Determinants of HIV provider-initiated testing and counseling screening service used by pregnant women in primary health centers in Surabaya
Abstract: Offering free HIV
screening service for pregnant women in primary health center in Surabaya has
become obligatory since 2014, but only 70% used the service. Prior studies on
HIV screening mostly focused on Voluntary Counseling and Testing.
Methods: This was a cross-sectional study. Interviews were conducted with
150 pregnant women attending antenatal care in 1 of 9 public health centers
(PHCs) in Surabaya and offered HIV screening within the same PHC. The
eligibility criterium was pregnant women attending antenatal care in PHCs. The
exclusion criteria were having been counseled for HIV prior to the interviews
and/or experiencing an obstetric emergency. Using PRECEDE Framework with the
concept of a comprehensive framework, this study focuses on identifying
determinants of HIV PITC service use in PHCs in Surabaya. Binary logistic
regressions and multiple binary logistic regressions were used in analyses.
Results: The service use was associated with self-confidence of getting
blood drawn for the test (p<0.001, adjusted OR=12.368, 95% CI=3.237–47.250)
and past use of midwife private service for current pregnancy (p=0.029,
adjusted OR=3.902, 95% CI=1.150–13.246). Self-confidence of getting blood drawn
for HIV test mediated the effect of past use of midwife’s private service on
HIV screening use.
Conclusion: Past use of midwife’s private service affected
self-confidence of getting blood drawn for HIV test on HIV screening use, and
self-confidence affected the use of HIV PITC. This study results suggest that
more midwives’ private practices are needed to increase the use of HIV PITC
screening in PHC.
Keywords: concentrated HIV
epidemic area; HIV PITC screening; pregnant women; urban primary health center
Author: Samsriyaningsih
Handayani, Susilowati Andajani, Lilik Djuari
Journal Code: jpkedokterangg170185
