Perinatal HIV Transmission Prevention: Challenges among Women Living with HIV in sub-Saharan Africa

Armstrong-Mensah, Elizabeth; Ruiz, Krystal; Fofana, Aminata; Hawley, Victoria

doi:10.21106/ijma.404

Cited by 5 publications

(3 citation statements)

References 20 publications

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“…Unintended pregnancy is a common phenomenon among HIV-positive women, an issue of concern [ 11 ]. In 2018, 90% of the 1.3 million pregnant women with HIV globally hailed from sub-Saharan Africa (SSA) [ 12 , 13 ]. Most HIV-positive women stated their most recent pregnancies were unintended, and some have indicated contraceptive use at the time of conception [ 14 – 18 ].…”

Section: Introductionmentioning

confidence: 99%

Unintended pregnancies among HIV-positive women in sub-Saharan Africa: a scoping review protocol

2023

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Background Unintended pregnancies pose a severe threat to the well-being of HIV-positive women and their unborn children. Factors contributing to the high incidence of unintended pregnancies include contraceptive failure, low uptake of contraceptives, and misuse of contraceptives. Despite various contraceptive options, an increased incidence of unintended pregnancies is rampant among HIV-positive women in the region of sub-Saharan Africa. This study seeks to present evidence of unintended pregnancies among women living with HIV in sub-Saharan Africa, including those using contraceptives. Method This study entails a scoping review to survey and interrogate the literature to provide evidence for the incidence of unintended pregnancies among HIV-positive women in sub-Saharan Africa. A proposed framework by Arksey and O’Malley will guide this scoping review. Peer-reviewed articles which address the research questions will constitute the main search. Electronic databases such as EBSCOhost, Cochrane Library, World of Science, World Health Organization (WHO) library databases, Science Direct, Google Scholar PubMed, and gray literature search will be involved. Reference list from studies included will also be searched. The investigation of articles will be done employing keywords from the studies included. The inclusion and exclusion criteria will guide two separate reviewers with the screening of abstracts and full papers. To summarize the findings from this review, thematic content analysis will be done using NVivo version 11. Discussion We expect that this review will add to the current body of knowledge on the incidence of unintended pregnancies among HIV-positive women, identify gaps for further future research, and show evidence that may contribute to strengthening the health system’s regulations, guidelines, and policies that may help prevent unintended pregnancies among HIV-positive women. Systematic review registration 10.17605/OSF.IO/EY3R5

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Section: Introductionmentioning

confidence: 99%

Unintended pregnancies among HIV-positive women in sub-Saharan Africa: a scoping review protocol

2023

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“…Infants born to mothers with HIV are at a greater risk of lower birth weight, developmental delays, and emotional dysregulation than those born to mothers without HIV [2][3][4], as well as increased risk of mortality [5]. Infants infected with HIV have the highest rates of 'not reaching [their] developmental potential' [6,7]. Acquiring HIV perinatally negatively impacts the development of the central nervous system in children, putting them at risk for delayed impaired cognitive and motor development [8].…”

Section: Introductionmentioning

confidence: 99%

Prevalence of neurodevelopmental delays in infants with perinatal HIV infection in comparison with HIV exposure in rural South Africa

Rodriguez

Alfonso

VanLandingham

et al. 2023

Aids

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Background:Assessing neurodevelopmental functioning in early infancy is essential as this is a critical period for infant development. Infants born to mothers with HIV are at a greater risk of developmental delays than those born to mothers without HIV. In this study, we analyzed differences in early neurodevelopmental functioning for infants with HIV exposure versus HIV infection to inform infant screening and early intervention.Methods:Participants were recruited from community health centers in Mpumalanga Province, South Africa. Prenatally, mothers completed baseline demographic assessment at 8 to 24-week gestation periods. Infant neurodevelopment was assessed using the Bayley Infant Neurodevelopmental Screener (BINS) 12 months postnatally. Five areas of development were assessed: cognition, receptive communication, expressive communication, fine motor ability, and gross motor ability.Findings:Postnatal infant assessment using the BINS revealed that infants were at risk for neurodevelopmental delays across all domains assessed. Notably, infants exposed to HIV, regardless of HIV status, were ‘at emerging risk’ or ‘at clear risk’ for cognitive (43.5%), receptive communication (38.2%), expressive communication (53.1%), fine motor (49.9%), and gross motor delays (55.6%). Differences were noted by HIV status in the cognition domain, such that HIV-exposed infants were more likely to be at emerging or clear risk than HIV-infected infants. There was a different trend with gross motor delays, such that HIV-infected infants were at a greater risk for motor delays than HIV-exposed, uninfected infants.Conclusion:Screening tools for this vulnerable population provide valuable early life assessment to determine infant needs for intervention and treatment planning. Such interventions may mitigate the impact of HIV status on neurodevelopmental health generally and cognition.

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“…In 2018, 90% of the 1.3 million pregnant women with HIV globally hailed from sub-Saharan Africa (SSA) (12,13). Most HIV-positive women stated their most recent pregnancies were unintended, and some have indicated contraceptive use at the time of conception (14)(15)(16)(17)(18).…”

Section: Introductionmentioning

confidence: 99%

Unintended Pregnancies Among HIV Positive Women In Sub Saharan Africa: A Scoping Review Protocol

Tomilola

Bolanle

Olufunmi

2021

Preprint

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Background: Unintended pregnancies pose a severe threat to the well-being of HIV-positive women and their unborn children. Factors contributing to the high incidence of unintended pregnancies include contraceptive failure, low uptake of contraceptives, and misuse of contraceptives. Despite various contraceptive options, an increased incidence of unintended pregnancies is rampant among HIV-positive women in the region of sub-Saharan Africa. This study seeks to present evidence of unintended pregnancies among women living with HIV in sub-Saharan Africa, including those using contraceptives.Method: This study entails a scoping review to survey and interrogate the literature to provide evidence for the incidence of unintended pregnancies among HIV-positive women in sub-Saharan Africa. A proposed framework by Arksey and O'Malley will guide this scoping review. Peer-reviewed articles which address the research questions will constitute the main search. Electronic databases such as EBSCOhost, Cochrane Library, World of Science, World Health Organization (WHO) library databases, Science Direct, Google Scholar PubMed, and grey literature search will be involved. References list from studies included will also be searched. The investigation of articles will be done employing keywords from the studies included. The inclusion and exclusion criteria will guide two separate reviewers with the screening of abstracts and full papers. To summarize the findings from this review, thematic content analysis will be done using NVivo version 11.Discussion: We expect that this review will add to the current body of knowledge on the incidence of unintended pregnancies among HIV-positive women, identify gaps for further future research, and show evidence that may contribute to strengthening the health system's regulations, guidelines, and policies that may help prevent unintended pregnancies among HIV positive women. Registration DOI: 10.17605/OSF.IO/EY3R5

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Perinatal HIV Transmission Prevention: Challenges among Women Living with HIV in sub-Saharan Africa

Cited by 5 publications

References 20 publications

Unintended pregnancies among HIV-positive women in sub-Saharan Africa: a scoping review protocol

Unintended pregnancies among HIV-positive women in sub-Saharan Africa: a scoping review protocol

Prevalence of neurodevelopmental delays in infants with perinatal HIV infection in comparison with HIV exposure in rural South Africa

Unintended Pregnancies Among HIV Positive Women In Sub Saharan Africa: A Scoping Review Protocol

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