Optimizing HIV Counseling: Effects of Personalized, Reinforced Key Messages Among Antenatal Clinic Attendees

Introduction: Antenatal HIV counseling is an opportunity to educate HIV negative women to remain protected from infection. However, it needs to be optimized to achieve the desired effect. Objective: To evaluate the effect of reinforcement of key messages during the antenatal HIV counseling. Methods:...

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Autores principales: U.C. Samudyatha, Manvendra Singh Rathore, J.K. Kosambiya
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Lenguaje:EN
Publicado: Indian Association of Preventive and Social Medicine 2021
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Acceso en línea:https://doaj.org/article/cce21906f4894cde9422c6971c465047
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spelling oai:doaj.org-article:cce21906f4894cde9422c6971c4650472021-11-17T07:12:02ZOptimizing HIV Counseling: Effects of Personalized, Reinforced Key Messages Among Antenatal Clinic Attendees10.51957/Healthline_251_20212229-337X2320-1525https://doaj.org/article/cce21906f4894cde9422c6971c4650472021-10-01T00:00:00Zhttp://www.healthlinejournal.org/index_pdf/372.pdfhttps://doaj.org/toc/2229-337Xhttps://doaj.org/toc/2320-1525Introduction: Antenatal HIV counseling is an opportunity to educate HIV negative women to remain protected from infection. However, it needs to be optimized to achieve the desired effect. Objective: To evaluate the effect of reinforcement of key messages during the antenatal HIV counseling. Methods: In a PPTCT clinic 202 pregnant women who had already received pretest HIV counseling were assessed for retention in knowledge in four key domains of HIV knowledge using an 8 point scoring system (Non-Intervention group Score B). In another 200 newly recruited pregnant women, intervention was interactive group counseling, assessment (Intervention group Score A), personal reinforcement session and reassessment during post counseling (Intervention group Score B). Impact of intervention was determined by comparing the scores between and within groups using factorial and repeated measures ANOVA respectively. Results: Non-Intervention group Score B was 4.4 (SD± 1.7), compared to 6.5 (SD± 1.6) in Intervention group, where more than 80% answered all questions correctly in each domain. Women in Intervention group had a mean Score of more than 6/8 even when they returned beyond 3 weeks for post test counseling. Despite the intervention, educated women retained the knowledge better than uneducated counterparts. Conclusions: Intervention of key messages reinforcement improved comprehension and retention in knowledge, and sensitized participants for prompt collection of reports. Women with less education would require customized key messages delivery to help them comprehend the information. The 8 point scoring system used in this study can serve as in-house quality check for antenatal counseling in PPTCT clinics.U.C. SamudyathaManvendra Singh RathoreJ.K. KosambiyaIndian Association of Preventive and Social Medicinearticlegroup counselingpptctanovahealth educationMedicineRPublic aspects of medicineRA1-1270ENHealthline, Vol 12, Iss 3, Pp 37-44 (2021)
institution DOAJ
collection DOAJ
language EN
topic group counseling
pptct
anova
health education
Medicine
R
Public aspects of medicine
RA1-1270
spellingShingle group counseling
pptct
anova
health education
Medicine
R
Public aspects of medicine
RA1-1270
U.C. Samudyatha
Manvendra Singh Rathore
J.K. Kosambiya
Optimizing HIV Counseling: Effects of Personalized, Reinforced Key Messages Among Antenatal Clinic Attendees
description Introduction: Antenatal HIV counseling is an opportunity to educate HIV negative women to remain protected from infection. However, it needs to be optimized to achieve the desired effect. Objective: To evaluate the effect of reinforcement of key messages during the antenatal HIV counseling. Methods: In a PPTCT clinic 202 pregnant women who had already received pretest HIV counseling were assessed for retention in knowledge in four key domains of HIV knowledge using an 8 point scoring system (Non-Intervention group Score B). In another 200 newly recruited pregnant women, intervention was interactive group counseling, assessment (Intervention group Score A), personal reinforcement session and reassessment during post counseling (Intervention group Score B). Impact of intervention was determined by comparing the scores between and within groups using factorial and repeated measures ANOVA respectively. Results: Non-Intervention group Score B was 4.4 (SD± 1.7), compared to 6.5 (SD± 1.6) in Intervention group, where more than 80% answered all questions correctly in each domain. Women in Intervention group had a mean Score of more than 6/8 even when they returned beyond 3 weeks for post test counseling. Despite the intervention, educated women retained the knowledge better than uneducated counterparts. Conclusions: Intervention of key messages reinforcement improved comprehension and retention in knowledge, and sensitized participants for prompt collection of reports. Women with less education would require customized key messages delivery to help them comprehend the information. The 8 point scoring system used in this study can serve as in-house quality check for antenatal counseling in PPTCT clinics.
format article
author U.C. Samudyatha
Manvendra Singh Rathore
J.K. Kosambiya
author_facet U.C. Samudyatha
Manvendra Singh Rathore
J.K. Kosambiya
author_sort U.C. Samudyatha
title Optimizing HIV Counseling: Effects of Personalized, Reinforced Key Messages Among Antenatal Clinic Attendees
title_short Optimizing HIV Counseling: Effects of Personalized, Reinforced Key Messages Among Antenatal Clinic Attendees
title_full Optimizing HIV Counseling: Effects of Personalized, Reinforced Key Messages Among Antenatal Clinic Attendees
title_fullStr Optimizing HIV Counseling: Effects of Personalized, Reinforced Key Messages Among Antenatal Clinic Attendees
title_full_unstemmed Optimizing HIV Counseling: Effects of Personalized, Reinforced Key Messages Among Antenatal Clinic Attendees
title_sort optimizing hiv counseling: effects of personalized, reinforced key messages among antenatal clinic attendees
publisher Indian Association of Preventive and Social Medicine
publishDate 2021
url https://doaj.org/article/cce21906f4894cde9422c6971c465047
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