Assessment of the knowledge and uptake of voluntary HIV testing and counselling services among mothers in Yenagoa, Bayelsa State

Faith A. Ngwu; Peace U. Bassey; Azeezat O. Sule; Oyekola A. Salawudeen; Evangeline C. Iloh; Omonike C. Bakare; Asmaa Musa; Merin Alex; Zeinab Shehata; Samar T. Ali; Bassim O. Alawadat; Amarachukwu B. Isiaka; Peniel O. Ihenacho

doi:10.18203/2320-6012.ijrms20244088

Authors

Faith A. Ngwu School of Public Health, University of Port Harcourt, Nigeria https://orcid.org/0009-0005-9114-1267
Peace U. Bassey School of Public Health, University of Port Harcourt, Nigeria
Azeezat O. Sule Somerset West Community Health Centre, ON Canada
Oyekola A. Salawudeen Department of Occupational Health and Hygiene, Qatar Aluminium Limited, Mesaieed, Qatar
Evangeline C. Iloh University of Nigeria, Nsukka, Nigeria
Omonike C. Bakare Department of Biological Sciences, Lead City University, Ibadan, Nigeria
Asmaa Musa Hamad Medical Corporation, Qatar
Merin Alex Primary Health Care Corporation, Qatar
Zeinab Shehata Primary Health Care Corporation, Qatar
Samar T. Ali Primary Health Care Corporation, Qatar
Bassim O. Alawadat Ministry of Public Health, Doha Qatar
Amarachukwu B. Isiaka Department of Applied Microbiology and Brewing, Nnamdi, Azikiwe University, Awka, Anambra State, Nigeria
Peniel O. Ihenacho Ahmadu Bello University Zaria, Nigeria

DOI:

https://doi.org/10.18203/2320-6012.ijrms20244088

Keywords:

VCT, Knowledge, Attitude, Utilization, Barriers of utilization

Abstract

Background: Voluntary counselling and testing (VCT) for HIV has proven to be an effective way to tackle the problem of HIV/AIDS. Many however do not utilize these services for various reasons which acts as an impediment in the delivery of the services. This study aimed to assess the knowledge, attitude and utilization of VCT-HIV services among pregnant women and mothers in Bayelsa State.

Methods: This was a hospital-based, descriptive analytic study among 301 adult mothers attending the antenatal and immunization clinics of the federal medical centre, Yenagoa, Bayelsa State. An interviewer-administered questionnaire having 6 sections was used to elicit data of the mothers’ knowledge, attitude and utilization of VCT-HIV services at the health facility as well as barriers affecting the utilization of the services. Descriptive and inferential analyses were conducted and the level of significance was set at 0.05.

Results: The 59.1% of respondents had heard about VCT-HIV. Most had adequate knowledge 268 (89.0%) and good attitude 270 (89.7%) towards VCT-HIV. About 197 (65.4%) had utilized VCT-HIV services in the past, and 241 (80.1%) were presently willing to use these services. Fear of knowing their HIV status, discrimination, family stigma, among others, were factors hindering utilization of these services. Age, level of education, preferred place for delivery, knowledge and attitude towards VCT-HIV were significantly associated with the uptake of these services.

Conclusions: there is the need for government to tackle issues of discrimination against HIV-infected persons as well as sustain the delivery of maternal healthcare through the primary healthcare initiative.

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References

Sharifzadeh G, Behdani MA, Moodi M. Pregnant Women’s Knowledge and Beliefs About Voluntary HIV Counseling and Testing in Birjand in 2018: An Assessment Using Health Belief Model. Mod Care J. 2020;17:e99664.

Ogunyemi A, Ogunmefun O, Oluwole E, Ekundayo AA. Knowledge , attitude , and utilization of HIV counseling and testing by female sex workers in Lagos State , Nigeria. BUMJ. 2020;3(2):1-9.

Zandam H, Mundis A. Utilization of HIV Testing and Counseling Services by Women with Disabilities during Antenatal Care in Uganda. BMC Public Health. 2021;21(1):1984.

Asiedu C, Agyemang EO, Agyei EA. Assessment of Knowledge and Attitudes of Expectant Mothers towards HIV Screening and Counselling at Jachie-Pramso in the Ashanti Region of Ghana. World J AIDS. 2019;9(4)183-94.

Zhang T, Zhang J, Gao M, Na H, Roger D. Knowledge, attitudes and practices of voluntary HIV counselling and testing among rural migrants in central China: a cross-sectional study. Eur J Public Health. 2012;22(2):192-7.

Costa AB, Viscardi LH, Feijo M, Anna MVF. HIV Voluntary Counseling and Testing (VCT-HIV) effectiveness for sexual risk-reduction among key populations: A systematic review and meta-analysis. eClin Med. 2022;52:1-14.

Costa AB, Viscardi LH, Feijo M, Fontanari AMV. HIV Voluntary Counseling and Testing (VCT-HIV) effectiveness for sexual risk-reduction among key populations: A systematic review and meta-analysis. E Clinical Medicine. 2022;52:101612.

Alemu YM, Ambaw F, Wilder-Smith A. Utilization of HIV testing services among pregnant mothers in low income primary care settings in northern Ethiopia: a cross sectional study. BMC Pregnancy Childbirth 2017;17:199.

Mahato P, Bi P, Burgess T. Voluntary Counseling and Testing (VCT) services and its role in HIV/AIDS prevention and management in Nepal. South East Asia J Public Heal. 2013;3(1):10-16.

Anaba EA, Buabeng Z, Okai GA. Voluntary HIV Counselling and Testing Services : Knowledge , Attitudes , and Correlates of Utilisation among Young People in the Tema Metropolis, Ghana. Youth. 2022;2:469-78.

Shangula M. Factors affecting voluntary counseling and hiv testing among pregnant women in tsumeb district, oshikoto region, namibia. University of the Western Cape. 2006.

Okebugwu AN. Knowledge , attitude and practices towards voluntary counselling and testing for hiv among rural dwellers in kogi state. South Am J Public Heal. 2014;2:173-89.

Sambou ML, Dai J, Zhao X, Tongtong H, Til BB, Gifty M, et al. Determinants of Voluntary Counseling and Testing Service Uptake Among Adult Sub-Saharan Africans : A Systematic Review and Meta-Analysis. Public Health Rev. 2022;43:1604065.

Lwanga SK, Lemeshow S. Sample Size Determination in Health Studies: A Practical Manual. Geneva: World Health Organization. 1991. Avaiable at: http://www.who.int/iris/handle/10665/40062. Accessed on 15 September 2024.

Bibiana NE, Emmanuel PO, Amos D, Dangana A, Ramsey YM, Idris AN. Knowledge, Attitude and Factors Affecting Voluntary HIV Counseling and Testing Services Among Women in an Abuja Suburb Community. Med J Zambia. 2018;45(1):13-22.

Munthali AC, Mvula PM, Maluwa-banda D. Knowledge, Attitudes and Practices about HIV Testing and Counselling Among Adolescent Girls in Some Selected Secondary Schools in Malawi. 2013;2013:60-8.

Ngadaya E, Shija AE, Sindato C, Kahwa A, Kimaro G, Senkoro M, et al. Knowledge and utilization of prevention of mother-to-child transmission of HIV services among pregnant women in Tanzania. Tanzan J Health Res. 2021;22(1):1-11.

Akunzirwe R, Bakeera-Kitaka S, Kalyango JN, Jane FZ, Judith AS, Tom O, et al. Optimal utilization of prevention of mother-to-child transmission of HIV services among adolescents under group versus focused antenatal care in Eastern Uganda. PLoS One. 2022;17(1):e0275905.

Geltore TE, Anore DL. The Impact of Antenatal Care in Maternal and Perinatal Health in Empowering Midwives and Obstetric Nurses. 2021.

World Health Organization W, United States Agency for International Development U. WHO Recommendations on Antenatal Care for a Positive Pregnancy Experience: Summary. Highlights and Key Messages from the World Health Organization ’ s 2016 Global Recommendations for Routine Antenatal Care. 2018. Availabe at: https://www.who.int/publications/i/item/9789241549912. Accewssed on 17 March 2024.

Almarri SS, Alzahrani YA, Alsudais MS, Maha B, Raseil KA, Bushra SA, et al. The Effects of Booking Status on the Outcome of Infants of ≥32 Weeks Gestational Age Admitted to the Neonatal Intensive Care Unit in a Tertiary Academic Center. Cureus. 2022;14(11):e31020.

Noguchi L, Bucagu M, Tunçalp Ö. Strengthening antenatal care services for all: implementing imaging ultrasound before 24 weeks of pregnancy. BMJ Glob Heal. 2023;8:e011170.

Dey P, Lotha L, Sahu SK, Rajlakshmi B. Assessment of neonatal outcome in booked and unbooked pregnancy cases in a tertiary care centre. Glob J Res Anal. 2021;10(11):63-5.