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Factors Determining Prenatal HIV Testing for Prevention of Mother to Child Transmission of HIV in Mpumalanga, South Africa

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Abstract

This study assessed factors associated with participation in HIV counseling and testing and reported reasons for not taking part in Voluntary HIV Counseling and Testing among 930 pregnant women attending clinics for antenatal care in South Africa. Results indicate that from 930 clients interviewed 87% had agreed to participate in individual pre-test HIV counseling and 81.2% had received their test results in post-test counseling. Fear for taking the test, lack of confidentiality and knowing one’s HIV status were the main reasons why women refused to test. In multivariable analysis trust of HCT provider was associated with participation in HIV pre-test counseling and no risky drinking was associated with participation in HIV post-test counseling. These findings suggest mistrust towards HCT providers should be reduced and screening and brief intervention for alcohol problems provided.

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Acknowledgments

This study was supported by Cooperative Agreement number 1U2G PS 000570-01 from the US Centers for Disease Control and Prevention (CDC). Its contents are solely the responsibility of the authors and do not necessarily represent the official views of the CDC. Special thanks to the Mpumalanga Department of Health, and in particular to the Gert Sibande health district staff and managers for their support. Anonymous reviewers are thanked for their useful comments.

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Authors and Affiliations

  1. Social Aspects of HIV/AIDS and Health, Human Sciences Research Council, Private Bag X41, Pretoria, 0001, South Africa

    Karl Peltzer, Gladys Mlambo & Khanyisa Phaweni

  2. Department of Psychology, University of the Free State, Bloemfontein, South Africa

    Karl Peltzer

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  1. Karl Peltzer
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  2. Gladys Mlambo
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  3. Khanyisa Phaweni
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Correspondence to Karl Peltzer.

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Peltzer, K., Mlambo, G. & Phaweni, K. Factors Determining Prenatal HIV Testing for Prevention of Mother to Child Transmission of HIV in Mpumalanga, South Africa. AIDS Behav 14, 1115–1123 (2010). https://doi.org/10.1007/s10461-009-9662-7

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