Factors determining prenatal HIV testing for prevention of mother to child transmission in Dar Es Salaam, Tanzania

  1. MAYUMI KOMINAMI,
  2. KIMIKO KAWATA,
  3. MOAZZAM ALI,
  4. HENRY MEENA,
  5. HIROSHI USHIJIMA*

Article first published online: 13 APR 2007

DOI: 10.1111/j.1442-200X.2007.02355.x

Issue

Pediatrics International

Pediatrics International

Volume 49, Issue 2, pages 286–292, April 2007

Additional Information

How to Cite

KOMINAMI, M., KAWATA, K., ALI, M., MEENA, H. and USHIJIMA, H. (2007), Factors determining prenatal HIV testing for prevention of mother to child transmission in Dar Es Salaam, Tanzania. Pediatrics International, 49: 286–292. doi: 10.1111/j.1442-200X.2007.02355.x

Author Information

  1. Departments of 1Developmental Medical Sciences and 2Health Policy and Planning, School of International Health, Graduate School of Medicine, University of Tokyo, Tokyo, Japan and 3National Program Office of UNAIDS, Tanzania

*Hiroshi Ushijima, PhD, Department of Developmental Medical Sciences, School of International Health, Graduate School of Medicine, University of Tokyo, 7-3-1 Hongo, Bunkyo, Tokyo 113-0033, Japan. Email: ushijima@m.u-tokyo.ac.jp

Publication History

  1. Issue published online: 13 APR 2007
  2. Article first published online: 13 APR 2007

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Keywords:

  • HIV testing;
  • mother to child transmission;
  • pregnant women;
  • Preventing Mother to Child Transmission program;
  • Tanzania

Abstract

Background: The objectives of the study were (i) to evaluate the Prevention of Mother to Child Transmission (PMTCT) services in Temeke district, Tanzania and (ii) to identify factors for non-acceptance of HIV testing among pregnant mothers in the area.

Methods: A structured questionnaire was used in face-to-face interviews at five health centers in the district. Univariate and multiple logistic regression analyses were used to assess the association of the refusal of human immunodeficiency virus (HIV) testing with risk factors.

Results: Two hundred and seventy-three (68.1%) of the participants had already had HIV testing, while 128 (31.9%) had not. Participants’ general knowledge of HIV was high, but specific knowledge of mother to child transmission (MTCT) was relatively low. In the multiple logistic regression analysis, frequencies of antenatal clinic visits, awareness of MTCT and intensive family support were significantly and inversely associated with the refusal of HIV testing.

Conclusions: Frequency of antenatal care visits, spreading information on HIV/acquired immune deficiency syndrome especially MTCT, and husbands’ intensive support are significant factors for increase of HIV test acceptance among pregnant women in the study area.

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