ASSESSING KNOWLEDGE ABOUT MOTHER-TO-CHILD TRANSMISSION OF HIV/AIDS AMONG MARRIED WOMEN IN INDONESIA
DOI:
https://doi.org/10.58185/jkr.v15i1.190Keywords:
Comprehensive, HIV/AIDS, Knowledge, Knowledge of MTCTAbstract
Assessing Knowledge about Mother-to-Child Transmission of HIV/AIDS Among Married Women in Indonesia
Background: The transmission of HIV/AIDS will affect not only women but also their families, including their children’s health and future. Given the quite high rates of vertical transmission as well as early infant transmission, understanding mother-to-child transmission (MTCT) of HIV/AIDS is important for women. Objective: This study aims to examine knowledge about the MTCT of HIV/AIDS among married women and the contributing factors. Method: A weighted sample of 35,479 married women aged 15-49 was drawn from the 2017 Indonesia Demographic and Health Survey. Binary logistic regression for complex sample design was used to examine the associated factors of HIV/AIDS MTCT. Result: Overall, only 58.6% of women had good knowledge of HIV/AIDS MTCT. Women with a comprehensive knowledge of HIV/AIDS (OR: 7.27, 95% CI:6.75-7.83), aged ≥ 35 years (OR:1.33, 95% CI:1.19-1.47), attaining at least secondary education level (OR:1.85, 95% CI:1.71-1.99), having an educated husband (OR: 1.28, 95% CI: 1.11-1.47), coming from richer family (OR:1.41, 95% CI: 1.29-1.54), and residing in urban areas (OR: 1.23, 95% CI:1.13-1.33) tend to have better knowledge of HIV/AIDS MTCT. Conclusion: Enhancing comprehensive knowledge of HIV/AIDS among women and men through both formal and informal education curricula is expected to increase knowledge about MTCT of HIV/AIDS.
References
UNAIDS. UNAIDS Data 2022. Geneva; 2022. https://www.unaids.org/en/resources/documents/2023/2022_unaids_data
Republika. Kemenkes: Kasus penularan HIV pada 2023 melonjak, didominasi ibu rumah tangga. 2023 May 13; https://www.kemkes.go.id/id/rilis-kesehatan/kasus-hiv-dan-sifilis-meningkat-penularan-didominasi-ibu-rumah-tangga
Deynu M, Nutor JJ. Determinants of comprehensive knowledge on mother-to-child transmission of HIV and its prevention among childbearing women in Rwanda: insights from the 2020 Rwandan Demographic and Health Survey. BMC Public Health. 2023 Dec 1;23(1). https://doi.org/10.1186/s12889-022-14925-9
Chotta NAS, Msuya SE, Mgongo M, Hashim TH, Stray-Pedersen A. Mother’s Knowledge on HIV, Syphilis, Rubella, and Associated Factors in Northern Tanzania: Implications for MTCT Elimination Strategies. International Journal of Pediatrics (United Kingdom). 2020;2020. https://doi.org/10.1155/2020/7546954
UNAIDS. Start free, stay free, AIDS free final report on 2020 targets. UNAIDS. Geneva; 2021. https://www.unaids.org/en/resources/documents/2021/start-free-stay-free-aids-free-final-report-on-2020-targets
Gouvêa ADN, Trajano AJB, Monteiro DLM, Rodrigues NCP, da Costa JT, Cavalcante MB, et al. Vertical transmission of HIV from 2007 to 2018 in a reference university hospital in Rio de Janeiro. Rev Inst Med Trop Sao Paulo. 2020;62:1–10. https://doi.org/10.1590/s1678-9946202062066
Abtew S, Awoke W, Asrat A. Knowledge of pregnant women on mother-to-child transmission of HIV, its prevention, and associated factors in Assosa town, Northwest Ethiopia. HIV/AIDS-Research and Palliative Care. 2016;8:101–7. https://doi.org/10.2147/HIV.S100301
Fassinou LC, Songwa Nkeunang D, Delvaux T, Nagot N, Kirakoya-Samadoulougou F. Adherence to option B + antiretroviral therapy and associated factors in pregnant and breastfeeding women in Sub-Saharan Africa: a systematic review and meta-analysis. BMC Public Health. 2024 Dec 1;24(1). https://doi.org/10.1186/s12889-023-17004-9
United Nations Children’s Fund, World Health Organization. Breastfeeding and HIV: Global breastfeeding collective. Unicef; 2019. https://www.who.int/publications/i/item/WHO-NMH-NHD-19.22
Mondal S, Deb R. Mother to child transmission of HIV. South Asian Anthropologist. 2016;16(2):211–4. https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0260941
Fowler MG, Qin M, Fiscus SA, Currier JS, Flynn PM, Chipato T, et al. Benefits and Risks of Antiretroviral Therapy for Perinatal HIV Prevention. New England Journal of Medicine. 2016;375(18):1726–37. https://doi.org/10.1056/NEJMoa1511691
Mugwaneza P, Lyambabaje A, Umubyeyi A, Humuza J, Tsague L, Mwanyumba F, et al. Impact of maternal ART on mother-to-child transmission (MTCT) of HIV at six weeks postpartum in Rwanda. BMC Public Health. 2018;18(1):1–11. https://doi.org/10.1186/s12889-018-6154-6
Elsheikh IE, Crutzen R, Adam I, Abdelraheem SI, Van den Borne HW. Increasing Prevention of Mother to Child Transmission (PMTCT) Uptake through Facility-Based Health Promotion: Intervention Development. Behavioral Sciences. 2023 Apr 1;13(4). https://doi.org/10.3390/bs13040317
Liyeh TM, Cherkose EA, Limenih MA, Yimer TS, Tebeje HD. Knowledge of prevention of mother to child transmission of HIV among women of reproductive age group and associated factors at Mecha district , Northwest Ethiopia. BMC Res Notes. 2020;13(166):1–6. https://doi.org/10.1186/s13104-020-05005-5
Mukhtar M, Quansar R, Bhat SN, Khan SMS. Knowledge, attitude and practice regarding mother-to-child transmission of HIV, its prevention, and associated factors among antenatal women attending a health care facility in district Srinagar, North India: a cross sectional study. J Community Med Public Health. 2020;7(7):2622–7. https://doi.org/10.18203/2394-6040.ijcmph20202987
Siregar KN, Hanifah L, Rikawarastuti R, Wahyuniar L. Prevention of HIV transmission from mother to child: Challenges to the successful program implementation and practice in Indonesia. J Int Assoc Provid AIDS Care. 2021;20:1–7. https://doi.org/10.1177/23259582211040701
Madiba S, Ralebona E, Lowane M. Perceived stigma as a contextual barrier to early uptake of HIV testing, treatment initiation, and disclosure; the case of patients admitted with AIDS-related illness in a rural hospital in South Africa. Healthcare (Switzerland). 2021 Aug 1;9(8). https://doi.org/10.3390/healthcare9080962
Ramoshaba R, Sithole SL. Knowledge and awareness of MTCT and PMTCT post-natal follow-up services among HIV infected mothers in the Mankweng Region, South Africa. Open AIDS J. 2017;11:36–44. https://doi.org/10.2174/1874613601711010036
Teshale AB, Tessema ZT, Alem AZ, Yeshaw Y, Liyew AM, Alamneh TS, et al. Knowledge about mother to child transmission of HIV/ AIDS, its prevention and associated factors among reproductive-age women in sub-Saharan Africa: Evidence from 33 countries recent Demographic and Health Surveys. PLoS One. 2021;16(6):1–12. https://doi.org/10.1371/journal.pone.0253164
Masaka A, Dikeleko P, Moleta K, David M, Kaisara T, Rampheletswe F, et al. Determinants of comprehensive knowledge of mother to child transmission (MTCT) of HIV and its prevention among Zimbabwean women: Analysis of 2015 Zimbabwe Demographic and Health Survey. Alexandria Journal of Medicine. 2019;55(1):68–75. https://doi.org/10.1080/20905068.2019.1667114
Gebre MN, Feyasa MB, Dadi TK. Levels of mother-to-child HIV transmission knowledge and associated factors among reproductive-age women in Ethiopia: Analysis of 2016 Ethiopian Demographic and Health Survey Data. Vol. 16, PLoS ONE. Public Library of Science; 2021. https://doi.org/10.1371/journal.pone.0256419
Eshetu HB, Kebede N, Bogale EK, Zewdie A, Kassie TD, Anagaw TF, et al. Knowledge of prevention of mother-to-child transmission of HIV among reproductive age women in high HIV/AIDS prevalent countries: A multilevel analysis of recent Demographic and Health Surveys. PLoS One. 2023 Oct 1;18(10 October). https://doi.org/10.1371/journal.pone.0292885
Zegeye B, Ahinkorah BO, Ameyaw EK, Seidu AA, Olorunsaiye CZ, Yaya S. Women’s decision making power and knowledge of prevention of mother to child transmission of HIV in sub Saharan Africa. BMC Womens Health. 2022;22(115):1–10. https://doi.org/10.1186/s12905-022-01691-4
Anugwom E, Anugwom K. Socio-cultural factors in the access of women to HIV/AIDS prevention and treatment services in South-southern Nigeria. Iran J Public Health. 2016;45(6):754–60. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5026830/
Croft TN, Marshall AMJ, Allen CK. Guide to DHS Statistics. Guide to DHS Statistics. Maryland, USA: ICF; 2018. p. 1–90. https://www.dhsprogram.com/pubs/pdf/DHSG1/Guide_to_DHS_Statistics_DHS-7.pdf
Luba TR, Feng Z, Gebremedhin SA, Erena AN, Nasser AMA, Bishwajit G, et al. Knowledge about mother-to-child transmission of HIV, its prevention and associated factors among Ethiopian women. J Glob Health. 2017;7(2):1–9. https://doi.org/10.7189/jogh.07.020414
Jahangiry L, Aliyari Z, Ponnet K. A study on the knowledge, attitudes, and behaviors of pregnant women regarding hiv and routine rapid testing: An assessment in a high-risk marginal area. Healthcare (Switzerland). 2021 Jul 1;9(7). https://doi.org/10.3390/healthcare9070793
Lucien G, Baraka SW, Daudet M, Tshiswaka I, Conserve DF. Socio-structural factors influencing the prevention of mother-to-child transmission of HIV in the Democratic Republic of the Congo: A systematic review. Matern Child Health J. 2019;23(7):880–9. https://doi.org/10.1007/s10995-018-2688-6
Worku MG, Tesema GA, Teshale AB. Prevalence and associated factors of adolescent fatherhood in Ethiopia: a multilevel analysis using the 2016 Ethiopian demographic health survey data. PLoS One. 2021;16(3 March):1–11. https://doi.org/10.1371/journal.pone.0249024
Kurniati A, Chen CM, Efendi F, Berliana SM. Factors influencing Indonesian women’s use of maternal health care services. Health Care Women Int. 2018;39(1):3–18. https://doi.org/10.1080/07399332.2017.1393077
Liyeh MT. Determinant factor of married women’s knowledge on vertical transmission of HIV in Mecha district, Ethiopia; a community based study. PLoS One. 2020;15(12):1–10. https://doi.org/10.1371/journal.pone.0242659
Darteh EKM, Abraham SA, Seidu AA, Chattu VK, Yaya S. Knowledge and determinants of women’s knowledge on vertical transmission of HIV and AIDS in South Africa. AIDS Res Ther. 2021;18(40):1–9. https://doi.org/10.1186/s12981-021-00367-7
Dhillon S, Amoak D, Sano Y, Antabe R, Luginaah I. The association between mother-to-child HIV transmission knowledge and antenatal care utilisation in Cameroon. International Journal of Health Planning and Management. 2023 Nov 1;38(6):1877–88. https://doi.org/10.1002/hpm.3700
Mugweni E, Omar M, Pearson S. Understanding barriers to safer sex practice in Zimbabwean marriages: Implications for future HIV prevention interventions. Health Educ Res. 2015;30(3):388–99. https://doi.org/10.1093/her/cyu073
Hanmer L, Klugman J. Exploring women’s agency and empowerment in developing countries: Where do we stand? Fem Econ. 2016;22(1):237–63. https://doi.org/10.1080/13545701.2015.1091087
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