scholarly journals Knowledge and determinants of women’s knowledge on vertical transmission of HIV and AIDS in South Africa

2021 ◽  
Vol 18 (1) ◽  
Author(s):  
Eugene Kofuor Maafo Darteh ◽  
Susanna Aba Abraham ◽  
Abdul-Aziz Seidu ◽  
Vijay Kumar Chattu ◽  
Sanni Yaya
Keyword(s):  
South Africa ◽  
Mass Media ◽  
Vertical Transmission ◽  
Hiv And Aids ◽  
Reproductive Age ◽  
Mother To Child Transmission ◽  
Child Transmission ◽  
Lower Odds ◽  
Vertical Transmission Of Hiv ◽  
Mother To Child

Abstract Background HIV/AIDS is still one of the major public health concerns globally. It is one of the major contributory causes of deaths among women in the reproductive age (15–49 years) and has resulted in about 14 million orphaned children globally. Knowledge of Mother-to Child transmission is one of the strategies to fight against HIV. This study, therefore, sought to assess the knowledge and determinants of women’s knowledge on vertical transmission of HIV and AIDS in their reproductive age in South Africa. Methods Data were obtained from the South Africa Demographic and Health Survey (SADHS) 2016. Both descriptive (frequencies and percentages) and inferential analysis (multilevel mixed-effects complementary log–log regression model) were conducted and the statistical significance was set at p < 0.05. Results The prevalence of knowledge of mother to child transmission of HIV and AIDS during pregnancy, delivery, breastfeeding and at least knowledge of one source are 87.0%, 81.1%, 80.3% and 91.4% respectively. At the individual level, those with secondary [AOR = 1.28, CI = 1.04,1.57] and higher [AOR = 1.55, CI = 1.21,1.99], those who read newspaper less than once a week [AOR = 1.16, CI = [1.05,1.28], at least once a week [AOR = 1.14, CI = 1.04,1.25], and those who listen to the radio less than once a week [AOR = 1.22, CI = 1.03,1.43] had higher odds of knowledge on MTCT of HIV and AIDS. However, those with parity 0 [AOR = 0.73, CI = [0.63,0.85] had lower odds of knowledge of MTCT of HIV and AIDS compared with those with parity 4 or more. At the contextual level, those in the poorest wealth quintile [AOR = 0.82,CI = 0.69,0.97] had lower odds of having knowledge of MTCT of HIV and AIDS. Those in the urban areas [AOR = 1.17, CI = [1.04,1.31], those in Limpopo [AOR = 1.35, CI = [1.12,1.64], Gauteng [AOR = 1.35, CI = [1.12,1.62] and North west[AOR = 1.49, CI = [1.22,1.81] had higher odds of knowledge of mother to child transmission of HIV and AIDS. Conclusion The study has demonstrated that there is relatively high knowledge of mother to child transmission of HIV and AIDS in South Africa. The factors associated with the knowledge are educational level, exposure to mass media, parity, wealth status, place of residence and the region of residence. To further increase the knowledge, it is imperative to adopt various messages and target respondents in different part of SSA through the mass media channels. This should be done taking cognizant of the rural–urban variations and socio-economic status.

scholarly journals Knowledge and Determinants of Women’s Knowledge on Vertical Transmission of HIV and AIDS in South Africa

2021 ◽  
Author(s):  
Eugene Kofuor Maafo Darteh ◽  
Susanna Aba Abraham ◽  
Abdul-Aziz Seidu ◽  
Vijay Chattu ◽  
Sanni Yaya
Keyword(s):  
South Africa ◽  
Mass Media ◽  
Vertical Transmission ◽  
Hiv And Aids ◽  
Reproductive Age ◽  
Mother To Child Transmission ◽  
Child Transmission ◽  
Vertical Transmission Of Hiv ◽  
Women's Knowledge ◽  
Mother To Child

Abstract Background HIV/AIDS is still one of the major public health concerns globally. It is one of the major contributory causes of deaths among women in the reproductive age (15-49 years) and has resulted in about 14 million orphaned children globally. Knowledge of Mother-to Child transmission is one of the strategies to fight against HIV. This study, therefore, sought to assess the knowledge and determinants of women’s knowledge on vertical transmission of HIV and AIDS in their reproductive age in South Africa. MethodsData were obtained from the South Africa Demographic and Health Survey (SADHS) 2016. Both descriptive (frequencies and percentages) and inferential analysis (binary logistic regression) were conducted and the statistical significance was set at p<0.05. ResultsThe prevalence of knowledge of mother to child transmission of HIV and AIDS during pregnancy, delivery, breastfeeding and at least knowledge of one source are 87.0%, 81.1%, 80.3% and 91.4% respectively. Women with secondary [AOR=1.271,CI=1.04,1.55] and higher [AOR=1.495, CI=1.18,1.89], those in urban areas [AOR=1.153,CI=[1.07,1.25], Limpopo [AOR=1.341,CI=1.16,1.55], Gauteng [AOR=1.337,CI=[1.15,1.55] and North west [AOR=1.410,CI=[1.22,1.63], those who read newspaper at least once a week [AOR=1.136,CI=1.05,1.23], and those who listen to radio less than once a week [AOR=1.163,CI=[1.02,1.33] had higher odds of knowledge on mother to child transmission of HIV and AIDs. However, those with parity 0 [AOR=0.783, CI= [0.68,0.90], poorest [AOR=0.837, CI=0.73,0.96] had lower odds of knowledge of mother to child transmission of HIV and AIDS.Conclusion The study has demonstrated that there is relatively high knowledge of mother to child transmission of HIV and AIDS in South Africa. The factors associated with the knowledge are educational level, wealth status, place of residence, the region of residence, exposure to mass media and parity. To further increase the knowledge, it is imperative to adopt various messages and target respondents in different part of SSA through the mass media channels. This should be done taking cognizant of the rural-urban variations and socio-economic status.

scholarly journals Determinant factor of married women’s knowledge on vertical transmission of HIV in Mecha district, Ethiopia; a community-based study

PLoS ONE ◽  
2020 ◽  
Vol 15 (12) ◽  
pp. e0242659
Author(s):  
Tewachew Muche Liyeh
Keyword(s):  
Hiv Infection ◽  
Vertical Transmission ◽  
Married Women ◽  
Reproductive Age ◽  
Mother To Child Transmission ◽  
Child Transmission ◽  
Community Based ◽  
Explanatory Variables ◽  
Vertical Transmission Of Hiv ◽  
Mother To Child

Introduction Mother-to-child transmission (MTCT) of HIV infection remains a major public health problem and constitutes the most important cause of HIV infection in children. Knowledge of married women on MTCT of HIV is very important for successful intervention toward prevention of mother-to-child transmission (PMTCT) and achieving the goal of eliminating the new HIV infection. The objective of the study was to assess knowledge of married women on MTCT of HIV and associated factors in Mecha district Northwest Ethiopia. Methods A community based cross sectional study was conducted involving 520 married women from January 1 to February 30 /2017 in Mecha district. Interviewer administered questionnaires were used to collect the data. The collected data was entered, cleaned and checked using Epi Data version 3.1 and then analyzed with SPSS version 20. Bivariate and multivariable logistic regression was computed for all explanatory variables to identify determinant factors at 95% confidence interval. Explanatory variables having P-value <0.05 taken as a predictor for knowledge of married women on mother to child transmission of HIV. Result This study was carried out among a total of 520 married reproductive age group women with a response rate of 98%. From the total of 510 respondents, 160(31.4%) of women were knowledgeable on vertical transmission of HIV (MTCT). Women who were knowledgeable on MTCT of HIV was positively associated with urban residence (AOR = 1.75, 95% CI: 1.05–2.92), women who had history of ANC follow up (AOR = 2.68, 95% CI: 1.17–6.13), women who were pregnant during the study period (AOR = 1.86, 95%CI: 1.10–3.13) and those who had discussions with their husband about HIV/AIDS/ MTCT (AOR = 2.40, 95% CI: 1.52-.3.80). Conclusion and recommendation The finding from this study revealed that knowledge of married women on MTCT of HIV was low. This may contribute to increase the spread of MTCT of HIV. Therefore, giving more attention and emphasis on continuous education regarding MTCT of HIV is highly recommended.

scholarly journals Mother-to-Child HIV Transmission among Infants Born to HIV-Positive Women in Amhara National Regional State, Ethiopia

2020 ◽  
Vol 6 ◽  
pp. 1
Author(s):  
Zebideru Z Abebe ◽  
Mezgebu Y Mengistu ◽  
Yigzaw K Gete ◽  
Abebaw G Worku ◽  
◽  
...  
Keyword(s):  
Vertical Transmission ◽  
Clinical Stage ◽  
Hiv Positive ◽  
Mother To Child Transmission ◽  
Child Transmission ◽  
Significance Level ◽  
Hiv Test ◽  
Mtct Rate ◽  
Vertical Transmission Of Hiv ◽  
Mother To Child

Mother-to-child transmission (MTCT) is the major source of HIV infection among children under the age of 15 years. There were limited studies on the MTCT rate in Amhara Region, Ethiopia. Therefore, this study aimed to measure mother-to-child transmission and to identify factors associated with MTCT. An institutional-based retrospective cohort study was conducted among HIV-exposed infants (HEIs). The HEIs who booked in mother–baby pair cohort register between January 2014 and December 2016 were abstracted and included in the study. A structured pretested questionnaire was used for data abstraction. The collected data were coded and double entered into EPI Info version 3.5.4 and exported to STATA version 14 for analysis. A penalized logistic regression model was used. p-value <0.05 was taken as the significance level. A total of 796 HEIs participated in the study in which 96.9% received nevirapine prophylaxis, 97.5% were exclusively breastfed for 6 months, and 95.2% received HIV test at 6 weeks. About 36.5% of mothers of HEIs received ART (Antiretroviral Treatment) for less than 4 weeks during delivery. Of the mothers of HEIs, 7.6% were in WHO clinical stage I and 64.1% had >350 CD4 count at the first antenatal care visit. Overall, MTCT of HIV was 1.5%, and 59.2% of HEIs were discharged from the PMTCT care at the age of 12-18 months. The vertical transmission of HIV was significantly associated with the duration of ART (AOR 0.16; 95% CI: 0.02, 0.96). The MTCT was 84.0% less likely in mothers who did receive Antiretrovirals (ARVs) >12 months compared with mothers who did receive ARVs <4 weeks during delivery. The study indicated that vertical transmission of HIV was significantly associated with the duration of ART. Even if a considerable low MTCT rate was observed, early identification and treatment among HIV-positive pregnant women should be strengthened.

scholarly journals Vertical Transmission of HIV in Sub-Saharan Africa: Applying Theoretical Frameworks to Understand Social Barriers to PMTCT

2013 ◽  
Vol 2013 ◽  
pp. 1-5 ◽  
Author(s):  
Karen Hampanda
Keyword(s):  
Vertical Transmission ◽  
Urban Areas ◽  
Pediatric Hiv ◽  
Sub Saharan Africa ◽  
Mother To Child Transmission ◽  
Child Transmission ◽  
Social Barriers ◽  
Vertical Transmission Of Hiv ◽  
Sub Saharan ◽  
Mother To Child

In sub-Saharan Africa, over 1,000 newborns are infected with HIV every day, despite available medical interventions. Pediatric HIV is a large contributor to the high rates, the largest in the world, of infant and child mortality in this region. Prevention of mother-to-child transmission of HIV (PMTCT) can dramatically reduce the risk of infection for the infant during pregnancy, childbirth, and breastfeeding. Throughout most urban areas of Africa, free medications are readily available. However, approximately 50% of HIV-positive pregnant women in sub-Saharan Africa are not accessing or adhering to the necessary medications to prevent mother-to-child transmission. In order for this region to eliminate the vertical transmission of HIV and meet the Millennium Development Goals, interventions need to move beyond the individual-level and address the structural and social barriers preventing women from utilizing PMTCT services. This paper reviews current literature on PMTCT interventions in sub-Saharan Africa from 2006–2012, specifically examining theoretical underpinnings. Overwhelmingly, the approach has been education and counseling. This paper calls to action a paradigm shift to a social ecological approach that addresses barriers at all societal levels, especially gender inequality, enabling a much greater impact on mother-to-child transmission of HIV.

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