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Prevalence and factors affecting disclosure of HIV status among pregnant women attending antenatal care in Addis Ababa public health centres: a cross sectional survey


Obstetrics & Gynecology International Journal
Yodit Meseret,1 Dubale Dulla,2 Banchialem Nega3

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Abstract

Background: In Ethiopia a little has been explored about the prevalence of, barriers to, outcomes and factors associated with HIV status disclosure among HIV positive pregnant women. Objective: To assess factors of disclosing HIV sero-status to sexual partner among HIV positive pregnant women attending antenatal care in Addis Ababa public health centers, Ethiopia.

Method: An institution based Cross- sectional study was conducted using quantitative method among 665 HIV positive pregnant women who were attending antenatal care from May 1-30/2016. All sero-positive pregnant women of age >18 years were included in study by multistage sampling method.Data was collected using structured interviewer administered questionnaire and entered and analyzed by SPSS20 version. Multivariate logistic regressions were applied to evaluate significant association between independent and outcome (HIV positive sero-status disclosure).

Result: a total of 665 HIV positive pregnant women, participated in the study with the response rate of 99%. The overall Prevalence of disclosure of HIV status among pregnant women is 80.6% and 51.7% disclosed to their current main sexual partner. However, 35.2% of disclosure to sexual partner was delayed and 13.5% didn’t know their participant HIV status. Disclosure of HIV status to sexual partner was associated with discussion about HIV testing with partner prior to test (OR, 2.594, 95%CI, 1.474-4.565) and knowing partner HIV status (having sero-positive partner) (OR, 0.409, 95% CI, 0.231-0.723). Conclusion: nearly half of the women challenged to disclose their status due to lack of open discussion with their partners that might lead to limited ability to engage in preventive behaviorsand to access support.

Keywords

HIV, Sero-status, Pregnant, Disclosure, Sexual partner, Acquired immune deficiency syndrome, Antenatal care, Adjusted odds ratio, Antiretroviral therapy, Combined antiretroviral treatment, Combined antiretroviral therapy, Confidence interval, Crude odds ratio, Odds ratio, Standard deviation

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