Prevention Of Mother To Child HIV Transmission Not Understood By Young People In Uganda Evelyn Namubiru Tondo, Walugembe Patrick Straight Talk Foundation Uganda
Youth awareness on MTC HIV prevention strategies.
Introduction
Graph 3: Youth understanding of how a mother can reduce the risk of HIV transmission to her baby
CORE/CARE and Straight Talk Foundation have a youth HIV prevention program. Targets engaged and newly married youth (15-24 years) in Busoga and Kupsabiny regions. Aimed at empowering beneficiaries to adopt HIV prevention strategies (PMTCT, VCT and ABY).
60
51.4 50
46.5 40.1
40 Percent
Interventional activities Local language radio shows (30minutes weekly radio shows aired in respective local language) Interpersonal counseling sessions: Income generation activities: (STF gave formed listenership clubs animals and birds)
31.8 30
20
12.8
10.1
10
0 Taking ARVs
not breastfeeding
adequate antenatal
HIV testing before
Safe sex
Don’t know
Access and utilization of VCT services by youth. 56% of young people knew of a place where they could obtain VCT services. Only 13.1% mentioned VCT as one of HIV prevention strategies. 39.8% had ever performed an HIV test. 88.5% of those had managed to pick their results. 15.4% tested with influence of a partner. Research hypothesis Time taken for young people to decide on taking an HIV test As part of larger program evaluation, STF conducted anassessment on youth’s awareness about PMTCT and VCT HIV/AIDS prevention strategies. Results were to be incorporated into STF HIV prevention program for engaged and newly married youths Data A total of 327 youths aged 15-27 years interviewed. 50% males and 50% females 19% urban and 81% rural youths. 53% married and 47% engaged youths. 5.2% never attended school. Methodology: A household survey using oral interviews Two districts randomly sampled from two interventional regions. Kamuli (109), Jinja (110) and Kapchorwa (108) districts. Households purposively selected with guidance of local leaders. Each household had one eligible respondent, purposively selected. Data entered in EPIDATA and further processed using SPSS computer programs.
Why some youth had never taken an HIV test. Graph 5: Why youth do not perform HIV tests
Results 40
Youth who could spontaneously mention MTC as one of HIV transmission modes. The second leading HIV transmission mode responsible for high pediatric HIV infections in Uganda.
35
33.5
30
27.9
Graph 1. Youth understanding of HIV transmission modes : a few aware of MTC
Percent
25 20 15
120 99.1
100
12.7
10
7.6
88.4
5
5.6 2.5
80 Percent
7.1
0 60 48.3 41.6 40
Fear to receive results
No need to test
Not aware of testing center
process money consuming
Hope to test Never thought Waiting for about it in future partner
20
0 unprotected sex
Sharing instruments
Blood contamination
MTC
Youth awareness on mother to child HIV mechanism. Graph 2. Mother to child HIV transmission mechanism known to the youth
80
75.5
70
Percent
60
52.6
50 40
Lessons learnt. Ugandan youths have insufficient knowledge on prevention of mother to child HIV transmission. A few could spontaneously mention it as one of the HIV transmission modes. Nevertheless, the consciousness and uptake of VCT services is poor. These are youths in the productive age and prepared to prevent HIV infections amongst themselves and their children. This would reduce on pediatric HIV infections in country. The research provides pertinent information that would be used by HIV prevention programs targeting youths.
30 19
20
11.9
10 0 during child delivery
breastfeading
during pregnancy
Didn’t know
Plot 4 Acacia Avenue, Kololo, Kampala, P. O. Box 22366, Tel: +256 (031) 262030/1, Fax: +256 414 534858, E-mail:
[email protected],
[email protected]