The Association Between HIV Status and Antenatal Care Attendance Among Pregnant Women in Rural Hospitals in Lesotho

Gill, Michelle M.; Machekano, Rhoderick; Isavwa, Anthony; Ahimsibwe, Allan; Oyebanji, Oyebola; Akintade, Oluwasanmi L.; Tiam, Appolinaire

doi:10.1097/qai.0000000000000481

Cited by 15 publications

(12 citation statements)

References 16 publications

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“…This is similar to findings in Makurdi [14], Abakiliki18 and Lesotho [17] but at variance with the finding in Nnewi [13].…”

Section: Discussionsupporting

confidence: 91%

“…Testing in pregnancy also benefits the women in reinforcement of safe sex practices, provision of opportunity for counseling on infant feeding options, and enabling a woman to make informed choices about future pregnancies [11] [17]. It also reduces the risk of transmission of HIV to a partner who is negative and may eventually become the child sole parent [11].…”

Section: Discussionmentioning

confidence: 99%

“…This is at variance with the findings in Makurdi14 and Nnewi13 where most of the patients booked late in the third trimester. Late booking for antenatal care is discouraged as this may not allow the care provider ample opportunity to institute interventions which may be beneficial to both mother and her baby [14] [17].…”

Section: Discussionmentioning

confidence: 99%

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HIV Prevalence amongst Pregnant Women Clients Attending Antenatal Clinic at the Faith Alive Foundation and PMTCT Centre, Jos Plateau State

Charles¹,

Oyebode²,

Musa³

et al. 2016

WJA

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Introduction: HIV infection and AIDS is a public health problem worldwide, particularly affecting the populace in resource challenged setting like sub-saharan Africa. Women of reproductive age are mostly affected and infected with the HIV disease. Methodology: A cross-sectional study of 216 randomly selected women that booked for antenatal care at the Faith Alive Foundation and PMTCT centre Jos between 1 st July to 31 st December, 2014 was carried out. Information regarding age, parity, gestational age at booking, educational status and HIV sero-status of the clients was analysed. Screening test was conducted in a serial two step approval using determine and UNIGOLD as the confirmatory test, while STAT-PAK was the tie-beaker with discordant result as per the national algorithm. Positive samples were confirmed by western blot method. Result: A total of 18 women out of the 216 women studied were positive giving a sero-prevalence rate of 8.3%. The highest sero-prevalent rate was amongst 25 -29 years age group (31.5%). Women of parity 1 -4 constituted the highest group of 62.9%. Majority of the women 65.7% booked in the second trimester while 26.9% booked in the 3 rd trimester. Most of the women 47.2% had secondary school education while only 5.6% of them had no form of education. Conclusion: HIV infection prevalence rate among antenatal attendants at Faith Alive Foundation and PMTCT centre Jos is still high. Multisectorial approach and intervention strategies should be further scaled up for the prevention of vertical transmission of the virus. However, it is worth noting that it is mainly an * Corresponding author. A. Charles et al. 60HIV/AIDS hospital which should have affected the outcome.

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“…This is similar to findings in Makurdi [14], Abakiliki18 and Lesotho [17] but at variance with the finding in Nnewi [13].…”

Section: Discussionsupporting

confidence: 91%

Section: Discussionmentioning

confidence: 99%

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HIV Prevalence amongst Pregnant Women Clients Attending Antenatal Clinic at the Faith Alive Foundation and PMTCT Centre, Jos Plateau State

Charles¹,

Oyebode²,

Musa³

et al. 2016

WJA

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“…The present findings therefore confirm the urgency of implementing as much as possible the WHO recommendations, with particular attention to promoting and enhancing HIV testing before pregnancy among young women and among foreign women [1,17]. Women's knowledge of their own HIV-positive status is a significant predictor of family planning [18], and there is evidence that women already aware of being infected before pregnancy have an earlier attendance of antenatal care, with potential significant benefits [19]. Although HIV testing in pregnancy is extremely relevant and effective, earlier interventions may provide additional benefits to young and foreign women in terms of family planning and engagement in care.…”

Section: Discussionsupporting

confidence: 77%

Pregnant with HIV before age 25: data from a large national study in Italy, 2001–2016

et al. 2017

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Young pregnant women with HIV may be at significant risk of unplanned pregnancy, lower treatment coverage, and other adverse pregnancy outcomes. In a large cohort of pregnant women with HIV in Italy, among 2979 pregnancies followed in 2001-2016, 9·0% were in women <25 years, with a significant increase over time (2001-2005: 7·0%; 2006-2010: 9·1%; 2011-2016: 12·2%, P < 0·001). Younger women had a lower rate of planned pregnancy (23·2% vs. 37·7%, odds ratio (OR) 0·50, 95% confidence interval (CI) 0·36-0·69), were more frequently diagnosed with HIV in pregnancy (46·5% vs. 20·9%, OR 3·29, 95% CI 2·54-4·25), and, if already diagnosed with HIV before pregnancy, were less frequently on antiretroviral treatment at conception (<25 years: 56·3%; ⩾25 years: 69·0%, OR 0·58, 95% CI 0·41-0·81). During pregnancy, treatment coverage was almost universal in both age groups (98·5% vs. 99·3%), with no differences in rate of HIV viral suppression at third trimester and adverse pregnancy outcomes. The data show that young women represent a growing proportion of pregnant women with HIV, and are significantly more likely to have unplanned pregnancy, undiagnosed HIV infection, and lower treatment coverage at conception. During pregnancy, antiretroviral treatment, HIV suppression, and pregnancy outcomes are similar compared with older women. Earlier intervention strategies may provide additional benefits in the quality of care for women with HIV.

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“…Singh et al [9] found that HIV positive female patients tended to have a mean age of 41.63 years while Sharma and Chauhan [21] underlined 25 -34 years and 35 -49 years as the age groups with the greatest HIV prevalence. Other studies further highlight the dominance of females aged 20 -29 years [12,14,22,23]. Observations from La'ah and Ayiwulu [24] and Fouedjio et al [15] extended this predominance to the 20 -34 years age range.…”

Section: Resultsmentioning

confidence: 82%

Prevalence of HIV in a Cohort of Pregnant Women Attending a Tertiary Hospital in Ibadan, Nigeria

Okonko¹,

Osadebe²,

Onianwa³

et al. 2019

iid

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HIV/AIDS is one of the major barriers to community development. It is a global pandemic with high prevalence rates worldwide. This research was carried out to determine the prevalence of HIV among pregnant women attending the antenatal clinic at the University College Hospital, Ibadan using Enzyme Linked Immunosorbent Assay (ELISA) Gen Screen TM ULTRA HIV Ag-Ab Kit. HIV prevalence was found to be 26.4%. A total of 91 samples were tested, 24 (26.4%) were found to be positive and 67 (73.6%) negative. Women between the ages 25 -31 had the highest prevalence rate of 16.5% while those between the ages of 39 -45 years had the least prevalence rate of 1.1%. The results revealed a relatively high prevalence rate for HIV among pregnant women which suggests the need for active surveillance and implementation of preventive measures to avoid further spread of the virus. Pregnant women need to be continually tested for HIV and those infected monitored closely to prevent mother to child transmission.

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The Association Between HIV Status and Antenatal Care Attendance Among Pregnant Women in Rural Hospitals in Lesotho

Cited by 15 publications

References 16 publications

HIV Prevalence amongst Pregnant Women Clients Attending Antenatal Clinic at the Faith Alive Foundation and PMTCT Centre, Jos Plateau State

HIV Prevalence amongst Pregnant Women Clients Attending Antenatal Clinic at the Faith Alive Foundation and PMTCT Centre, Jos Plateau State

Pregnant with HIV before age 25: data from a large national study in Italy, 2001–2016

Prevalence of HIV in a Cohort of Pregnant Women Attending a Tertiary Hospital in Ibadan, Nigeria

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