Optimizing HIV Counseling: Effects of Personalized, Reinforced Key Messages Among Antenatal Clinic Attendees
Introduction: Antenatal HIV counseling is an opportunity to educate HIV negative women to remain protected from infection. However, it needs to be optimized to achieve the desired effect. Objective: To evaluate the effect of reinforcement of key messages during the antenatal HIV counseling. Methods:...
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| Format: | Article |
| Language: | English |
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Indian Association of Preventive and Social Medicine
2021-10-01
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| Series: | Healthline |
| Subjects: | |
| Online Access: | http://www.healthlinejournal.org/index_pdf/372.pdf |
| _version_ | 1818932589980811264 |
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| author | U.C. Samudyatha Manvendra Singh Rathore J.K. Kosambiya |
| author_facet | U.C. Samudyatha Manvendra Singh Rathore J.K. Kosambiya |
| author_sort | U.C. Samudyatha |
| collection | DOAJ |
| description | Introduction: Antenatal HIV counseling is an opportunity to educate HIV negative women to remain protected from infection. However, it needs to be optimized to achieve the desired effect. Objective: To evaluate the effect of reinforcement of key messages during the antenatal HIV counseling. Methods: In a PPTCT clinic 202 pregnant women who had already received pretest HIV counseling were assessed for retention in knowledge in four key domains of HIV knowledge using an 8 point scoring system (Non-Intervention group Score B). In another 200 newly recruited pregnant women, intervention was interactive group counseling, assessment (Intervention group Score A), personal reinforcement session and reassessment during post counseling (Intervention group Score B). Impact of intervention was determined by comparing the scores between and within groups using factorial and repeated measures ANOVA respectively. Results: Non-Intervention group Score B was 4.4 (SD± 1.7), compared to 6.5 (SD± 1.6) in Intervention group, where more than 80% answered all questions correctly in each domain. Women in Intervention group had a mean Score of more than 6/8 even when they returned beyond 3 weeks for post test counseling. Despite the intervention, educated women retained the knowledge better than uneducated counterparts. Conclusions: Intervention of key messages reinforcement improved comprehension and retention in knowledge, and sensitized participants for prompt collection of reports. Women with less education would require customized key messages delivery to help them comprehend the information. The 8 point scoring system used in this study can serve as in-house quality check for antenatal counseling in PPTCT clinics. |
| first_indexed | 2024-12-20T04:34:54Z |
| format | Article |
| id | doaj.art-cce21906f4894cde9422c6971c465047 |
| institution | Directory Open Access Journal |
| issn | 2229-337X 2320-1525 |
| language | English |
| last_indexed | 2024-12-20T04:34:54Z |
| publishDate | 2021-10-01 |
| publisher | Indian Association of Preventive and Social Medicine |
| record_format | Article |
| series | Healthline |
| spelling | doaj.art-cce21906f4894cde9422c6971c4650472022-12-21T19:53:18ZengIndian Association of Preventive and Social MedicineHealthline2229-337X2320-15252021-10-01123374410.51957/Healthline_251_2021Optimizing HIV Counseling: Effects of Personalized, Reinforced Key Messages Among Antenatal Clinic AttendeesU.C. Samudyatha0Manvendra Singh Rathore1J.K. Kosambiya2Senior Resident,Department of Community Medicine, Government Medical College, Surat, Gujarat, IndiaResident, Department of Community Medicine, Government Medical College, Surat, Gujarat, India Professor and Head, Department of Community Medicine, Government Medical College, Surat, Gujarat, IndiaIntroduction: Antenatal HIV counseling is an opportunity to educate HIV negative women to remain protected from infection. However, it needs to be optimized to achieve the desired effect. Objective: To evaluate the effect of reinforcement of key messages during the antenatal HIV counseling. Methods: In a PPTCT clinic 202 pregnant women who had already received pretest HIV counseling were assessed for retention in knowledge in four key domains of HIV knowledge using an 8 point scoring system (Non-Intervention group Score B). In another 200 newly recruited pregnant women, intervention was interactive group counseling, assessment (Intervention group Score A), personal reinforcement session and reassessment during post counseling (Intervention group Score B). Impact of intervention was determined by comparing the scores between and within groups using factorial and repeated measures ANOVA respectively. Results: Non-Intervention group Score B was 4.4 (SD± 1.7), compared to 6.5 (SD± 1.6) in Intervention group, where more than 80% answered all questions correctly in each domain. Women in Intervention group had a mean Score of more than 6/8 even when they returned beyond 3 weeks for post test counseling. Despite the intervention, educated women retained the knowledge better than uneducated counterparts. Conclusions: Intervention of key messages reinforcement improved comprehension and retention in knowledge, and sensitized participants for prompt collection of reports. Women with less education would require customized key messages delivery to help them comprehend the information. The 8 point scoring system used in this study can serve as in-house quality check for antenatal counseling in PPTCT clinics.http://www.healthlinejournal.org/index_pdf/372.pdfgroup counselingpptctanovahealth education |
| spellingShingle | U.C. Samudyatha Manvendra Singh Rathore J.K. Kosambiya Optimizing HIV Counseling: Effects of Personalized, Reinforced Key Messages Among Antenatal Clinic Attendees Healthline group counseling pptct anova health education |
| title | Optimizing HIV Counseling: Effects of Personalized, Reinforced Key Messages Among Antenatal Clinic Attendees |
| title_full | Optimizing HIV Counseling: Effects of Personalized, Reinforced Key Messages Among Antenatal Clinic Attendees |
| title_fullStr | Optimizing HIV Counseling: Effects of Personalized, Reinforced Key Messages Among Antenatal Clinic Attendees |
| title_full_unstemmed | Optimizing HIV Counseling: Effects of Personalized, Reinforced Key Messages Among Antenatal Clinic Attendees |
| title_short | Optimizing HIV Counseling: Effects of Personalized, Reinforced Key Messages Among Antenatal Clinic Attendees |
| title_sort | optimizing hiv counseling effects of personalized reinforced key messages among antenatal clinic attendees |
| topic | group counseling pptct anova health education |
| url | http://www.healthlinejournal.org/index_pdf/372.pdf |
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