Table 6.
Practices associated with refusal of HIV testing during ANC, Gambella Region, 2008
| Variables | Not-HIV tested | HIV tested | COR (95% CI) | P-Value |
|---|---|---|---|---|
|
Number of ANC visits on the current pregnancy |
|
|
|
|
| One |
58 |
177 |
0.84(0.34-2.1) |
0.72 |
| Two up to three |
18 |
54 |
0.86(0.31-2.4) |
0.77 |
| Three up to four |
7 |
18 |
1.0 |
|
|
Discussion with husband prior to HIV test during ANC |
|
|
|
|
| No |
69 |
128 |
*4.66(2.5-8.7) |
*0.001 |
| Yes |
14 |
121 |
1.0 |
|
|
Identified reasons for not discussing about HIV test at home with husband prior to the current ANC visit |
|
|
|
|
|
Our culture does not allow to discuss this kind of issues with my husband/partner |
|
|
|
|
|
Yes |
9 |
5 |
*3.69(1.2-11.5) |
*0.02 |
|
No |
60 |
123 |
1.0 |
|
|
To avoid any possible suspicion that arises from my husband/partner up on me |
|
|
|
|
|
Yes |
13 |
9 |
*3.07(1.2-7.6) |
*0.02 |
|
No |
56 |
119 |
1.0 |
|
|
Fear in case the results turns out to be HIV positive |
|
|
|
|
|
Yes |
4 |
5 |
1.51(0.4-5.8) |
0.55 |
|
No |
65 |
123 |
1.0 |
|
|
Fear of my husbands’ reaction in terms of anger and attack following HIV positive test result |
|
|
|
|
|
Yes |
14 |
10 |
*3.0(1.26-7.19) |
*0.01 |
|
No |
55 |
118 |
1.0 |
|
|
Husband’s absence at home at time of the current ANC visit |
|
|
|
|
|
Yes |
17 |
38 |
0.77(0.4-1.5) |
0.45 |
|
No |
52 |
90 |
1.0 |
|
|
Lack of knowledge about the presence of HIV counseling and testing service for pregnant mothers in local H/Institutions |
|
|
|
|
|
Yes |
13 |
50 |
*0.36(0.18-0.7) |
*0.004 |
|
No |
56 |
78 |
1.0 |
|
|
Possibility to come with husband for HIV test in the future |
|
|
|
|
| I don’t know |
26 |
25 |
*4.5(2.25-8.36) |
*0.00 |
| No |
9 |
16 |
*2.4(1.02-5.85) |
*0.05 |
| Yes |
48 |
208 |
1.0 |
|
|
Respondents impression on pre-test counseling for HIV |
|
|
|
|
| Fair |
18 |
15 |
*6.2(2.58-14.7) |
*0.00 |
| Good |
47 |
151 |
1.6(0.85-2.99) |
0.15 |
| Very good |
16 |
82 |
1.0 |
|
|
Privacy is maintained in the counseling room |
|
|
|
|
| I am not sure |
28 |
23 |
*5.2(2.70-9.79) |
*0.00 |
| No |
3 |
3 |
4.3(0.84-21.9) |
0.08 |
| Yes |
52 |
223 |
1.0 |
|
|
Husband’s response towards HIV positive result of pregnant mothers | ||||
|
Provision of support in one way or the other | ||||
| No |
64 |
152 |
*2.15(1.21-3.8) |
*0.01 |
| Yes |
19 |
97 |
1.0 |
|
|
Insulting saying,’It is you who have brought disease” |
|
|
|
|
| Yes |
23 |
51 |
1.49(0.84-2.6) |
0.17 |
| No |
60 |
198 |
1.0 |
|
|
Attack and frequent beatings |
|
|
|
|
| Yes |
23 |
47 |
1.6(0.93-2.93) |
0.09 |
| No |
60 |
202 |
1.0 |
|
|
Divorce |
|
|
|
|
| Yes |
29 |
40 |
*2.81(1.5-4.93) |
*0.00 |
| No |
54 |
209 |
1.0 |
|
|
Would stop financial assistance |
|
|
|
|
| Yes |
6 |
5 |
*3.8(1.13-12.8) |
*0.03 |
| No |
77 |
244 |
1.0 |
|
|
Suggested sex of the counselor |
|
|
|
|
| I don’t mind for both sexes |
49 |
161 |
0.65(0.33-1.3) |
0.21 |
| Male |
2 |
18 |
0.2(0.05-1.15) |
*0.07 |
| Female |
16 |
34 |
1.0 |
|
|
Suggested way of hearing HIV test result |
|
|
|
|
| Face -to - face communication with the counselor | ||||
| No |
11 |
7 |
*5.7(2.14-15.6) *0.001 |
|
| Yes |
56 |
206 |
1.0 |
|
|
Disclosure of HIV test result for husband by the counselor as preferred way of hearing HIV test result |
|
|
|
|
| Yes |
19 |
27 |
*2.7(1.4 - 5.31) *0.003 |
|
| No | 48 | 186 | 1.0 | |
* represents significant association.