Applying the theory of planned behaviour to explain HIV testing in antenatal settings in Addis Ababa - a cohort study
2011

Understanding HIV Testing in Pregnant Women in Addis Ababa

Sample size: 3033 publication 10 minutes Evidence: moderate

Author Information

Author(s): Mirkuzie Alemnesh H, Sisay Mitike M, Moland Karen Marie, Åstrøm Anne N

Primary Institution: Centre for International Health, University of Bergen

Hypothesis

Can the Theory of Planned Behaviour explain the intention and actual HIV testing among pregnant women in antenatal settings?

Conclusion

The Theory of Planned Behaviour explained a significant amount of variance in the intention to test for HIV, but was less effective in predicting actual testing behavior.

Supporting Evidence

  • The TPB explained 9.2% and 16.4% of the variance in intention among public- and private health facility attendees.
  • Women intended to test for HIV if they perceived social support and anticipated positive consequences.
  • Type of counselling did not modify the link between intended and actual HIV testing.
  • Women with high intention were significantly more likely to test for HIV.

Takeaway

The study found that pregnant women are more likely to test for HIV if they feel supported by others and believe that testing will have positive outcomes.

Methodology

A mixed methods study involving focus group discussions and a cohort study with structured interviews and follow-up on HIV testing.

Potential Biases

Potential bias from the self-reported nature of intention and the objective measurement of actual testing.

Limitations

The study may have social desirability bias and inter-rater variability due to the use of multiple field assistants.

Participant Demographics

Primarily first-time antenatal attendees in public and private health facilities in Addis Ababa, Ethiopia.

Statistical Information

Confidence Interval

95% CI

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1186/1472-6963-11-196

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