Purnamawati, Dewi (2020) Improving access to PMTCT services via a novel implementation model: organizational support, health education, and HIV testing at the community level of West Java, Indonesia. INTERNATIONAL JOURNAL OF HEALTH PROMOTION AND EDUCATION, 58 (5). pp. 282-292. ISSN 1463-5240

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Abstract

In Indonesia, access to services for the prevention of mother-to-child transmission (PMTCT) is quite low. The objective of this study was to design and implement a model to improve access to PMTCT services. This study was a quasi-experimental design involving 770 pregnant women in 2 districts (intervention and control district; n = 385 each). The implementation model had four stages: exploration, installation, initial implementation, and full implementation. The key activities included the provision of health education, an offering HIV testing, and the implementation of HIV tests for pregnant women in the community. The success of the model was assessed using three indicators: 1) the increase in the proportion of health facilities offering PMTCT services, 2) increase in the proportion of pregnant women who were offered HIV testing, and 3) increase in the proportion of pregnant women underwent HIV testing. The effectiveness of the model was assessed using multiple logistic regression analysis. In the intervention district, the number of facilities that offered PMTCT services increased from 6% to 34%, and the number of pregnant women who underwent HIV tests increased from 4.7% to 85.5%. Pregnant women in the intervention district showed greater access to PMTCT after controlling by the education of pregnant women, the role of decision making in the family, education and knowledge of the husband (odds ratio = 63.6; 95% confidence interval: 38.9–103.8; p = 0.000). The implementation model effectively improved access to PMTCT services. A multi-phased approach implemented in this study was able to overcome the barriers to access PMTCT services.

Item Type:	Article
Subjects:	R Medicine > RA Public aspects of medicine R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine
Divisions:	Faculty of Public Health > S2 Public Health / Kesehatan Masyarakat
Depositing User:	Dr Dewi Purnamawati
Date Deposited:	15 Oct 2020 00:28
Last Modified:	15 Oct 2020 00:28
URI:	http://repository.umj.ac.id/id/eprint/2258

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