Abstract:
Background: Mother-To-Child Transmission (MTCT) of HIV is still major public health problem.
Ninety-five per cent of HIV infected children acquired the infection through mother-to-child
transmission during pregnancy, delivery, or breast feeding time. There are few studies carried out
utilization of PMTCT services and associated factors in developing county including Ethiopia.
Objective: To determine the magnitude of Prevention of mother-to-Child transmission of HIV
Service utilization and associated factors among pregnant women in Hadiya Zone, Southern
Ethiopia.
Methods: Community based cross-sectional study was conducted in Hadiya Zone from March 1
to may1/2019. A totally 613 respondents was participated in all 29 selected kebeles and multistage
sampling technique was conducted. Data was collected by using structured interviewer
administered based questionnaire. After the data collection, it was coded, checked and entered
into Epi-Data manager version 4.4.0. then was exported to SPSS Version 20.0. Descriptive
statistics using measure of central tendency, frequencies, proportions and diagrams was used to
check its distribution. Bi-variety and multivariable analysis was run to identify important
determinants and controlling possible confounding factors. PCA analysis was done for compute
wealth status mothers.
Result: Out of the 630 total sample size, 613 pregnant mothers participated in this study resulting
in a response rate of 97.3%. only 45% at 95% CI: (41.1%-48.8%) of pregnant women were
counselled and tested for HIV as part of PMTCT service utilization in this study. PMTCT of HIV
service utilization significantly associated with maternal educational level secondary & above
[AOR = 5, 95% CI; (3.08-8.16)], number of ANC visits [AOR = 4.25, 95% CI; (2.41-7.51)],
distance from health facility [AOR=1.93; 95% CI= (1.24-3.01)] and male partner involvement
[AOR =1.88, 95% CI= (1.31-2.69).
Conclusion and recommendation: utilization of testing as PMTCT service among pregnant
women in the study setting was 45%, which was lower coverage when compared with the national
recommendation that every pregnant woman during ANC visit should get PMTCT service. Special
emphasis should be given for female education since educated mothers have better utilize PMTC
services than non-educated mother
