Premium
Los factores asociados al lugar podrían ser más importantes que los factores asociados al participante a la hora de explicar la aceptación de la prueba de VIH dentro del programa de prevención de la trasmisión vertical en Kenia, 2005
Author(s) -
Anand Abhijeet,
Shiraishi Ray W.,
Sheikh Abdullahi Ahmed,
Marum Lawrence H.,
Bolu Omotayo,
Mutsotso Winfred,
Sabin Keith,
Ayisi Robert,
Diaz Theresa
Publication year - 2009
Publication title -
tropical medicine and international health
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.056
H-Index - 114
eISSN - 1365-3156
pISSN - 1360-2276
DOI - 10.1111/j.1365-3156.2009.02367.x
Subject(s) - medicine , logistic regression , residence , test (biology) , environmental health , hiv test , human immunodeficiency virus (hiv) , family medicine , developing country , demography , population , health services , health facility , paleontology , sociology , economic growth , economics , biology
Summary Objective To determine the role of participant factors on the acceptance of a Prevention‐of‐Mother‐to‐Child (PMTCT) HIV test programme in a situation with an opt‐out testing strategy. Methods We analysed antenatal clinic (ANC) HIV sentinel surveillance data. All 43 sites in the 2005 round of Kenya’s ANC surveillance offered opt‐out PMTCT services and recorded if women were offered PMTCT HIV testing and whether they accepted or refused. Logistic regression was used to determine the role of participant‐level factors on PMTCT acceptance. Results During the period of sentinel surveillance, 13 026 women attended ANC and testing was offered to 12 030 women. Of those offered testing, 9690 (80.5%) accepted, with a large variation in the percent of acceptors by site. Age, residence and educational status were significant determinants of PMTCT acceptance. However, after adjusting for site none of the participant‐level factors were significant determinants of PMTCT acceptance. Conclusions Participant level factors were not significant determinants of PMTCT HIV test acceptance after adjusting for sites. PMTCT programmes should collect and evaluate the role of site‐level (provider and testing service) factors on PMTCT acceptance. Improvement of site‐level factors could improve PMTCT uptake.