Utilization of delivery services in the context of prevention of HIV from mother-to-child (PMTCT) in a rural community, South Africa.

The aim of this study was to investigate the utilization of delivery services in the context of PMTCT in a rural community in South Africa. Based on a cross-sectional survey, the sample included 870 pregnant women who had delivered before recruited from five PMTCT clinics and surrounding communities...

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Publicado en:Curationis Vol. 29; no. 1; pp. 54 - 62
Autores principales: Peltzer K, Mosala T, Shisana O, Nqeteko A
Formato: research tables/charts Journal Article
Publicado: African Online Scientific Information System PTY LTD Mar2006
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Mar2006
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      pub: African Online Scientific Information System PTY LTD
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        atl: Utilization of delivery services in the context of prevention of HIV from mother-to-child (PMTCT) in a rural community, South Africa.
      aug:
        au:
          Peltzer K
          Mosala T
          Shisana O
          Nqeteko A
        affil: Social Aspects of HIV/AIDS and Health, Human Sciences Research Council, Private Bag X41, Pretoria 0001, South Africa. peltzerk@hsrc.ac.za
      sug:
        subj:
          Disease Transmission, Vertical Prevention and Control
          HIV Infections In Pregnancy
          Maternal Health Services Utilization
          Adolescence
          Adult
          Attitude to AIDS
          Confidence Intervals
          Cross Sectional Studies
          Data Analysis Software
          Delivery, Obstetric
          Descriptive Statistics
          Female
          Funding Source
          Health Knowledge
          Health Services Accessibility
          Interviews
          Logistic Regression
          Middle Age
          Multivariate Analysis
          Odds Ratio
          Pregnancy
          Questionnaires
          Rural Areas
          South Africa
          Step-Wise Multiple Regression
          Surveys
          Human
          Adolescent: 13-18 years
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Female
      ab: The aim of this study was to investigate the utilization of delivery services in the context of PMTCT in a rural community in South Africa. Based on a cross-sectional survey, the sample included 870 pregnant women who had delivered before recruited from five PMTCT clinics and surrounding communities. Results indicated that 55.9% had delivered their last child in a health care facility and 44.1% at home (mostly without assistance from a traditional birth attendant). The odds of access to the health facility were (1) women who stayed close to the hospital (OR = 2.87), (2) those who had higher formal education (OR = 1.55), (3) higher traveling costs (affordability) to get to nearest clinic (OR = 1.77), and (4) those who were single (OR = 1.58). Childbirth experiences of the mother or mother-in-law greatly influenced the delivery choices in terms of home delivery. The majority of the pregnant women were aware of mother-to-child HIV transmission but only 9% of the pregnant women had ever been tested for HIV. HIV knowledge, HIV testing behaviour and attitudes were found to be not associated with the delivery option.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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