Low HIV‐seroprevalence in pregnant women in a rural area in Tanzania

Hinderaker, Sven Gudmund; Krüger, Carsten; Olsen, Bjørg Evjen; Naman, Naftali; Bergsjø, Per; Olsen, Ole Halgrim Evjen

doi:10.1034/j.1600-0412.2001.801218.x

Cited by 11 publications

(3 citation statements)

References 1 publication

(2 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Eosinophilia pointed then more to a parasitic cause, but hookworm is very rare in this semi-arid, dry area. HIV infection was highly unlikely from the beginning, as the prevalence is only <0.5% in our area [15]. Malaria was ruled out by a thick blood film examination.…”

Section: Discussionmentioning

confidence: 99%

Aquatic leech infestation: a rare cause of severe anaemia in an adolescent Tanzanian girl

Krüger

Malleyeck

Olsen

2004

European Journal of Pediatrics

View full text Add to dashboard Cite

show abstract

Section: Discussionmentioning

confidence: 99%

Aquatic leech infestation: a rare cause of severe anaemia in an adolescent Tanzanian girl

Krüger

Malleyeck

Olsen

2004

European Journal of Pediatrics

View full text Add to dashboard Cite

show abstract

“…Cerebral malaria was commonly observed at the local hospital; it was the leading cause of maternal deaths, whereas eclampsia was uncommon. The prevalence of HIV infection among pregnant women was 0.3% 14 . The nutrition among the pregnant Iraqw and Datoga women was fairly good, and there was no tradition of starving pregnant women like the Masai sometimes do.…”

Section: Methodsmentioning

confidence: 99%

Avoidable stillbirths and neonatal deaths in rural Tanzania

Hinderaker

2003

BJOG: An International Journal of Obstetrics and Gynaecology

View full text Add to dashboard Cite

Objective To determine the causes of stillbirths and neonatal deaths in the community in rural Tanzania and to evaluate whether the deaths were avoidable under the prevailing circumstances. Design Review of stillbirths and neonatal deaths.Setting Rural northern Tanzania, Mbulu and Hanang districts.Sample One hundred and nineteen stillbirth and neonatal deaths identified in a prospective cohort of antenatal attendees and 21 stillbirths and neonatal deaths identified retrospectively in a household survey in seven rural communities. Methods Verbal autopsy was done to reach a diagnosis, in many cases supplemented with information from antenatal records and hospital records. The avoidability of deaths under the prevailing circumstances was assessed for each case. An account of risk factors detectable at antenatal clinic was done and compared with the woman's recall of the risk assessment and recall of being referred. Main outcome measures Avoidability of stillbirths and neonatal deaths.Results There were 60 stillbirths, 49 early neonatal deaths and 27 late neonatal deaths. Infection-related deaths were most common (n ¼ 53), followed by asphyxia-related deaths (n ¼ 32) and immaturity-related deaths (n ¼ 20). Malaria was the most common infectious agent observed (21 children and 20 mothers). Twentyone deaths (15%) were probably avoidable and 13 (10%) were possibly avoidable. A patient-oriented avoidable factor was identified in 17 (51%) and a provider-oriented avoidable factor was identified in 22 cases (65%). Twenty-six of the 34 avoidable deaths had risk factors, but only two of the women were aware of it and only one recalled being referred to a hospital for the risk factor. There were eight deaths among the 133 mothers who experienced a perinatal death. Conclusions Our data indicate that prevention and adequate treatment of infections and asphyxia in the newborn should have high priority in low-income settings. The relatively low proportion of avoidable stillbirths and neonatal deaths may be partly due to accessible emergency obstetric care in the area. Future efforts should emphasise improving the communication between midwife and women at the antenatal clinics, preparing the women -and their families -for the delivery and to be ready for complications.

show abstract

“…Of these women, only 20%-30% were tested selectively with the VDRL test alone, based on their obstetric history (previous stillbirth) and/or clinical signs and symptoms, and 17% had a positive VDRL test result. [23] At that time, onsite test systems were not available. If diagnosed as having maternal syphilis, all of them received standard penicillin treatment.…”

Section: Original Articlementioning

confidence: 98%

Congenital syphilis: still a serious, under-diagnosed threat for children in resource-poor countries

Krüger

Malleyeck

2010

World J Pediatr

Self Cite

View full text Add to dashboard Cite

Highlighting the variable picture of congenital syphilis, this report demonstrates how difficult it is to make a correct diagnosis by solely history and clinical presentation in a resource-poor setting. Hence false-positive and false-negative diagnoses are common, and clinicians have to maintain a high index of suspicion in diagnosing congenital syphilis. Therefore, an important approach to control and finally eliminate congenital syphilis as a major public health problem will be universal on-site syphilis screening of all pregnant women at their first antenatal visit and immediate treatment for those who test positive.

show abstract

Low HIV‐seroprevalence in pregnant women in a rural area in Tanzania

Cited by 11 publications

References 1 publication

Aquatic leech infestation: a rare cause of severe anaemia in an adolescent Tanzanian girl

Aquatic leech infestation: a rare cause of severe anaemia in an adolescent Tanzanian girl

Avoidable stillbirths and neonatal deaths in rural Tanzania

Congenital syphilis: still a serious, under-diagnosed threat for children in resource-poor countries

Contact Info

Product

Resources

About