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|Title:||Missed opportunities for human immunodeficiency virus testing among mothers delivering at Kampala International University Teaching Hospital, Uganda|
Kampala International University Teaching Hospital, Uganda
|Publisher:||Kampala International University. School of Health Sciences Western Campus|
|Abstract:||Background: Although HTV testing should be routinely offered during Antenatal care, the proportion of women giving birth without knowing their HIV status in Uganda is still significant despite attending antenatal clinics therefore highlighting the significance of testing these women during labour. Objectives: To determine the prevalence of missed opportunities for HIV testing and associated factors among mothers delivering at KIUTH. Methodology: A cross-sectional study of 218 consecutively enrolled participants using investigator questionnaire conducted from June to September 2018. Results: The prevalence of missed opportunities for HIV testing was 11% and age was significantly associated with missed opportunities for HIV testing (P=0.040). The prevalence of HIV seropositive results was found to be 4.2%. This was also a seroconversion prevalence. The major factors associated with missed opportunities for HIV testing were multiparity, obtaining PMTCT information from VHTs and mothers who don’t attach any sociomarital consequences to a positive HIV test result. Conclusion: A significant proportion of mothers who delivered were found to have missed opportunities for HTV testing during labor. There was evidence of HIV seroconversion and possible mother to child transmission noted. Multiparity, obtaining MTCT information from VHTs and mothers who don’t attach any sociomarital consequences to a positive HP! test result are significant factors contributing to missed opportunities for HIV testing. Recommendations: Equipping labour wards with HIV rapid tests and sensitizing medical personnel in identification of women with missed opportuinities for HIV testing during labor. To advocate for effective conselling after HIV testing for women who are found negative in antenatal clinics so as to increase their risk perception for HIV infection even during pregnancy to reduce seroconversion rates. Studies to help us further our understanding how multiparity, the role of VHTs as a source of PMTCT information and not attaching any sociomarital consequenses to a positive HP! test result by the mother brings about missed opportunities for HP! testing during labor and even pregnancy. xi|
|Description:||A dissertation submitted in partial fulfillment of the requirements for the award of the degree of master of medicine in obstetrics and gynecology of Kampala International University|
|Appears in Collections:||Masters of Obstetrics and Gynecology|
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