Maternal Healty Care Utilization Among HIV-Positive Female Adolescents in Kenya  

Oleh:

Birungi, Harriet ; Obare, Francis ; van der Kwaak, Anke ; Namwebya, Jane Harriet

Jenis: Article from Journal - ilmiah internasional
Dalam koleksi: International Family Planning Perspectives vol. 37 no. 03 (Sep. 2011), page 143-149.
Topik: HIV; AIDS; Health Care; Kenya
Fulltext: I77 v37 n3 2011 p143,win.pdf (132.28KB)

Ketersediaan

Perpustakaan PKPM Nomor Panggil: I77 Non-tandon: tidak ada Tandon: 1

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Isi artikel

CONTEXT:Given the health risks of HIV/AIDS and the risks of teenage pregnancy in general, pregnant HIV-positive adolescents in Kenya need maternal health care services that account for their HIV status. However, research on their access to and use of these services is scant. METHODS: To examine maternal health care utilization, pregnancy history data collected in 2009 on 506 pregnancies among 393 HIV-positive female adolescents aged 15–19 enrolled in HIV/AIDS programs in Kenya were analyzed. Multilevel logit models were used to identify the variables associated with use of prenatal care, prevention of motherto-child transmission (PMTCT) of HIV, skilled attendance at pregnancy outcomes and postnatal/postabortion care. RESULTS: Use of PMTCT services was less common than use of prenatal care among HIV-positive adolescents (67% of pregnancies vs. 84%). These adolescents made four or more prenatal care visits in only 45% of pregnancies. In addition, use of skilled care during or after abortion or miscarriage was low (20%). The odds of receiving PMTCT services and skilled assistance (for any pregnancy outcome) were higher in Nairobi than in other regions (odds ratios, 3.8 and 2.7, respectively). HIV-positive adolescents were less likely to use maternal health care for higher-order pregnancies than for lower-order pregnancies (0.4–0.6). They were, however, more likely to receive prenatal care and PMTCT services when their husband rather than someone else was responsible for the pregnancy (3.7 and 4.9, respectively). CONCLUSION: Pregnant, HIV-positive adolescents need maternal health care services—including PMTCT care—that take into account parity, paternity dynamics and regional variations in use.

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