Browsing by Author "Donkor, Elorm"

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    Factors Associated with HIV Testing among Pregnant Women in Rwanda: A Nationwide Cross-Sectional Survey
    (PLOS Global Public Health, 2024-01-18) Nuwabaine, Lilian; Kawuki, Joseph; Namulema, Angella; Asiimwe, John Baptist; Sserwanja, Quraish; Gatasi, Ghislaine; Donkor, Elorm
    Human immunodeficiency virus (HIV) testing during pregnancy is crucial for the prevention of mother-to-child transmission of HIV, through aiding prompt treatment, care, and support. However, few studies have explored HIV testing among pregnant women in Rwanda. This study, therefore, aimed to determine the prevalence and associated factors of HIV testing among pregnant women in Rwanda. We used secondary data from the 2020 Rwanda Demographic and Health Survey (RDHS), comprising 870 pregnant women. Multistage stratified sampling was used by the RDHS team to select participants. We conducted bivariable and multivariable logistic regression to explore factors associated with HIV testing using SPSS (version 25). Of the 870 pregnant women, 94.0% had tested for HIV during their current pregnancy. Younger age (24–34 years), not working, large household size, multiple sex partners, as well as secondary, primary, and no education were associated with higher odds of HIV testing compared to their respective counterparts. However, being unmarried, belonging to the western region, having not visited a health facility, and not having comprehensive HIV knowledge were associated with lower odds of HIV testing. A high proportion of pregnant women had tested for HIV. The study revealed that individual-level factors had the greatest influence on HIV testing in pregnancy, with a few household-level factors showing significance. There is a need for maternal health stakeholders to design and develop HIV testing programs that are region-sensitive. These programs should target older, more educated, working, and unmarried women with limited HIV knowledge.
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    Human Immunodeficiency Virus Testing and Associated Factors among Pregnant Women in Rwanda: a nationwide cross-sectional survey
    (tudent’s Journal of Health Research Africa, 2022-11-22) Nuwabaine, Lilian; Kawuki, Joseph; Namulema, Angella; Asiimwe, John Baptist; Donkor, Elorm
    Human immunodeficiency virus (HIV) testing during pregnancy is crucial for the prevention of mother-to-child transmission of HIV, thus aiding in prompt treatment, care, and support. However, HIV testing among pregnant women in Rwanda has been barely explored. This study, therefore, aimed to determine the prevalence and associated factors of HIV testing among pregnant women in Rwanda. Secondary data from the 2020 Rwanda Demographic and Health Survey comprising 870 pregnant women were used. Multistage stratified sampling was used to select participants. Multivariable logistic regression was conducted to determine the factors associated with HIV testing, using SPSS (version 25). Of the 870 pregnant women, 94.0% (95% CI: 92.3-95.4) had tested for HIV during their current pregnancy. Younger age (AOR=1.54, 95%CI: 1.54-4.42), not working (AOR=4.29, 95%CI: 1.52-12.08), large household size (AOR=2.96, 95%CI: 1.01-8.61), multiple sex partners (AOR=4.16, 95%CI: 3.01-5.74), as well as secondary (AOR=8.07, 95%CI: 2.15-11.43), primary (AOR=5.53, 95%CI: 1.28-9.74) and no (AOR=6.07, 95%CI: 1.21-10.44)education were positively associated with HIV testing. However, being unmarried (AOR=0.28, 95% CI: 0.19-0.86), belonging to the western region (AOR=0.20, 95% CI: 0.63-0.66), having not visited a health facility (AOR=0.22, 95%CI: 0.10-0.48), and not having comprehensive HIV knowledge (AOR=0.68, 95%CI: 0.30-0.55) were negatively associated with HIV testing. A high proportion of pregnant women had tested for HIV. However, there is a need for improved access to HIV education and testing facilities to address regional imbalances. The need for consideration of occupation, family and household dynamics in HIV testing promotion strategies is also highlighted.
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    Mosquito Bed Net Use and Associated Factors among Pregnant Women in Rwanda: a nationwide survey
    (BMC Pregnancy and Childbirth, 2023-06-06) Kawuki, Joseph; Donkor, Elorm; Gatasi, Ghislaine; Nuwabaine, Lilian
    In malaria-endemic countries such as Rwanda, the appropriate use of mosquito bed nets is an effective intervention for malaria prevention. Despite being one of the demographics most impacted by malaria, there is a dearth of literature on the usage of mosquito bed nets by pregnant women in Rwanda. The study aimed to assess the prevalence and associated factors for mosquito bed net use among pregnant women in Rwanda. We used weighted data from the 2020 Rwanda Demographic and Health Survey of 870 pregnant women, and multistage stratified sampling was used to select participants. Multivariable logistic regression was conducted to determine the factors associated with mosquito bed net use, using SPSS (version 26). Of the 870 pregnant women, 57.9% (95%CI: 54.6–61.1) used mosquito bed nets. However, 16.7% did not use bed nets among those owning bed nets. On one hand, older age (AOR = 1.59, 95%CI: 1.04–2.44), primary education (AOR = 1.18, 95%CI: 1.07–2.23), being married (AOR = 2.17, 95%CI: 1.43–3.20), being from Kigali region (AOR = 1.97, 95%CI: 1.19–3.91), partner’s education (AOR = 1.22, 95%CI: 1.13–3.41), having recently visited a health facility (AOR = 2.07, 95%CI: 1.35–3.18), and being in the third pregnancy trimester (AOR = 2.14, 95%CI: 1.44–3.18) were positively associated with mosquito bed net use. On the other hand, low wealth index (AOR = 0.13, 95%CI: 0.07–0.24), and being from Eastern region (AOR = 0.42, 95% CI: 0.26–0.66) had a negative association. About half of the pregnant women in Rwanda used mosquito bed nets and the usage was associated with various socio-demographics. There is a need for appropriate risk communication and continuous sensitisation to improve mosquito net use among pregnant women. Early antenatal care attendance and partner engagement in malaria prevention and mosquito net use, as well as consideration of household dynamics, are also crucial in improving not only mosquito net coverage but also utilization.