Adugnaw Zeleke Alem|Achamyeleh Birhanu Teshale|Alemneh Mekuriaw Liyew|Getayeneh Antehunegn Tesema|Ayenew Kassie|Yigizie Yeshaw
Determinants of HIV voluntary counseling and testing: a multilevel modelling of the Ethiopian Demographic and Health Survey
University of Gondar|University of Gondar|University of Gondar|University of Gondar|University of Gondar|University of Gondar
abstract background human immunodeficiency virus hiv counseling testing services vital reduce spread hiv infection create opportunity early treatment reduction hivaidsrelated mortality however 12 subsaharan african ssa countries reached first 90 target 90 people living hiv know status hence study aimed investigate determinants hiv counseling testing among reproductiveage women ethiopia methods ethiopian demographic health survey edhs 2016 data used identify determinants hiv counseling testing among reproductiveage women ethiopia weighted sample 14599 reproductive age women included study multilevel binary logistic regression model fitted identify determinants hiv counseling testing odds ratio 95 confidence interval ci corresponding pvalue 005 employed declare statistically significant variables results study individual communitylevel variables significantly associated voluntary counseling testing vct uptake among women women aged 2534 years adjusted odds ratio aor 229 95 ci 205 256 aged 35 years aor 155 95 ci 138 175 attending primary education aor 168 95 ci 151 188 secondary education aor 307 95 ci 264 358 higher education aor 515 95 ci 417 636 women medium household wealth aor 156 95 ci 132 184 richer aor 188 95 ci 158 224 richest wealth index aor 237 95 ci 191 294 comprehensive knowledge aor 121 95 ci 106 137 ever married aor 387 95 ci 346 432 sexual risky behavior aor 209 95 ci 169 249 women communities high hiv knowledge aor 203 95 ci 168 245 women communities high literacy level aor 116 95 ci 105 151 women communities high wealth quintile aor 120 95 ci 103157 higher odds vct uptake however women stigma aor 081 95 ci 074 092 reduced odds vct uptake conclusion study revealed individual level factors also community level factors determine status hiv voluntary counseling testing hence strengthening individual community based interventions crucial increase women hiv counseling testing practice country