Acceptability of prenatal HIV screening at the primary care level in Nigeria

Department of Community Medicine and Primary Care, Obafemi Awolowo College of Health Sciences/Olabisi Onabanjo University Teaching Hospital, Sagamu, Nigeria.
Journal of Obstetrics and Gynaecology (Impact Factor: 0.55). 05/2006; 26(3):191-4. DOI: 10.1080/01443610500508196
Source: PubMed


A survey of 333 pregnant women receiving antenatal care at the primary healthcare centres in Sagamu Local Government Area of Ogun State, southwest Nigeria was conducted between January and March 2005 to assess the acceptability of prenatal HIV screening among them. A total of 325 (97.8%) of the respondents were aware of HIV/AIDS but only 181 (54.3%) of them believed it is a problem in Nigeria. A total of 257 (77.2%) respondents agreed to undergo voluntary counselling and HIV testing (VCT). Multivariate logistic regression analysis of associated factors indicated that being married, self-perception of no risk of HIV infection, awareness of benefits of prenatal HIV testing and Christianity are independent predictors of acceptance of prenatal HIV testing in this population. Most of the respondents (78.9%) who were unwilling to take the test cited fear of being infected with its consequences of stigma and discrimination as the reason for their attitude. The survey suggests that a successful integration of VCT programme into the existing primary healthcare services for prevention of vertical HIV transmission is feasible in this part of Nigeria.

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    • "The males in both religions showed more likelihood to volunteer for HIV testing than females (Christians – 5.82% versus 2.96%; Moslems – 3.13% versus 0.69%). Daniel and Oladapo (2006) reported Christianity as an independent predictor of acceptance of prenatal HIV testing in Nigeria compared to other religious groups. The most likely explanation is the higher tendency for attaining education and the greater distribution of educational institutions in the Christian dominated parts of the 8 country . "
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    ABSTRACT: Prevalence of Voluntary Counselling and Testing (VCT) for HIV among young people in Nigeria is low with implications on the epidemic control. Using the 2003 Nigerian National Demographic and Health Survey, we examined the regional prevalence, pattern and correlates of VCT for HIV among youths aged 15 to 24 in Nigeria. Analysis was based on 3573 (out of 11,050) observations using logistic regression model to estimate the effects of identified predictors of volunteering for HIV testing. Results show that national prevalence of VCT is low (2.6%) with regional variations. Generally, the critical factors associated with VCT uptake are age, sex, education, wealth index and risk perception with North (sex, education, religion, occupation and risk perception) and South (age and education) variance. It is recommended that Nigerian HIV programmers should introduce evidence based youth programmes to increase the uptake of VCT with differing approaches across the regions.
    Full-text · Article · Jun 2011 · African Journal of Reproductive Health
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    • "This is similar to findings by Iliyasu et al. (2005) in northern Nigeria and by Pool, Nyanzi & Whitworth (2001) and Liu, Ma & Yu (2001) among rural women in southwest Uganda and rural residents in China, respectively; but it is in contrast to 37% reporting this attitude in a study in Zambia by Fylkesnes, Haworth, Rosensvard & Kwapa (1999). The influence of the predictor variables, namely education, knowledge of HIV and MTCT, and clinical setting on the respondents' attitudes to knowing their status, is similar to the findings of Lee, Cheung, Kwong, Wan & Lee (2005), Daniel & Oladapo (2006) and Barber (2006). Greater public awareness about VCT services and their benefits is needed across Nigeria, perhaps generated through primary healthcare channels such as antennal clinics, and through far-reaching media (radio and television ) as most respondents in the study reported to have acquired HIV-related information this way. "
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    ABSTRACT: Mother-to-child transmission of HIV (MTCT) is responsible for more than 90% of the cases of HIV infection in infants and children in sub-Saharan Africa. Accurate data on the knowledge and perceptions of HIV/AIDS among women attending antenatal clinics in Nigeria are scarce. A cross-sectional survey of 804 women attending antenatal clinics in Ogun State, South-West Nigeria was done using interviewer-administered questionnaires. Approximately 90% of the women respondents had heard of HIV/AIDS, but only about 27% knew HIV could be transmitted from mother to child; of those, almost 94% believed in the reality of HIV disease; in contrast, the majority (64%) believed they were not at risk of HIV infection, and a slightly greater proportion (70%) did not understand the benefits of voluntary HIV counselling and testing (VCT). Nonetheless, almost 90% of respondents were willing to know their status following health education about VCT. Those that were older, attending public hospitals, and with a higher level of education had more knowledge and better perceptions about HIV. The results suggest an urgent need for public health education on HIV/AIDS and the benefits of VCT to control MTCT, particularly targeting young women and those with little or no education.
    Full-text · Article · Nov 2009 · African Journal of AIDS Research
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    • "Voluntary screening for HIV is one of the major means of preventing the spread of HIV. Several studies on HIV screening Several studies on HIV screening have explored attitudes of different groups of people to HIV screening (pregnant women, undergraduates, youths), with over 75% expressing positive attitudes towards being screened (Daniel & Oladapo, 2006; Ikechebelu, Udigwe, Ikechebelu & Imoh, 2006; Iliyasu, Kabir, Galadanci, Abubaker & Aliyu, 2005; Pool, Nyanzi & Whitworth, 2001). Investigators have reported HCWs supporting various approaches to HIV testing such as mandatory testing of all patients, testing of all surgical patients, and testing as part of routine medical investigations (Ganczak & Barss, 2007; Li et al., 2007; Obi, Waboso & Ozomba, 2005). "
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    ABSTRACT: Discrimination against persons living with HIV/AIDS in hospital settings has been documented. This study examined the attitude of health care workers (HCWs) to nurses, doctors and patients infected with HIV. A total of 345 respondents selected by multistage sampling techniques were surveyed, using a semi-structured questionnaire, which explored respondents' attitude to HIV-infected patients and colleagues with HIV/AIDS. HCWs were unwilling to accept that medical procedures be carried out on them by HIV-infected doctors and nurses, with almost 80% refusing surgery or assistance at surgery on them by an HIV-infected doctor or nurse. They were also significantly more unwilling to accept that medical procedures be carried out on them by an infected colleague, compared with their carrying out the same procedure on an HIV-infected patient. Thus, HCWs seemed to believe that the risk of contracting HIV was higher if an infected HCW were to perform medical procedures on them, and fear of contracting HIV seemed to be the driving force for their negative attitudes. Education on occupational risks of HIV, provision of a safe working environment with enforcement of universal precautions, as well as provision of post-exposure prophylaxis are suggested as ways to enable HCWs to change their attitudes.
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