Utilization of HIV testing and counselling services by women with disabilities during antenatal care in Uganda: analysis of 2016 demographic and health survey

Abstract Background HIV testing and counselling during antenatal care (ANC) is critical for eliminating mother-to-child transmission of HIV. We investigated disparity in utilization of HIV testing and counselling services (HTC) between women with and without disabilities in Uganda. Methods We conduc...

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Autores principales:	Hussaini Zandam, Ilhom Akobirshoev, Allyala Nandakumar, Monika Mitra
Formato:	article
Lenguaje:	EN
Publicado:	BMC 2021
Materias:	Antenatal care Disability Utilization Disparity HIV Testing and counselling services Public aspects of medicine RA1-1270
Acceso en línea:	https://doaj.org/article/7c1f9cb272604e9a9fb0853eb49e0612
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spelling	oai:doaj.org-article:7c1f9cb272604e9a9fb0853eb49e06122021-11-08T10:43:36ZUtilization of HIV testing and counselling services by women with disabilities during antenatal care in Uganda: analysis of 2016 demographic and health survey10.1186/s12889-021-12045-41471-2458https://doaj.org/article/7c1f9cb272604e9a9fb0853eb49e06122021-11-01T00:00:00Zhttps://doi.org/10.1186/s12889-021-12045-4https://doaj.org/toc/1471-2458Abstract Background HIV testing and counselling during antenatal care (ANC) is critical for eliminating mother-to-child transmission of HIV. We investigated disparity in utilization of HIV testing and counselling services (HTC) between women with and without disabilities in Uganda. Methods We conducted a retrospective study using the nationally representative 2016 Uganda Demographic and Health Survey. The study sampled 10,073 women between age 15–49 who had a live birth in the last 5 years. We estimated unadjusted and adjusted odds ratio for receiving pre-test HIV counselling, obtaining an HIV test result, and post-test HIV counselling by disability status using logistic regressions. Results We found that women with disabilities were less likely to receive pre-test HIV counselling (59.6 vs 52.4), obtain an HIV test result (68.2 vs 61.4), receive post-test HIV counselling (55.5 vs 51.6), and all HTC services (49.2 vs 43.5). From the regression analysis, women with disabilities were less likely to receive pre-test counselling [AOR = 0.83; CI = 0.74, 0.93] and obtain an HIV test result [AOR = 0.88; CI = 0.78, 0.99]. Conclusions Our findings revealed that women with disabilities are less likely to receive HTC service during ANC and highlighted the need for disability-inclusive HIV and reproductive health services. Government, non-governmental organizations, and other stakeholders should consider funding inclusive campaigns and identifying other mechanisms for disseminating health information and behavioral interventions to women with disabilities.Hussaini ZandamIlhom AkobirshoevAllyala NandakumarMonika MitraBMCarticleAntenatal careDisabilityUtilizationDisparityHIVTesting and counselling servicesPublic aspects of medicineRA1-1270ENBMC Public Health, Vol 21, Iss 1, Pp 1-7 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Antenatal care Disability Utilization Disparity HIV Testing and counselling services Public aspects of medicine RA1-1270
spellingShingle	Antenatal care Disability Utilization Disparity HIV Testing and counselling services Public aspects of medicine RA1-1270 Hussaini Zandam Ilhom Akobirshoev Allyala Nandakumar Monika Mitra Utilization of HIV testing and counselling services by women with disabilities during antenatal care in Uganda: analysis of 2016 demographic and health survey
description	Abstract Background HIV testing and counselling during antenatal care (ANC) is critical for eliminating mother-to-child transmission of HIV. We investigated disparity in utilization of HIV testing and counselling services (HTC) between women with and without disabilities in Uganda. Methods We conducted a retrospective study using the nationally representative 2016 Uganda Demographic and Health Survey. The study sampled 10,073 women between age 15–49 who had a live birth in the last 5 years. We estimated unadjusted and adjusted odds ratio for receiving pre-test HIV counselling, obtaining an HIV test result, and post-test HIV counselling by disability status using logistic regressions. Results We found that women with disabilities were less likely to receive pre-test HIV counselling (59.6 vs 52.4), obtain an HIV test result (68.2 vs 61.4), receive post-test HIV counselling (55.5 vs 51.6), and all HTC services (49.2 vs 43.5). From the regression analysis, women with disabilities were less likely to receive pre-test counselling [AOR = 0.83; CI = 0.74, 0.93] and obtain an HIV test result [AOR = 0.88; CI = 0.78, 0.99]. Conclusions Our findings revealed that women with disabilities are less likely to receive HTC service during ANC and highlighted the need for disability-inclusive HIV and reproductive health services. Government, non-governmental organizations, and other stakeholders should consider funding inclusive campaigns and identifying other mechanisms for disseminating health information and behavioral interventions to women with disabilities.
format	article
author	Hussaini Zandam Ilhom Akobirshoev Allyala Nandakumar Monika Mitra
author_facet	Hussaini Zandam Ilhom Akobirshoev Allyala Nandakumar Monika Mitra
author_sort	Hussaini Zandam
title	Utilization of HIV testing and counselling services by women with disabilities during antenatal care in Uganda: analysis of 2016 demographic and health survey
title_short	Utilization of HIV testing and counselling services by women with disabilities during antenatal care in Uganda: analysis of 2016 demographic and health survey
title_full	Utilization of HIV testing and counselling services by women with disabilities during antenatal care in Uganda: analysis of 2016 demographic and health survey
title_fullStr	Utilization of HIV testing and counselling services by women with disabilities during antenatal care in Uganda: analysis of 2016 demographic and health survey
title_full_unstemmed	Utilization of HIV testing and counselling services by women with disabilities during antenatal care in Uganda: analysis of 2016 demographic and health survey
title_sort	utilization of hiv testing and counselling services by women with disabilities during antenatal care in uganda: analysis of 2016 demographic and health survey
publisher	BMC
publishDate	2021
url	https://doaj.org/article/7c1f9cb272604e9a9fb0853eb49e0612
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Utilization of HIV testing and counselling services by women with disabilities during antenatal care in Uganda: analysis of 2016 demographic and health survey

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