Abstract:
Back-ground: HIV Post-exposure prophylaxis is the only way to reduce the risk of HIV
infection after potential exposure to an infectious agent and can reduce 80% of sero-conversion.
HIV post exposure non-initiation was high among female rape survivors attended Woliso town
public health facilities and there is no information why they did not initiate HIV PEP in study
area.
Objective: To identify the determinants for non-initiation of HIV post-exposure prophylaxis
among female rape survivors attended public Health facilities in Woliso town , Oromia, Ethiopia,
2023.
Methods: Facility-based unmatched case-control study design was employed from April 25 to
May 30, 2023. A simple random sampling technique was used to select 242 (121 controls and
121 cases) female rape survivors medical records from five years data. Data were collected using
data extraction checklist by reviewing the medical records of rape survivors and from key
informants through in-depth interviews. All data were checked for completeness and consistency
and entered into Epi-info statically software version 7.2.2.6 and exported to SPSS version 21.
Descriptive statistical data were presented in form of tables and text using frequency and
summery statistics such as mean, standard deviation and percentage. Data were analyzed by
using a binary logistic regression model. A 95% Confidence interval with an adjusted odds ratio
was computed to identify the presence and strength of association and the level of statistical
significance was declared at p-value<0.05. The model goodness of fits was checked by using
Hosmer and Lemeshow.
Result: Being rural resident (AOR=2.34,95% CI:1.27, 4.31),when perpetrators were known to
female rape survivors (AOR=4.39,95% CI:2.26,8.5), present to health facilities after 72 hours
(AOR=7.84,95% CI:3.96,15.39) and no physical injury (AOR=1.98,95% CI:1.06,3.7) were
found to be a determinants of HIV post-exposure prophylaxis non-initiation.
Conclusion: This study revealed that being a rural resident, when perpetrators being known to
the survivors and present to facilities after 72 hours, and no physical injury were determinants of
HIV PEP non-initiation among rape survivors attended Woliso town public health facilities.
