<!DOCTYPE article
  PUBLIC "-//NLM//DTD Journal Publishing DTD v2.0 20040830//EN" "http://dtd.nlm.nih.gov/publishing/2.0/journalpublishing.dtd">
<article xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:mml="http://www.w3.org/1998/Math/MathML" article-type="research-article" dtd-version="2.0" xml:lang="EN">
  <front>    <journal-meta>
      <journal-title>Medical Practice and Reviews</journal-title>
      <issn pub-type="epub">2141-2596</issn>      <publisher>
        <publisher-name>Academic Journals</publisher-name>
      </publisher>
    </journal-meta>
    <article-meta>
      <article-id pub-id-type="doi">10.5897/MPR2017.0132</article-id>
      <title-group>
        <article-title><![CDATA[Prevention of mother to child transmission of HIV/AIDS: Service utilization and associated factors among selected public health facilities in Ethiopia]]></article-title>
      </title-group>
      <contrib-group>
        <contrib contrib-type="author" xlink:type="simple">
        		        	<name name-style="western">
	            <surname>Asebe</surname>
            <given-names>Feyera</given-names>
	          </name>	
        		        	<name name-style="western">
	            <surname>Berhane</surname>
            <given-names>Megerssa</given-names>
	          </name>	
        		        	<name name-style="western">
	            <surname>Deresse</surname>
            <given-names>Legesse</given-names>
	          </name>	
        		        	<name name-style="western">
	            <surname>Feleke</surname>
            <given-names>Hailemichael</given-names>
	          </name>	
        	        </contrib>
      </contrib-group>
      <author-notes>
		<corresp id="cor1">* E-mail: <email xlink:type="simple">delhsaw@gmail.com</email></corresp>
      </author-notes>
      <pub-date pub-type="collection">
        <year>2017</year>
      </pub-date>
      <pub-date pub-type="epub">
      	<day>31</day>
        <month>08</month>
        <year>2017</year>
      </pub-date>
      <history>
      			<date date-type="received">
			<day>04</day>
			<month>07</month>
			<year>2017</year>
		</date>
						<date date-type="accepted">
			<day>04</day>
			<month>08</month>
			<year>2017</year>
		</date>
			  </history>
      <volume>8</volume>
      <issue>1</issue>
	  	  <fpage>1</fpage>
	  <lpage>13</lpage>
      <permissions>
		<license xlink:type="simple">
			<license-p>
			This is an open-access article distributed under the terms of the Creative Commons Attribution License 4.0, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
			</license-p>
		</license>
	  </permissions>
	  <self-uri xlink:href="http://politicalwaffle.uk/journal/MPR/article-abstract/3FDCBA365848">
		This article is available from http://politicalwaffle.uk/journal/MPR/article-abstract/3FDCBA365848	  </self-uri>
	  <self-uri xlink:href="http://politicalwaffle.uk/journal/MPR/article-full-text-pdf/3FDCBA365848">
		The full text article is available as a PDF file from http://politicalwaffle.uk/journal/MPR/article-full-text-pdf/3FDCBA365848	  </self-uri>
	  
      <abstract><![CDATA[Mother-to-child transmission (MTCT) of human immune virus/acquired immune deficiency syndrome (HIV/AIDS) is the largest mode of HIV transmission among children. This study assesses the prevention of mother to child transmission (PMTCT) of HIV/AIDS service utilization and associated factors among mothers attending antenatal care (ANC) in selected public health facilities of Horo Guduru Wollega Zone, Oromia Region, Ethiopia. Facility-based cross sectional study was conducted among mothers attending ANC in five public health facilities of Horo Guduru Wollega Zone from February to March, 2016. Randomly selected four health centers and one public hospital were included in the study. The study participants from each health facility were recruited by using systematic sampling technique. Exit interviews were conducted among mothers attending ANC services. Bivariate and multiple logistic regression analyses were performed to identify factors associated with PMTCT service utilization of mothers. A total of 378 pregnant mothers having antenatal visit during the study period participated in the study. All of the study participants were offered HIV counseling and testing at that particular antenatal visit. Among these, 317 (83.8 %) were counseled and tested for HIV as part of PMTCT service. Age, residence, motherrsquo;s educational status, male partner involvement during antenatal HIV testing, and service providersrsquo; perceived handling of clients were associated with PMTCT service utilization of mothers. The utilization of HIV testing as PMTCT service in this study was lower when compared to the national recommendation set forth in the national PMTCT guideline, which recommends that every pregnant woman coming for ANC visit to health facilities should get HIV counseling and testing.

	Key words: Prevention of mother to child transmission (PMTCT), HIV/AIDS, Horo Guduru Wollega Zone, Ethiopia.]]></abstract>
    </article-meta>
  </front>
      <body/>
    <back>
		<ref-list>
			<title>References</title>
						<ref id="ref1">
				<label>1</label>
				<mixed-citation publication-type="other" xlink:type="simple">
				<![CDATA[Abebaw D, Demrow A, Abera M (2009). Determinants of acceptance of voluntary HIV testing among antenatal clinic attendees at Dilchora Hospital, Dire Dawa, Ethiopia. Ethiop. J. Health Dev. 23(2):141-147.]]>
				</mixed-citation>
			</ref>
						<ref id="ref2">
				<label>2</label>
				<mixed-citation publication-type="other" xlink:type="simple">
				<![CDATA[Abenet TK (2007). Assessment of male partners influence on pregnant women towards voluntary HIV testing and support on PMTCT in hospitals of Addis Ababa.]]>
				</mixed-citation>
			</ref>
						<ref id="ref3">
				<label>3</label>
				<mixed-citation publication-type="other" xlink:type="simple">
				<![CDATA[Addo VN (2005). Pregnant womens knowledge of and attitudes to HIV testing at Komfo Anokye Teaching Hospital, Kumasi. Ghana Med. J. 39(2):50-54.]]>
				</mixed-citation>
			</ref>
						<ref id="ref4">
				<label>4</label>
				<mixed-citation publication-type="other" xlink:type="simple">
				<![CDATA[Bajunirwe F, Muzoora M (2005). Barriers to the implementation of programs for the prevention of mother-to-child transmission of HIV: A cross-sectional survey in rural and urban Uganda. AIDS Res. Ther. 2(1):10.
					]]>
				</mixed-citation>
			</ref>
						<ref id="ref5">
				<label>5</label>
				<mixed-citation publication-type="other" xlink:type="simple">
				<![CDATA[Bissek ACZK, Yakana IE, Monebenimp F, Chaby G, Akondeng L, Angwafor SA, Lok C, Njamnshi AK, Muna WF (2011). Knowledge of pregnant women on mother-to-child transmission of HIV in Yaound. Open AIDS J. 5:25-28.
					]]>
				</mixed-citation>
			</ref>
						<ref id="ref6">
				<label>6</label>
				<mixed-citation publication-type="other" xlink:type="simple">
				<![CDATA[Colvin M, Gorgens A, Kasedde M (2008). Analysis of HIV prevention response and modes of HIV transmission: UNAIDS Regional Support Team for Eastern and Southern Africa, 2009.]]>
				</mixed-citation>
			</ref>
						<ref id="ref7">
				<label>7</label>
				<mixed-citation publication-type="other" xlink:type="simple">
				<![CDATA[Ethiopia Federal HIV/AIDS Prevention and Control Office (FHAPCO) Ministry of Health (MOH) (2007). Guidelines on Prevention of Mother-to-Child Transmission of HIV.]]>
				</mixed-citation>
			</ref>
						<ref id="ref8">
				<label>8</label>
				<mixed-citation publication-type="other" xlink:type="simple">
				<![CDATA[Ethiopia Federal HIV/AIDS Prevention and Control Office (FHAPCO) (2010). Annual Performance Report of Multispectral HIV/AIDS Response.]]>
				</mixed-citation>
			</ref>
						<ref id="ref9">
				<label>9</label>
				<mixed-citation publication-type="other" xlink:type="simple">
				<![CDATA[Ethiopia Public Health Institute (EPHI) (2009). Report on the Round Antenatal Care Sentinel HIV Surveillance in Ethiopia.]]>
				</mixed-citation>
			</ref>
						<ref id="ref10">
				<label>10</label>
				<mixed-citation publication-type="other" xlink:type="simple">
				<![CDATA[Ethiopian Society of Population Studies (2012). Maternal Health Care Seeking Behaviour in Ethiopia: Findings from EDHS 2005: Ethiopian Society of Population Studies: In-depth Analysis of the Ethiopian Demographic and Health Survey 2005.
				
					View]]>
				</mixed-citation>
			</ref>
						<ref id="ref11">
				<label>11</label>
				<mixed-citation publication-type="other" xlink:type="simple">
				<![CDATA[Federal Democratic Republic of Ethiopia (2012). Country Progress Report on HIV/AIDS Response.]]>
				</mixed-citation>
			</ref>
						<ref id="ref12">
				<label>12</label>
				<mixed-citation publication-type="other" xlink:type="simple">
				<![CDATA[Federal Democratic Republic of Ethiopia HIV/AIDS Prevention and Control Office (2014). Country progress report on the HIV Response, 2014.]]>
				</mixed-citation>
			</ref>
						<ref id="ref13">
				<label>13</label>
				<mixed-citation publication-type="other" xlink:type="simple">
				<![CDATA[Federal HIV/AIDS Prevention and Control Office (FHAPCO). Ministry of Health Ethiopia (2015). HIV Epidemic Estimates, global, 2015.
				
					View]]>
				</mixed-citation>
			</ref>
						<ref id="ref14">
				<label>14</label>
				<mixed-citation publication-type="other" xlink:type="simple">
				<![CDATA[Hasen T (2012). Acceptability of provider initiated HIV counseling and testing in pregnant mothers attending ANC at Nekemte town government health facilities. Sci. Technol. Arts Res. J. 1(3):24-30.
					]]>
				</mixed-citation>
			</ref>
						<ref id="ref15">
				<label>15</label>
				<mixed-citation publication-type="other" xlink:type="simple">
				<![CDATA[Hussein M, Jira C, Girma B (2011). Assessment of effective coverage of HIV prevention of pregnant mother to child transimission services in Jimma Zone, South West Ethiopia. Ethiop. J. Health Sci. 21(Suppl 1):1-7.]]>
				</mixed-citation>
			</ref>
						<ref id="ref16">
				<label>16</label>
				<mixed-citation publication-type="other" xlink:type="simple">
				<![CDATA[Jebessa S, Teka T (2005). Knowledge and attitude towards mother to child transmission of HIV and its prevention among post natal mothers in Tikur Anbessa and Zewditu Memorial Hospitals, Addis Ababa. Ethiop. J. Health Dev. 19(3):211-218.]]>
				</mixed-citation>
			</ref>
						<ref id="ref17">
				<label>17</label>
				<mixed-citation publication-type="other" xlink:type="simple">
				<![CDATA[Maedot P, Haile A, Lulseged S, Belachew A (2007). Determinants of vct uptake among pregnant women attending two ANC clinics in Addis Ababa City: unmatched case control study. Ethiop. Med. J. 45(4):335-342.]]>
				</mixed-citation>
			</ref>
						<ref id="ref18">
				<label>18</label>
				<mixed-citation publication-type="other" xlink:type="simple">
				<![CDATA[Namazzi JA (2010). Determinants of using voluntary counseling and testing for HIV/AIDS in Kenya. J. Manage. Policy Pract. 11(5):89-96.]]>
				</mixed-citation>
			</ref>
						<ref id="ref19">
				<label>19</label>
				<mixed-citation publication-type="other" xlink:type="simple">
				<![CDATA[Nigatu T, Woldegebriel Y (2011). Analysis of the prevention of mother-to-child transmission (PMTCT) service utilization in Ethiopia: 2006-2010. Reprod. Health 8(1):6.
					]]>
				</mixed-citation>
			</ref>
						<ref id="ref20">
				<label>20</label>
				<mixed-citation publication-type="other" xlink:type="simple">
				<![CDATA[Nkuoh GN, Meyer DJ, Tih PM, Nkfusai J (2010). Barriers to Mens Participation in Antenatal and Prevention of MothertoChild HIV Transmission Care in Cameroon, Africa. J. Midwifery Womens Health 55(4):363-369.
					]]>
				</mixed-citation>
			</ref>
						<ref id="ref21">
				<label>21</label>
				<mixed-citation publication-type="other" xlink:type="simple">
				<![CDATA[Peltzer K, Jones D, Weiss SM, Shikwane E (2011). Promoting male involvement to improve PMTCT uptake and reduce antenatal HIV infection: a cluster randomized controlled trial protocol. BMC Public Health 11(1):778.
					]]>
				</mixed-citation>
			</ref>
						<ref id="ref22">
				<label>22</label>
				<mixed-citation publication-type="other" xlink:type="simple">
				<![CDATA[Sarker M, Sanou A, Snow R, Ganame J, Gondos A (2007). Determinants of HIV counselling and testing participation in a prevention of mothertochild transmission programme in rural Burkina Faso. Trop. Med. Int. Health 12(12):1475-1483.
					]]>
				</mixed-citation>
			</ref>
						<ref id="ref23">
				<label>23</label>
				<mixed-citation publication-type="other" xlink:type="simple">
				<![CDATA[United States Presidents Emergency Plan for AIDS Relief. Prevention of Mother-to-Child Transmission.
				
					View]]>
				</mixed-citation>
			</ref>
						<ref id="ref24">
				<label>24</label>
				<mixed-citation publication-type="other" xlink:type="simple">
				<![CDATA[Worku T (2007). Utilization of PMTCT services among pregnant woman in western Amhara region Ethiopia. MPH thesis.]]>
				</mixed-citation>
			</ref>
						<ref id="ref25">
				<label>25</label>
				<mixed-citation publication-type="other" xlink:type="simple">
				<![CDATA[World Health Organization (WHO) (2006). Definitions of HIV for Surveillance and Revised Clinical Staging and Immunological Classification of HIV-Related Disease in Adults and Children; WHO, Geneva, Switzerland.]]>
				</mixed-citation>
			</ref>
						<ref id="ref26">
				<label>26</label>
				<mixed-citation publication-type="other" xlink:type="simple">
				<![CDATA[World Health Organization (WHO) (2010). PMTCT Strategic Vision 20102015: Preventing mother-to-child transmission of HIV to reach the UNGASS and MDGs.
				
					View]]>
				</mixed-citation>
			</ref>
						<ref id="ref27">
				<label>27</label>
				<mixed-citation publication-type="other" xlink:type="simple">
				<![CDATA[World Health Organization (WHO) (2016). HIV/AIDS: Data and statistics.
				
					View]]>
				</mixed-citation>
			</ref>
						<ref id="ref28">
				<label>28</label>
				<mixed-citation publication-type="other" xlink:type="simple">
				<![CDATA[World Health Organization (WHO) (2017). Global Health Observatory (GHO) Data HIV/AIDS Reports.
				
					View]]>
				</mixed-citation>
			</ref>
						<ref id="ref29">
				<label>29</label>
				<mixed-citation publication-type="other" xlink:type="simple">
				<![CDATA[World Health Organization (WHO) PMTCT Guidelines (2016). Prevention of Mother-To-Child Transmission (PMTCT) of HIV.
				
					View]]>
				</mixed-citation>
			</ref>
					</ref-list>
	</back>
    </article>