scholarly journals Husband’s Willingness-to-Pay for HIV and Syphilis Screening at Antenatal Care Clinic under the Thai Universal Coverage Scheme

2019 ◽  
Author(s):  
Orawan Anunsittichai ◽  
Krit Pongpirul ◽  
Thanyawee Puthanakit ◽  
Koranit Roowicha ◽  
Jirarat Kaewprasert ◽  
...  
Keyword(s):  
Pilot Study ◽  
Willingness To Pay ◽  
Antenatal Care ◽  
Pregnant Women ◽  
Universal Coverage ◽  
Transmitted Infection ◽  
Care Clinic ◽  
Strategic Risk ◽  
First Child ◽  
The Mean

Abstract Background Screening for sexually transmitted infection (STI) especially HIV as early detection and treatment have been financially supported under the Thai Universal Coverage (UC) scheme since 2009 (THB140 for HIV). However, there has been no evidence-based strategic risk-based implementation nor economic evaluation whereas husbands who accompanied the pregnant women are likely to have lower risk than those who did not come along. This study is aimed to explore husband’s willingness-to-pay (WTP) for his HIV and syphilis screenings at ANC. Methods A survey of 200 randomly selected husbands of pregnant women was conducted at King Chulalongkorn Memorial Hospital from April to June 2018. A pilot study using an open-ended question was conducted to estimate the mean and standard deviation of WTP for HIV and syphilis screenings. Then, two contingent valuation methods (bidding and payment scale) were performed for the final WTP assessments, using the mean WTP identified from the pilot study as a starting WTP with 1⁄4 SD step up/down. Multivariate linear regression was performed to explore potential determinants of the price that the husbands are willing to pay. Results During the study period, 597 pregnant women received their first ANC. Of 368 accompanying husbands, 200 were enrolled in the study. Their median age was 31 (IQR 27-36) years old and 67% had a first child. Eighty-eight percent of the participants were willing to test for STIs. Based on the bidding method, WTP for HIV and syphilis tests were US$14.5 (IQR 12.4-14.5) and US$9.7 (IQR 10-12), respectively. The payment scale method suggested approximately three-quarter of the price. Expecting the first child and higher education were associated with a higher price (P <0.01). Conclusions The husbands presented at antenatal care clinic are willing to pay at least two times the cost of the STI test. The financial support to promote STI screenings should be reconsidered to cover other groups with higher sexual behavior risks and less willingness-to- pay.

scholarly journals Husband’s Willingness-to-Pay for HIV and Syphilis Screening at Antenatal Care Clinic under the Thai Universal Coverage Scheme

2020 ◽  
Author(s):  
Orawan Anunsittichai ◽  
Krit Pongpirul ◽  
Thanyawee Puthanakit ◽  
Koranit Roowicha ◽  
Jirarat Kaewprasert ◽  
...  
Keyword(s):  
Willingness To Pay ◽  
Antenatal Care ◽  
Pregnant Women ◽  
Universal Coverage ◽  
Tertiary Hospital ◽  
Screening Tests ◽  
Transmitted Infection ◽  
Care Clinic ◽  
Syphilis Screening ◽  
The Mean

Abstract Background Screening for sexually transmitted infection (STI) especially HIV as early detection and treatment have been financially supported under the Thai Universal Coverage (UC) scheme since 2009 (THB140 for HIV). However, the implementation has not been evidence-based, strategic risk-based, nor economically evaluated whereas husbands who accompanied the pregnant women are likely to have a lower risk than those who did not come along. This study is aimed to determine the husband’s willingness-to-pay (WTP) for his HIV and syphilis screening tests and potential factors affecting STI screenings at the antenatal care (ANC) clinic of a tertiary hospital in Thailand. Methods A pilot open-ended interview was conducted among 50 participants to estimate the mean and standard deviation of WTP prices for HIV and syphilis screening tests. A questionnaire was developed to obtain demographics, STI knowledge and screening history, as well as two contingent valuation methods (bidding and payment scale), using the mean WTP prices identified from the pilot study as a starting WTP with ¼SD step-up/down. The survey of 200 randomly selected husbands of pregnant women was conducted at King Chulalongkorn Memorial Hospital from April to June 2018. Descriptive statistics and logistic regression were used for data analysis. Results During the study period, 597 pregnant women received their first ANC. Of 368 accompanying husbands, 200 were enrolled in the study. Their median age was 31 (IQR 27-36) years old and 67% had a first child. Eighty-eight percent of the participants were willing to test for the STIs. Based on the bidding method, WTP prices for HIV and syphilis screening tests were US$14.5 (IQR 12.4-14.5) and US$9.7 (IQR 10-12), respectively. The payment scale method suggested approximately three-quarters of the WTP prices from the bidding method. Conclusions The husbands who accompanied their pregnant wives to the ANC clinic showed positive behaviors according to the propitious selection theory. They tend to cooperate well with STI testing and are willing to pay at least two times the price of the STI screening tests. The financial support to promote STI screenings should be reconsidered to cover other groups with higher sexual behavior risks and less WTP.

scholarly journals Husband’s Willingness-to-Pay for HIV and Syphilis Screening at Antenatal Care Clinic under the Thai Universal Coverage Scheme

2019 ◽  
Author(s):  
Orawan Anunsittichai ◽  
Krit Pongpirul ◽  
Thanyawee Puthanakit ◽  
Koranit Roowicha ◽  
Jirarat Kaewprasert ◽  
...  
Keyword(s):  
Pilot Study ◽  
Willingness To Pay ◽  
Antenatal Care ◽  
Pregnant Women ◽  
Universal Coverage ◽  
Tertiary Hospital ◽  
Screening Tests ◽  
Transmitted Infection ◽  
Care Clinic ◽  
Syphilis Screening

Abstract Background Screening for sexually transmitted infection (STI) especially HIV as early detection and treatment have been financially supported under the Thai Universal Coverage (UC) scheme since 2009 (THB140 for HIV). However, the implementation has not been evidence-based, strategic risk-based, nor economically evaluated whereas husbands who accompanied the pregnant women are likely to have a lower risk than those who did not come along. This study is aimed to explore the husband’s willingness-to-pay (WTP) for his HIV and syphilis screenings at the antenatal care (ANC) clinic of a tertiary hospital in Thailand. Methods A survey of 200 randomly selected husbands of pregnant women was conducted at King Chulalongkorn Memorial Hospital from April to June 2018. A pilot study using an open-ended question was conducted to estimate the WTP for HIV and syphilis screening tests. Then, two contingent valuation methods (bidding and payment scale) were performed for the final WTP assessments, using the mean WTP identified from the pilot study as a starting WTP with 1⁄4 SD step-up/down. Results During the study period, 597 pregnant women received their first ANC. Of 368 accompanying husbands, 200 were enrolled in the study. Their median age was 31 (IQR 27-36) years old and 67% had a first child. Eighty-eight percent of the participants were willing to test for the STIs. Based on the bidding method, WTP for HIV and syphilis screening tests were US$14.5 (IQR 12.4-14.5) and US$9.7 (IQR 10-12), respectively. The payment scale method suggested approximately three-quarters of the price. Conclusions The husbands who accompanied their pregnant wives to the ANC clinic showed positive behaviors according to the propitious selection theory. They tend to cooperate well with STI testing and are willing to pay at least two times the price of the STI screening tests. The financial support to promote STI screenings should be reconsidered to cover other groups with higher sexual behavior risks and less WTP.

scholarly journals Husband’s willingness-to-pay for HIV and syphilis screening at antenatal care clinic under the Thai universal coverage scheme

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Orawan Anunsittichai ◽  
Krit Pongpirul ◽  
Thanyawee Puthanakit ◽  
Koranit Roowicha ◽  
Jirarat Kaewprasert ◽  
...  
Keyword(s):  
Willingness To Pay ◽  
Antenatal Care ◽  
Universal Coverage ◽  
Care Clinic ◽  
Syphilis Screening ◽  
Universal Coverage Scheme

VITAMIN B12 AND FOLIC ACID STATUS AMONG DISPLACED PREGNANT WOMEN ATTENDING ANTENATAL CARE CLINIC IN DOMIZ CAMP OF A SYRIAN REFUGEES /KURDISTAN REGION, IRAQ

2021 ◽  
Vol 10 (1) ◽  
pp. 332
Author(s):  
Himan I. Ali ◽  
Omar A.M. Al-Habib
Keyword(s):  
Folic Acid ◽  
Antenatal Care ◽  
Vitamin B12 ◽  
Pregnant Women ◽  
Methylmalonic Acid ◽  
Syrian Refugees ◽  
Kurdistan Region ◽  
Care Clinic ◽  
Total Cohort ◽  
The Mean

Background: Vitamin B12, folic acid and their relevant biomarkers are essential micronutrients for healthy fetal growth and development. Thus, deficiency in the levels of these vitamins and relevant biomarkers during pregnancy leads to many adverse outcomes for both mother and fetus. Objective: The current research project aims to detect the status of vitamin B12 and Folic acid and relevant biomarkers such as Homocysteine, Methylmalonic acid and Holotranscobalamin among displaced pregnant women attending antenatal care in Domiz Camps Clinic of Syrian refugees. Methods and Subjects: This cross-sectional research was performed at Syrian refugee’s camps in Domiz- Duhok city, Kurdistan Region, Iraq, from February 2019 until June 2019. This study included 540 pregnant women whose ages ranged between 15-44 years. Participants were subdivided into three groups based on their trimesters. Each group included 180 pregnant women. Vitamin B12 and folic acid were measured by Automatic Clinical Chemistry Analyzer COBAS 6000 while Methylmalonic acid (MMA), Homocysteine (Hcy), and Holotranscobalamin (HoloTc) were measured by ELISA. Results: The results of the current study revealed that the prevalence of vitamin B12 insufficiency (<200 pg/mL) was high across all three trimesters, which constitutes 73% in the total cohort. The mean vitamin B12 (pg/mL) during 1st semester was within the normal range (226.5± 6.95), whereas during the 2nd and 3rd semesters it was significantly (P<0.0001) low (179.25± 4.52 and 151.60±4.32, respectively). Prevalence of folic acid (ng/ml) insufficiency (<3.8 ng/mL) was 11.5% in total subjects and means of folic acid during the 3 semesters were 11.2± 0.41, 11.0± 0.41 and 9.2±0.41), respectively. Methylmalonic acid levels (umol/L) also showed a highly significant (P < 0.001) differences between the three semesters. The mean MMA levels during the three semesters were 0.130±0.003, 0.142±0.002, and 0.154± 0.003, respectively. Whereas homocysteine (umol/L) showed non-significant (P=0.2085) differences between all trimesters; and their levels were 7.6± 0.45, 8.0± 0.39, and 8.6± 0.42. respectively. Furthermore, Holotranscobalamin also showed non-significant (P=0.883) difference between studied trimesters; and its level during the three trimesters were 137.4± 2.86, 135.1± 3.25 and 137.16± 4.20 pmol/l, respectively. From the total sum, 22.2% of the total pregnant women showed an increased MMA level (more than 0.280 umol/l), and 18.5% of the total participant showed an elevated level of Hcy (more than 15 umol/l). Whereas as only 7.9% of 540 pregnant women showed low level of HoloTc less than 40 pmol/l. From the total cohort, only 7.03% showed combining lowered HoloTc level plus elevated MMA and Hcy level which indicates the manifestation of vitamin B12 deficiency during pregnancy.

scholarly journals Reliability and validity of an individually focused food insecurity access scale for assessing inadequate access to food among pregnant Ugandan women of mixed HIV status

2014 ◽  
Vol 18 (16) ◽  
pp. 2895-2905 ◽  
Author(s):  
Barnabas K Natamba ◽  
Hillary Kilama ◽  
Angela Arbach ◽  
Jane Achan ◽  
Jeffrey K Griffiths ◽  
...  
Keyword(s):  
Antenatal Care ◽  
Food Insecurity ◽  
Pregnant Women ◽  
Internal Displacement ◽  
Northern Uganda ◽  
Cognitive Interviews ◽  
Hiv Status ◽  
Cross Sectional Survey ◽  
Care Clinic ◽  
Food Insecurity Access

AbstractObjectiveTo determine the reliability, validity and correlates of measures of food insecurity (FI) obtained using an individually focused food insecurity access scale (IFIAS) among pregnant women of mixed HIV status in northern Uganda.DesignA mixed-methods study involving cognitive interviews nested within a cross-sectional survey.SettingThe antenatal care clinic of Gulu Regional Referral Hospital.SubjectsSurvey respondents included 403 pregnant women, recruited in a ratio of one HIV-infected to two HIV-uninfected respondents, twenty-six (nine of them HIV-infected) of whom were asked to participate in the cognitive interviews.ResultsOver 80 % of cognitive interview participants reported understanding the respective meanings of six of the nine items (i.e. items 4 to 9) on the IFIAS. Two main factors emerged from rotated exploratory factor analysis of the IFIAS: mild to moderate FI (IFIAS items 1–6) and severe FI (items 7–9). Together, they explained 90·4 % of the FI measure’s variance. The full IFIAS and the two subscales had moderate to high internal consistency (Cronbach’s α ranged from 0.75 to 0.87). Dose–response associations between IFIAS scores, and measures of socio-economic status and women’s diet quality, were observed. Multivariate linear regression revealed significant positive associations between IFIAS scores and HIV infection, maternal age, number of children and a history of internal displacement. IFIAS scores were negatively associated with women’s diet diversity score, asset index and being employed.ConclusionsThe IFIAS showed strong reliability, validity and contextual relevance among women attending antenatal care in northern Uganda.

Willingness of antenatal care attendees towards voluntary HIV counseling and testing, Southern Ethiopia

2020 ◽  
Vol 6 (4) ◽  
pp. 104-112
Author(s):  
Sintayehu Assefa ◽  
Dubale Dulla
Keyword(s):  
Antenatal Care ◽  
Pregnant Women ◽  
Information Dissemination ◽  
Statistical Significance ◽  
Southern Ethiopia ◽  
Cross Sectional ◽  
Care Clinic ◽  
Hiv Counseling And Testing ◽  
Hiv Counseling ◽  
Counseling And Testing

Background: Voluntary counseling and testing (VCT) is an entry point for the prevention of HIV transmission from mother to child and accessing VCT benefit from PMTCT services. Even though, some pregnant women clearly know the benefits /advantages of PMTCT services, they are not willing to test and access the services. Hence, this study was aimed to assess the willingness of pregnant women attending antenatal care towards VCT/PMTCT at Adare general hospital in southern Ethiopia. Method: An institution-based cross-sectional study was conducted at Hawassa Adare hospital, southern Ethiopia from February to April/2018. A total of 338 randomly selected pregnant women who were attending antenatal care clinic were included. Data was collected using structured and pretested questionnaire; entered and analyzed using SPSS version 20 computer software. Important descriptive and logistic models were used for data analysis assuming statistical significance at p < 0.05. Result: A total of 338 mothers were interviewed with a response rate of 100%. The willingness towards voluntary HIV counseling and testing among study participants was 82.2%. Participants who attended primary and High school and above were 3.9 (AOR= 3.87, 95% CI- 1.705, 8.782) and 9.5 times (AOR 9.53 at 95% CI- 3.155, 28.76); those who had good knowledge about VCT/PMTCT were 3.47 times (AOR=3.47, 95% CI-1.721, 7.003); women who followed two to three ANC visit, were 5.1 times more likely have willingness towards VCT/PMTCT (AOR 5.11 at 95% CI -1.095, 23.81) more likely willing to be tested than their counterparts respectively. Conclusion: Willingness towards voluntary HIV counseling was encouraging however it needs advancement. Since boosted knowledge and awareness promote willingness to VCT/PMTCT uptakes, initiation of community-based information dissemination, increased quality of ANC service, and empowering women to be educated could be effective in order to promote high VCT and PMTCT program uptakes

scholarly journals Dietary diversity practice and associated factors among pregnant women attending ANC in Kolfe Keranyo sub city health center, Addis Ababa, Ethiopia.

2020 ◽  
Author(s):  
Tsegahun Worku Brhanie ◽  
Walelgn Tefera ◽  
Mamo Dereje
Keyword(s):  
Antenatal Care ◽  
Pregnant Women ◽  
Dietary Diversity ◽  
Addis Ababa ◽  
Health Centers ◽  
Nutrition Information ◽  
Monthly Income ◽  
Dietary Diversity Score ◽  
Care Visit ◽  
The Mean

Abstract Background: Adequate and healthy diet during pregnancy is essential for the health of both mother and newborn. Dietary diversity is a proxy indicator of maternal nutrient adequacy. However, little is documented on the prevalence of dietary diversity among pregnant women. This study was aimed to assess the dietary diversity practice and associated factors among pregnant women attending antenatal care in health centers of the coffee keranyo sub city, Addis Ababa, Ethiopia. Methods: Institution based cross-sectional study was conducted on 406 randomly selected pregnant women attending ANC in health centers of the coffee keranyo sub city, Addis Ababa from March 2-April 2/ 2018. Data were collected by using interviewer and 24 H dietary recall method. Data had entered and analyzed using SPSS version 21. Multiple logistic regression was run to assess factors associated with the dependent variable at P<0.05. Results: The mean Dietary Diversity Score of pregnant women was 5. 45+-1. 83. About 60.9% of pregnant women had good dietary diversity practice. Pregnant women who learned collage and above had more dietary diversity practice than the illiterate one [AOR=2.26, 95% CI: (1.066, 4.808)]. Pregnant women with monthly income more than 5,000 ETB had more dietary diversity than income less than 2,000 ETB [AOR=2.33, 95% CI: (1.234, 4.416)]. Pregnant women at second antenatal care visit had more dietary diversity than at the first visit [AOR=2.42, 95% CI: (1.183, 4.952)]. Having nutrition information during pregnancy increases 2 times better dietary diversity practice than none informed ones [AOR=2.10, 95% CI: (1.294, 3.422)].Conclusions: The mean Dietary Diversity Score of pregnant mothers was 5.45. And 60.9% of pregnant women had a good dietary diversity score, whereas 39.1 % of them had a poor diet diversity score. Mothers’ education, monthly income, second and third antenatal care visit and nutrition information had a significantly associated with pregnant mothers’ dietary diversity.

scholarly journals Magnitude and factors associated with anemia among pregnant women attending antenatal care at St. Paul's Hospital Millennium Medical College, Addis ababa, Ethiopia - a cross sectional type of study

2020 ◽  
Author(s):  
Desta Samuel Umuro ◽  
Yared Lasebew Asres ◽  
Gezahegn Mamo Muluneh
Keyword(s):  
Antenatal Care ◽  
Pregnant Women ◽  
Addis Ababa ◽  
Antenatal Clinic ◽  
Parasitic Infestation ◽  
Cross Sectional ◽  
Care Clinic ◽  
Factors Associated ◽  
Medical College ◽  
History Of

Abstract Background This study aimed to assess magnitude and factors associated with anemia among pregnant women attending antenatal clinic at St. Paul’s Hospital Millennium Medical College, Addis Ababa, Ethiopia. Methods Institution based cross sectional study design was conducted from December 1–30, 2018 on 405 pregnant women attending antenatal clinic. All pregnant women visiting the Antenatal care clinic during the study period and who fulfilled the eligibility criteria were included in the study. Secondary data was collected from clients register and personal files on hemoglobin, HIV, stool, and other variables. Descriptive statistics was used to analysis some variables by using SPSS. Logistic regression was carried out to identify factors associated with anemia in pregnancy. Adjusted odds ratio with their 95% of confidence interval and p < 0.05 are consider to have significant association. Results The magnitude of Anemia in pregnant women in this study was 19.8%, (95% CI 16.00-23.70). HIV infection (AOR = 6.12(95% CI 2.19, 17.08) parasitic infestation (AOR = 11.88 (95% CI 5.60, 25.20) and history of not taking fruit after meal during pregnancy (AOR = 3.12(95% CI 1.72, 5.67) were the major determinants of anemia. Conclusion This study showed that the magnitude of anemia among pregnant women was high especially at third trimester. Living with HIV /AIDS, parasitic infestation and no history of taking fruits after meal were the main factors.

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