ABSTRACT
This study aimed to determine the sociodemographic predictors of willingness of pregnant women in Sudan to accept HIV testing. A random sample of 500 pregnant women attending antenatal care clinics in Omdurman maternity hospital in 2010 were interviewed. Significant predictors of women's tendency to accept HIV testing were: age < 30 years (OR 3.5, 95% CI: 2.2-5.8), primigravida (OR 1.5, 95% CI: 1.0-2.3), better education level (OR 3.4, 95% CI: 1.7-6.7), owning a radio (OR 2.1, 95% CI: 1.3-3.4), in employment (OR 2.5, 95% CI: 1.2-5.0) and ≥ 2 antenatal care visits (OR 1.9, 95% CI: 1.2-2.9). Husband's age ≥ 35 years (OR 3.2, 95% CI: 2.0-5.2) and Christian faith (OR 3.8, 95% CI: 1.4-10.7) were significant variables, although with a wide margin of confidence. These predictors should be considered in strategies to increase the acceptance and use of HIV testing and counselling services.
Subject(s)
HIV Seropositivity/diagnosis , Hospitals, Maternity , Patient Acceptance of Health Care , Pregnant Women/psychology , Prenatal Care , Adolescent , Adult , Demography , Female , Humans , Interviews as Topic , Middle Aged , Pregnancy , Qualitative Research , Serologic Tests , Socioeconomic Factors , Sudan , Young AdultABSTRACT
This study aimed to determine the sociodemographic predictors of willingness of pregnant women in Sudan to accept HIV testing. A random sample of 500 pregnant women attending antenatal care clinics in Omdurman maternity hospital in 2010 were interviewed. Significant predictors of women’s tendency to accept HIVtesting were: age < 30 years (OR 3.5, 95% CI: 2.2–5.8), primigravida (OR 1.5, 95% CI: 1.0–2.3), better education level (OR 3.4, 95% CI: 1.7–6.7), owning a radio (OR 2.1, 95% CI: 1.3–3.4), in employment (OR 2.5, 95% CI: 1.2–5.0) and ≥ 2 antenatal care visits (OR 1.9, 95% CI: 1.2–2.9). Husband’s age ≥ 35 years (OR 3.2, 95% CI: 2.0–5.2) and Christian faith (OR 3.8, 95% CI: 1.4–10.7) were significant variables, although with a wide margin of confidence. These predictors should be considered in strategies to increase the acceptance and use of HIV testing and counselling services.
La présente étude visait à déterminer les facteurs sociodémographiques prédictifs de la volonté des femmes enceintes au Soudan d'accepter un dépistage du VIH. Un échantillon aléatoire de 500 femmes enceintes consultant dans le service de soins prénatals de la maternité hospitalière d’Omdourman en 2010 a été interrogé.Les facteurs prédictifs importants de la tendance des femmes à accepter un dépistage du VIH étaient les suivants : un âge inférieur à 30 ans (OR 3,5 ; IC à 95 % : 2,2–5,8), un statut de primigeste (OR 1,5 ; IC à 95 % : 1,0–2,3), un niveaud'études supérieur à la moyenne (OR 3,4 ; IC à 95 % : 1,7–6,7), la possession d'une radio (OR 2,1 ; IC à 95 % : 1,3–3,4), l’occupation d’un emploi (OR 2,5 ; IC à 95 %: 1,2–5,0) et au moins deux visites de soins prénatals (OR 1,9 ; IC à 95 % : 1,2–2,9). Le fait d'avoir un mari d’un âge supérieur ou égal à 35 ans (OR 3,2 ; IC à 95 % : 2,0–5,2), et d'être de confession chrétienne (OR 3,8 ; un IC à 95 % : 1,4–10,7) étaient des variables importantes, toutefois avec un grand intervalle de confiance. Ces facteurs prédictifs doivent être pris en compte dans les stratégies visant àaugmenter le niveau d'acceptation du dépistage du VIH et le recours aux services de conseil.
Subject(s)
HIV , Pregnant Women , DemographyABSTRACT
This study was conducted during the 2004-2006 epidemic of meningitis in Sudan to follow-up the frequency of disease outbreak or endemic waves and to evaluate the new quadrivalent vaccine for actual application. Samples were collected from Darfur, El Gedaref, Kassala and Khartoum States and transported to the National Health Central Laboratory in Khartoum. Of 196 patients with clinical symptoms and signs of meningitis, conventional culture identified Neisseria meningitidis in 37 (189%), confirmed by polymerase chain reaction. N. meningitidis type A was identified in 29 (78.4%) patients, type C in 3 (8.1%) and N. meningitidis W135 in 5 (15.5%). The serotyping and molecular diagnosis patterns of N. meningitidis showed the emergence of the new strain, W135, in 5 (15.5%). The patients from the borders of Sudan, 3 from the West Darfur, and 1 each from El Gedaref and Kassala. These could be related to the movement of pilgrims through the borders to Saudi Arabia in the Hajj season. Serious consideration may be needed for quadrivalent vaccination to prevent seasonal and Hajj season outbreaks.