Women’s Reproductive Health,Sociocultural Context and AIDS Knowledge in Northern India

Abstract

This paper identifies sociocultural and reproductive health correlates of knowledge about HIV among ever-married women using 1998–99 National Family Health Survey data from two low HIV prevalence Indian states, Madhya Pradesh (MP) and Uttar Pradesh (UP). Logistic regressions were undertaken modelling women’s awareness of HIV, of whether the disease can be avoided and of effective means of protection. In MP 22.7 per cent women were aware of HIV; 56.4 per cent (of 22.7 per cent) knew that the disease can be avoided; and 47.5 per cent (of 56.4 per cent) possessed correct knowledge about effective means of protection. In UP 20.7 per cent women had awareness of HIV; 59.2 per cent (of 20.7 per cent) knew that the disease can be avoided; and 45.7 per cent (of 59.2 per cent) were informed about effective means of protection. In both states older, uneducated, rural, poor, those not exposed to television, and those who had never used a modern family planning method were less likely to possess HIV awareness. However, for women who were aware of HIV, acquisition of further knowledge about it had fewer socioeconomic barriers. These barriers were state specific so interventions to overcome them need to be highly focused.

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References

Askew, I. & N.B. Maggwa (2002). Integration of STI prevention and management with family planning and antenatal care in Sub-Saharan Africa: What more do we need to know? International Family Planning Perspectives, 28(2), 77– 86 .

Boer, H. & P.A.A., Emons (2004). Accurate and inaccurate HIV transmission beliefs, stigmatizing and HIV protection motivation in Northern Thailand. AIDS Care, 16(2), 167– 76 .

Bunsha, D . (2002). The rise of print. Frontline,6 July19, available at http://www.frontlineonnet.com/fl1914/19140810.htm, accessed 9 February 2004.

Buseh, A.G. , L.K. Glass , B.J. McElmurry , M. Mkhabela & N.A. Sukati (2002). Primary and preferred sources for HIV/AIDS and sexual risk behavior information among adolescents in Swaziland, Southern Africa. International Journal of Nursing Studies, 39(5), 525– 38 .

Census of India (2003). Census of India 2001. New Delhi:Registrar General and Census Commissioner.

Gangakhedkar, R.R. , M.E. Bentley , A.D. Divekar , D. Gadkari , S.M. Mehendale , M.E. Shepherd , R.C. Bollinger & T.C. Quinn (1997). Spread of HIV infection in married monogamous women in India. Journal of the American Medical Association, 278(23), 2090– 92 .

International Institute for Population Sciences (IIPS) and ORC Macro (2000). National Family Health Survey (NFHS-2) 1998–99, India. Mumbai:IIPS.

Johnson, K . (2001). Media and Social change: The modernizing influences of television in rural India. Media, Culture and Society, 23(2), 147– 69 .

Khan, M.A . (2002). Knowledge on AIDS among female adolescents in Bangladesh: Evidence from the Bangladesh Demographic and Health Survey Data. Journal of Health, Population and Nutrition, 20(2), 130– 37 .

10.

National AIDS Control Organisation (NACO) (2004a). HIV estimates in India. Available at http://www.naco.nic.in/indianscene/esthiv.htm, accessed 15 February 2004.

11.

National AIDS Control Organisation (NACO) (2004b). HIV/AIDS surveillance in India. Available at http://www.naco.nic.in/indianscene/overv.htm, accessed 9 January 2004.

12.

National AIDS Control Organisation (NACO) (2004c). National baseline general population behavioural surveillance survey 2001. Available at http://www.naco.nic.in/nacp/publctn.htm, accessed 15 February 2004.

13.

Newmann, S. , P. Sarin , N. Kumarasamy , E. Amalraj , M. Rogers , P. Madhivanan , T. Flanigan , S. Cu-Uvin , S. McGarvey , K. Mayer & S. Soloman (2000). Marriage, monogamy and HIV: A profile of HIV-infected women in south India. Inter-national Journal of STD and AIDS, 11(4), 250– 53 .

14.

Pallikadavath, S. & R.W. Stones (2003a). Disseminating knowledge about AIDS through the Indian family planning program: Prospects and limitations. AIDS, 17(13), 2008– 9 .

15.

Pallikadavath, S. & R.W. Stones (2003b). Women’s reproductive health security in the wake of the HIV/AIDS epidemic in India. Economic and Political Weekly, 38(39), 4173– 81 .

16.

Pallikadavath, S. , L. Garda , H. Apte , J. Freedman & R.W. Stones (2005). HIV/ AIDS in rural India: Context and health care needs. Journal of Biosocial Sciences,forthcoming.

17.

Pallikadavath, S. , M. Foss & R.W. Stones (2004). Antenatal care: Provision and inequality in rural north India. Social Science and Medicine, 59(6), 1147– 58 .

18.

Porter, S.B . (1993). Public knowledge and attitudes about AIDS among adults in Calcutta, India. AIDS Care, 5(2), 169– 76 .

19.

United Nations (2002). HIV/AIDS: Awareness and behaviour. New York:UN (also available at http://www.unpopulation.org).

20.

Wu. Z , Roger Detels , Guoping Ji , Chen Xu , Keming Rou , Huancheng Ding & Virginia Li (2002). Diffusion of HIV/AIDS knowledge, positive attitudes, and behaviors through training of health professionals in China. AIDS Education and Prevention, 14(5), 379– 90 .