Knowledge of Prevention of Mother-to-Child Transmission

 

Percentage of women and men who know that HIV can be transmitted from mother to child during pregnancy, during delivery, by breastfeeding, and in all 3 ways; Percentage of women and men who know that the risk of mother-to-child transmission can be reduced by the mother taking special drugs (legacy indicator)

 

Definition

 

1)      Percentage of women and men age 15-49 who know that HIV can be transmitted from mother to child during pregnancy.

2)      Percentage of women and men age 15-49 who know that HIV can be transmitted from mother to child during delivery.

3)      Percentage of women and men age 15-49 who know that HIV can be transmitted from mother to child by breastfeeding.

4)      Percentage of women and men age 15-49 who know that HIV can be transmitted from mother to child during pregnancy, during delivery, and by breastfeeding.

5)      Percentage of women and men age 15-49 who know that the risk of mother-to-child transmission can be reduced by the mother taking special drugs.

 

Coverage:

Population base: Women and men age 15-49 (IR file, MR file)

Time period: Current status at time of survey

 

Numerators:

Number of women (or men) who respond “Yes” that HIV can be transmitted from a mother to her baby:

1)      during pregnancy (women: v774a = 1; men: mv774a = 1)

2)      during delivery (women: v774b = 1; men: mv774b = 1)

3)      by breastfeeding (women: v774c = 1; men: mv774c = 1)

4)      during pregnancy, delivery, and by breastfeeding (women: v774a = 1 & v774b = 1 & v774c = 1; men: mv774a = 1 & mv774b = 1 & mv774c = 1)

5)      Number of women (or men) who respond “Yes” to the question:

6)      “Are there any special medicines that a doctor or a nurse can give to a woman infected with HIV to reduce the risk of transmission to the baby?” (women: v824 = 1; men: mv824 = 1)

 

Denominator: Number of women (or men) age 15-49

 

Variables: IR file, MR file.

v774a

HIV transmitted during pregnancy (women)

v774b

HIV transmitted during delivery (women)

v774c

HIV transmitted during breastfeeding (women)

v824

Drugs to avoid HIV transmission to baby during pregnancy (women)

v005

Woman’s individual sample weight

mv774a

HIV transmitted during pregnancy (men)

mv774b

HIV transmitted during delivery (men)

mv774c

HIV transmitted during breastfeeding (men)

mv824

Drugs to avoid HIV transmission to baby during pregnancy (men)

mv005

Man’s individual sample weight

 

Calculation

 

The numerator divided by the denominator, expressed as a percentage. If a respondent has not heard of HIV, they are included in the denominator but excluded from the numerator.

 

Handling of Missing Values

 

Missing values are assumed to reflect a lack of knowledge about HIV or AIDS and are therefore not included in the numerator. Respondents can also indicate “don’t know” which is treated as a lack of knowledge.

 

Note that women and men who have not heard of HIV or AIDS are not asked these questions but are still included in the denominator; if they have not heard of HIV or AIDS they are assumed not to have this knowledge.

 

Changes over Time

 

Previously DHS reported an indicator that combined knowledge that HIV can be transmitted by breastfeeding and that special drugs taken by mother during pregnancy can reduce risk of MTCT. The DHS-7 tabulation plan does not combine these indicators.

 

Indicators 1-4 have been removed in DHS-8. Indicator 5 can be found under Medicines for HIV Treatment and Prevention.

 

References

 

Mishra, V., P. Agrawal, S. Alva, Y. Gu, and S. Wang. 2009. Changes in HIV-Related Knowledge and Behaviors in Sub-Saharan Africa. DHS Comparative Reports No. 24. Calverton, Maryland, USA: ICF Macro. https://dhsprogram.com/publications/publication-CR24-Comparative-Reports.cfm

 

Wang, W., S. Alva, and S. Wang. 2012. HIV-Related Knowledge and Behaviors among People Living with HIV in Eight High HIV Prevalence Countries in Sub-Saharan Africa. DHS Analytical Studies No. 29. Calverton, Maryland, USA: ICF International https://dhsprogram.com/publications/publication-AS29-Analytical-Studies.cfm

 

Resources

 

API Indicator IDs:

Women:

HA_KMTC_W_BRF, HA_KMTC_W_DRG, HA_KMTC_W_BFD

(API link, STATcompiler link)

 

Men:

HA_KMTC_M_BRF, HA_KMTC_M_DRG, HA_KMTC_M_BFD

(API link, STATcompiler link)

 

MICS6 Indicator TM.30: Knowledge of mother-to-child transmission