Olowokere Adekemi E, Adelakun Oluyemi A, Komolafe Abiola O
Department of Nursing Science, Obafemi Awolowo University, Ile-Ife, Osun State, Nigeria.
Dagbolu Primary Health Care Centre, Osogbo, Osun State, Nigeria.
Aust J Rural Health. 2018 Feb;26(1):33-41. doi: 10.1111/ajr.12368. Epub 2017 Dec 14.
To assess knowledge, perception, access and utilisation of HIV counselling and testing among pregnant women from rural communities in Nigeria.
Descriptive cross-sectional survey.
Primary health care facilities in rural communities of Osogbo, Osun State, Nigeria.
Three-hundred pregnant women attending antenatal clinics in primary health care facilities.
Knowledge of HIV counselling and testing, perception of HIV counselling and testing, utilisation of HIV counselling and testing and barriers associated with HIV counselling and testing utilisation.
Findings showed that 59.0% had good knowledge, while 56.7% had good perception. Majority (88.4%) of the 77.7% of respondents who reported the availability of HIV counselling and testing services said it was free and 61.3% of the respondents had HIV counselling and testing done before. Majority (78.3%) had one-on-one counselling, while a little above half (55.4%) gave consent for testing. However, less than half (36.3%) of the respondents were willing to have HIV counselling and testing done in the present pregnancy. There is significant association between the level of perception and utilisation of HIV counselling and testing. A significant association is also found between knowledge of HIV counselling and testing and utilisation. Key barriers found to be associated with utilisation of HIV counselling and testing include 'fear of how to cope with being positive' and 'absence of HIV counselling and testing centre'.
Many women selected from rural communities demonstrated good knowledge and perception of HIV counselling and testing. The majority of them also had access to HIV counselling and testing and used it. However, some still have misconception about mother-to-child transmission of HIV.
评估尼日利亚农村社区孕妇对艾滋病病毒咨询与检测的知识、认知、可及性及利用情况。
描述性横断面调查。
尼日利亚奥孙州奥索博农村社区的初级卫生保健机构。
在初级卫生保健机构产前诊所就诊的300名孕妇。
艾滋病病毒咨询与检测知识、对艾滋病病毒咨询与检测的认知、艾滋病病毒咨询与检测的利用情况以及与艾滋病病毒咨询与检测利用相关的障碍。
研究结果显示，59.0%的孕妇有良好的知识水平，56.7%的孕妇有良好的认知。在报告有艾滋病病毒咨询与检测服务的77.7%的受访者中，大多数（88.4%）表示该服务免费，61.3%的受访者之前接受过艾滋病病毒咨询与检测。大多数（78.3%）接受了一对一咨询，略高于一半（55.4%）的人同意进行检测。然而，不到一半（36.3%）的受访者愿意在本次孕期接受艾滋病病毒咨询与检测。艾滋病病毒咨询与检测的认知水平与利用情况之间存在显著关联。艾滋病病毒咨询与检测知识与利用情况之间也存在显著关联。发现与艾滋病病毒咨询与检测利用相关的主要障碍包括“担心如何应对检测呈阳性”和“没有艾滋病病毒咨询与检测中心”。
从农村社区选取的许多女性对艾滋病病毒咨询与检测有良好的知识和认知。她们中的大多数人也能够获得并利用艾滋病病毒咨询与检测服务。然而，一些人对艾滋病病毒母婴传播仍存在误解。
