TAILIEUCHUNG - báo cáo hóa học:" Mothers’ knowledge and utilization of prevention of mother to child transmission services in northern Tanzania"

Tuyển tập các báo cáo nghiên cứu về hóa học được đăng trên tạp chí sinh học đề tài : Mothers’ knowledge and utilization of prevention of mother to child transmission services in northern Tanzania | Falnes et al. Journal of the International AIDS Society 2010 13 36 http content 13 1 36 JOURNALOF THE INTERNATIONAL AIDS SOCIETY RESEARCH Open Access Mothers knowledge and utilization of prevention of mother to child transmission services in northern Tanzania 1 1 23 1 Eli Fjeld Falnes Thorkild Tylleskar Marina Manuela de Paoli Rachel Manongi Ingunn MS Engebretsen Abstract Background More than 90 of children living with HIV have been infected through mother to child transmission. The aims of our present study were to 1 assess the utilization of the prevention of mother to child transmission PMTCT services in five reproductive and child health clinics in Moshi northern Tanzania after the implementation of routine counselling and testing 2 explore the level of knowledge the postnatal mothers had about PMTCT and 3 assess the quality of the counselling given. Methods This study was conducted in 2007 and 2008 in rural and urban areas of Moshi in the Kilimanjaro region of Tanzania. Mixed methods were used. We interviewed 446 mothers when they brought their four-week-old infants to five reproductive and child health clinics for immunization. On average the urban clinics included in the study had implemented the programme two years earlier than the rural clinics. We also conducted 13 in-depth interviews with mothers and nurses four focus group discussions with mothers and four observations of mothers receiving counselling. Results Nearly all mothers 98 were offered HIV testing and all who were offered accepted. However the counselling was hasty with little time for clarifications. Mothers attending urban antenatal clinics tended to be more knowledgeable about PMTCT than the rural attendees. Compared with previous studies in the area our study found that PMTCT knowledge had increased and the counsellors had greater confidence in their counselling. Conclusions Routine counselling and testing for HIV at the antenatal clinics was greatly accepted and included

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