Mahmoud Mariam M, Nasr Abubakr M, Gassmelseed Dar Elgalal A, Abdalelhafiz Mohamed A, Elsheikh Mohamed A, Adam Ishag
The Academy of Medical Sciences and Technology, Khartoum, Sudan.
J Med Virol. 2007 May;79(5):469-73. doi: 10.1002/jmv.20850.
Human immunodeficiency virus (HIV) infection and the development of the acquired immunodeficiency syndrome (AIDS) are increasing at an alarming rate especially in the sub-Saharan region. Pregnant women susceptible to HIV and its transmission to the fetus provide a unique opportunity for implementing preventive strategy against HIV infection of newborn babies. During the period of August-December 2005 a cross-sectional study was conducted at the Fath-Elrahman Elbashir antenatal clinic, Khartoum Teaching Hospital, to investigate pregnant women's basic knowledge and attitude toward HIV and mother to child transmission as well as voluntary counseling and testing. Pre-tested structured questionnaires were given to antenatal attendants by professional counselors. Their basic socio-demographic and obstetric characteristics were obtained. Respondents' knowledge about HIV and mother to child transmission were tested. In addition, their willingness toward HIV testing was also reported. Out of the 1,005 women investigated, 79% had basic knowledge about HIV. Those who were resident in Khartoum and whose age was > or =26.1 years and their education level was secondary and above were found to be more knowledgeable about HIV. More than half of respondents were aware of mother to child transmission. Older (> or =26.1 years), educated, and working mothers were found to be more knowledgeable about mother to child transmission. Willingness to undergo the test was demonstrated in 72.8% of respondents. However, only 30.3% had the test done. Older women, primigravidae, and Muslims have higher acceptance of voluntary counseling and testing. There is a need to extend the voluntary counseling and testing program in all antenatal clinics. In addition, there is a need to increase the level of education and raise health awareness about HIV and mother to child transmission.
人类免疫缺陷病毒（HIV）感染以及获得性免疫缺陷综合征（AIDS）的发展正以惊人的速度增长，尤其是在撒哈拉以南地区。易感染HIV且会将其传播给胎儿的孕妇为实施针对新生儿HIV感染的预防策略提供了独特的机会。2005年8月至12月期间，在喀土穆教学医院的法特 - 埃尔拉赫曼·埃尔巴希尔产前诊所进行了一项横断面研究，以调查孕妇对HIV以及母婴传播的基本知识和态度，以及自愿咨询和检测情况。专业咨询师向产前护理人员发放了预先测试过的结构化问卷。获取了她们的基本社会人口统计学和产科特征。测试了受访者对HIV和母婴传播的知识。此外，还报告了她们接受HIV检测的意愿。在接受调查的1005名女性中，79%对HIV有基本知识。发现居住在喀土穆、年龄大于或等于26.1岁且教育水平为中学及以上的女性对HIV了解更多。超过一半的受访者知晓母婴传播。年龄较大（大于或等于26.1岁）、受过教育且有工作的母亲对母婴传播了解更多。72.8%的受访者表示愿意接受检测。然而，只有30.3%的人进行了检测。年龄较大的女性、初产妇和穆斯林对自愿咨询和检测的接受度更高。有必要在所有产前诊所推广自愿咨询和检测项目。此外，有必要提高教育水平并增强对HIV和母婴传播的健康意识。
