Mavuto Amaganizo ndi Kuwonetsedwa Pazinthu Zogonana Monga Mgwirizano Wogonana Pakati pa Achinyamata ku Dodoma – Tanzania (2020)

Kudalirika

Mbiri: Kugonana kwa Achinyamata ndi nkhani zapamwamba pazokambirana zaumoyo wa anthu chifukwa cha kuthekera kochulukitsa chiopsezo chotenga kachirombo ka HIV komanso matenda ena opatsirana pogonana. Kafukufuku akuwonetsa kuti mchitidwe wogonana wachinyamata, kugonana, malingaliro, komanso kuwonekera pazinthu zolaula zimalumikizidwa chifukwa amafunikira zolimbikitsidwa ndi thanzi la achinyamata. Komabe, ngakhale zinthu zaumoyo, monga nkhawa zamaganizidwe, ndizofala m'maiko akutukuka komanso apakati, kuphatikiza ku Tanzania, zinthu zamagulu amisala sizingaganiziridwe kwambiri pakufufuza za HIV. Chifukwa chake, pakufunika pakudziwitsa anthu za zokhudzana ndi matenda amisala mu mliri wa HIV. Kafukufukuyu, motero, ndikuyankha pazofunikaku powunikira momwe anthu akuwonera nkhawa za m'maganizo ndi kuwonetsa zolaula pazakugonana pakati pa achinyamata ku mkoa wa Dodoma pogwiritsa ntchito data ya Dodoma Health and Demographic Surveillance System (HDSS).

Njira: Kafukufuku wachitika pang'ono m'midzi isanu ya Chigawo cha Chamwino kuyambira Epulo mpaka Juni 2017 pakati pa achinyamata 1,226 azaka zapakati pa 10 mpaka 19. Midzi ya Chigawo cha Chamwino idagwiritsidwa ntchito ngati njira yopangira zitsanzo pomwe njira yosinthika yotsatirika idagwiritsidwa ntchito posankha omwe adayankha. Mtundu woyimira bwino wamagulu ogwiritsira ntchito magwiritsidwe ntchito unayang'anira kudzipereka kodziimira pawokha wamavuto amisala komanso kuwonetsa zolaula pazakugonana pomwe pakuwerengera zaka kapangidwe ka kuphunzira.

Zotsatira: Kutalika konse kwa kugonana kwa achinyamata kunali 20.38%. Kuchulukaku kunaonedwa kukhala kwabwino kwambiri mwa amuna (32.15%) poyerekeza ndi akazi (10.92%). Kugonana kwaubwana kumalumikizidwa kwambiri ndi nkhawa komanso kupsinjika pazinthu zolaula. Ziwerengero zosemphana ndi zomwe zidawonetsa kuti achinyamata adafotokoza za nkhawa za m'maganizo (AOR = 1.61, 95% CI: 1.32- 1.96) ndi omwe adawonetsedwa pazinthu zolaula (AOR = 4.26, 95% CI: 3.65- 4.97) anali pachiwopsezo chachikulu chogonana. . Zina zomwe zimakhudzana ndi kugonana zinali zakubadwa, kugonana, kumwa mowa, komanso momwe zinthu zilili masiku ano pasukulu.

Pomaliza: Kuwunikira komwe kunachitika phunziroli kunafika poona kuti chiopsezo cha HIV chikupitirirabe kukhala nkhawa pakati pa achinyamata, kugonana kwa achinyamata, kusokonezeka kwa malingaliro, komanso kuyang'ana pazinthu zolaula zimalumikizana. Izi zikufunika kuti pakhale njira zopititsira patsogolo maphunziro a zaumoyo kusukulu ndi ntchito, makamaka panjira yochepetsera kuvutika maganizo ndi kupewa kuwonetsedwa pazinthu zolaula pofuna kupewa kufalitsa kachilombo ka HIV ndi matenda ena opatsirana pogonana.