Online Program

Power to make decision and utilization of prevention of mother to child transmission services

Monday, November 4, 2013

Mesele Damte, BSc. MPH, MBA, Private Health Sector Program, Ethiopia, Addis Ababa, Ethiopia
Dereje Damte, BA, LLB, LLM, Legal Services, Addis Ababa, Human Right, Addis Ababa, Ethiopia
Ethiopia is one of the countries hard-hit by Human Immunio-deficiency Virus/ Acquired Immune Deficiency Syndrome (HIV/AIDS). Amhara region has the largest proportion of HIV positive women, HIV positive live births and AIDS orphans. Prevention to Mother to Child Transmission Program (PMTCT) utilization is below 10%. In this study, power in decision making and PMTCT service utilization was estimated in order to identify the predictive variable for service uptake. Interviews were conducted in 252 households selected at random in a cluster sample. Sixty (24%) of women had history of utilizing voluntary counseling and testing service for HIV and 48 (80%) were accepted their test result. Thirty six mothers (14.3%) had ever participated in PMTCT services. Nearly one third 84 (33%) of husbands believed that their wife's should get their permission before accessing PMTCT services. And a little higher than half 136(54%) of women believed they should get permission from their husbands before utilizing PMTCT services. Among the study participants those who attend formal schooling utilized four fold than illiterate with AOR= 4.0 (95% CI 1.46 – 7.52). And women who had the power to decide on utilization of PMTCT services 2.5 times utilize PMTCT services [ AOR 2.5 (95 %CI 1.27 – 3.15) ] than those who were looking for permission of their husbands. Promotion of PMTCT services and empowering women on decision making to utilize the health services are recommended

Key words: PMTCT, VCT, HIV/AIDS, Ethiopia

Learning Areas:

Assessment of individual and community needs for health education
Diversity and culture
Planning of health education strategies, interventions, and programs
Program planning
Social and behavioral sciences
Systems thinking models (conceptual and theoretical models), applications related to public health

Learning Objectives:
Discuss the one of the factors for low utilization rate of the PMTCT services.

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have studied Bachelor of Art in Political Sciences and International Relations, Bachelor of Art in Law, Masters of Low specialized in Human Right. I have participated in several qualitative and quantitative researches. I am the co-author of this research. I have been actively participated in designing, data collection, analysis and write up. I am affiliated in right based development activities and researches.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.