Determinants of non-testing for HIV among women during antenatal care follow up in sub-saharan Africa: a hierarchical analysis of recent Demographic and Health Survey datasets
Abstract Introduction HIV/AIDS is a global public health concern that is closely related to other sociocultural problems. The prevention of mother to child transmission cascade often begins with and is integrated into antenatal care in order to ensure a high rate of case detection and optimal treatm...
Saved in:
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMC
2024-12-01
|
| Series: | BMC Health Services Research |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12913-024-12035-3 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1846137246351097856 |
|---|---|
| author | Tadesse Tarik Tamir Alebachew Ferede Zegeye Enyew Getaneh Mekonen Bikis Liyew Belayneh Shetie Workneh |
| author_facet | Tadesse Tarik Tamir Alebachew Ferede Zegeye Enyew Getaneh Mekonen Bikis Liyew Belayneh Shetie Workneh |
| author_sort | Tadesse Tarik Tamir |
| collection | DOAJ |
| description | Abstract Introduction HIV/AIDS is a global public health concern that is closely related to other sociocultural problems. The prevention of mother to child transmission cascade often begins with and is integrated into antenatal care in order to ensure a high rate of case detection and optimal treatment coverage. Although guidelines suggest that all pregnant women should have HIV testing as part of their regular screening checks during antenatal care, a significant proportion of pregnant women were not tested for HIV during antenatal care follow-up in sub-Saharan Africa. Hence, this study was aimed at assessing the determinants of women not tested for HIV during antenatal care follow-up in sub-Saharan Africa. Method A cross-sectional study was conducted to assess the determinants of non-testing for HIV among women as part of antenatal care in sub-Saharan Africa, utilizing secondary data from the 2015–2022 Demographic and Health Surveys. The study included a weighted sample of 788,421 women who had antenatal care follow-up during their most recent pregnancy within five years preceding the survey. A multilevel mixed effect logistic regression analysis was employed to identify the determinants of non-testing for HIV among these women. The adjusted odds ratios with 95% confidence intervals were calculated to determine the associations between the outcome and explanatory variables. Statistical significance was determined using a p-value of less than 0.05. Result The hierarchical analysis of this study identified several significant factors associated with women not being tested for HIV during antenatal care in sub-Saharan Africa. These factors include young age, low or no education, not being in a union, unemployment, and low household wealth index. Additionally, limited media exposure, stigmatizing attitudes towards people living with HIV, male-headed households, and rural residence were significant at the individual and household levels. At the community level, low media exposure and high illiteracy rates were significant, while at the country level, high fertility rates and low literacy rates were also associated with lower rates of HIV testing during antenatal care. Conclusion This study identified significant individual, community, and country-level factors associated with women not testing for HIV during antenatal care in sub-Saharan Africa. Key factors include young age, low education, unemployment, not being in a union, low household wealth, limited media exposure, stigmatizing attitudes towards people living with HIV, male household head, rural residence, low community media exposure, high community illiteracy, high fertility rates, and low literacy rates. These findings highlight the need for targeted, context-specific interventions to improve HIV testing rates and enhance maternal and child health outcomes in the region. |
| format | Article |
| id | doaj-art-f70d3f5da3a04c1eb6c5a29b2a2c62d0 |
| institution | Kabale University |
| issn | 1472-6963 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Health Services Research |
| spelling | doaj-art-f70d3f5da3a04c1eb6c5a29b2a2c62d02024-12-08T12:23:00ZengBMCBMC Health Services Research1472-69632024-12-0124111310.1186/s12913-024-12035-3Determinants of non-testing for HIV among women during antenatal care follow up in sub-saharan Africa: a hierarchical analysis of recent Demographic and Health Survey datasetsTadesse Tarik Tamir0Alebachew Ferede Zegeye1Enyew Getaneh Mekonen2Bikis Liyew3Belayneh Shetie Workneh4Department of Pediatrics and Child Health Nursing, School of Nursing, College of Medicine and Health Sciences, University of GondarDepartment of Medical Nursing, School of Nursing, College of Medicine and Health Sciences, University of GondarDepartment of Surgical Nursing, School of Nursing, College of Medicine and Health Sciences, University of GondarDepartment of Emergency and Critical Care Nursing, School of Nursing, College of Medicine and Health Sciences, University of GondarDepartment of Emergency and Critical Care Nursing, School of Nursing, College of Medicine and Health Sciences, University of GondarAbstract Introduction HIV/AIDS is a global public health concern that is closely related to other sociocultural problems. The prevention of mother to child transmission cascade often begins with and is integrated into antenatal care in order to ensure a high rate of case detection and optimal treatment coverage. Although guidelines suggest that all pregnant women should have HIV testing as part of their regular screening checks during antenatal care, a significant proportion of pregnant women were not tested for HIV during antenatal care follow-up in sub-Saharan Africa. Hence, this study was aimed at assessing the determinants of women not tested for HIV during antenatal care follow-up in sub-Saharan Africa. Method A cross-sectional study was conducted to assess the determinants of non-testing for HIV among women as part of antenatal care in sub-Saharan Africa, utilizing secondary data from the 2015–2022 Demographic and Health Surveys. The study included a weighted sample of 788,421 women who had antenatal care follow-up during their most recent pregnancy within five years preceding the survey. A multilevel mixed effect logistic regression analysis was employed to identify the determinants of non-testing for HIV among these women. The adjusted odds ratios with 95% confidence intervals were calculated to determine the associations between the outcome and explanatory variables. Statistical significance was determined using a p-value of less than 0.05. Result The hierarchical analysis of this study identified several significant factors associated with women not being tested for HIV during antenatal care in sub-Saharan Africa. These factors include young age, low or no education, not being in a union, unemployment, and low household wealth index. Additionally, limited media exposure, stigmatizing attitudes towards people living with HIV, male-headed households, and rural residence were significant at the individual and household levels. At the community level, low media exposure and high illiteracy rates were significant, while at the country level, high fertility rates and low literacy rates were also associated with lower rates of HIV testing during antenatal care. Conclusion This study identified significant individual, community, and country-level factors associated with women not testing for HIV during antenatal care in sub-Saharan Africa. Key factors include young age, low education, unemployment, not being in a union, low household wealth, limited media exposure, stigmatizing attitudes towards people living with HIV, male household head, rural residence, low community media exposure, high community illiteracy, high fertility rates, and low literacy rates. These findings highlight the need for targeted, context-specific interventions to improve HIV testing rates and enhance maternal and child health outcomes in the region.https://doi.org/10.1186/s12913-024-12035-3HIVDeterminantsWomenNot testedSub-SaharaAfrica |
| spellingShingle | Tadesse Tarik Tamir Alebachew Ferede Zegeye Enyew Getaneh Mekonen Bikis Liyew Belayneh Shetie Workneh Determinants of non-testing for HIV among women during antenatal care follow up in sub-saharan Africa: a hierarchical analysis of recent Demographic and Health Survey datasets BMC Health Services Research HIV Determinants Women Not tested Sub-Sahara Africa |
| title | Determinants of non-testing for HIV among women during antenatal care follow up in sub-saharan Africa: a hierarchical analysis of recent Demographic and Health Survey datasets |
| title_full | Determinants of non-testing for HIV among women during antenatal care follow up in sub-saharan Africa: a hierarchical analysis of recent Demographic and Health Survey datasets |
| title_fullStr | Determinants of non-testing for HIV among women during antenatal care follow up in sub-saharan Africa: a hierarchical analysis of recent Demographic and Health Survey datasets |
| title_full_unstemmed | Determinants of non-testing for HIV among women during antenatal care follow up in sub-saharan Africa: a hierarchical analysis of recent Demographic and Health Survey datasets |
| title_short | Determinants of non-testing for HIV among women during antenatal care follow up in sub-saharan Africa: a hierarchical analysis of recent Demographic and Health Survey datasets |
| title_sort | determinants of non testing for hiv among women during antenatal care follow up in sub saharan africa a hierarchical analysis of recent demographic and health survey datasets |
| topic | HIV Determinants Women Not tested Sub-Sahara Africa |
| url | https://doi.org/10.1186/s12913-024-12035-3 |
| work_keys_str_mv | AT tadessetariktamir determinantsofnontestingforhivamongwomenduringantenatalcarefollowupinsubsaharanafricaahierarchicalanalysisofrecentdemographicandhealthsurveydatasets AT alebachewferedezegeye determinantsofnontestingforhivamongwomenduringantenatalcarefollowupinsubsaharanafricaahierarchicalanalysisofrecentdemographicandhealthsurveydatasets AT enyewgetanehmekonen determinantsofnontestingforhivamongwomenduringantenatalcarefollowupinsubsaharanafricaahierarchicalanalysisofrecentdemographicandhealthsurveydatasets AT bikisliyew determinantsofnontestingforhivamongwomenduringantenatalcarefollowupinsubsaharanafricaahierarchicalanalysisofrecentdemographicandhealthsurveydatasets AT belaynehshetieworkneh determinantsofnontestingforhivamongwomenduringantenatalcarefollowupinsubsaharanafricaahierarchicalanalysisofrecentdemographicandhealthsurveydatasets |