Details:

Alternative Title:
BMC Int Health Hum Rights
Publisher's site:
http://dx.doi.org/10.1186/s12914-014-0039-2
Personal Author:
Lolekha, Rangsima ; Kullerk, Nareeluck ; Wolfe, Mitchell I ; Klumthanom, Kanyarat ; Singhagowin, Thapanaporn ; ... More +
Lolekha, Rangsima ; Kullerk, Nareeluck ; Wolfe, Mitchell I ; Klumthanom, Kanyarat ; Singhagowin, Thapanaporn ; Pattanasin, Sarika ; Sombat, Potjaman ; Naiwatanakul, Thananda ; Leartvanangkul, Chailai ; Voramongkol, Nipunporn Less -
Description:
Background

Couples HIV testing and counseling (CHTC) at antenatal care (ANC) settings allows pregnant women to learn the HIV status of themselves and their partners. Couples can make decisions together to prevent HIV transmission. In Thailand, men were tested at ANC settings only if their pregnant partners were HIV positive. A CHTC program based in ANC settings was developed and implemented at 16 pilot hospitals in 7 provinces during 2009–2010.

Methods

Cross-sectional data were collected using standard data collection forms from all pregnant women and accompanying partners who presented at first ANC visit at 16 hospitals. CHTC data for women and partners were analyzed to determine service uptake and HIV test results among couples. In-depth interviews were conducted among hospital staff of participating hospitals during field supervision visits to assess feasibility and acceptability of CHTC services.

Results

During October 2009-April 2010, 4,524 women initiating ANC were enrolled. Of these, 2,435 (54%) women came for ANC alone; 2,089 (46%) came with partners. Among men presenting with partners, 2,003 (96%) received couples counseling. Of these, 1,723 (86%) men and all pregnant women accepted HIV testing. Among 1,723 couples testing for HIV, 1,604 (93%) returned for test results. Of these, 1,567 (98%) were concordant negative, 6 (0.4%) were concordant positive and 17 (1%) were HIV discordant (7 male+/female- and 10 male-/female+). Nine of ten (90%) executive hospital staff reported high acceptability of CHTC services.

Conclusions

CHTC implemented in ANC settings helps identify more HIV-positive men whose partners were negative than previous practice, with high acceptability among hospital staff.


Subject:
[+]
Adult
Attitude Of Health Personnel
Counseling
Cross-Sectional Studies
Family Characteristics
Female
HIV Infections
Humans
Male
Mass Screening
Men
Middle Aged
Patient Acceptance Of Health Care
Personnel, Hospital
Pregnancy
Pregnancy Complications, Infectious
Pregnant Women
Prenatal Care
Sexual Partners
Young Adult

Source:
BMC Int Health Hum Rights. 14.
Pubmed ID:
25539670
Pubmed Central ID:
PMC4301829
Document Type:
Journal Article
Funding:
U19 GH000004/GH/CGH CDC HHS/United States ; 5U19GH000004-04/GH/CGH CDC HHS/United States
U19 GH000004/GH/CGH CDC HHS/United States ; 5U19GH000004-04/GH/CGH CDC HHS/United States Less -
Place as Subject:
Thailand
Collection(s):
CDC Public Access
Main Document Checksum:
[+]
urn:sha256:d93f82677e82338a54969a814cae248f8f06dc7e7956dac13c09717879e6762f
File Type:

Supporting Files

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