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. 2023 Jan 20:11:20503121221145614.
doi: 10.1177/20503121221145614. eCollection 2023.

Two-thirds of pregnant mothers attending antenatal care services at Arsi Zone, Oromia Regional State, Ethiopia had no comprehensive knowledge of HIV/AIDS: A cross-sectional study

Teresa Kisi Beyen  1 , Abenet Menene Gurara  2
Affiliations

Two-thirds of pregnant mothers attending antenatal care services at Arsi Zone, Oromia Regional State, Ethiopia had no comprehensive knowledge of HIV/AIDS: A cross-sectional study

Teresa Kisi Beyen et al. SAGE Open Med. .

Abstract

Objective: The study aimed to assess the magnitude and factors associated with comprehensive knowledge of HIV/AIDS among pregnant mothers attending antenatal care (ANC) services at health institutions in Arsi zone, Oromia Regional State, Ethiopia.

Methods: The study employed a health facility-based cross-sectional study design from 18 March to 25 June 2019. Out of an estimated sample size of 4481, a total of 4440 (92.23%) pregnant women were selected by multistage random sampling technique and interviewed. Multivariable binary logistic regression was used to identify the factors associated with comprehensive knowledge of HIV/AIDS. The model fitness was tested by Hosmer and Lemeshow goodness of fit, which provided a p value of 0.72 and deviance reduced (i.e., -2log likelihood was reduced from 5580.38 to 5069.55 with a p value of 0.000).

Results: Out of the total mothers (4440) interviewed, only 1430 (32.2%; 95% confidence interval: (30.83%, 33.60%)) had comprehensive knowledge about HIV/AIDS. Not knowing safe period to be pregnant (adjusted odds ratio = 0.67; 95% confidence interval: 0.56, 0.81), and not empowering women's for sexual practice (adjusted odds ratio = 0.50; 95% confidence interval: 0.43, 0.58) let women have less comprehensive knowledge while women who never educated about the sexual matter (adjusted odds ratio = 1.65; 95% confidence interval: 1.42, 1.92), who had a discouraging attitude toward having multiple partners (adjusted odds ratio = 1.53; 95% confidence interval: 1.24, 1.88), who had a discouraging attitude toward premarital sex (adjusted odds ratio = 1.68; 95% confidence interval: 1.38, 2.03), and who had a positive attitude toward accepting HIV/AIDS patients (2.69; 95% confidence interval: 2.34, 3.10) had more comprehensive knowledge of HIV/AIDS.

Conclusion: Only about one-third (32.2%) of pregnant mothers on ANC follow-up had comprehensive knowledge. Thus, it would be better if the health institutions emphasize educating the mothers attending antenatal care follow-up about HIV/AIDS, for those who do not know pregnancy occurrence date, not empowered of sexual practice, and had an encouraging attitude toward multiple partners, premarital sex, and negative attitude toward accepting HIV/AIDS patients.

Keywords: Comprehensive knowledge of HIV/AIDS; mothers attending ANC; mothers’ HIV/AIDS knowledge.

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Conflict of interest statement

The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

Figures

Figure 1.
Figure 1.
Schematic presentation of the sampling procedure for selecting pregnant mothers on ANC in health institutions of the Arsi zone, Oromia Regional State, Ethiopia, 2019.
Figure 2.
Figure 2.
Knowledge of STI and empowerment on sexual matters of pregnant mothers on ANC in health institutions of Arsi Zone, Oromia Regional State, Ethiopia, 2019 (n = 4, 440). ANC, antenatal care; STI, sexually transmitted infection.
See this image and copyright information in PMC

References

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    1. World Health Organization. Global guidance on criteria and processes for validation: elimination of mother-to-child transmission of HIV and Syphilis. Geneva, Switzerland: WHO, 2017.

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