Study to determine the levels of knowledge regarding mother-to-child transmission of HIV/AIDS during pregnancy among women in This is to certify that Dr. Rafique-Us-Saleheen worked for “Study to determine the levels of knowledge regarding mother-to-child transmission of HIV/AIDS during pregnancy among women in Bangladesh” under my supervision. Introduction: Although the prevalence of HIV is decreasing, the prevalence of HIV remains an important cause of childhood morbidity in resource-poor countries.
Despite the low prevalence of HIV/AIDS in Bangladesh, evidence shows that new cases are increasing, especially among the mainstream population caused by various misconceptions, stigma, social taboos and lack of proper knowledge among the population. of Bangladesh on mother-to-child transmission of HIV. The objective of the study was to assess the level of knowledge of women in Bangladesh regarding the transmission of HIV from pregnant mother to child. Multivariate analysis was done by logistic regression model to find the most dominant factors to have knowledge of mother-to-child transmission of HIV during pregnancy.
A greater proportion of rural residents have accurate knowledge about mother-to-child transmission of HIV compared to people from urban areas (40.59%). The association of living in Chittagong with knowledge of transmission of child-to-mother transmission of HIV reached significance level while living in Dhaka, Khulna, Rajshahi, Rangpur and Sylhet did not reach the desired level of significance. Likewise, participants' economic status was also not associated with accurate knowledge of mother-to-child HIV transmission.
Epidemiological studies have since identified the main routes of transmission of HIV as unsafe sexual intercourse, intravenous injections with contaminated needles, unscreened or contaminated blood transfusions, and transmission from an infected mother to her child during pregnancy, delivery or breastfeeding (Little et al., 2012). Although the rate of mother-to-child transmission of HIV/AIDS in Bangladesh is relatively low (Azim et al., 2008), 90 percent of infants in sub-Saharan Africa (SSA) acquired HIV/AIDS from infected mothers (Ubesie, 2012). Although the prevalence of HIV/AIDS is low in Bangladesh, there is still a group of key populations at risk that could contribute to a possible outbreak in Bangladesh.
So this study aims to assess the status of knowledge of Bangladeshi people about mother to child transmission of HIV/AIDS. There have been various efforts to prevent HIV transmission, such as public health education through the media and program activities, especially with groups considered to be at high risk of HIV/AIDS transmission. Despite the well-known gender aspects of the epidemic and the potential for the spread of the HIV epidemic, a more comprehensive and strategic effort to promote HIV knowledge and awareness among women in Bangladesh is warranted.
This study aims to contribute to greater knowledge and understanding of people's knowledge and perception of mother-to-child transmission of HIV/AIDS and thus contribute to future program and policy development. My main objective was to assess knowledge among women in Bangladesh about the transmission of HIV from pregnant mother to child. BDHS 2014 was chosen because of its readily available dataset on key indicators of knowledge about mother-to-child transmission of HIV/AIDS; these are medications to prevent the transmission of HIV to the baby during pregnancy; HIV transmitted during pregnancy; HIV transmitted during childbirth; and HIV transmitted through breastfeeding.
The dependent variable is the level of knowledge about mother-to-child transmission of HIV during pregnancy.
RESULTS
Similarly, living in cities and in rural areas is not associated with correct knowledge about child-to-mother HIV transmission. Although completed secondary education is significantly associated with correct knowledge, completed primary or higher education did not reach statistical significance. Although there is growing concern about mother-to-child transmission of HIV/AIDS in Bangladesh, misconceptions about HIV transmission are widespread.
The aim of this study was to investigate socio-demographic factors influencing misconceptions about mother-to-child transmission of HIV in Bangladesh. The study focused on four indicators of knowledge about mother-to-child transmission, drugs to prevent transmission of HIV to the child during pregnancy; HIV transmitted during pregnancy; HIV is transmitted during childbirth; and HIV transmitted through breastfeeding. The findings of the study confirm that a higher percentage of young mothers aged 25 to 29 have adequate knowledge about mother-to-child transmission of HIV.
Similarly, a larger part of the urban population tends to have correct knowledge about HIV/AIDS transmission from mother to child. 2016 also confirmed that being an urban resident in Bangladesh is significantly associated with a high level of HIV knowledge (Sanni et al., 2016). Living in Chittagong division and having completed secondary education is associated with correct knowledge.
Their findings show that respondents from Dhaka and Khulna compared to Barisal division were 1.3 times and 1.8 times more likely to understand HIV/AIDS accurately (Tuhin et,a. 2017). Before the advent of Covid-19, HIV/AIDS was considered one of the deadliest infectious diseases of modern times. Although the incidence is low, Bangladesh has several key population groups at high risk of HIV/AIDS, especially the increasing practice of LGBTI, which can silently spread HIV among the mass population.
Various factors such as education, living in urban areas and age are associated with accurate knowledge of mother-to-child HIV/AIDS prevention. In addition, the mass awareness raising campaign should be strengthened to break the barrier of social taboo that limits people's access to knowledge about HIV/AIDS and other sexually transmitted diseases. Given the fact that the prevalence of HIV/AIDS in Bangladesh is very low, I would suggest integrating the issue of mother-to-child transmission into other sex education programs, especially for adolescent boys and girls.
Furthermore, HIV/AIDS testing for pregnant mothers should be made readily available through referral. Effectiveness of lifelong ART (option B+) in the prevention of mother-to-child transmission of HIV program in Zambia: Observations based on routinely collected health data.
