Post-abortion care and voluntary HIV counselling and testing--an example of integrating HIV prevention into reproductive health services.
OBJECTIVE
To assess the acceptance and outcome of voluntary HIV counselling and testing (VCT) among women who had an unsafe abortion.


METHODS
706 women were provided with post-abortion contraceptive service and offered VCT. We collected data on socioeconomic characteristics and contraceptive use and determined the HIV status of those who accepted VCT. Using a nested case-control design, we compared women who accepted HIV testing with women who did not. To study the association between socioeconomic factors, HIV testing acceptance and condom use in more detail, we did stratified analyses based on age and marital status.


RESULTS
58% of the women who had an unsafe abortion accepted HIV testing. Women who earned an income were more likely to accept testing than housewives. Women who accepted testing were more likely to accept using a condom. The HIV prevalence rate was 19% among single women aged 20-24 years and 25% among single women aged 25-45 years.


CONCLUSIONS
HIV testing and condoms were accepted by most women who had an unsafe abortion. The poor reproductive health of these women could be improved by good post-abortion care that includes contraceptive counselling, VCT and condom promotion.
Rasch
Vibeke
V
Department of International Health, University of Copenhagen, Copenhagen, Denmark, and Temeke Municipal Hospital, Dar es Salaam, Tanzania. v.rasch@publichealth.ku.dk
Yambesi
Fortunata
F
Massawe
Siriel
S
D000028:Abortion, Induced; D000293:Adolescent; D000328:Adult; D017677:Age Distribution; D016022:Case-Control Studies; D017280:Condoms; D003270:Contraceptive Agents / Q000627:therapeutic use; D003376:Counseling / Q000379:methods*; D004651:Employment; D005260:Female; D015658:HIV Infections / Q000175:diagnosis / Q000453:epidemiology / Q000517:prevention & control*; D006801:Humans; D017533:Marital Status; D010298:Parity; D010342:Patient Acceptance of Health Care / Q000523:psychology*; D011247:Pregnancy; D015995:Prevalence; D012309:Risk-Taking; D012725:Sexual Behavior / Q000523:psychology; D012959:Socioeconomic Factors; D013636:Tanzania / Q000453:epidemiology
D003270:Contraceptive Agents