Early uptake of HIV counseling and testing among pregnant women at different levels of health facilities - experiences from a community-based study in Northern Vietnam

<p>Abstract</p> <p>Background</p> <p>HIV counselling and testing for pregnant women is a key factor for successful prevention of mother to child transmission of HIV. Women's access to testing can be improved by scaling up the distribution of this service at all levels of health facilities. However, this strategy will only be effective if pregnant women are tested early and provided enough counselling.</p> <p>Objective</p> <p>To assess early uptake of HIV testing and the provision of HIV counselling among pregnant women who attend antenatal care at primary and higher level health facilities.</p> <p>Methods</p> <p>A community based study was conducted among 1108 nursing mothers. Data was collected during interviews using a structured questionnaire focused on socio-economic background, reproductive history, experience with antenatal HIV counselling and testing as well as types of health facility providing the services.</p> <p>Results</p> <p>In all 91.0% of the women interviewed had attended antenatal care and 90.3% had been tested for HIV during their most recent pregnancy. Women who had their first antenatal checkup at primary health facilities were significantly more likely to be tested before 34 weeks of gestation (OR = 43.2, CI: 18.9-98.1). The reported HIV counselling provision was also higher at primary health facilities, where women in comparison with women attending higher level health facilities were nearly three or and four times more likely to receive pre-test (OR = 2.7; CI:2.1-3.5) and post-test counseling (OR = 4.0; CI: 2.3-6.8).</p> <p>Conclusions</p> <p>The results suggest that antenatal HIV counseling and testing can be scaled up to primary heath facilities and that such scaling up may enhance early uptake of testing and provision of counseling.</p

Accoustic and perceptual cues for compound-phrasal contrasts in Vietnamese

This paper reports two series of experiments that examined the phonetic correlates of lexical stress in Vietnamese compounds in comparison to their phrasal constructions. In the first series of experiments, acoustic and perceptual characteristics of Vietnamese compound words and their phrasal counterparts were investigated on five likely acoustic correlates of stress or prominence (f0 range and contour, duration, intensity and spectral slope, vowel reduction), elicited under two distinct speaking conditions: a "normal speaking" condition and a "maximum contrast" condition which encouraged speakers to employ prosodic strategies for disambiguation. The results suggested that Vietnamese lacks phonetic resources for distinguishing compounds from phrases lexically and that native speakers may employ a phrase-level prosodic disambiguation strategy (juncture marking), when required to do so. However, in a second series of experiments, minimal pairs of bisyllabic coordinative compounds with reversible