Determinants Of Voluntary Hiv Counseling And Testing Among Addis Ababa University Undergraduate Final Year Students

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HIV/AIDS has become the most devastating global epidemic the world has ever faced and highlyrnaffecting the young and economically active segment of the population. Effective behavioral changerncommunication (BCC) strategies need to be designed to rescue the future development force of the nation.rnThus, VCT for HIV is included as one of the strategy for HIV / AIDS prevention in HIV / AIDS policy, yetrnvery little is known about what determines VCT services. This study attempts to identify determinants ofrnVoluntary HIV counseling and test ing among Addis Ababa University undergraduate final year Students.rnThe study design was cross-sectional, including both quantitative and qualitative methods. Using multistagernsampling technique comprising a total of 860 Students were selected. Quantitative data wererncollected through self administered questionnaire information on background characteristics ofrnrespondents, cognitive determinants and psychological and system related determinants. In addition, fourrnfocus group discussions were a lso conducted to generate the qualitative data required to substantiate thernstatistical finding.rnThe collected data were ed ited, entered and cleaned with SPSS computer software. The data werernsummarized, analyzed and organized using tables and texts (descriptive) also used bivariate analysis tornshow the association between variables and binary logistic regression model used to show the impact ofrndifferent determinants ofVCT by controlling different confounders.rnThe result of the study showed that students were found to be high knowledge of HIV AIDS transmi ss ionrnand prevention and all respondents heard about VCT, also most of the respondents non stigmatizingrntowards PLWHA and most of them favorab le attitude towards VCT serv ice. Thus, the prevalence of HIVrntesting was found to be 39.7%.rnThe major finding in logistic regression model showed that marital status, childhood place of residence,rnlife time sexual partner, perceived confidentiality of VCT serv ice, willingness to take VCT beforernmarriage, stigma and discrimination and attitude towards VCT were found the key determinants ofrnpracticing VCT. While, HIV testing was not determined by sex, religious affiliation and felling being atrnrisk of HIV infection. Regarding intention to take VCT in the future the key determinants were identi fiedrnas, marital status, number of lifetime sexual partner, willingness to take VCT before marri age, care forrnPLWHA and ever use ofVCT in the past were found the determining factors while willingness to test inrnthe future was not determined by sex, age, religious affi liation, childhood place of residence, felling beingrnat risk ofHIV infection and perceived confidentiality ofVCT services.rnThe results indicated that despite obstacles to VCT and issues surrounding HIV testing, furtherrnin formation, education and communication program and awareness raising with regard to HlV/AIDS andrngradual scaling up ofVCT service, encouraging marriage and reduce stigma and discrimination should bernstrengthened.

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Determinants Of Voluntary Hiv Counseling And Testing Among Addis Ababa University Undergraduate Final Year Students

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