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  • 學位論文

Study on Investigating Pregnant Women’s Knowledge on HIV/AIDS and Utilization of PMTCT Services

Study on Investigating Pregnant Women’s Knowledge on HIV/AIDS and Utilization of PMTCT Services

指導教授 : 張綠怡

摘要


Introduction: Mother-to-child transmission (MTCT) is by far the largest source of HIV in-fection in children below the age of 15 years. The virus may be transmitted during pregnancy, child birth or breast feeding. Globally 2.7 million children under the age of 15 years have died of AIDS since the beginning of the epidemics. Over 9 in 10 were infected by their mothers. Recently however, many interventions are available to reduce mother to child transmission, such as anti-retroviral drug and avoidance of breast feeding. Objective: To assess the knowledge pregnant women have on HIV/AIDS, mother to child transmission of HIV/AIDS and how PMTCT services are utilized in a tertiary health facil-ity in The Gambia. Methods: A structured questionnaire was used to obtain data from 150 women that con-secutively attended the antenatal clinic of Hands on Care. Approval was obtained from the Director of Hand On Care to conduct the research. Results The findings revealed that the sexually active population (15 – 24yrs) constituted 34% whilst 72.0% were housewives. On myths and misconceptions of HIV/AIDS, 42.7% said mosquito bites can cause HIV; 25.3% said sharing of meals with infected person can transmit HIV. Utilization of PMTCT services was very high with 92.7% tested for HIV as part of the PMTCT services. Out of those respondents 50.0% had ever discussed PMTCT services with their husband. Conclusion: The study discloses that utilization of PMTCT services among pregnant women was very high. However knowledge on the causes and transmission of HIV was inadequate. There is need to formulate policies aim at sensitizing women in order to clear the misconception about the causes and transmission of HIV/AIDS. Promoting the uptake of PMTCT services will also go a long way reducing the transmission of unborn babies by infected mothers.

並列摘要


Introduction: Mother-to-child transmission (MTCT) is by far the largest source of HIV in-fection in children below the age of 15 years. The virus may be transmitted during pregnancy, child birth or breast feeding. Globally 2.7 million children under the age of 15 years have died of AIDS since the beginning of the epidemics. Over 9 in 10 were infected by their mothers. Recently however, many interventions are available to reduce mother to child transmission, such as anti-retroviral drug and avoidance of breast feeding. Objective: To assess the knowledge pregnant women have on HIV/AIDS, mother to child transmission of HIV/AIDS and how PMTCT services are utilized in a tertiary health facil-ity in The Gambia. Methods: A structured questionnaire was used to obtain data from 150 women that con-secutively attended the antenatal clinic of Hands on Care. Approval was obtained from the Director of Hand On Care to conduct the research. Results The findings revealed that the sexually active population (15 – 24yrs) constituted 34% whilst 72.0% were housewives. On myths and misconceptions of HIV/AIDS, 42.7% said mosquito bites can cause HIV; 25.3% said sharing of meals with infected person can transmit HIV. Utilization of PMTCT services was very high with 92.7% tested for HIV as part of the PMTCT services. Out of those respondents 50.0% had ever discussed PMTCT services with their husband. Conclusion: The study discloses that utilization of PMTCT services among pregnant women was very high. However knowledge on the causes and transmission of HIV was inadequate. There is need to formulate policies aim at sensitizing women in order to clear the misconception about the causes and transmission of HIV/AIDS. Promoting the uptake of PMTCT services will also go a long way reducing the transmission of unborn babies by infected mothers.

參考文獻


Bah, P. O. (2011). Gambia National Sentinel Surveillance National AIDS Secretariat.
A. Moses, C. Chama, S. Udo, & Omotora, B. (2009). Knowledge, attitude And practice of ante-natal attendees toward prevention of Mother to child transmission (PMTCT) of HIV infection in a tertiary health facility. The Internet Journal of Third World Medicine, 8, 5580-5594.
Abdool Karim S, Abdool Karim Q, Adhikari M, Cassol S, Chersich M, Cooper P, et al. (2002). Vertical HIV transmission in South Africa: Translating research into policy and practice. Lancet, 359 992-993.
Addo, V. N. (2005). Pregnant women’ s knowledge of and attitudes to HIV Testing at Komfo Anokye Teaching Hospital, Kumasi. G.M.J, 39, 50-53.
Adeneye, A., Mafe, M., Adeneye, A., Salami, K., Brieger, W., Titiloye, M., et al. (2006). Knowledge and perception of HIV/AIDS among pregnant women attending antenatal clinics in ogun state, Nigeria. African Journal of AIDS Research, 5 (3), 2372-2279.