Acceptability of Provider Initiated HIV Counseling and Testing among Tuberculosis and Non-tuberculosis Patients in Shashemene Town, Ethiopia
Keywords:
Acceptability, HIV/AIDS, PIHCT, TB and non TB patients, Shashemene TownAbstract
The objective of the study was to assess the acceptability of Provider Initiated HIV Counseling and Testing (PIHCT) and factors influencing its service uptake among TB and non TB patients in Shashemene town of West Arsi Zone. Institution-based, comparative cross-sectional study was conducted from January to February 2010, on 237 TB patients attending Tuberculosis clinics and 236 non TB patients who were offered PIHCT from outpatient department of Shashemene Hospital and Health Center. Data were collected using consecutive sampling until the required sample size was attained using structured questionnaire. Majority of the participants were male 286(60.5%), in the age group 25-34 years 172(36.4%), Muslim by religion 233 (49%).Among 473 study participants 86.3% (89.9% TB versus 82.6% non TB) had accepted PIHCT. TB patients are more likely to accept PICHT than non TB patients at AOR= 2.6; 95% CI (1.3, 5.0). Those who support importance of PIHCT were more likely to accept PIHCT at AOR=11.4; 95% CI (5.1, 25.4) than those who are against PIHCT. The acceptance rate of PIHCT is relatively higher in this study; TB patients were more likely to accept PIHCT than non TB patients. The programme needs to be strengthened in all settings for both TB and non TB patients since HIV testing and counseling stands out as paramount both in treatment and in prevention of HIV/AIDS.
Downloads
Metrics
References
ACORD. Shashemene urban development program (ETH/07) proposal 1999-2003, Dean Bridle House, 52 Horse ferry Road, London SWIP 2AF, Pp. 2-8.
Coetzee, D., Hilderbrand, K. and Goemacre, E. (2004). Integrating tuberculosis and HIV care in the primary care setting in South Africa. Tropical Medicine and International Health 9(6): A11-A15 supplement.
Demssie, M., Lindtjørn, B., Tegbaru, B. (2000). Human immunodeficiency virus infection in tuberculosis patients in Addis Ababa. Ethiopian Journal of Health Development 4(3): 277-282.
Fylkesnes, K., Siziya, S. (2004). A randomized trial on acceptability of voluntary HIV testing. Tropical Medicine and International Health 2(5): 566-572.
Girma S. (2008). Assessment of the uptake of provider initiated HIV testing and counseling among OPD clients with possible clinical sign of HIV infection in Addis Ababa, Ethiopia MPH thesis, School of Public Health Addis Ababa University.
Jerene, D., Endale, A., Lindtjorn, B. (2007). Acceptability of HIV counseling and testing among tuberculosis patients in Arba Minch,south Ethiopia. BMC International Health and Human Right 7(4):1-9.
Kasster William, J., Dillon Beth, A., and Haley, C. (1997). On- Site, rapid HIV testing with same say results and counseling. AIDS 11:1045-1053.
Knut, F., Alan, H., Catharina, R., Pascal, M.K. (1999). HIV counseling and testing overemphasized high acceptance rates a threat to confidentiality and the right not to know. AIDS 13: 2469-2474.
MOH. (2006). 6th AIDS report in Ethiopia. Addis Ababa, September 2006.
MOH. (2003). Health and health related indicators. Addis Ababa; MOH, 2003/04.
MOH. (2007). Health and health related indicators. Addis Ababa; MOH, 2006/07.
MOH. (2005). Manual of tuberculosis, leprosy and TB/HIV prevention and control programs. MOH. 2005; 3rd Edition.
MOH. (2004). Technical document for 5th report on AIDS in Ethiopia. Addis Ababa; MOH, June 2004
MOH. (2002). Tuberculosis and leprosy prevention and Control national manual. Addis Ababa.
MOH. (2007). Guideline for management of opportunistic infections and antiretroviral treatment in adolescents and adults in Ethiopia. Federal HIV/AIDS prevention and control office, MOH July 2007.
Seid, F. (2008). Assessment of the acceptance of provider initiated HIV counseling and testing among TB patients in Adama, MPH thesis, School of Public Health, Addis Ababa University.
UNAIDS (2004). Global reference group on HIVAIDS and human rights. UNAIDS /WHO policy statement on HIV testing.
Weiser, S.D., Heisler, M., Leiter, K., Percy-de Korte, F., Tlou,
S. (2006). Routine HIV testing in Botswana: A population- based study on attitudes, practices, and human rights concerns. PLoS Medicine 3(7): e261.
WHO. (2003). Guidelines for implementing collaborative TB and HIV programme activity. Geneva.
WHO. (2004). HIV /TB clinical manual, Geneva.
WHO. (2005). Interim policy on collaborative TB/HIV activities (WHO/HTM/TB/2004.330). Geneva.
WHO. (2004). Pushing to rapidly scale up measures to fight TB and HIV (Press Release WHO/5). Geneva; WHO, January 2004.
WHO. (2000). Tuberculosis and sustainable development, the Stop TB Initiative 2000 Report (WHO/CDS/STB/ 2000.4).
WHO. (2005). Annual report on surveillance, planning and financing for tuberculosis control. Geneva.
Ya Duil, M., Dermot, M., Anthony, H. (2001). Tuberculosis case fatality rates in high HIV prevalence populations in Sub-Saharan Africa. AIDS 15: 145-153.
Zachariah, R., Spielmann, M.L., and Chinji, C. (2003). Voluntary counseling, HIV testing and adjunctive co- trimazole reduces mortality in tuberculosis patients in Thyolo, Malawi. AIDS 17: 1053-1061.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2014 Journal of Science, Technology and Arts Research
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
STAR © 2023 Copyright; All rights reserved
