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Authors Gebremedhin KB, Tian B, Tang C, Zhang X, Yisma E, Wang HH
Received 9 August 2017
Accepted for publication 29 November 2017
Published 25 January 2018 Volume 2018:12 Pages 183—191
DOI https://doi.org/10.2147/PPA.S148687
Checked for plagiarism Yes
Review by Single-blind
Peer reviewers approved by Dr Doris Leung
Peer reviewer comments 2
Editor who approved publication: Dr Naifeng Liu
Introduction: The global human immunodeficiency virus (HIV) epidemic
disproportionately affects sub-Saharan African countries, including Ethiopia.
Provider-initiated HIV testing and counseling (PITC) is a tool to identify
HIV-positive pregnant women and an effective treatment and prevention strategy.
However, its success depends upon the willingness of pregnant women to accept
HIV testing.
Objectives: To describe the level of acceptance of PITC and
associated factors among pregnant women attending 8 antenatal care clinics in
Adama, Ethiopia.
Methods: Trained nursing students and employees from an HIV
clinic conducted face-to-face structured interviews in private offices at the
clinics from August to September, 2016.
Results: Among the 441 respondents, 309 (70.1%) accepted
PITC. Women with more antenatal care visits (odds ratio [OR] =2.59, 95% CI:
1.01–6.63), reported better quality of the PITC service (OR =1.91, 95% CI:
1.19–3.08), and higher level of knowledge on mother-to-child transmission (OR =1.82,
95% CI: 1.03–3.20), were more likely to accept PITC, while women who were older
in age (OR =0.37, 95% CI: 0.19–0.74) and perceived negative attitudes from
their partners toward HIV-positive results (OR =0.31, 95% CI: 0.10–0.94) were
less likely to accept the PITC service.
Conclusion: About one-third of pregnant women are not willing to
accept PITC. When designing intervention program to improve the acceptance of
PITC, we should take into consideration the personal factors, HIV-related
knowledge, and attitude of women as well as institutional factors.
Keywords: pregnant woman,
HIV, provider initiated HIV testing and counseling (PITC), Ethiopia