title: Awareness and attitude of antenatal clients towards HIV voluntary counselling and testing in Aminu Kano Teaching Hospital, Kano, Nigeria.
abstract: BACKGROUND
  Mother to child transmission accounts for the majority of HIV infections in children in the developing countries. This study assessed pregnant women's knowledge of HIV/AIDS, awareness and attitudes towards Voluntary Counselling and Testing (VCT) in a teaching hospital in northern Nigeria.
  
  
  METHODS
  A pre-tested structured interview questionnaire was administered on a cross-section of 210 antenatal clients in Aminu Kano Teaching Hospital, Nigeria.
  
  
  RESULTS
  All respondents were aware of HIV/AIDS. Fifty seven percent had good knowledge, 32% had fair knowledge and the remaining 11% had poor knowledge of the infection. Most respondents were aware of VCT through health workers, mass media and friends. Similarly, most respondents (81.0%) approved of VCT, 13.0% disapproved of it and the remaining (6%) was undecided. The main reasons for disapproval were; fear of stigmatisation, isolation and effect on marriage security. Those that had tertiary level of education were three times more likely to accept VCT compared to those with lower levels of education (O.R=3.2, 95% confidence interval =1.3-8.0).
  
  
  CONCLUSIONS
  Although the awareness of VCT for HIV was quite high with most antenatal clients harbouring positive attitudes towards it, there is a need to intensify health education to convince the remaining minority who are still sceptical or ignorant of the benefits of VCT.
authors.affiliation: Department of Community Medicine, Aminu Kano Teaching Hospital, Kano, Nigeria.
authors.forename: Z
authors.initials: Z
authors.lastname: Iliyasu
authors.forename: M
authors.initials: M
authors.lastname: Kabir
authors.forename: H S
authors.initials: HS
authors.lastname: Galadanci
authors.forename: I S
authors.initials: IS
authors.lastname: Abubakar
authors.forename: M H
authors.initials: MH
authors.lastname: Aliyu
mesh_terms: D015492:AIDS Serodiagnosis / Q000706:statistics & numerical data*; D000293:Adolescent; D000328:Adult; D000553:Ambulatory Care; D016009:Chi-Square Distribution; D003376:Counseling / Q000706:statistics & numerical data*; D003430:Cross-Sectional Studies; D003906:Developing Countries; D005260:Female; D015658:HIV Infections / Q000175:diagnosis* / Q000635:transmission; D007722:Health Knowledge, Attitudes, Practice; D006301:Health Services Needs and Demand; D006784:Hospitals, Teaching; D006801:Humans; D018445:Infectious Disease Transmission, Vertical / Q000517:prevention & control; D008403:Mass Screening; D009549:Nigeria; D011247:Pregnancy; D011251:Pregnancy Complications, Infectious / Q000517:prevention & control*; D011295:Prenatal Care / Q000379:methods; D011336:Probability; D012307:Risk Factors; D012959:Socioeconomic Factors; D011795:Surveys and Questionnaires