Charles Oluwole OMOLASE, Samuel Oladiran FATUROTI, Bukola Olateju OMOLASE

Acceptability and barriers to uptake of voluntary counselling and testing for HIV amongst pregnant women in Nigeria

GİRİŞ: Bu çalışma, Nijeryalı bir toplumda gebeler arasında gönüllü HIV danışmanlığı alma ve test yaptırma (VCT) durumunun kabul edilebilirliğini ve olası engelleri belirlemek için tasarlanmıştır. YÖNTEM: Araştırma Owo, Federal Tıp Merkezi doğum öncesi kliniğine başvuranlar arasından, rast gele seçilmiş ve araştırmaya katılımı kabul etmiş yüz yirmi yedi gebede, yazarlar ve iki eğitilmiş yardımcı personel tarafından geçekleştirilmiştir. Çalışma Ağustos ve Ekim 2007 tarihleri arasında gerçekleştirilmiştir. Bilgiler yarı yapılandırılmış anket yardımıyla toplanmış, anket bio veri, VCT ve HIV-AIDS dikey bulaş hakkında farkındalık vb. sorulardan oluşmuştur. Toplanan diğer bilgiler arasında; VCT kabul edilebilirliği ve önündeki engeller bulunmaktadır. BULGULAR: Katılımcıların çoğunluğunun HIV dikey bulaşının farkında olduğu (%85) ve VCT'yi bildiği (%83,5) ağırlıklı olarak VCT'yi kabul ettikleri (%77,2) ve diğerleri için VCT tavsiye hazır oldukları (%76,2) saptanmıştır. Gönüllü danışmanlık için belirlenen ana engelin olası pozitif sonuç (%82,7) ve boşanma riski (%70,9) olduğu tespit edilmiştir. SONUÇ: Katılımcıların çoğu HIV de dikey bulaşma, gönüllü danışmanlık ve test yaptırma konusunun farkındadır. Çoğunluğu HIV testini kabul etme ve başkalarına aynı testi tavsiye konusunda isteklidir. HIV danışmanlığı alma ve test yaptırma konusundaki engeller ise; pozitif sonuç korkusu, damgalanma ve mali kısıt eksikliği şeklindedir. HIV için test ve gönüllü danışmanlık konusunun tüm doğum öncesi hastalara ulaşacak şekilde genişletilmesi gereklidir.

Nijerya’da hamile bayanlar arasında gönüllü hıv testi ve danışmanlığına ulaşılabilirlik ve engeller

AIM: This study was designed to determine the acceptability of voluntary counselling and testing (VCT) for HIV and identify possible barriers to it�s uptake amongst pregnant women in a Nigerian community. METHODS: One hundred and twenty seven consenting pregnant women attending antenatal clinic at Federal Medical Centre, Owo were randomly selected and interviewed by the authors and two trained assistants. The study was conducted between August and October, 2007. The information obtained with the aid of semi structured questionnaire included their bio data, awareness about VCT and vertical transmission of HIV-AIDS. Other information obtained included acceptability of VCT and barriers to its uptake. RESULT: Majority (85%) were aware about vertical transmission of HIV, most (83.5%) knew of VCT. They were predominantly willing to accept VCT (77.2%) and were ready to recommend VCT to others(76.2%). The main identified barriers to uptake of voluntary counseling were fear of possible outcome (82.7%) and risk of divorce (70.9%). CONCLUSION: Most respondents were aware of voluntary counselling and testing for HIV as well as the vertical transmission of HIV. Majority were willing to accept HIV test and recommend same to others. Barriers to uptake of HIV test included fear of possible outcome, lack of felt need, stigmatization and financial constraint. There is need to extend voluntary counselling and testing for HIV to all antenatal patients.

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