Determinants of Pregnant Women Participation on Triple Elimination of HIV, Syphilis, and Hepatitis B, in Semarang

Mei Fatimah

Abstract

Background: HIV, Syphilis, and Hepatitis B infections are very susceptible to transmission from mother to child during pregnancy, child­birth, and breastfeeding. In 2014, the World Health Organisation (WHO) established a list of validation criteria to facilitate efforts of eli­mination of mother-to-child transmission (EMTCT) of HIV and syphilis. This study aimed to ana­lyze determinants of pregnant women parti­ci­pation in the triple elimination uptake.

Subjects and Method: This was a cross sec­tional study conducted at 25 Public health cen­ters, in Semarang District, Central Java, from December 2019 to February 2020. A sample of 200 pregnant women was selected by random sampling. The dependent variable was triple elimination. The independent variables were intention, access to information, know­led­ge, outcome expectation, modeling, distance, self-efficacy, and husband support. Community health center was variable in level 2. The data were collected by questionnaire and analyzed by a multiple logistic multilevel analysis.

Results: Triple elimination participation in pregnant women increased with good access to information (b= 1.76; 95% CI= 16.72 to 102.18; p<0.001), good knowledge (b= 2.09; 95% CI= 10.91 to 56.14; p<0.001), positive outcome expectation (b= 2.03; 95% CI= 12.93 to 71.91; p<0.001), strong modeling (b= 2.03; 95% CI= 2.83 to 1.64, p< 0.001), strong inten­tion (b= 2.43; 95% CI= 8.49 to 46.22; p <0.001), strong self-efficacy (b= 2.48; 95% CI= 12.64 to 72.37; p<0.001), and strong husband support (b= 1.97; 95% CI= 12.2 to 65.24; p <0.001). Triple elimination participation in pregnant women decreased with further distance to health center (b= -2.20; 95% CI= 0.41 to 1.38; p= 0.032). Public health center had contextual effect on the participation of triple elimination in preg­nant women with ICC= 40.64%.

Conclusion: Triple elimination participation in pregnant women increases with good access to information, good knowledge, positive out­come expectation, strong modeling, strong in­ten­tion, strong self-efficacy, and strong hus­band support. It decreases with further dis­tan­ce to health center. Public health center has con­tex­tual effect on the participation of triple eli­mination in preg­nant women

 

Keywords: triple elimination, HIV, Syphilis, Hepatitis B, multilevel analysis

Full Text:

PDF

References

Anggraeni

FD, Murti B, Dharmawan R (2016). Path analysis and theory of plan­n­ed behavior

on using PAP SMEAR ­as early detection of cervical cancer in Sewon I Community

Health Center, Bantul, Yogyakarta, Indone

mso-ansi-language:EN-ID" lang="EN-ID">­

line-height:115%;font-family:"Georgia","serif"" lang="IN">sia. JHPB. 01(01): 1–8.

https://

font-family:"Georgia","serif";mso-ansi-language:EN-ID" lang="EN-ID">­doi.

mso-ansi-language:EN-ID" lang="EN-ID">­

line-height:115%;font-family:"Georgia","serif"" lang="IN">org/10.26911/­thejhpb.2016.01.01.01.

Angulo

JMC, Cuesta TAC, Menezes EP, Pedroso ­C, Brites C (2019). The in­fluence of Hla

B Polymorphisms on HIV mother to child transmission; a syste­matic review. Braz

J Infect Dis. 23(1): 53–59. https://doi.org/10.10

mso-ansi-language:EN-ID" lang="EN-ID">­

line-height:115%;font-family:"Georgia","serif"" lang="IN">1

mso-ansi-language:EN-ID" lang="EN-ID">­

line-height:115%;font-family:"Georgia","serif"" lang="IN">6/j.bjid.­2018.12.002.

Bristow

CC, Larson E, Anderson LJ, Klaus

line-height:115%;font-family:"Georgia","serif";mso-ansi-language:EN-ID" lang="EN-ID">­ner­

JD (2016). Cost effectiveness of HIV and syphilis antenatal screen­ing; a

modelling study.

J

Sex Transm Dis. 92(5): 340–346. https://doi.org/­10.

%;font-family:"Georgia","serif";mso-ansi-language:EN-ID" lang="EN-ID">­1136­/sextrans­20­­15­­-052367.

Curry

SJ, Krist AH, Owens DK, Barry MJ, Caughey AB, Davidson KW, Doubeni CA, et al.

(2018). Screening for sy

line-height:115%;font-family:"Georgia","serif";mso-ansi-language:EN-ID" lang="EN-ID">­phi

mso-ansi-language:EN-ID" lang="EN-ID">­

line-height:115%;font-family:"Georgia","serif"" lang="IN">lis infection in pregnant women

US pre­ven­tive services task force re

5pt;line-height:115%;font-family:"Georgia","serif";mso-ansi-language:EN-ID" lang="EN-ID">­affir­mation

recommendation statement. JAMA. 32­0­­(9): 911–917. https://doi.

mso-ansi-language:EN-ID" lang="EN-ID">­

line-height:115%;font-family:"Georgia","serif"" lang="IN">org/10.1001/­jama.2018.11785.

Dinas

Kesehatan Provinsi Jawa Tengah (2017)­. Profil kesehatan provinsi Jawa Tengah

tahun 2017.

El

Bcheraoui C, Nieto GAI, Dubon AMA, Gagnier MC, Sutton MY, Mokdad AH (2013).

Disparities in HIV screening among pregnant women El Salvador. PLoS ONE. 8(12):

–8. https://doi.

%;font-family:"Georgia","serif";mso-ansi-language:EN-ID" lang="EN-ID">­org/10.1371/journal.pone.0082760.

Elsheikh

IE, Crutzen R, Van Den BHW (2015). Perceptions of Sudanese wo­men of

reproductive age toward HIV­/­AIDS and services for Prevention of Mother to

Child Transmission of HIV Global health. BMC Public Health. 15(1): 1–8. ht­tps://doi.org/10.1186/­s12­889-01520­5­­­4­-1.

Fan S,

Wang A, Wang L (2016). Elimina­tion of mother to child transmission of

syphilis: Challenge and solution. J Matern Fetal Neonatal Med. 1(2): 95-104.

http://dx.doi.org­/10.1097/FM9.

line-height:115%;font-family:"Georgia","serif";mso-ansi-language:EN-ID" lang="EN-ID">­0000000000000018.

Isah A,

Adibe MO, Anosike C, Aluh DO, Onyekwelu PO, Okonta MJ, Ukwe CV (2019).

Willingness to accept and will­ing­ness to pay ratios of prevention of mother

to child transmission services in a Nigerian hospital; a cross sectio­nal

contingent valuation study. Value Health Reg Issues. (19): 112–121. https:­//doi.org/10.1016/j.vhri.2019.

mso-ansi-language:EN-ID" lang="EN-ID">­

line-height:115%;font-family:"Georgia","serif"" lang="IN">05.001.

Dinas

Kesehatan Kab. Semarang (2018). Profil kesehatan Kab. Semarang. https://dkk.semarangkab.go.id/profil-kesehatan/

Kementerian

Kesehatan (2018). Hasil uta

line-height:115%;font-family:"Georgia","serif";mso-ansi-language:EN-ID" lang="EN-ID">­ma

Riskesdas 2018.  Jakarta: Pusat Data dan Informasi Kementerian Ke

line-height:115%;font-family:"Georgia","serif";mso-ansi-language:EN-ID" lang="EN-ID">­sehatan

Republik Indonesia. https://

line-height:115%;font-family:"Georgia","serif";mso-ansi-language:EN-ID" lang="EN-ID">­www.kemkes.go.id/resources/download/infoterkini/hasil-riskesdas-2018.

mso-ansi-language:EN-ID" lang="EN-ID">­

line-height:115%;font-family:"Georgia","serif"" lang="IN">pdf

mso-ansi-language:EN-ID" lang="EN-ID">.

Kementerian

Kesehatan (2017). Pedom­an eliminasi penularan HIV, Sifilis dan Hepatitis B

dari Ibu ke anak (Guide

line-height:115%;font-family:"Georgia","serif";mso-ansi-language:EN-ID" lang="EN-ID">­lines

for the elimination of HIV, syphilis and hepatitis B trans

mso-ansi-language:EN-ID" lang="EN-ID">­

line-height:115%;font-family:"Georgia","serif"" lang="IN">mission from mother to child).

Jakarta: Direk

font-family:"Georgia","serif";mso-ansi-language:EN-ID" lang="EN-ID">­torat

Jenderal Pencegahan dan Pe­­ng

line-height:115%;font-family:"Georgia","serif";mso-ansi-language:EN-ID" lang="EN-ID">­endalian

Pen

"Georgia","serif";mso-ansi-language:EN-ID" lang="EN-ID">yakit. https://www.

mso-ansi-language:EN-ID" lang="EN-ID">­

line-height:115%;font-family:"Georgia","serif"" lang="IN">per

mso-ansi-language:EN-ID" lang="EN-ID">­

line-height:115%;font-family:"Georgia","serif"" lang="IN">si.or.id/images/regulasi/permenkes/pmk522017.pdf

yakit Kementerian Kese­hat­an.

Lerebo

W, Callens S, Jackson D, Zarowsky C, Temmerman M (2014). Identifying factors

associated with the uptake of pre­­vention of mother to child HIV trans­mission

programme in Tigray region, Ethiopia; a multilevel model­ing ap­proach. BMC

Health Services Research. (14-181). doi: 10.1186/14­72­­-6963-14-181.

Lovero

KL, de Oliveira TRD, Cosme EM, Cabrera NB, Guimaraes MF, de Avelar JG, de

Oliveira GRT, et al. (2018). Retrospective analysis of risk factors and gaps in

prevention strategies for mother to child HIV transmission in Rio de Janeiro,

Brazil. BMC Public Health. 18(1): 1110. https://doi.org/

mso-ansi-language:EN-ID" lang="EN-ID">­

line-height:115%;font-family:"Georgia","serif"" lang="IN">10.1186/s12­8­89-018-6002-8.

mso-ansi-language:EN-ID" lang="EN-ID">

Masters

SH, Agot K, Obonyo B, Napierala MS, Maman S, Thirumurthy H (2016). Promoting

partner testing and couples testing through secondary distribution of HIV self

tests; A ran

font-family:"Georgia","serif";mso-ansi-language:EN-ID" lang="EN-ID">­domized

clinical trial. PLoS Med. 13(11): 1–15. https://­doi.org/10.1371/

mso-ansi-language:EN-ID" lang="EN-ID">­

line-height:115%;font-family:"Georgia","serif"" lang="IN">journal.pmed.1002166.

Mehta

KD, Antala S, Mistry M, Goswami Y (2015). Seropositivity of hepatitis B,

hepatitis C, syphilis and HIV in ante­natal

women in India.

%" lang="IN">

font-family:"Georgia","serif"" lang="IN">J Infect Dev Ctries. 7(11): 832-837.

https://doi.

font-family:"Georgia","serif";mso-ansi-language:EN-ID" lang="EN-ID">­org/­10­.3855/jidc.2764.

Moreira

PMA, Bandeira LM, Pompilio MA, de Rezende GR, Soares LS, Langraf de C, Ortiz

TTS, et al. (2019). Screening for HBV, HCV, HIV and syphilis infections among

bacteriologically confir­m­ed tu­ber­culosis prisoners; An urgent action

required. PLoS ONE. 14(8): 1–11.

line-height:115%;font-family:"Georgia","serif";mso-ansi-language:EN-ID" lang="IN"> https­://doi.org/10.1371/

mso-ansi-language:EN-ID" lang="EN-ID">­

line-height:115%;font-family:"Georgia","serif"" lang="IN">journal.pone.022125.

Moura

AA, Mello MJG, Correia JB (2015). Prevalence of syphilis, human immu­no­­deficiency

virus, hepatitis B virus, and human Tlymphotropic virus in

mso-ansi-language:EN-ID" lang="EN-ID">­

line-height:115%;font-family:"Georgia","serif"" lang="IN">fec­tions and coinfections

during pre

font-family:"Georgia","serif";mso-ansi-language:EN-ID" lang="EN-ID">­natal

screen­ing in an urban North

line-height:115%;font-family:"Georgia","serif";mso-ansi-language:EN-ID" lang="EN-ID">­eastern

Brazilian population. Int J Infect Dis. 39: 10–15.h­ttps://doi.org/

mso-ansi-language:EN-ID" lang="EN-ID">­

line-height:115%;font-family:"Georgia","serif"" lang="IN">10.1016/j.ijid.2015.07.02.

Murti B

(2018). Teori promosi dan perilaku kesehatan (Promotion theory and health

behavior). Ed.1. Surakarta: Program Studi Ilmu Kesehatan Ma

mso-ansi-language:EN-ID" lang="EN-ID">­

line-height:115%;font-family:"Georgia","serif"" lang="IN">syarakat, Program Pascasarjana,

Un

"Georgia","serif";mso-ansi-language:EN-ID" lang="EN-ID">i­versitas

Sebe­las­ Maret.

Oyugi

E, Gura Z, Boru W, Githuku J, On

line-height:115%;font-family:"Georgia","serif";mso-ansi-language:EN-ID" lang="EN-ID">­yango

D, Otieno W, Nyambati V (2017). Male partner involvement in efforts to

eliminate mother to child tran­s­mission of HIV in Kisumu County, Western

Kenya. Pan Afr Med J. 28(1): 6. https://doi.org/10.11604/

mso-ansi-language:EN-ID" lang="EN-ID">­

line-height:115%;font-family:"Georgia","serif"" lang="IN">pamj.supp.201­7­.28.1.9283.

Penda

CI, Tejiokem MC, Sofeu CL, Ndiang ST, Ateba NF, Kfutwah A, Guemkam G, et al.

(2019). Low rate of early vertical tran­s­­mission of HIV supports the feasi­bility

of effective implemen­tation of the national PMTCT guide­lines in routine practice

of referral hospitals in Came­roon. J Paediatr Child Health. 39(3): 208–215.

https:

font-family:"Georgia","serif";mso-ansi-language:EN-ID" lang="EN-ID">­//doi.org/10.1080/204­69047.2019.

mso-ansi-language:EN-ID" lang="EN-ID">­

line-height:115%;font-family:"Georgia","serif"" lang="IN">1

mso-ansi-language:EN-ID" lang="EN-ID">­

line-height:115%;font-family:"Georgia","serif"" lang="IN">585136.

Shamizadeh

T, Jahangiry L, Sarbakhsh P, Ponnet K (2019). Social cognitive the

mso-ansi-language:EN-ID" lang="EN-ID">­

line-height:115%;font-family:"Georgia","serif"" lang="IN">ory based intervention to

promote physical activity among prediabetic rural people; A cluster randomized

control­led trial. BMC. 20(1): 1–10. https://doi.org/10.­1186/s13063-019-3220-z.

Tamir

H, Krupp K, Stephens DP, Zohou­rian T, Dorcius PM, Arun A, Fisher CB,

Madhivanan P (2018). Addressing pre­ven­tion among HIV uninfected women in

PMTCT programs in South India. J Assoc Nurses AIDS Care. 29(1): 45–52.

https://doi.org/10.101

line-height:115%;font-family:"Georgia","serif";mso-ansi-language:EN-ID" lang="EN-ID">­6/j.jana.2017.10.006.

Taylor

M, Newman L, Ishikawa N, Laverty M, Hayashi C, Ghidinelli M, Pendse R, et al.

(2017). Elimination of mother to child transmission of HIV and Sy

mso-ansi-language:EN-ID" lang="EN-ID">­

line-height:115%;font-family:"Georgia","serif"" lang="IN">philis (EMTCT); Process,

progress, and pro­gram integration. PLoS Med. 14(6): 1-10. https://doi.org/10.1371/

mso-ansi-language:EN-ID" lang="EN-ID">­

line-height:115%;font-family:"Georgia","serif"" lang="IN">journal.pmed.10­02329.

mso-ansi-language:EN-ID" lang="EN-ID">

Thisyakorn

U (2017). Elimination of mo

line-height:115%;font-family:"Georgia","serif";mso-ansi-language:EN-ID" lang="EN-ID">­ther

to child transmission of HIV; les

line-height:115%;font-family:"Georgia","serif";mso-ansi-language:EN-ID" lang="EN-ID">­sons

learned from success in Thai

line-height:115%;font-family:"Georgia","serif";mso-ansi-language:EN-ID" lang="EN-ID">­land.

J Paediatr Child Health. 37(2)­­: 99–108. https://doi.org/10.1080/20

mso-ansi-language:EN-ID" lang="EN-ID">­

line-height:115%;font-family:"Georgia","serif"" lang="IN">469047.2017.1281873.

Visser

M, Van DP, Smit C, Hukkelhoven CWPM, Abbink F, Van Benthem BHB, Op De Coul ELM

(2019). Evaluating progress towards triple elimination of mother to child

transmission of HIV, syphilis and hepatitis B in the Nether­lands. BMC Public

Health. 19(1)­. https://doi.org/10.1186/­s1288

mso-ansi-language:EN-ID" lang="EN-ID">­

line-height:115%;font-family:"Georgia","serif"" lang="IN">9-019

mso-ansi-language:EN-ID" lang="EN-ID">­

line-height:115%;font-family:"Georgia","serif"" lang="IN">66­6­­8­­­-6.

World

Health Organization (2018). Regio­nal framework for the triple elimi­na

mso-ansi-language:EN-ID" lang="EN-ID">­

line-height:115%;font-family:"Georgia","serif"" lang="IN">tion of mother to child trans­mission

of HIV, Hepatitis B and Syphilis in Asia and the Pacific 2018-2030. Ma

mso-ansi-language:EN-ID" lang="EN-ID">­

line-height:115%;font-family:"Georgia","serif"" lang="IN">nila; WHO regio­nal office for

the Western Pacific. https­://apps.who.

mso-ansi-language:EN-ID" lang="EN-ID">­

line-height:115%;font-family:"Georgia","serif"" lang="IN">int/iris/handle/10665/274111.

World Health

Organization (2018). Triple elim­i­nation of mother to child trans­mission of

HIV, Hepatitis B and sy

line-height:115%;font-family:"Georgia","serif";mso-ansi-language:EN-ID" lang="EN-ID">­philis.

https://apps.who.int/iris/han­dle/10665/260024.

mso-fareast-font-family:Calibri;mso-fareast-theme-font:minor-latin;mso-bidi-font-family:

"Times New Roman";mso-bidi-theme-font:minor-bidi;mso-ansi-language:IN;

mso-fareast-language:EN-US;mso-bidi-language:AR-SA" lang="IN">

Refbacks

  • There are currently no refbacks.