Utilization of HIV Testing and Counselling Services By Women With Disabilities During Antenatal Care in Uganda: Analysis of 2016 Demographic and Health Survey
| Autor: | Ilhom Akobirshoev, Monika Mitra, A.K. Nandakumar, Hussaini Zandam |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
Adult
Counseling medicine.medical_specialty Adolescent HIV Infections Antenatal care HIV Testing Young Adult Pregnancy Epidemiology medicine Humans Uganda Disabled Persons Demography Retrospective Studies Reproductive health Disability Transmission (medicine) business.industry Research Public health Disparity Public Health Environmental and Occupational Health HIV Prenatal Care Retrospective cohort study Odds ratio Middle Aged Infectious Disease Transmission Vertical Testing and counselling services Utilization Family medicine Female Public aspects of medicine RA1-1270 Biostatistics Live birth business |
| Zdroj: | BMC Public Health BMC Public Health, Vol 21, Iss 1, Pp 1-7 (2021) |
| DOI: | 10.21203/rs.3.rs-423691/v1 |
| Popis: | Background HIV testing and counselling during antenatal care (ANC) is critical for eliminating mother-to-child transmission of HIV. We investigated disparity in utilization of HIV testing and counselling services (HTC) between women with and without disabilities in Uganda. Methods We conducted a retrospective study using the nationally representative 2016 Uganda Demographic and Health Survey. The study sampled 10,073 women between age 15–49 who had a live birth in the last 5 years. We estimated unadjusted and adjusted odds ratio for receiving pre-test HIV counselling, obtaining an HIV test result, and post-test HIV counselling by disability status using logistic regressions. Results We found that women with disabilities were less likely to receive pre-test HIV counselling (59.6 vs 52.4), obtain an HIV test result (68.2 vs 61.4), receive post-test HIV counselling (55.5 vs 51.6), and all HTC services (49.2 vs 43.5). From the regression analysis, women with disabilities were less likely to receive pre-test counselling [AOR = 0.83; CI = 0.74, 0.93] and obtain an HIV test result [AOR = 0.88; CI = 0.78, 0.99]. Conclusions Our findings revealed that women with disabilities are less likely to receive HTC service during ANC and highlighted the need for disability-inclusive HIV and reproductive health services. Government, non-governmental organizations, and other stakeholders should consider funding inclusive campaigns and identifying other mechanisms for disseminating health information and behavioral interventions to women with disabilities. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|