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Open Access Highly Accessed Research article

Disclosure experience to partner and its effect on intention to utilize prevention of mother to child transmission service among HIV positive pregnant women attending antenatal care in Addis Ababa, Ethiopia

Endalew Gemechu Sendo1*, Amsale Cherie1 and Tadese Asfaw Erku2

Author Affiliations

1 Addis Ababa University, College of Health Science, School of Nursing and Midwifery, Addis Ababa, Ethiopia, P.O. Box 1176, Ethiopia

2 Nursing Department, Debre Markos University, Health Science College, Debre Markos, P.O.Box 269, Ethiopia

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BMC Public Health 2013, 13:765  doi:10.1186/1471-2458-13-765

Published: 17 August 2013

Abstract

Background

Disclosure of HIV status has become an entry criterion for prevention of mother to child transmission programs in resource-constrained countries. However, little has been explored about the prevalence of, barriers to, outcomes and factors associated with HIV status disclosure among HIV positive pregnant women in Ethiopia.

Method

Cross- sectional study was conducted among 107 pregnant women who were attending antenatal care in public centers from April to June 2011 in Addis Ababa capital city of Ethiopia.

Data was collected using interviewer administered pretested structured questionnaire and entered and was analyzed using SPSS- 15 version. Results presented in tables.

Result

Seventy three percent of women had disclosed their HIV status to their partner. Discussion about testing and a smooth relationship with the partner were independently associated with their disclosure. Women who disclosed to their partners were almost five times more likely to participate in Prevention of Mother to Child Transmission programs than their counterparts (AOR = 4.74; 95% CI 1.24-18.14).

Conclusions

Although most participants disclosed their HIV sero-positive status, lack of disclosure by some women might result in a limited ability to participate in PMTCT programs. Thus, assertiveness and improved communication skills training should be offered to HIV positive pregnant mothers and be reinforced during on-going counseling.

Keywords:
HIV status disclosure; PMTCT; Sexual partner