Skip to main content
Top
Published in: BMC Public Health 1/2013

Open Access 01-12-2013 | Research article

Disclosure experience to partner and its effect on intention to utilize prevention of mother to child transmission service among HIV positive pregnant women attending antenatal care in Addis Ababa, Ethiopia

Authors: Endalew Gemechu Sendo, Amsale Cherie, Tadese Asfaw Erku

Published in: BMC Public Health | Issue 1/2013

Login to get access

Abstract

Background

Disclosure of HIV status has become an entry criterion for prevention of mother to child transmission programs in resource-constrained countries. However, little has been explored about the prevalence of, barriers to, outcomes and factors associated with HIV status disclosure among HIV positive pregnant women in Ethiopia.

Method

Cross- sectional study was conducted among 107 pregnant women who were attending antenatal care in public centers from April to June 2011 in Addis Ababa capital city of Ethiopia.
Data was collected using interviewer administered pretested structured questionnaire and entered and was analyzed using SPSS- 15 version. Results presented in tables.

Result

Seventy three percent of women had disclosed their HIV status to their partner. Discussion about testing and a smooth relationship with the partner were independently associated with their disclosure. Women who disclosed to their partners were almost five times more likely to participate in Prevention of Mother to Child Transmission programs than their counterparts (AOR = 4.74; 95% CI 1.24-18.14).

Conclusions

Although most participants disclosed their HIV sero-positive status, lack of disclosure by some women might result in a limited ability to participate in PMTCT programs. Thus, assertiveness and improved communication skills training should be offered to HIV positive pregnant mothers and be reinforced during on-going counseling.
Literature
1.
go back to reference WHO: A review paper. Gender dimensions of HIV status disclosure to sexual partners: rates, barriers and outcomes. 2004, 9241590734 WHO: A review paper. Gender dimensions of HIV status disclosure to sexual partners: rates, barriers and outcomes. 2004, 9241590734
2.
go back to reference Ministry of Health Ethiopia & Federal HIV/AIDS Prevention and Control Office: Single point HIV prevalence estimate. 2007, Addis Ababa, Ethiopia Ministry of Health Ethiopia & Federal HIV/AIDS Prevention and Control Office: Single point HIV prevalence estimate. 2007, Addis Ababa, Ethiopia
3.
go back to reference Central Statistical Agency and ORC Macro: Ethiopia demographic and health survey 2005. 2006, Addis Ababa, Ethiopia and Calverton, Maryland, USA Central Statistical Agency and ORC Macro: Ethiopia demographic and health survey 2005. 2006, Addis Ababa, Ethiopia and Calverton, Maryland, USA
4.
go back to reference Deribe et al: Disclosure experience and associated factors among HIV positive men and women clinical service users in southwest Ethiopia. BMC Publ Health. 2008, 8: 81-doi:10.1186/1471-2458-8-81.CrossRef Deribe et al: Disclosure experience and associated factors among HIV positive men and women clinical service users in southwest Ethiopia. BMC Publ Health. 2008, 8: 81-doi:10.1186/1471-2458-8-81.CrossRef
5.
go back to reference United Nations Joint Program on AIDS: : International center for AIDS care and treatment programs(ICAP). http://www.Unaids.org Columbia University’s mailman School of Public Health. United Nations Joint Program on AIDS: : International center for AIDS care and treatment programs(ICAP). http://​www.​Unaids.​org Columbia University’s mailman School of Public Health.
6.
go back to reference Joint United Nations Programme on HIV/AIDS (UNAIDS): AIDS epidemic update: December 2006. World health organization (WHO). Geneva: UNAIDS/WHO Joint United Nations Programme on HIV/AIDS (UNAIDS): AIDS epidemic update: December 2006. World health organization (WHO). Geneva: UNAIDS/WHO
7.
go back to reference Medley A, Garcia-Moreno C, McGill S, Maman S: Rates, barriers and outcomes of HIV serostatus disclosure among women in developing countries: implications for prevention of mother-to-child transmission programmes. Bull World Health Organ. 2004, 82: 299-307.PubMedPubMedCentral Medley A, Garcia-Moreno C, McGill S, Maman S: Rates, barriers and outcomes of HIV serostatus disclosure among women in developing countries: implications for prevention of mother-to-child transmission programmes. Bull World Health Organ. 2004, 82: 299-307.PubMedPubMedCentral
9.
go back to reference Federal Ministry of health: AIDS in Ethiopia. Sixth report. National HIV/AIDS prevention and control office. Federal Ministry of health: AIDS in Ethiopia. Sixth report. National HIV/AIDS prevention and control office.
10.
go back to reference Bennets A, et al: Determinants of depression and HIV related worry among HIV positive women who have recently given birth, Bangkok, Thailand. Soc Sci Med. 1999, 49: 737-749. 10.1016/S0277-9536(99)00108-2.CrossRef Bennets A, et al: Determinants of depression and HIV related worry among HIV positive women who have recently given birth, Bangkok, Thailand. Soc Sci Med. 1999, 49: 737-749. 10.1016/S0277-9536(99)00108-2.CrossRef
11.
go back to reference Naver L: Thesis. Perinatal HIV-1 infection, aspects on clinical presentation, viral dynamics and epidemiology. 2004, Stockholm: Karolinska University press Naver L: Thesis. Perinatal HIV-1 infection, aspects on clinical presentation, viral dynamics and epidemiology. 2004, Stockholm: Karolinska University press
12.
go back to reference United Nations AIDS: AIDS epidemic up dates. 2005, Geneva: UNAIDS United Nations AIDS: AIDS epidemic up dates. 2005, Geneva: UNAIDS
13.
go back to reference Kilewo C, Massawe A, Lyamuya E, et al: HIV counselling and testing of pregnant women in sub-Saharan Africa: experiences from a study on the prevention of mother-to-child HIV-1 transmission in Dar es salaam, Tanzania. J AIDS. 2001, 28: 458-462. Kilewo C, Massawe A, Lyamuya E, et al: HIV counselling and testing of pregnant women in sub-Saharan Africa: experiences from a study on the prevention of mother-to-child HIV-1 transmission in Dar es salaam, Tanzania. J AIDS. 2001, 28: 458-462.
14.
go back to reference Issiaka S, Catoux M, Ky-Zerbo O, et al: Living with HIV: women’s experience in Burkina Faso, West Africa. AIDS Care. 2001, 13: 123-128. 10.1080/09540120020018224.CrossRefPubMed Issiaka S, Catoux M, Ky-Zerbo O, et al: Living with HIV: women’s experience in Burkina Faso, West Africa. AIDS Care. 2001, 13: 123-128. 10.1080/09540120020018224.CrossRefPubMed
15.
go back to reference Farquhar C, Ngacha D, Bosire R, et al: Prevalence and correlates of partner notification regardingHIV-1 in an antenatal setting in Nairobi. Kenya. Durban: XIII International AIDS Conference. 2000, 9–1 (4): 381- Farquhar C, Ngacha D, Bosire R, et al: Prevalence and correlates of partner notification regardingHIV-1 in an antenatal setting in Nairobi. Kenya. Durban: XIII International AIDS Conference. 2000, 9–1 (4): 381-
16.
go back to reference Kassaye KD, et al: Associated factors and out Comes of disclosing HIV sero-positivity status to sexual partners among women in mettu and gore towns, illubabor zone southwest Ethiopia. Ethiop J Health Dev. 2005, 19: 126-13.CrossRef Kassaye KD, et al: Associated factors and out Comes of disclosing HIV sero-positivity status to sexual partners among women in mettu and gore towns, illubabor zone southwest Ethiopia. Ethiop J Health Dev. 2005, 19: 126-13.CrossRef
17.
go back to reference Kilmarx P, Hamers F, et al: Experience and perspectives of HIV infected and sexually transmitted disease clinic patients after post test counselling. Sex Transm Dis. 1998, 25: 28-37. 10.1097/00007435-199801000-00007.CrossRefPubMed Kilmarx P, Hamers F, et al: Experience and perspectives of HIV infected and sexually transmitted disease clinic patients after post test counselling. Sex Transm Dis. 1998, 25: 28-37. 10.1097/00007435-199801000-00007.CrossRefPubMed
18.
go back to reference Simoni J, et al: HIV disclosure among women of African decent: association with coping, social support, and psychological adaptation. AIDS Behav. 2000, 4: 147-158. 10.1023/A:1009508406855.CrossRef Simoni J, et al: HIV disclosure among women of African decent: association with coping, social support, and psychological adaptation. AIDS Behav. 2000, 4: 147-158. 10.1023/A:1009508406855.CrossRef
19.
go back to reference Lester P, et al: The consequences of a positive prenatal HIV antibody test for women. J Acquir Immune Defic Syndr Hum Retroviral. 1995, 10: 341-349.CrossRef Lester P, et al: The consequences of a positive prenatal HIV antibody test for women. J Acquir Immune Defic Syndr Hum Retroviral. 1995, 10: 341-349.CrossRef
20.
go back to reference Lie GT, Biswalo PM: HIV positive patient’s choice of a significant other to be informed about the HIV test result: finding from an HIV/AIDS counselling program in the regional hospital of arusha and Kilimanjaro, Tanzania. AIDS care. 1996, 8: 285-296. 10.1080/09540129650125713.CrossRefPubMed Lie GT, Biswalo PM: HIV positive patient’s choice of a significant other to be informed about the HIV test result: finding from an HIV/AIDS counselling program in the regional hospital of arusha and Kilimanjaro, Tanzania. AIDS care. 1996, 8: 285-296. 10.1080/09540129650125713.CrossRefPubMed
21.
go back to reference Antelmen G, Smith Fawzi MC, et al: Predictors of HIV −1 serostatus disclosure: a prospective study among HIV- infected pregnant women in Dar es salaam, Tanazania. AIDS. 2001, 15: 1865-1874. 10.1097/00002030-200109280-00017.CrossRef Antelmen G, Smith Fawzi MC, et al: Predictors of HIV −1 serostatus disclosure: a prospective study among HIV- infected pregnant women in Dar es salaam, Tanazania. AIDS. 2001, 15: 1865-1874. 10.1097/00002030-200109280-00017.CrossRef
22.
go back to reference Mackneil JM, et al: Is care and support associated with preventive behaviour among people with HIV?. AIDS Care. 1999, 11: 537-546. 10.1080/09540129947695.CrossRef Mackneil JM, et al: Is care and support associated with preventive behaviour among people with HIV?. AIDS Care. 1999, 11: 537-546. 10.1080/09540129947695.CrossRef
23.
go back to reference Vander Straten A, et al: Couple communication, sexual coercion and HIV risk reduction in Kigali, Rwanda. AIDS. 1995, 9: 935-944. 10.1097/00002030-199508000-00016.CrossRef Vander Straten A, et al: Couple communication, sexual coercion and HIV risk reduction in Kigali, Rwanda. AIDS. 1995, 9: 935-944. 10.1097/00002030-199508000-00016.CrossRef
24.
go back to reference Temmarman M: The right not to know HIV test results. The Lancet. 2005, 345: 969-970. Temmarman M: The right not to know HIV test results. The Lancet. 2005, 345: 969-970.
Metadata
Title
Disclosure experience to partner and its effect on intention to utilize prevention of mother to child transmission service among HIV positive pregnant women attending antenatal care in Addis Ababa, Ethiopia
Authors
Endalew Gemechu Sendo
Amsale Cherie
Tadese Asfaw Erku
Publication date
01-12-2013
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2013
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/1471-2458-13-765

Other articles of this Issue 1/2013

BMC Public Health 1/2013 Go to the issue