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EVALUATION OF HIV COUNSELING AND TESTING DURING ANTENATAL CARE IN BRAZIL
Autor
Afiliación
Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Laboratório de Pesquisa Clínica em DST/AIDS. Rio de Janeiro, RJ, Brasil.
Instituto Brasileiro de Geografia e Estatística. Rio de Janeiro, RJ, Brasil.
Instituto Brasileiro de Geografia e Estatística. Rio de Janeiro, RJ, Brasil.
Comissão Nacional DST-AIDS. Brasília, DF, Brasil.
Comissão Nacional DST-AIDS. Rio de Janeiro, RJ, Brasil.
Fundação Oswaldo Cruz. Escola Nacional de Saúde Pública Sergio Arouca. Rio de Janeiro, RJ, Brasil.
Instituto Brasileiro de Geografia e Estatística. Rio de Janeiro, RJ, Brasil.
Instituto Brasileiro de Geografia e Estatística. Rio de Janeiro, RJ, Brasil.
Comissão Nacional DST-AIDS. Brasília, DF, Brasil.
Comissão Nacional DST-AIDS. Rio de Janeiro, RJ, Brasil.
Fundação Oswaldo Cruz. Escola Nacional de Saúde Pública Sergio Arouca. Rio de Janeiro, RJ, Brasil.
Resumen en ingles
Background: In Brazil, AZT and other anti-retroviral drags are provided to HIV infected women and their babies by the MoH.
Since 1997, the MoH has adopted a police of universal offering of HIV test to women during antenatal care(ANO). This study
was aimed at assessing the level of HIV counselling and testing during ANC in Brazil.
Method: A cross-sectional study among postpartum women was conducted in 12 cities highty affected by HIV/ATDS. A
self-weighted stratified sample of data collecting days with proportional allocation to the number of deliveries per maternity was
calculated independently for each city. Inclusion criteria: at least one ANC visit. Exclusion criteria: a clinical condition not
allowing an interview. Interviews applying a structured questionnaire were conducted.
Results: A total of 2,234 women were interviewed, corresponding to 20,886 women, Mean age was 25 years, 71,6% hadup to 8
years of education and 70,6% had at least 6 ANC visits. Awareness about HIV test and HIV perinatal transmission was 85.2%,
television and health care providers were the main sources of information. A 26,4% reported a previous HIV test. HIV test
acceptance rate was 92.7%. Overall test uptake was 77.5%, varying: among citics (47.7% to 94.4%); level of education (up to 4
years of education: 69%, more than 8 years of education: 82,3%), family mensal income per capita: 71,7% among those with up to
42 dollars and 84,1% among thosc with at least 60 dollars). Overall, 50,9% received information about HIV prevention during
ANC. 48.2% reported that did not receive information about the meaning of test result.
Conclusions: 1-HIV test awareness, acceptance rates and uptake was high; 2- Women with lower level of education and lower
family income had lower levels of test uptake; 4- Television and health care providers were the main source of information about
HIV test to this population; 5- interventions to improve HIV counselling should be implemented in Brazil.
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