Factors Associated with the Use of HIV Screening in the PMTCT Program by Pregnant Women

Abstract

Introduction: The Government continues to expand the number of
VCT services (KTHIV) in order to increase HIV testing coverage, as
mandated by Ministry of Health Decree No. 74 of 2014 on the
implementation of HIV counseling and testing guidelines. The
purpose of this study is to ascertain the factors that influence the use
of HIV testing in health centers participating in the PMTCT program
in the City of Medan in 2015. Method: The study used an
observational design in conjunction with explanatory research and a
purposive sampling technique. This research sampled as many as 91
pregnant women's. The results of this study will be analyzed
multivariate using the multiple logistic regression test. Result : The
findings indicate that employment of pregnant women (p = 0.031),
knowledge (p = 0.001), attitude (p = 0.001), and family support (p =
0.003) are all associated with pregnant women's actions during HIV
examinations. Pregnant women's employment (p = 0.027),
knowledge (p = 0.039), attitude (p = 0.004), and support from health
care providers (p = 0.023) all influence the steps pregnant mothers
take to obtain an HIV test. The primary factor preventing pregnant
women from conducting HIV tests at the Padang Bulan public health
office is their negative attitude toward HIV testing (Exp = 7.167).
Conlusion: The research findings indicate that Padang Bulan public
health office prenatal care and HIV testing services should be
enhanced. Padang Bulan public health office makes people feel at
ease and cared for, which is why those who have previously used the
prenatal care and HIV testing services will return to perform the
examination. As a responsible program, the Medan City Health
Department's Prevention of HIV Transmission from Mother to Child
should establish collaborations with non-governmental organizations
(NGOs) that work on HIV / AIDS.