Tuyển tập các báo cáo nghiên cứu về hóa học được đăng trên tạp chí sinh học đề tài : Factors associated with access to HIV care and treatment in a prevention of mother to child transmission programme in urban Zimbabwe | Muchedzi et al. Journal of the International AIDS Society 2010 13 38 http content 13 1 38 JOURNALOF THE INTERNATIONAL AIDS SOCIETY RESEARCH Open Access Factors associated with access to HIV care and treatment in a prevention of mother to child transmission programme in urban Zimbabwe Auxilia Muchedzi1 Winfreda Chandisarewa1 Jo Keatinge2 Lynda Stranix-Chibanda3 Godfrey Woelk1 Elizabeth Mbizvo4 Avinash K Shetty5 Abstract Background This cross-sectional study assessed factors affecting access to antiretroviral therapy ART among HIVpositive women from the prevention of mother to child transmission HIV programme in Chitungwiza Zimbabwe. Methods Data were collected between June and August 2008. HIV-positive women attending antenatal clinics who had been referred to the national ART programme from January 2006 until December 2007 were surveyed. The questionnaire collected socio-demographic data treatment-seeking behaviours and positive or negative factors that affect access to HIV care and treatment. Results Of the 147 HIV-positive women interviewed 95 65 had registered with the ART programme. However documentation of the referral was noted in only 23 16 of cases. Of the 95 registered women 35 37 were receiving ART 17 18 had not undergone CD4 testing. Multivariate analysis revealed that participants who understood the referral process were three times more likely to access HIV care and treatment OR 95 CI and participants enrolled in an HIV support group were twice as likely to access care and treatment OR 95 CI . Those living with a male partner were 60 less likely to access care and treatment OR 95 CI . Participants who accessed HIV care and treatment faced several challenges including long waiting times 46 unreliable access to laboratory testing 35 and high transport costs 12 . Of the 147 clients surveyed 52 35 women did not access HIV care and treatment. Barriers included perceived long queues 50 .
