Utilization of prevention of mother-to-child transmission of hiv services and associated factors among pregnant women in hadiya zone, southern Ethiopia.

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