The prevalence and determinants of HIV seroconversion among booked ante natal clients in the University of Uyo teaching hospital, Uyo Akwa Ibom State, Nigeria

Nyoyoko, Nsikak Paul; Umoh, Augustine V

doi:10.11604/pamj.2016.25.247.6715

Cited by 11 publications

(13 citation statements)

References 17 publications

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“…In the final review, articles were published from 10 countries among 46 countries were included. Of these studies, eleven studies were found from Ethiopia [13,19,[30][31][32][33][34][35][36][37][38], nine articles were from South Africa [20,22,[39][40][41][42][43][44][45][46], five articles were from Nigeria [18,[47][48][49][50], two studies were from Ghana [51,52], one article was from Kenya [53], three articles were from Tanzania [54][55][56], two studies were from Uganda [21,57] one study was from Burkina Faso [58], and one article was from Zambia [59]. Regarding the study designs, twenty-five (83%) of them were cross-sectional, three studies (3.5%) were cohort and three articles (3.5%) were case-control.…”

Section: Resultsmentioning

confidence: 99%

Alcohol consumption and its associated factors among pregnant women in Sub-Saharan Africa: a systematic review and meta-analysis' as given in the submission system

Addila

Bisetegn

Gete

et al. 2020

Subst Abuse Treat Prev Policy

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Section: Resultsmentioning

confidence: 99%

Alcohol consumption and its associated factors among pregnant women in Sub-Saharan Africa: a systematic review and meta-analysis' as given in the submission system

Addila

Bisetegn

Gete

et al. 2020

Subst Abuse Treat Prev Policy

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“…In sub-Saharan Africa, HIV-uninfected pregnant women are at continuous risk of HIV acquisition during pregnancy and breastfeeding with HIV incidence rates ranging between 2 and 14 per 100 women-years. [4–11]. Acquiring HIV during pregnancy or breastfeeding puts mothers at increased risk of adverse health and pregnancy outcomes and exposes their unborn or breastfeeding babies to higher risk of HIV infection because of the high levels of viremia that follow incident HIV infection.…”

Section: Introductionmentioning

confidence: 99%

Primary HIV prevention in pregnant and lactating Ugandan women: A randomized trial

et al. 2019

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Background The ‘Primary HIV Prevention among Pregnant and Lactating Ugandan Women’ (PRIMAL) study aimed to assess the effectiveness of an enhanced HIV counseling intervention for preventing HIV acquisition among HIV-uninfected mothers during pregnancy and throughout the breastfeeding period. Methods We conducted an unblinded randomized control trial between 22 February 2013 and 22 April 2016 to assess the effectiveness of an extended repeat HIV testing and enhanced counseling (ERHTEC) intervention aimed at preventing primary HIV infection among HIV-uninfected pregnant and lactating women in Uganda. HIV-uninfected pregnant women aged 15–49 were enrolled 1:1 individually or in couples together with their partner. Enrolled women and couples were randomized 1:1 to an intervention (ERHTEC) or control (extended repeat HIV testing and standard counseling) group and followed up to 24 months postpartum or six weeks past complete cessation of breastfeeding, whichever came first. Both groups were tested for sexually transmitted infections (STIs) and HIV at enrollment, delivery, 3 and 6 months postpartum and every 6 months thereafter until the end of follow-up. The intervention group received enhanced HIV prevention counseling every 3 months throughout follow-up. The control group received standard counseling at the time of HIV retesting. Both intervention and control couples were offered couple HIV testing and counseling at all study visits. Main outcome measures Frequency of condom use and incidence of HIV, syphilis, gonorrhea, chlamydia and trichomoniasis over follow-up. Results Between February 2013 and April 2014, we enrolled 820 HIV-uninfected pregnant women presenting for antenatal care individually (n = 410) or in couples (n = 410 women and 410 partners) in one urban and one rural public Ugandan hospital. Women’s median age was 24 years (IQR 20–28 years). At baseline, participants did not differ in any socio-demographic, reproductive health, HIV testing history, sexual behavior, medical history or STI status characteristics; 96% (386/402) of couples were tested and counseled for HIV together with their partners at enrolment, 2.1% (7/329) of whom were found to be HIV-infected. Six hundred twenty-five (76%) women completed follow-up as per protocol ( S1 Protocol ). Women were followed for an average of 1.76 years and cumulated 1,439 women-years of follow-up or 81% of the maximum 1,779 women-years of follow-up assuming no dropouts. Men were followed for an average of 1.72 years. The frequency of consistent condom use and the proportion of women who used condoms over the last 3 months or at last vaginal sex increased substantially over follow-up in both arms, but there were no statistically significant differences in increases between the intervention and control arms. During follow-up, on average 42% (range 36%-46%) of couple partners were counseled together. Betwe...

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“…28 Recent studies have found seroconversion rates close to 3% among previously HIV-negative pregnant women in sub-Saharan Africa. 29,30 These groups are at high risk of becoming HIV infected during late pregnancy, receive no PMTCT services, have an increased risk of MTCT, and may constitute a significant proportion of cases of vertical transmission. 29,[31][32][33] Advocates and scholars across Africa have increasingly called for couple HIV testing and counseling (CHTC) during pregnancy to enhance PMTCT and family health.…”

Section: Introductionmentioning

confidence: 99%

“…29,30 These groups are at high risk of becoming HIV infected during late pregnancy, receive no PMTCT services, have an increased risk of MTCT, and may constitute a significant proportion of cases of vertical transmission. 29,[31][32][33] Advocates and scholars across Africa have increasingly called for couple HIV testing and counseling (CHTC) during pregnancy to enhance PMTCT and family health. 34,35 However, attendance by male partners at ANC visits varies widely across sub-Saharan Africa.…”

Section: Introductionmentioning

confidence: 99%

Development and Piloting of a Home-Based Couples Intervention During Pregnancy and Postpartum in Southwestern Kenya

Turan

Darbes

Musoke

et al. 2018

AIDS Patient Care and STDs

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Engaging both partners of a pregnant couple can enhance prevention of mother-to-child transmission of HIV and promote family health. We developed and piloted an intervention to promote couple collaboration in health during pregnancy and postpartum in southwestern Kenya. We utilized formative data and stakeholder input to inform development of a home-based couples intervention. Next, we randomized pregnant women to intervention (n = 64) or standard care (n = 63) arms, subsequently contacting their male partners for enrollment. In the intervention arm, lay health workers conducted couple home visits, including health education, couple relationship and communication skills, and offers of couple HIV testing and counseling (CHTC) services. Follow-up questionnaires were conducted 3 months postpartum (n = 114 women, 86 men). Baseline characteristics and health behaviors were examined by study arm using t-tests, chi-square tests, and regression analyses. Of the 127 women randomized, 96 of their partners participated in the study. Of 52 enrolled couples in the intervention arm, 94% completed at least one couple home visit. Over 93% of participants receiving couple home visits were satisfied and no adverse social consequences were reported. At follow-up, intervention couples had a 2.78 relative risk of having participated in CHTC during the study period compared with standard care couples (95% confidence interval: 1.63-4.75), and significant associations were observed in other key perinatal health behaviors. This pilot study revealed that a home-based couples intervention for pregnant women and male partners is acceptable, feasible, and has the potential to enhance CHTC and perinatal health behaviors, leading to improved health outcomes.

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The prevalence and determinants of HIV seroconversion among booked ante natal clients in the University of Uyo teaching hospital, Uyo Akwa Ibom State, Nigeria

Cited by 11 publications

References 17 publications

Alcohol consumption and its associated factors among pregnant women in Sub-Saharan Africa: a systematic review and meta-analysis' as given in the submission system

Alcohol consumption and its associated factors among pregnant women in Sub-Saharan Africa: a systematic review and meta-analysis' as given in the submission system

Primary HIV prevention in pregnant and lactating Ugandan women: A randomized trial

Development and Piloting of a Home-Based Couples Intervention During Pregnancy and Postpartum in Southwestern Kenya

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