The Effects of Antenatal Health Education on Postnatal Care Among Hiv Positive Women in Francistown City, Botswana (original) (raw)
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The Effects of Antenatal Health Education on Postnatal Care of HIV-positive Women
Africa Journal of Nursing and Midwifery
This study was carried out in Botswana. The purpose of the study was to determine the effects of antenatal health education on postnatal care among human immunodeficiency virus (HIV) positive women in the city of Francistown, Botswana. The study followed a quantitative research paradigm. Data were collected using a questionnaire from 100 eligible women who consented in writing to participate in the study. A quantitative design and a descriptive cohort quantitative design were used. The researcher collected data from two of the busiest clinics in Francistown that have a workload of 100–150 patients a day. Any HIV-positive woman within the child-bearing age group (15–49 years) who visited the clinic 6–8 weeks postnatal was eligible. Forty-five per cent (n = 45) of women living with HIV who visited the clinic with babies for the 6-weeks postnatal care and 55 per cent (n = 55) brought 8-week old babies either for weighing or for immunisation. The majority (40%) of the women received hea...
Africa Journal of Nursing and Midwifery
Health education is a key component of first antenatal visits. The aim of this study was to describe the health education needs of pregnant women on their first visit to antenatal clinics in Khayelitsha, South Africa. A quantitative descriptive survey was conducted, to investigate the lifestyle, pregnancy-related, psycho-social health education needs and predictors of health education needs during pregnant women’s first antenatal clinic visit. The research was conducted at two purposively selected antenatal clinics in Khayelitsha, a low-income suburb in Cape Town, South Africa. The respondents were considered eligible for the study if they were Xhosa speaking, pregnant, older than 18 years, making a first visit to antenatal care, and able to complete their consent form or provide consent from parents or relatives. Respondents were eligible for the study regardless of the number of pregnancies they had previously had, their age and previous medical conditions. There were a total of 2...
This study investigated the influence of the level of education on HIV infection among pregnant women attending antenatal care in Sekondi-Takoradi, Ghana. A crosssectional study was conducted at four hospitals in the Sekondi-Takoradi metropolis. The study group comprised 885 consenting pregnant women attending antenatal care clinics. Questionnaires were administered and venous blood samples were screened for HIV and other parameters. Multivariable logistic regression analyses were performed to determine the association between the level of education attained by the pregnant women and their HIV statuses. The data showed that 9.83% (87/885) of the pregnant women were HIV seropositive while 90.17% (798/885) were HIV seronegative. There were significant differences in mean age (years) between the HIV seropositive women (27.45 ± 5.5) and their HIV seronegative (26.02 ± 5.6) counterparts (p = .026) but the inference disappeared after adjustment (p = .22). Multivariable logistic regression analysis revealed that pregnant women with secondary/ tertiary education were less likely to have HIV infection compared with those with none/ primary education (adjusted OR, 0.53; 95% CI, 0.30-0.91; p = .022). Our data showed an THE AUTHORS are affiliated with the
African Health Sciences, 2014
Background: Children living with HIV worldwide majority are infected through mother to child transmission of HIV (MTCT) acquired during pregnancy. Knowledge, attitude and behavioral changes are pivot tools towards success of any interventions. Objectives: To determine the effectiveness of counseling on HIV done in primary health facilities (PHF), level of knowledge gained and attitude changes towards PMTCT. Methods: A cross sectional study assessing pregnant women's knowledge and their attitude towards PMTCT was conducted in Temeke district from October 2010 to Jan 2011 using a structured questionnaire. Results: A total of 383 antenatal attendees were referred to Temeke district for management after counselled and tested for HIV in PHFs. Majority (86.9%) had primary education and good knowledge on MTCT. Correct timing of ARVs prophylaxis (15.7%) as preventive measures for MTCT was poor. Education and employment were associated with good knowledge on MTCT of HIV. Women had positive attitudes towards HIV counseling and testing, but stigma was a barrier to disclosure of one's serostatus. Conclusion: There is knowledge gap in routine PMTCT counseling among antenatal attendees in our PHFs. Effective counseling on PMTCT in the PHFs will bridge the identified knowledge gap and help in reduction of pediatric HIV.
International Journal of Healthcare, 2017
Background: The study focused on perceptions and experiences of pregnant women who opted in against those who opted out of voluntary antenatal HIV counseling and testing.Purpose: The purpose of the study was to assess pregnant women’s perceptions and experiences in order to gain insight into their views towards voluntary antenatal counseling and testing.Method: A qualitative, descriptive and comparative study was used regarding participants who opted in and opted out. A stratified random sampling was used to collect data from the participants. The study sample comprised six focus group discussions (FGD) of pregnant women who were attending antenatal services at this hospital. Three FGD were women who opted in and other three FGD were for those who opted out. The semi-structure interview guide was used to guide the discussions. The discussions were audio recorded, transcribed and analyzed, using thematic content analysis.Results: Based on the findings of the study, the knowledge of p...
African Health Sciences, 2014
Background: Children living with HIV worldwide majority are infected through mother to child transmission of HIV (MTCT) acquired during pregnancy. Knowledge, attitude and behavioral changes are pivot tools towards success of any interventions. Objectives: To determine the effectiveness of counseling on HIV done in primary health facilities (PHF), level of knowledge gained and attitude changes towards PMTCT. Methods: A cross sectional study assessing pregnant women's knowledge and their attitude towards PMTCT was conducted in Temeke district from October 2010 to Jan 2011 using a structured questionnaire. Results: A total of 383 antenatal attendees were referred to Temeke district for management after counselled and tested for HIV in PHFs. Majority (86.9%) had primary education and good knowledge on MTCT. Correct timing of ARVs prophylaxis (15.7%) as preventive measures for MTCT was poor. Education and employment were associated with good knowledge on MTCT of HIV. Women had positive attitudes towards HIV counseling and testing, but stigma was a barrier to disclosure of one's serostatus. Conclusion: There is knowledge gap in routine PMTCT counseling among antenatal attendees in our PHFs. Effective counseling on PMTCT in the PHFs will bridge the identified knowledge gap and help in reduction of pediatric HIV.
Evaluation of 2 techniques of HIV pre-test counselling for pregnant women in West Africa
International Journal of STD & AIDS, 1999
This study compares the effect of group and individual pre-test counselling on uptake of HIV voluntary counselling and testing (VCT) by African pregnant women and knowledge about HIV/AIDS in 2 antenatal clinics of Bobo-Dioulasso, Burkina Faso. Pre-test counselling was offered to 3958 pregnant women, 927 by group counselling and 3031 by individual counselling. Acceptance of the test improved with individual counselling, which was already high with group counselling (93.3% versus 89.4%). The return rate for results was independent of the pre-test counselling technique. At post-test session, knowledge about HIV/ AIDS was better after group than individual counselling, except for reporting the existence of an asymptomatic stage of HIV infection. At a public health level, group pre-test counselling can be easily integrated into existing sessions of antenatal care counselling, routinely performed by the current clinic staff. Our ® ndings may help programme managers in the ® eld of maternal and child health to choose optimal options of pre-test counselling adapted to local circumstances in resource-poor settings.
2013
This research study looked at the factors that affect HCT in provision of PMTCT services. It explored the socio cultural and personal factors that affect HCT. It also established the knowledge level about HIV/AIDS and PMTCT among pregnant women in Kabwe. The transmission of HIV from mother to child contributes largely to HIV prevalence among children. Efforts to reduce this mode of transmission include increasing number of women who know their HIV status and increasing the number of HIV positive women who when pregnant take instructions and act on them to protect their children from the possibility of infection (Bartlett et al. 2004). Individuals can only know their HIV status once they are tested for HIV. However, there are socio cultural and personal factors among other factors that affect the access of HCT. The aim of this study was to identify socio cultural and personal factors that affect HIV counseling and testing in provision of PMTCT services among pregnant women in Kabwe, in order to make recommendations for the development of an intervention program to help improve uptake of HIV counseling and testing for PMTCT services. Both quantitative and qualitative methodologies were used to conduct this study. Focus Group Discussions were conducted with groups of pregnant women that have never been tested for HIV before and Key Informant Interviews with health care workers (midwives or nurses) to ask them about factors affecting HCT in provision of PMTCT services among pregnant women were used. A retrospective statistical report review was also used to ascertain the accessibility rate for the HIV counseling and testing for PMTCT services. In this light, statistical report review was used to collect the number of pregnant women attending ANC and number of pregnant women receiving HIV testing. The findings of this study revealed that the pregnant women had excellent knowledge about HIV/AIDS and the update of HCT was as good as 91% among pregnant women. The research also revealed domestic violence, accusation of promiscuity by partner, abandonment by partner, and stigma & discrimination as socio factors that affect HCT in provision of PMTCT. Religion, fear disbelief of test results was revealed as personal factors affecting
Awareness and Knowledge of Hiv Aids at Booking Among Antenatal Clinic Attendees in Uyo Nigeria
Academic Journals, 2009
Sub-saharan Africa bears the major brunt of the global HIV/AIDS pandemic and 10% of these infections are due to vertical or mother-to-child transmission (MTCT). Interventions to prevent mother-to-child transmission (PMTCT) in the developed world have resulted in a dramatic decline in pediatric HIV/AIDS. A study of the awareness, knowledge and previous testing for HIV/AIDS among antenatal clinic attendees at the university of Uyo teaching hospital was carried out as a strategy to develop site specific counselling interventions for PMTCT, information was elicited from 263 women who booked for antenatal care between September and December 2005 with the use of a self administered structured questionnaire. The mean age of the respondents was 26.9 ± 5.1 years, awareness of HIV/AIDS was high (95.8%) and general knowledge was good (86.7%), but with some misconceptions. There was a statistically significant association between knowledge of HIV/AIDS and the educational status of the respondents (P = 0.031) but none with occupation (P = 0.877). 117 women (44.5%) had previously been screened for HIV but there was no statistically significant association between knowledge of HIV/AIDS and previous HIV testing (P = 0.194). To reduce the burden of mother-to-child transmission of HIV/AIDS, adequate counselling should be given to all pregnant women. This should contain correct information on the mode of transmission of the virus, benefits of antiretroviral prophylaxis, other non drug interventions and proper infant feeding.