Nyuzaghl J, Ohene S, Odoi-Agyarko K
Bole District Hospital, Ghana Health Service, Bole, Ghana.
Ghana Med J. 2011 Mar;45(1):10-5. doi: 10.4314/gmj.v45i1.68916.
With the introduction of the opt out HIV testing policy in Ghana, the HIV test is offered routinely to all pregnant women unless they decline testing.
To assess acceptability of the routine offer of HIV testing antenatal clinic (ANC) clients in the Wa municipality, Ghana.
Cross-sectional study of 270 randomly selected ANC attendees.
More than 90% of respondents were in favour of the opt-out policy. The most commonly cited reasons were that it would help pregnant women know their status and facilitate prevention of mother to child transmission of HIV (PMTCT). About 60% of respondents had tested for HIV in the current pregnancy with more than 90% reporting that the test was offered them in a manner in which they could have refused the test. HIV testing in the current pregnancy was associated with having heard of the opt-out policy (p <0.001) and awareness that the test was offered at the facility (p < 0.001), but there was no relationship with educational level. Out of the 112 clients who had not had HIV test in the current pregnancy, 61.8% claimed the test had not been offered to them while 82.4% expressed willingness to have the test done if offered.
The opt-out HIV testing policy is acceptable to the pregnant women surveyed in the Wa municipality. A well laid out process to ensure that all pregnant women are routinely offered HIV testing at the ANC may help minimize missed opportunities for utilizing PMTCT services.
随着加纳推出选择退出式艾滋病毒检测政策，所有孕妇都会接受常规艾滋病毒检测，除非她们拒绝检测。
评估加纳瓦市产前诊所（ANC）的客户对常规艾滋病毒检测的接受程度。
对270名随机挑选的ANC就诊者进行横断面研究。
超过90%的受访者赞成选择退出政策。最常提到的理由是，这将帮助孕妇了解自己的状况，并促进预防艾滋病毒母婴传播（PMTCT）。约60%的受访者在本次怀孕中接受了艾滋病毒检测，超过90%的受访者表示检测是以她们可以拒绝的方式提供的。本次怀孕中的艾滋病毒检测与听说过选择退出政策（p<0.001）以及知晓在该机构提供检测（p<0.001）有关，但与教育水平无关。在本次怀孕中未接受艾滋病毒检测的112名客户中，61.8%称未向她们提供检测，而82.4%表示如果提供检测愿意接受。
选择退出式艾滋病毒检测政策为瓦市接受调查的孕妇所接受。制定一个完善的流程以确保所有孕妇在ANC都能接受常规艾滋病毒检测，可能有助于减少利用PMTCT服务的错失机会。
