European Journal of Preventive Medicine

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Provider Initiated HIV Testing During Antenatal Care and Labour – Knowledge and Acceptability of Patients in a Nigeria Teaching Hospital

Received: 11 June 2015    Accepted: 18 June 2015    Published: 02 July 2015
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Abstract

Aim: This study aimed at accessing the knowledge and acceptance of women receiving Antenatal care (ANC) at the Jos University Teaching Hospital (JUTH) to the concept of Provider Initiated HIV Testing and Counselling (PITC) during antenatal care and in Labour, as a departure from e Client Initiated Counseling and Testing(CICT) or Voluntary Counseling and Testing(VCT). Issues /Background: Nigeria has a huge Prevention of Mother to Child Transmission (PMTCT) gap and strategies need to change to identify and prevent new infections. Since voluntary HIV testing in ANC settings still has a low yield, it is necessary for health workers to initiate HIV testing and expand testing to women in labour and those that delivered. The study was aimed at assessing clients’ acceptability of PITC. Methods: A structured questionnaire was administered to 170 women attending antenatal clinic in JUTH to evaluate their views about PITC. Findings were analyzed with the Epi Info Statistical Package. Results: The age range was 17-46 years, 52.9% were Christians and 47.1% were Moslems; 35.5% were housewives and 24.7% were students. One lady was single, 169 (99.4%) were married. Some 41.8% had tertiary education, 29.4% had secondary; others had primary and informal education. Pregnant women constituted 92.4% while 7.6% were post-natal. About 94.7% were aware of HCT and 87.1% had done the test. Some 93.5% affirmed benefits and 96.5% supported testing. Regarding PITC in labour, 87.9% felt it was beneficial if women had not tested before, others felt she should be left because of pains. About 74.1% indicated babies could benefit from preventive intervention if mothers tested positive in labour, 19.4% didn’t know and 6.5% said the baby could not be helped. Husbands of 98.1% had approved their testing, but three (1.9%) were disallowed. About 90% felt women that previously tested negative should be retested,5% felt that it was unnecessary and 4.1% didn’t know while 68.5% felt test should be discouraged regards causing marital disharmony. A total of 168 (98.5%) encouraged the test while 2 (1.5%) said they discourage people from taking the test. PITC should not be offered women faithful to spouse while 94.1% felt the test should be offered to people who don’t look ill while 3.6% felt it shouldn’t. Conclusion: Awareness of HIV screening in pregnancy and labour is high among our antenatal population, but not all accept HCT. There is need for continuing health education regarding PITC , male involvement and couple counseling.

DOI 10.11648/j.ejpm.20150304.12
Published in European Journal of Preventive Medicine (Volume 3, Issue 4, July 2015)
Page(s) 103-109
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

PITC, Antenatal, Labour, PMTCT, Opt Out, HIV Test

References
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Author Information
  • Faculty of Medical Sciences, University of Jos, Jos, Nigeria; Department of Obstetrics and Gynaecology, Jos University Teaching Hospital, Jos, Nigeria

  • Faculty of Medical Sciences, University of Jos, Jos, Nigeria; Department of Obstetrics and Gynaecology, Jos University Teaching Hospital, Jos, Nigeria

  • Faculty of Medical Sciences, University of Jos, Jos, Nigeria; Department of Obstetrics and Gynaecology, Jos University Teaching Hospital, Jos, Nigeria

  • Faculty of Medical Sciences, University of Jos, Jos, Nigeria; Department of Obstetrics and Gynaecology, Jos University Teaching Hospital, Jos, Nigeria

  • Faculty of Medical Sciences, University of Jos, Jos, Nigeria; Department of Chemical Pathology, Jos University Teaching Hospital, Jos, Nigeria

  • Faculty of Medical Sciences, University of Jos, Jos, Nigeria; Department of Internal Medicine, Jos University Teaching Hospital, Jos, Nigeria

  • AIDS Prevention Initiative in Nigeria Ltd Gte, Jabi, Abuja, Nigeria

  • Department of Immunology and Infectious Diseases, Harvard School of Public Health, Boston, MA, USA

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  • APA Style

    Oyebode Tinuade Abimbola, Sagay Atiene Solomon, Imade Godwin, Ekwempu Chinedu Chika, Isichei Christian, et al. (2015). Provider Initiated HIV Testing During Antenatal Care and Labour – Knowledge and Acceptability of Patients in a Nigeria Teaching Hospital. European Journal of Preventive Medicine, 3(4), 103-109. https://doi.org/10.11648/j.ejpm.20150304.12

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    Oyebode Tinuade Abimbola; Sagay Atiene Solomon; Imade Godwin; Ekwempu Chinedu Chika; Isichei Christian, et al. Provider Initiated HIV Testing During Antenatal Care and Labour – Knowledge and Acceptability of Patients in a Nigeria Teaching Hospital. Eur. J. Prev. Med. 2015, 3(4), 103-109. doi: 10.11648/j.ejpm.20150304.12

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    AMA Style

    Oyebode Tinuade Abimbola, Sagay Atiene Solomon, Imade Godwin, Ekwempu Chinedu Chika, Isichei Christian, et al. Provider Initiated HIV Testing During Antenatal Care and Labour – Knowledge and Acceptability of Patients in a Nigeria Teaching Hospital. Eur J Prev Med. 2015;3(4):103-109. doi: 10.11648/j.ejpm.20150304.12

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  • @article{10.11648/j.ejpm.20150304.12,
      author = {Oyebode Tinuade Abimbola and Sagay Atiene Solomon and Imade Godwin and Ekwempu Chinedu Chika and Isichei Christian and Agbaji Oche and Okonkwo Prosper Iheanacho and Kanki Phyllis Jean},
      title = {Provider Initiated HIV Testing During Antenatal Care and Labour – Knowledge and Acceptability of Patients in a Nigeria Teaching Hospital},
      journal = {European Journal of Preventive Medicine},
      volume = {3},
      number = {4},
      pages = {103-109},
      doi = {10.11648/j.ejpm.20150304.12},
      url = {https://doi.org/10.11648/j.ejpm.20150304.12},
      eprint = {https://download.sciencepg.com/pdf/10.11648.j.ejpm.20150304.12},
      abstract = {Aim: This study aimed at accessing the knowledge and acceptance of women receiving Antenatal care (ANC) at the Jos University Teaching Hospital (JUTH) to the concept of Provider Initiated HIV Testing and Counselling (PITC) during antenatal care and in Labour, as a departure from e Client Initiated Counseling and Testing(CICT) or Voluntary Counseling and Testing(VCT). Issues /Background: Nigeria has a huge Prevention of Mother to Child Transmission (PMTCT) gap and strategies need to change to identify and prevent new infections. Since voluntary HIV testing in ANC settings still has a low yield, it is necessary for health workers to initiate HIV testing and expand testing to women in labour and those that delivered. The study was aimed at assessing clients’ acceptability of PITC. Methods: A structured questionnaire was administered to 170 women attending antenatal clinic in JUTH to evaluate their views about PITC. Findings were analyzed with the Epi Info Statistical Package. Results: The age range was 17-46 years, 52.9% were Christians and 47.1% were Moslems; 35.5% were housewives and 24.7% were students. One lady was single, 169 (99.4%) were married. Some 41.8% had tertiary education, 29.4% had secondary; others had primary and informal education. Pregnant women constituted 92.4% while 7.6% were post-natal. About 94.7% were aware of HCT and 87.1% had done the test. Some 93.5% affirmed benefits and 96.5% supported testing. Regarding PITC in labour, 87.9% felt it was beneficial if women had not tested before, others felt she should be left because of pains. About 74.1% indicated babies could benefit from preventive intervention if mothers tested positive in labour, 19.4% didn’t know and 6.5% said the baby could not be helped. Husbands of 98.1% had approved their testing, but three (1.9%) were disallowed. About 90% felt women that previously tested negative should be retested,5% felt that it was unnecessary and 4.1% didn’t know while 68.5% felt test should be discouraged regards causing marital disharmony. A total of 168 (98.5%) encouraged the test while 2 (1.5%) said they discourage people from taking the test. PITC should not be offered women faithful to spouse while 94.1% felt the test should be offered to people who don’t look ill while 3.6% felt it shouldn’t. Conclusion: Awareness of HIV screening in pregnancy and labour is high among our antenatal population, but not all accept HCT. There is need for continuing health education regarding PITC , male involvement and couple counseling.},
     year = {2015}
    }
    

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  • TY  - JOUR
    T1  - Provider Initiated HIV Testing During Antenatal Care and Labour – Knowledge and Acceptability of Patients in a Nigeria Teaching Hospital
    AU  - Oyebode Tinuade Abimbola
    AU  - Sagay Atiene Solomon
    AU  - Imade Godwin
    AU  - Ekwempu Chinedu Chika
    AU  - Isichei Christian
    AU  - Agbaji Oche
    AU  - Okonkwo Prosper Iheanacho
    AU  - Kanki Phyllis Jean
    Y1  - 2015/07/02
    PY  - 2015
    N1  - https://doi.org/10.11648/j.ejpm.20150304.12
    DO  - 10.11648/j.ejpm.20150304.12
    T2  - European Journal of Preventive Medicine
    JF  - European Journal of Preventive Medicine
    JO  - European Journal of Preventive Medicine
    SP  - 103
    EP  - 109
    PB  - Science Publishing Group
    SN  - 2330-8230
    UR  - https://doi.org/10.11648/j.ejpm.20150304.12
    AB  - Aim: This study aimed at accessing the knowledge and acceptance of women receiving Antenatal care (ANC) at the Jos University Teaching Hospital (JUTH) to the concept of Provider Initiated HIV Testing and Counselling (PITC) during antenatal care and in Labour, as a departure from e Client Initiated Counseling and Testing(CICT) or Voluntary Counseling and Testing(VCT). Issues /Background: Nigeria has a huge Prevention of Mother to Child Transmission (PMTCT) gap and strategies need to change to identify and prevent new infections. Since voluntary HIV testing in ANC settings still has a low yield, it is necessary for health workers to initiate HIV testing and expand testing to women in labour and those that delivered. The study was aimed at assessing clients’ acceptability of PITC. Methods: A structured questionnaire was administered to 170 women attending antenatal clinic in JUTH to evaluate their views about PITC. Findings were analyzed with the Epi Info Statistical Package. Results: The age range was 17-46 years, 52.9% were Christians and 47.1% were Moslems; 35.5% were housewives and 24.7% were students. One lady was single, 169 (99.4%) were married. Some 41.8% had tertiary education, 29.4% had secondary; others had primary and informal education. Pregnant women constituted 92.4% while 7.6% were post-natal. About 94.7% were aware of HCT and 87.1% had done the test. Some 93.5% affirmed benefits and 96.5% supported testing. Regarding PITC in labour, 87.9% felt it was beneficial if women had not tested before, others felt she should be left because of pains. About 74.1% indicated babies could benefit from preventive intervention if mothers tested positive in labour, 19.4% didn’t know and 6.5% said the baby could not be helped. Husbands of 98.1% had approved their testing, but three (1.9%) were disallowed. About 90% felt women that previously tested negative should be retested,5% felt that it was unnecessary and 4.1% didn’t know while 68.5% felt test should be discouraged regards causing marital disharmony. A total of 168 (98.5%) encouraged the test while 2 (1.5%) said they discourage people from taking the test. PITC should not be offered women faithful to spouse while 94.1% felt the test should be offered to people who don’t look ill while 3.6% felt it shouldn’t. Conclusion: Awareness of HIV screening in pregnancy and labour is high among our antenatal population, but not all accept HCT. There is need for continuing health education regarding PITC , male involvement and couple counseling.
    VL  - 3
    IS  - 4
    ER  - 

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