Study On Reproductive Age Women's Awareness Of Preventing Mother-to-Child Transmission Of HIV And Effect Evaluation Of Intervention In Changsha Community

Objectives:To explorer the status of the awareness, attitude and practice of preventing mother to child transmission(PMTCT)of HIV among women of reproductive age in Changsha City. To evaluate the effect of health education of PMTCT of HIV on changing women's level of knowledge and attitude about PMTCT of HIV, action of using PMTCT services of HIV.Methods:This study was a quasi-experiment research method.120 pregnant women and 120 nonpregnant women in two communities of Changsha city were divided into two groups, the intervention group and the control group randomly, each group includes 120 subjects. Routine PMTCT of AIDS work among childbearing age women was implemented in two groups as health system requirements, but the intervention group was given lecture,watching TV video,individual education and so on.Results:1.Women got the AIDS information mainly from the mass media such as TV (79.2 percent)and newspaper(64.2 percent). The AIDS campaign and medical staff, on the other hand, only consisted 42.5,16.3 percent respectively.2.The average level of PMTCT of HIV knowledge in women of reproductive age was 49.4 percent, above 70 percent of women had positive attitude toward PMTCT of HIV, and only 30 percent of women took HIV antibody tests.3.The major factors influencing the AIDS scoring rate among women of reproductive age were education, occupation and HIV voluntary counseling and testing necessary before marriage and pregnancy.4.The knowledge score(13.35±4.71) surveyed before intervention was in the medium level totally. The overall level, classification level of knowledge and attitudes towards PMTCT of HIV all increased significantly after intervention (P<0.01) and compared with the control group (P<0.05). However, the HIV testing rates of reproductive age women are low levels of intervention(the HIV testing rates<33%), they did not change between intervention group and control group or after education (P>0.05).Conclusion:1.The level of reproductive age women on awareness of PMTCT of HIV in Changsha is average, while the level of attitudes towards PMTCT services is positive, the usage behavior is low level.2.Health education on PMTCT of HIV can increase women's knowledge level about AIDS significantly, attitudes towards PMTCT services can be changed by education, but the HIV testing rates were more difficult.