Titel
Factors Determining Prenatal HIV Testing for Prevention of Mother to Child Transmission of HIV in Mpumalanga, South Africa
verfasst von
Karl Peltzer
Gladys Mlambo
Khanyisa Phaweni
Publikationsdatum
01.10.2010
Verlag
Springer US
Erschienen in
AIDS and Behavior / Ausgabe 5/2010
Print ISSN: 1090-7165
Elektronische ISSN: 1573-3254
DOI
https://doi.org/10.1007/s10461-009-9662-7

Weitere Artikel der Ausgabe 5/2010

AIDS and Behavior 5/2010 Zur Ausgabe

Leitlinien kompakt für die Innere Medizin

Mit medbee Pocketcards sicher entscheiden.

Seit 2022 gehört die medbee GmbH zum Springer Medizin Verlag

Positiver FIT: Die Ursache liegt nicht immer im Dickdarm

27.05.2024 Blut im Stuhl Nachrichten

Immunchemischer Stuhltest positiv, Koloskopie negativ – in solchen Fällen kann die Blutungsquelle auch weiter proximal sitzen. Ein Forschungsteam hat nachgesehen, wie häufig und in welchen Lokalisationen das der Fall ist.

GLP-1-Agonisten können Fortschreiten diabetischer Retinopathie begünstigen

24.05.2024 Diabetische Retinopathie Nachrichten

Möglicherweise hängt es von der Art der Diabetesmedikamente ab, wie hoch das Risiko der Betroffenen ist, dass sich sehkraftgefährdende Komplikationen verschlimmern.

Mehr Lebenszeit mit Abemaciclib bei fortgeschrittenem Brustkrebs?

24.05.2024 Mammakarzinom Nachrichten

In der MONARCHE-3-Studie lebten Frauen mit fortgeschrittenem Hormonrezeptor-positivem, HER2-negativem Brustkrebs länger, wenn sie zusätzlich zu einem nicht steroidalen Aromatasehemmer mit Abemaciclib behandelt wurden; allerdings verfehlte der numerische Zugewinn die statistische Signifikanz.

ADT zur Radiatio nach Prostatektomie: Wenn, dann wohl länger

24.05.2024 Prostatakarzinom Nachrichten

Welchen Nutzen es trägt, wenn die Strahlentherapie nach radikaler Prostatektomie um eine Androgendeprivation ergänzt wird, hat die RADICALS-HD-Studie untersucht. Nun liegen die Ergebnisse vor. Sie sprechen für länger dauernden Hormonentzug.

Update Innere Medizin

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.