Effect of Community Conversation on VCT Knowledge, Attitude and Utilization of 15-59 Years Population in Shebedino Woreda, Sidama Zone, SNNPR, Ethiopia

ABSTRACT

Background:

In contrast to, many initiatives implemented to prevent HIV/AIDS infection; many countries have not yet achieved the planned reduction in HIV/AIDS infection; the main reason mentioned being low utilization of VCT for HIV/AIDS.

Methods: A cross sectional comparative community based study was conducted to compare knowledge, attitude and practice towards VCT service among 15-59 years age population between poor and well CC performing rural kebeles in Shebe Dino woreda, from August 2010-May 2011. Kebeles were classified as poor or well based on their CC performance. A hierarchical logistic regression model was used to determine independent predictors of VCT uptake in blocks of two at 95% CI.

Results The two CC groups were homogeneous in their major socio demographic factors using two sample test of proportion (P>0.05), and hence were comparable. The comprehensive VCT knowledge didn’t show statistically significant difference between well and poor CC performing kebeles, with a two sample proportion test of difference and 95% CI: 0.05 (-0.04, 0.14). But, knowledge only about the  importance of the service, positive attitude and utilization of VCT service was statistically higher in well CC performing kebeles than poor CC performing kebeles (73.0% vs.54.1%, P < 0.001), (73.0% vs.54.1%, P < 0.001) and (97.8 vs. 93.8, P=0.034) respectively. Age group between 15-24 years, single, trader, knowledgeable about HIV transmissions, and positive attitude to VCT services were independent predictors of VCT service utilization.

Lessons and Recommendations: CC does have effect on knowledge (only on the importance of VCT), VCT attitude and practice but not on comprehensive knowledge towards VCT. Therefore, there should be consistent monitoring and evaluation of the CC program, not only by the criteria in use but also in terms of its effect on KAP of the target population towards VCT and/or HIV to strengthen CC in all CC kebeles.