scholarly journals Timing of HIV testing among pregnant and breastfeeding women and risk of mother‐to‐child HIV transmission in Malawi: a sampling‐based cohort study

2021 ◽  
Vol 24 (3) ◽  
Author(s):  
Maganizo B Chagomerana ◽  
Jessie K Edwards ◽  
Lauren C Zalla ◽  
Nicole B Carbone ◽  
Godfrey T Banda ◽  
...  
Keyword(s):  
Cohort Study ◽  
Hiv Testing ◽  
Hiv Transmission ◽  
Mother To Child

scholarly journals Acceptability, Predictors and Attitudes of Canadian Women in Labour Toward Point-of-Care HIV Testing At A Single Labour and Delivery Unit

2014 ◽  
Vol 25 (4) ◽  
pp. 201-206 ◽  
Author(s):  
Salikah Iqbal ◽  
Leanne R De Souza ◽  
Mark H Yudin
Keyword(s):  
Hiv Testing ◽  
Hiv Transmission ◽  
Point Of Care ◽  
Social Stigma ◽  
Demographic Data ◽  
Labour Pain ◽  
Rapid Hiv Testing ◽  
Delivery Unit ◽  
Mother To Child ◽  
Hiv Negative

OBJECTIVE: To assess attitudes and opinions surrounding point-of-care HIV testing among Canadian women, and to determine predictors for acceptance of testing.METHODS: A survey assessing acceptability and attitudes toward rapid HIV testing was distributed on the labour and delivery unit in an academic hospital (St Michael’s Hospital) in Toronto, Ontario, in 2011. Information collected included demographic data, health and pregnancy history, willingness to undergo rapid HIV testing while in labour and barriers to testing.RESULTS: Responses in 92 completed questionnaires were analyzed. The mean age of respondents was 32 years and all were HIV negative. Twelve percent of patients reported having at least one risk factor for HIV transmission. The study showed that only 59% of women were willing to be tested at the time of survey completion, and these women stated that they would accept saliva, urine or serum testing. If found to be positive, 96% would accept antiretroviral treatment and 94% would formula feed their infants. Of the 41% who were not willing to be tested, their reasons for refusal included “don’t want to know” (39%) and being in “too much labour pain” (29%). Regardless of willingness to be tested, the most frequently cited barriers to testing were social stigma (64%) and reaction from partners (69%).CONCLUSIONS: Canadian women in labour were willing to undergo rapid HIV testing via urine, saliva or serum. If found to be positive, women were willing to undergo treatment and to formula feed to prevent mother-to-child transmission of HIV.

Legal Barriers to Implementing Recommendations for Universal, Routine Prenatal HIV Testing

2004 ◽  
Vol 32 (1) ◽  
pp. 137-147 ◽  
Author(s):  
Leslie E. Wolf ◽  
Bernard Lo ◽  
Lawrence O. Gostin
Keyword(s):  
United States ◽  
Antiretroviral Therapy ◽  
Pregnant Women ◽  
Hiv Testing ◽  
Hiv Transmission ◽  
Perinatal Transmission ◽  
The United States ◽  
Hiv Status ◽  
Mother To Child ◽  
Legal Barriers

Administraation of antiretroviral therapy to women during pregnancy, labor and delivery, and to infants postnatally can dramatidy reduce mother-to- child HIV transmission (MTCT). However, pregnant women need to know that they are HIV-infected to take advantage of antiretroviral therapy, and many women do not know their HIV status. One-half of HIV-infected infants in the United States were bornto women who had not been tested for HIV or for whom the time of testing was not known. Although fewer than 400infants are infected perinatally in the United States each year, that number could be reduced even further through policies aimed at HIV testing during pregnancy.The reasons toadopt such a policy are strong: the pathophysiology of perinatal transmission is clear, prophylaxis is effective and safe, and the intended beneficiaries of the intervention - babies - cannot protect themselves.

scholarly journals Low mother-to-child HIV transmission rate but high loss-to-follow-up among mothers and babies in Mandalay, Myanmar; a cohort study

PLoS ONE ◽  
2017 ◽  
Vol 12 (9) ◽  
pp. e0184426 ◽  
Author(s):  
Khine Wut Yee Kyaw ◽  
Myo Minn Oo ◽  
Nang Thu Thu Kyaw ◽  
Khaing Hnin Phyo ◽  
Thet Ko Aung ◽  
...  
Keyword(s):  
Cohort Study ◽  
Hiv Transmission ◽  
Transmission Rate ◽  
Loss To Follow Up ◽  
High Loss ◽  
Mother To Child

scholarly journals Current status of medication adherence and infant follow up in the prevention of mother to child HIV transmission programme in Addis Ababa: a cohort study

2011 ◽  
Vol 14 (1) ◽  
pp. 50-50 ◽  
Author(s):  
Alemnesh H Mirkuzie ◽  
Sven Gudmund Hinderaker ◽  
Mitike Molla Sisay ◽  
Karen Marie Moland ◽  
Odd Mørkve
Keyword(s):  
Cohort Study ◽  
Medication Adherence ◽  
Hiv Transmission ◽  
Addis Ababa ◽  
Current Status ◽  
Mother To Child

scholarly journals Does facility readiness promote high-quality of provider-initiated HIV testing and counseling to pregnant women? A national survey for improving policy of prevention of mother-to-child transmission of HIV in Tanzania

2021 ◽  
Vol 18 (1) ◽  
Author(s):  
Deogratius Bintabara ◽  
Athanase Lilungulu ◽  
Shakilu Jumanne ◽  
Mzee M. Nassoro ◽  
Bonaventura C. Mpondo
Keyword(s):  
Pregnant Women ◽  
Hiv Testing ◽  
Mother To Child Transmission ◽  
Child Transmission ◽  
High Quality ◽  
Hiv Testing And Counseling ◽  
Mother To Child ◽  
Facility Readiness ◽  
Testing And Counseling

Abstract Background Provider-initiated HIV testing and counseling (PITC) is a recommended approach to screen for HIV to all pregnant women during antenatal care (ANC) visits, and all with HIV positive results have to be enrolled into prevention of mother-to-child transmission of HIV (PMTCT) program. However, little is known about the relationship between facility readiness and the uptake of PITC to pregnant women attending ANC in Tanzania. Therefore, this study assessed whether the facility readiness promotes the uptake of PITC to the pregnant women attending ANC for the purpose of improving the PMTCT interventions in Tanzania. Methods This study analyzed data for health facilities obtained from the 2014–2015 Tanzania service provision assessment survey. The Primary outcome measure was a composite variable (with score of 0–5) in which its higher scores indicates provision of high-quality of PITC. Also, facilities scored higher in the PMTCT service readiness index were considered to have high readiness to provide PMTCT services. In Poisson regression analyses, a series of models were fitted to assess whether there is an association between provision of high-quality of PITC and facility readiness. In all statistical analysis, a P < 0.05 was considered significant. Results Out of 1853 included first-visit ANC consultations, only about one-third of pregnant women received all five components required for PITC. The mean percentage of PMTCT readiness score was moderate 63.96 [61.32–66.59]%. In adjusted model, we found that facility with high readiness to provide PMTCT services was significantly associated with the provision of high-quality of PITC (model 2: [β = 0.075, P = 0.00]). Conclusion In order to increase high-quality of PITC services, efforts should be made to improve the PMTCT facility readiness by increasing availability of trained staffs, diagnostic tools, and ARTs among health facilities in Tanzania.

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