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.

scholarly journals Student Column toward Elimination of Perinatal HIV Transmission: New Jersey Hospital Barriers to Rapid HIV Testing in Labor and Delivery, 2005

2011 ◽  
Vol 126 (1) ◽  
pp. 145-152 ◽  
Author(s):  
Carly E. Kelley ◽  
Sindy M. Paul ◽  
Firoozeh M. Vali ◽  
Jane M. Caruso ◽  
Rose M. Martin ◽  
...  
Keyword(s):  
New Jersey ◽  
Hiv Testing ◽  
Hiv Transmission ◽  
Labor And Delivery ◽  
Rapid Hiv Testing ◽  
Perinatal Hiv

scholarly journals Community-based assessment of infant feeding practices within a programme for prevention of mother-to-child HIV transmission in rural Zimbabwe

2006 ◽  
Vol 9 (5) ◽  
pp. 563-569 ◽  
Author(s):  
J Orne-Gliemann ◽  
T Mukotekwa ◽  
A Miller ◽  
F Perez ◽  
M Glenshaw ◽  
...  
Keyword(s):  
Infant Feeding ◽  
Hiv Transmission ◽  
Health Workers ◽  
Feeding Practices ◽  
Cross Sectional Study ◽  
Infant Feeding Practices ◽  
Structured Interviews ◽  
Cross Sectional ◽  
Mother To Child ◽  
Hiv Negative

AbstractObjectiveTo describe the infant feeding practices and attitudes of women who used prevention of mother-to-child transmission of HIV (PMTCT) services in rural Zimbabwe.DesignA cross-sectional study including structured interviews and focus group discussions was conducted between June 2003 and February 2004.SettingThe study took place in Murambinda Mission Hospital (Buhera District, Manicaland Province), the first site offering PMTCT services in rural Zimbabwe.SubjectsThe interviews targeted HIV-infected and HIV-negative women who received prenatal HIV counselling and testing and minimal infant feeding counselling, and who delivered between 15 August 2001 and 15 February 2003. The focus groups were conducted among young and elderly men and women.ResultsOverall, 71 HIV-infected and 93 HIV-negative mothers were interviewed in clinics or at home. Most infants (97%) had ever been breast-fed. HIV-negative mothers introduced fluids/foods other than breast milk significantly sooner than HIV-infected mothers (median 4.0 vs. 6.0 months, P = 0.005). Infants born to HIV-negative mothers were weaned significantly later than HIV-exposed infants (median 19.0 vs. 6.0 months, P = 10−5). More than 90% of mothers reported that breast-feeding their infant was a personal decision, a third of whom also mentioned having taken into account health workers' messages.ConclusionThe HIV-infected mothers interviewed were gradually implementing infant feeding practices recommended in the context of HIV. Increased infant feeding support capacity in resource-limited rural populations is required, i.e. training of counselling staff, decentralised follow-up and weaning support.

scholarly journals HIV Status and Contraceptive Utilization among Women in Cameroon

2019 ◽  
Vol 18 ◽  
pp. 232595821982659 ◽  
Author(s):  
Henna Budhwani ◽  
Kristine Ria Hearld ◽  
Jodie Dionne-Odom ◽  
Simon Manga ◽  
Kathleen Nulah ◽  
...  
Keyword(s):  
Odds Ratio ◽  
Hiv Transmission ◽  
Multivariate Analyses ◽  
Hiv Status ◽  
Improve Population Health ◽  
Women Living With Hiv ◽  
Contraceptive Utilization ◽  
Living With Hiv ◽  
Mother To Child ◽  
Hiv Negative

Objective: We examined patterns of contraceptive utilization by HIV status among women in Cameroon, hypothesizing that women living with HIV would utilize contraception at higher rates than their HIV-negative peers. Methods: Deidentified, clinical data from the Cameroon Baptist Convention Health Services (2007-2013) were analyzed (N = 8995). Frequencies compared outcomes between women living with HIV (15.1%) and uninfected women. Multivariate analyses examined associates of contraceptive utilization and desire to become pregnant. Results: Contraceptive utilization was associated with higher education, living with HIV, monogamy, and higher parity ( P < .001). Women living with HIV had 66% higher odds of using contraceptives than their negative peers (odds ratio [OR]: 1.66, confidence interval [CI]: 1.45-1.91, P < .001). Polygamous women had 37% lower odds of using contraceptives compared to monogamous women (OR: 0.63, 95% CI: 0.52-0.75, P < .001). Conclusion: Increasing contraceptive utilization in resource-constrained settings should be a priority for clinicians and researchers. Doing so could improve population health by reducing HIV transmission between partners and from mother to child.

scholarly journals Married Men Perceptions and Barriers to Participation in the Prevention of Mother-to-Child HIV Transmission Care in Osogbo, Nigeria

2014 ◽  
Vol 2014 ◽  
pp. 1-6 ◽  
Author(s):  
Ademola L. Adelekan ◽  
Elizabeth R. Edoni ◽  
Oladipupo S. Olaleye
Keyword(s):  
Antenatal Care ◽  
Hiv Transmission ◽  
Demographic Data ◽  
Group Discussion ◽  
Male Involvement ◽  
Cultural Barriers ◽  
Societal Norms ◽  
Analysis Technique ◽  
Married Men ◽  
Mother To Child

Men’s role in HIV prevention is pivotal to changing the course of the epidemic. Men’s barriers toward participation in Prevention of Mother-to-Child Transmission (PMTCT) have not been adequately documented. This study is therefore designed to determine men’s level of awareness and barriers to their participation in PMTCT programmes in Osogbo, Nigeria. This study was a descriptive qualitative one that utilized Focus Group Discussion (FGD). One-hundred and sixty married men were selected by convenience sampling and interviewed. Data collected were analysed using content analysis technique. Demographic data were analysed using SPSS 15.0 software to generate frequency tables. Participants mean age was 31.9 ± 5.9 years. Many of the participants had heard about PMTCT and the majority agreed that it is good to accompany their wife to Antenatal Care (ANC) but only few had ever done so. Societal norms and cultural barriers were the leading identified barriers for male involvement in PMTCT programmes. The majority of the participant perceived it was a good idea to accompany their wife to antenatal care but putting this into practice was a problem due to societal norms and cultural barriers. Community sensitization programmes such as health education aimed at breaking cultural barriers should be instituted by government and nongovernmental agencies.

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

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 Uncertainties, work conditions and testing biases: Potential pathways to misdiagnosis in point-of-care rapid HIV testing in Zimbabwe

PLoS ONE ◽  
2020 ◽  
Vol 15 (8) ◽  
pp. e0237239
Author(s):  
Morten Skovdal ◽  
Nadine Beckmann ◽  
Rufurwokuda Maswera ◽  
Constance Nyamukapa ◽  
Simon Gregson
Keyword(s):  
Hiv Testing ◽  
Point Of Care ◽  
Work Conditions ◽  
Rapid Hiv Testing
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