在埃塞俄比亚中部阿达马地区初级保健单位,男性伴侣参与预防艾滋病毒/艾滋病母婴传播

Mesfin Tafa Segni, Yosef Gudeta, Z. Birhanu, Hirpo Teno
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引用次数: 1

摘要

背景:预防人类免疫缺陷病毒(HIV)母婴传播(PMTCT)是极其重要的,因为大多数感染HIV的儿童是通过母婴传播感染的。男性参与预防母婴传播对减少母婴艾滋病毒感染至关重要。目的:本研究的目的是评估奥罗米亚东沙瓦阿达马区初级卫生保健中男性伴侣参与预防母婴传播艾滋病毒/艾滋病的程度。方法:采用基于机构的横断面研究设计,对752名孕妇进行产前护理。被调查者被连续接触,直到达到所需的样本量,研究涉及定量和定性研究设计。使用SPSS软件对数据进行分析,并使用双变量和多变量logistic回归计算比值比,以评估因变量和自变量之间的相关性。结果:只有61%的男性伴侣陪同妻子去产前门诊或预防母婴传播服务。男性伴侣参与的独立预测因子为丈夫年龄(AOR=4.5, 95% CI: 1.2, 11.3)、丈夫职业(AOR=0.05, 95% CI: 0.004,0.64)、家庭收入(AOR: 0.04, 95% CI: 0.01,0.10)、HIV检测结果的披露和建议(AOR=3.9, 95% CI=1.7,9.0)、伴侣是否去过产前检查(AOR=10.3, 95% CI=4.5,23.5)和提醒伴侣(AOR=8.91, 95% CI=4.10,19.35)。结论和建议:男性参与的比例为61%。重要的是制定追踪机制战略,向夫妇提供有关预防母婴传播服务的信息,以增加男性参与非母婴传播/预防母婴传播。
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Male Partner Involvement in Prevention of Mother to Child Transmission of HIV/AIDS at Primary Health Care Unit of Adama Districts, Central Ethiopia
Background: Prevention of Mother to Child Transmission (PMTCT) of Human Immune deficiency Virus (HIV) is extremely important as majority of children with HIV become infected through mother to child transmission. The involvement of male in PMTCT has vital importance in reducing HIV infections from mother to child. Objectives: The objective of this study was to assess the level of male partner involvement in PMTCT HIV/AIDS in Primary Health Care of Adama district East Shawa, Oromia. Methods: Institutional based cross sectional study design was conducted among 752 pregnant women attending antenatal care. Respondents were consecutively approached until sample size required was achieved and the study involved both quantitative and qualitative study design. The data were analysed using SPSS for window version 21 and odds ratio was computed using bivariate and multivariate logistic regressions to assess association between dependent and independent variable. Results: Only 61% of male partner accompany their wives to antenatal clinic or prevention of mother to child transmission services. The independent predictors of male partner involvement were age of husband (AOR=4.5, 95% CI: 1.2, 11.3), occupation of husband (AOR=0.05, 95% CI: 0.004,0.64), family income (AOR: 0.04, 95% CI: 0.01,0.10), HIV test result disclosure and suggestion (AOR=3.9, 95% CI=1.7,9.0), ever had partner visited antenatal care (AOR=10.3, 95% CI=4.5,23.5) and reminding partner (AOR=8.91, 95% CI=4.10,19.35, ). Conclusions and recommendations: the level of male involvement was 61%. It is important to develop strategies of tracing mechanism in providing information for couples on PMTCT services in order to increase male involvement in ANC/PMTCT.
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