PMID- 35413906
OWN - NLM
STAT- MEDLINE
DCOM- 20220414
LR  - 20220615
IS  - 1472-6874 (Electronic)
IS  - 1472-6874 (Linking)
VI  - 22
IP  - 1
DP  - 2022 Apr 12
TI  - Women's decision-making power and knowledge of prevention of mother to child 
      transmission of HIV in sub-Saharan Africa.
PG  - 115
LID - 10.1186/s12905-022-01691-4 [doi]
LID - 115
AB  - BACKGROUND: Sub-Saharan Africa (SSA) bears the highest burden of Human 
      Immunodeficiency Virus (HIV) in the world. Even though the prevention of mother 
      to child transmission (PMTCT) programmme is one of the strategies to control the 
      HIV pandemic, the uptake in SSA countries is low. Women's decision-making power 
      has a positive influence on health seeking behavior and uptake of several 
      maternal health services. However, its relationship with knowledge of PMTCT 
      services is understudied in SSA. Therefore, this study aimed to examine the 
      association between women's decision-making power and knowledge of PMTCT in 24 
      countries in SSA. METHODS: Analysis of this study included data on 
      158,812 married women from the Demographic and Health Surveys of 24 sub-Saharan 
      African countries conducted between 2010 and 2020. Using Stata version-14 
      software, bivariate and multivariable logistic regression analyses were 
      conducted. The results were presented using adjusted odd ratios (aOR) with the 
      corresponding 95% confidence intervals (CI). RESULTS: In the pooled results, 
      69.5% (95% CI; 66.7-72.1%) of married women in the studied countries had 
      knowledge of PMTCT, ranging from 13.9% (95% CI; 11.9-16.2%) in Comoros to 75.4% 
      (95% CI; 73.7-76.9%) in Zimbabwe. Higher odds of PMTCT knowledge were seen among 
      married women who had decision-making power compared to married women who had no 
      decision-making power. Moreover, we found higher odds of PMTCT knowledge among 
      married women with manual occupation, those in the richest households and those 
      with 1-2 children compared to married women who were not working, from the 
      poorest households, and those with no children, respectively. CONCLUSION: Women's 
      decision-making power had positive influence on PMTCT knowledge. To increase the 
      coverage of PMTCT knowledge, policy makers and other stakeholders need to target 
      ways to empower women through increasing women's decision-making power. Moreover, 
      creating employment opportunities and economic empowerment for women need to be 
      considered, especially in countries with very low coverage of PMTCT knowledge.
CI  - (c) 2022. The Author(s).
FAU - Zegeye, Betregiorgis
AU  - Zegeye B
AD  - HaSET Maternal and Child Health Research Program, Shewarobit Field Office, 
      Shewarobit, Ethiopia.
FAU - Ahinkorah, Bright Opoku
AU  - Ahinkorah BO
AD  - School of Public Health, Faculty of Health, University of Technology Sydney, 
      Ultimo, NSW, Australia.
FAU - Ameyaw, Edward Kwabena
AU  - Ameyaw EK
AD  - School of Public Health, Faculty of Health, University of Technology Sydney, 
      Ultimo, NSW, Australia.
FAU - Seidu, Abdul-Aziz
AU  - Seidu AA
AD  - Department of Population and Health, College of Humanities and Legal Studies, 
      University of Cape Coast, Cape Coast, Ghana.
FAU - Olorunsaiye, Comfort Z
AU  - Olorunsaiye CZ
AD  - Department of Public Health, Arcadia University, Glenside, PA, USA.
FAU - Yaya, Sanni
AU  - Yaya S
AD  - School of International Development and Global Studies, Faculty of Social 
      Sciences, University of Ottawa, 120 University Private, Ottawa, ON, K1N 6N5, 
      Canada. sanni.yaya@uOttawa.ca.
AD  - The George Institute for Global Health, Imperial College London, London, UK. 
      sanni.yaya@uOttawa.ca.
LA  - eng
PT  - Journal Article
DEP - 20220412
PL  - England
TA  - BMC Womens Health
JT  - BMC women's health
JID - 101088690
SB  - IM
MH  - Child
MH  - Empowerment
MH  - Family Characteristics
MH  - Female
MH  - *HIV Infections/prevention & control
MH  - Humans
MH  - *Infectious Disease Transmission, Vertical/prevention & control
MH  - Marriage
PMC - PMC9003986
OTO - NOTNLM
OT  - Decision making
OT  - Global health
OT  - Knowledge
OT  - PMTCT
OT  - Sub-Saharan Africa
OT  - Women
COIS- The authors declare that they have no competing interests.
EDAT- 2022/04/14 06:00
MHDA- 2022/04/15 06:00
PMCR- 2022/04/12
CRDT- 2022/04/13 05:09
PHST- 2021/05/15 00:00 [received]
PHST- 2022/03/29 00:00 [accepted]
PHST- 2022/04/13 05:09 [entrez]
PHST- 2022/04/14 06:00 [pubmed]
PHST- 2022/04/15 06:00 [medline]
PHST- 2022/04/12 00:00 [pmc-release]
AID - 10.1186/s12905-022-01691-4 [pii]
AID - 1691 [pii]
AID - 10.1186/s12905-022-01691-4 [doi]
PST - epublish
SO  - BMC Womens Health. 2022 Apr 12;22(1):115. doi: 10.1186/s12905-022-01691-4.