scholarly journals HIV voluntary counseling and testing: An essential component in preventing mother-to-child transmission of HIV

2003 ◽  

Positive results from clinical trials of the anti-retroviral medications zidovudine and nevirapine created the possibility of offering an affordable and feasible intervention worldwide to reduce HIV transmission from an infected pregnant woman to her infant. Governmental and nongovernmental health services in many highly affected areas of Africa, Asia, Latin America, and Eastern Europe have responded by piloting and rapidly expanding programs for the prevention of mother-to-child HIV transmission (PMTCT). Since their inception in 1999, programs have offered voluntary HIV counseling and testing (VCT) to more than 800,000 pregnant women around the world. An important objective of VCT is to identify which pregnant women are HIV-positive so they can receive antiretroviral drugs to prevent transmitting HIV to their infants. HIV counseling and testing also offer an opportunity to promote HIV prevention, encourage serostatus disclosure, and foster couple communication on HIV and PMTCT. This brief focuses on VCT in the antenatal care setting, examining service utilization by pregnant women, their perceptions of services, client outcomes as a result of undergoing HIV counseling and testing, and strategies for improving quality and coverage of VCT as a key component of PMTCT programs.

2019 ◽  
Vol 14 (1) ◽  
Author(s):  
Dinar Saurmauli Lubis ◽  
LPL Wulandari ◽  
Ni Luh Putu Suariyani ◽  
Kadek Tresna Adhi ◽  
Sari Andajani

In Indonesia, more than half of pregnant women seek antenatal care (ANC) at private midwifery clinics. The midwives play an important role in advocating for voluntary counseling and testing (VCT) uptake among pregnant women during ANC. This study examined midwives’ perception of barriers and enabling factors with regards to refer pregnant women for HIV testing. The study was conducted in Denpasar City and Badung District, two localities in Bali with high HIV prevalence. Two focus groups discussions with 15 private midwives and five in-depth interviews were conducted. Data were transcribed verbatim and thematic analysis methods were used to examine patterns emerging from the data. Results showed that private midwives face personal barriers in the form of stigma as well as institutional barriers such as VCT operational hours that limit how and when they refer women for VCT. Barriers are strengthened by lack of support or reward from the health office. However, opportunities for integrated and comprehensive support systems within the health system and supportive social environment which would make it easy and rewarding for midwives to refer women to VCT clinics were seen as enabling factors. Increasing uptake of VCT is a necessity for eliminating mother to child HIV transmission. 


2001 ◽  
Vol 28 (5) ◽  
pp. 458-462
Author(s):  
Charles Kilewo ◽  
Augustine Massawe ◽  
Eligius Lyamuya ◽  
Innocent Semali ◽  
Festus Kalokola ◽  
...  

2020 ◽  
Vol 6 (4) ◽  
pp. 104-112
Author(s):  
Sintayehu Assefa ◽  
Dubale Dulla

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


2004 ◽  
Author(s):  
Ann P. McCauley

While many people get HIV-related counseling and testing, only those who receive pre- and post-test counseling, and test voluntarily, are participating in voluntary counseling and testing (VCT). The high rates of HIV infection among youth make it crucial to find programs to prevent infection. Because there is evidence that many adults benefit from VCT, there is increasing interest in extending these services to young people. VCT counseling helps adolescents evaluate their own behavior and its consequences. A negative test result offers the opportunity to recognize vulnerabilities and develop risk-reduction plans to adopt safe behaviors. Young people who test HIV-positive can receive referrals for care and have opportunities to discuss and understand what their HIV status means and what responsibilities they have to themselves and others as a result. Young women who are pregnant and test HIV-positive should be offered special care to safeguard their own health and minimize the risk of passing the virus to the baby. This report assesses the available evidence about the current status of VCT and youth in developing countries.


Author(s):  
Nurfardiansyah Burhanuddin ◽  
Septiyanti Septiyanti

VCT (Volountary Counseling and Testing) is a combination of the HIV counseling and testing process. One of the features of this VCT service is not only in the counseling process, but also in the process of testing and test post. Besides aiming to help change behavior, also to prevent HIV transmission, improve the quality of life of PLWHA, which indeed affects the behavior of mothers to conduct or not VCT examination. This type of research was observational using the Cross Sectional approach. In this study, researchers will take data on both dependent and independent variables. The research design is by distributing questionnaires. The sample size was 61 respondents taken by accidental sampling. Data collection done by interview using a questionnaire. Data analyzed bivariate. The results showed that there was no relationship between knowledge (P = 0.113), Officer skills (p = 0.61), family support (p = 0.129), assurance of confidentiality (p = 0.61), facilities and infrastructure (p = 0.565 ) on the use of VCT services, but there is a relationship between attitudes (p = 0.01) on the use of VCT services. Keywords: VCT; knowledge; skill; suport; assurance of confidentiality; facilities and infrastructure; attitude ABSTRAK VCT (Volountary Counseling and Testing) merupakan gabungan dari proses konseling dan tes HIV. Salah satu keistimewaan dari layanan VCT ini tidak hanya pada proses konseling, tapi sampai pada proses tes dan pos tes. Selain bertujuan untuk membantu perubahan perilaku, juga guna mencegah penularan HIV, meningkatkankualitas hidup ODHA, yang memang memepengaruhi perilaku ibu untuk melakukan atau tidak pemeriksaan VCT.penelitian ini bertujuan untuk mengetahui faktor-faktor yang memepengaruhi pemanfaatan layanan VCT di Puskesmas Jumpandang Baru Kota Makassar. Jenis penelitian ini adalah observasional dengan menggunakan metode pendekatan Cross Sectional.pada penelitian ini peneliti akan mengambil data variabel terikat maupun variabel bebas. Desain penelitian yaitu dengan membagikan kuisioner. Besar sampel sebanyak 61 responden yang diambil secara accidental sampling. Pengumpulan data dilakukan dengan wawancara menggunakan kuisioner. Data dianalisis secara bivariat. Hasil penelitian menunjukkan bahwa tidak ada hubungan antara pengetahuan (P=0,113),keterampilan Petugas (p=0,61), dukungan keluarga (p=0,129), jaminan kerahasiaan (p=0,61), sarana dan prasarana (p=0,565) terhadap pemanfaatan layanan VCT, namun terdapat hubungan antara sikap (p=0,01) terhdap pemanfaatan layaan VCT. Kata kunci: VCT; pengetahuan; keterampilan; dukungan; jaminan kerahasiaan; sarana dan prasarana; sikap


2020 ◽  
Vol 12 (11) ◽  
pp. 83
Author(s):  
Dame Evalina Simangunsong ◽  
Kandace Sianipar ◽  
Juliani Purba

Prevention of the HIV/AIDS transmission from mother to child should be a focus of common concern, considering that this effort is an effective and broad-impact strategy in suppressing maternal and infant mortality and is an indicator of the degree of public health in a country. Community Health Center with the Voluntary Counseling and Testing (VCT) service in Pematangsiantar has not fully provided the Prevention of Mother to Child Transmission (PMTCT). Therefore pregnant women still refuse to undergo HIV screening. In these circumstances, Pematangsiantar will potentially have an increase in the number of cases. In realizing the vision of health education institutions to integrate the promotion of HIV/AIDS and Sexually Transmitted Diseases (STD) for pregnant women, this research has studied the perception of pregnant women in the prevention of HIV/AIDS transmission from mother to child. So that the appropriate intervention strategy in suppressing the spread of HIV/AIDS can be done. The research type is quasi-experiment with the population in this study was all pregnant mothers who refused to undergo HIV screening at the time of the ANC, 194 people. Data analysis is processed with T-Test and conducted to view differences in the behavior and perception of pregnant women&#39;s beliefs against the transmission of HIV/AIDS after the intervention. The result showed there is an increased difference in the value of behavioral indicators and the health confidence of pregnant women after home visits. It is advisable to approach strategies with personal counseling, peer-Education, and home visits in the nets of pregnant women with HIV.


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