Factors influencing utilization of PMTCT services in Addis Ababa, Ethiopia
Document type: mthesis
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Abstract:
In Addis Ababa HIV/AIDS remains a major health problem. Adult HIV prevalence was at 7.5% in 2007 and among pregnant women in 2005 was 11.7%. The main purpose of this thesis is to analyze 3 years trend and to identify factors influencing utilization of PMTCT services among pregnant women attending ANC services. In Addis Ababa PMTCT services started in 2004 and now 49 health facilities are providing services. The Andersen model of health services utilization was used to systematically describe factors influencing utilization of PMTCT services international and in Addis Ababa based on literature review and reports from Addis Ababa health bureau. This study revealed that there are human resource constraints, lack of training, insufficient allocation of budget, inconsistent supplies, inadequate counseling rooms, limited access to PMTCT information and services. There is HIV/AIDS related stigma and discrimination in the community, gender inequality, and low male involvement, inadequate knowledge, accessibility and affordability of PMTCT services are the major constraints for low utilization of PMTCT services. This review shows that while there is a clear HIV/AIDS policy, strategic framework and PMTCT guidelines, there is lack of commitment and services are underperforming. In addition there is inadequate awareness in the community and low utilization of services. It is recommended that to raise budget, capacity building of health workers, and train non-health professionals for counseling. Increase awareness; involve community to alleviate stigma and discrimination. Improve accesses; strengthen referral linkages and supervision of PMTCT services.
Authors:
Mekonnen, G.M.
Country:
Ethiopia
Category:
Research
Department:
Development Policy & Practice
Institute:
KIT (Royal Tropical Institute)
Keywords:
HIV and AIDS
,
health services
Language:
eng
Organization:
KIT - Royal Tropical Institute
PAGE:
vii, 66
Year:
2009
Region:
East Africa
Right:
© 2009 Mekonnen
Subject:
Health and Nutrition
Title:
Factors influencing utilization of PMTCT services in Addis Ababa, Ethiopia
Training:
Master of Public Health / International Course in Health Development (ICHD)