Original Research

Utilization of delivery services in the context of Prevention of HIV from Mother- To-Child (PMTCT) in a rural community, South Africa

K Peltzer, T Mosala, O Shisana, A Nqeteko
Curationis | Vol 29, No 1 | a1049 | DOI: https://doi.org/10.4102/curationis.v29i1.1049 | © 2006 K Peltzer, T Mosala, O Shisana, A Nqeteko | This work is licensed under CC Attribution 4.0
Submitted: 28 September 2006 | Published: 28 September 2006

About the author(s)

K Peltzer, Human Sciences Research Council & University of Limpopo, South Africa
T Mosala, Human Sciences Research Council, South Africa
O Shisana, Human Sciences Research Council, South Africa
A Nqeteko, Human Sciences Research Council, South Africa

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Abstract

The aim of this study was to investigate the utilization of delivery services in the context of PMTCT in a rural community in South Africa. Based on a cross-sectional survey, the sample included 870 pregnant women who had delivered before recruited from five PMTCT clinics and surrounding communities. Results indicated that 55.9% had delivered their last child in a health care facility and 44.1% at home (mostly without assistance from a traditional birth attendant). The odds of access to the health facility were (1) women who stayed close to the hospital (OR=2.87), (2) those who had higher formal education (OR=l .55), (3) higher traveling costs (affordability) to get to nearest clinic (OR=1.77), and (4) those who were single (OR=1.58). Childbirth experiences of the mother or mother-in-law greatly influenced the delivery choices in terms of home delivery. The majority of the pregnant women were aware of mother-to-child HIV transmission but only 9% of the pregnant women had ever been tested for HIV. HIV knowledge, HIV testing behaviour and attitudes were found to be not associated with the delivery option.

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1. Prevalence and correlates of home delivery amongst HIV-infected women attending care at a rural public health facility in Coastal Kenya
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doi: 10.1371/journal.pone.0194028