Abstract:
Background: Index clients are HIV positive individuals at HIV Testing and Counseling centers and those who were enrolled in treatment, care and support services. Most of the index cases did not tested hard-to-reach groups including children and adult sexual partners. So, partner and family based index case HIV testing approach is to identify with a high coverage of HIV Testing service for this hard-to-reach group.
Objective: The aim of this study was to assess the magnitude and factors associated with Partner and Family based index case HIV testing among HIV positive clients who are on Anti-Retroviral Therapy follows up at Holeta Health Center, Holeta Town, Ethiopia, 2022 G.C.
Methods: Facility based cross-sectional study design was conducted on 316 individuals who were selected by using Simple random sampling technique. Data was collected using structured questionnaires which were adapted by reviewing different literatures. The data were entered into EPI info version 7.14 statistical software, and then exported to SPSS version 24 for analysis.
Bivariate logistic regression was used for each independent variable to check association with the dependent variable. All variables with P-value < 0.25 bivariate analysis were entered into multivariate logistic regression analysis to identify factors independently associated with the dependent Variables with a P value <0.05 were considered as statistically significant factors and adjusted odds ratio with 95% confidence interval was used to measure strength of association.
Result: This study showed that among the study participants, 86.8% had tested Partner and 92.9% had tested at least one child. Marital Status (AOR=0.06 CI: 0.02-0.21), duration on ART (AOR=2.71 CI: 1.17-6.25) and disclosure status (AOR=4.26 CI: 1.21-15.05) were identified to be significantly associated with Partner and Family based index case HIV testing.
Conclusion and Recommendation: This study showed that, most of the study participants had tested Partner and at least one Child. Partner and family based index case HIV testing has significant association with, Marital Status, duration on ART, disclosure status of index cases. Holeta Town Health Office and Holeta Health Center should work more on HIV clients to bring their Partner and Family members for HIV testing who had no tested
