Prevalence of hiv infection among pregnant women attending antenatal clinic in jimma health center, jimma town, oromia region, south west Ethiopia

Abstract

Background: The proportion of females infected by HIV worldwide increased from time to time. Sub Saharan Africa is the one part of the world where HIV prevalence and AIDS death are higher for women than men death. African women are the group most sever affected by the epidemic accounting 66% of those infected between the ages of 15-24 years. Pregnancy provides a unique opportunity for implementing HIV infection prevention strategies in women. Prevalence of HIV in pregnancy would indicate the HIV prevalence in female population and to some extent in general population mothers to child transmission Objective: The main objective of this study was to determine the HIV sero-prevalence among pregnant women attending JHC ANC clinic. Methods: A one year record based retrospective analysis was carried out from April 25-30 in Jimma health center. Sample population was selected by systematic random sampling technique from patient record reviews according to serial number every 3 consecutive registration number. Data wascollected usingstructuredcheck lists. The collected data was analyzed manually by scientific calculator and was present by using table and charts. Result:A total of 137 mothers record reviewed and almost all 134(97.8%) of them were tested. Majority of the mothers 90(65.4%) who accepted HIV testing were aged between 15 to 24 years. One hundred forty one (56.2%) had gestational age between 0-28 week. Only7(5.1%) of the mothers who were PMTCT counseled got their partner tested.There is no association in overall sero prevalence between gestational age of mothers, which has lacked statistical significance (p<0.005) Conclusions and Recommendation:The percentageof ANC attendees who have got their partners HIV tested are extremely low. overall HIV prevalence among the mother is 5.97, the prevalence is higher for age group 35-49 (14.2%), and no observed sero prevalence for 40-44 years age group of mothers, the difference in sero reactivity is may due to under report or this age group was may less likely to became pregnant, and there is statistically significant association between HIV sero prevalence and age group 15-44.The poor PMTCT data quality observed at J health center needs to be improvedand maintain the current increasing trend in voluntary HIV testing practice among Primigravida and primipara ANC attendees, awareness creation campaigns on PMTCT of HIV and available services have to be further strengthened and expanded