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Acceptability of counseling and testing for HIV infection in women in labour at the University College Hospital, Ibadan, Nigeria
Background: Many patients are referred to labour ward as emergencies, and therefore do not benefit from the antenatal HIV counselling and testing and treatment offered to registered patients. Objective: To assess the acceptability and suitability of offering HIV counselling and testing to women of u...
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2011-03
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| LEADER | 00000njm a2000000a 4500 | ||
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| 001 | oai:repository.ui.edu.ng:123456789/4115 | ||
| 042 | |a dc | ||
| 720 | |a Bello, F. |e author | ||
| 720 | |a Ogunbode, O. O. |e author | ||
| 720 | |a Adesina, O. A. |e author | ||
| 720 | |a Olayemi, O. |e author | ||
| 720 | |a Awonuga, O. M. |e author | ||
| 720 | |a Adewole, I. F. |e author | ||
| 260 | |c 2011-03 | ||
| 520 | |a Background: Many patients are referred to labour ward as emergencies, and therefore do not benefit from the antenatal HIV counselling and testing and treatment offered to registered patients. Objective: To assess the acceptability and suitability of offering HIV counselling and testing to women of unknown HIV status presenting in labour. Methods: A cross-sectional study comprising counselling and obtaining consent for HIV testing among 104 unregistered patients who presented in labour over a 3-month period. Rapid and enzyme-linked immunosorbent assay screening was performed for 90 consenting respondents. Reactive results were confirmed by Western blot. Appropriate therapy was instituted. Results: Acceptance rate for HIV testing was 86.5%, prevalence of HIV was 6.7%. Women of lower educational status were more likely to accept testing in labour (OR: 0.3; 95% CI: 0.1-0.7; p=0.01); age, parity, occupation and knowledge of HIV had no influence. Most women (66.3%) had satisfactory knowledge of HIV. No one admitted to feeling coerced to test in fear of being denied care. Most refusals for screening were to avoid needle pricks (28.6%). Compared to ELISA screening test, specificity of the rapid test was 100%, sensitivity 85.7%, positive predictive value 100% and negative predictive value 98.8%. Attitude to testing was maintained on post-partum re-evaluation. Conclusion: The prevalence of HIV amongst unregistered parturients showed the importance of offering point-of-care HIV testing and intervention, especially in an environment where antenatal clinic attendance is poor. Rapid testing appeared to be acceptable and feasible in labour to prevent the mother-to-child transmission of HIV. | ||
| 024 | 8 | |a 1680 6905 | |
| 024 | 8 | |a African Health Sciences 11(1), pp. 30-35 | |
| 024 | 8 | |a ui_art_bello_acceptability_2011 | |
| 024 | 8 | |a http://ir.library.ui.edu.ng/handle/123456789/4115 | |
| 653 | |a HIV infection | ||
| 653 | |a Rapid screening | ||
| 653 | |a Labour | ||
| 245 | 0 | 0 | |a Acceptability of counseling and testing for HIV infection in women in labour at the University College Hospital, Ibadan, Nigeria |