Utilization of prevention of mother-to-child transmission (PMTCT) services among pregnant women in HIV care in Uganda: a 24-month cohort of women from pre-conception to post-delivery
Open Access
- 22 March 2018
- journal article
- research article
- Published by Springer Science and Business Media LLC in BMC Research Notes
- Vol. 11 (1), 187
- https://doi.org/10.1186/s13104-018-3304-y
Abstract
We assessed the uptake of prevention of mother-to-child transmission (PMTCT) services in a cohort of HIV infected women in care at The AIDS Support Organization Jinja and Kampala in Uganda, who were trying to conceive, over a period of 24 months, to inform the strengthening of PMTCT service access for women in care. Of the 299 women 127 (42.5%) reported at least one pregnancy within 24 months; 61 women (48.0%) delivered a live child. Of the 55 who had a live birth at the first pregnancy, 54 (98.2%) used antenatal care (ANC) starting at 15.5 weeks of gestation on average and 47/49 (95.9%) delivered at a health facility. Excluding miscarriages, 54 (98.2%) received ARVs during pregnancy. Of the 49 live births with post-delivery data, 37 (75.5%) tested the infant for HIV. 79 of the 127 (68.7%) spoke with providers about childbearing. Communication with providers was associated with ANC use (65.8% vs. 41.7%; p = .015). Despite the high rate of miscarriages and late ANC start, this study shows very high uptake of PMTCT services among PLHIV in care and their infants. Improved provider-client communication could enhance ANC attendance and PMTCT outcomes among HIV infected women in care.Keywords
Funding Information
- National Institutes of Health (5R01HD072633)
This publication has 13 references indexed in Scilit:
- Attitudes, Knowledge, and Correlates of Self-Efficacy for the Provision of Safer Conception Counseling Among Ugandan HIV ProvidersAIDS Patient Care and STDs, 2015
- Adherence to antiretroviral therapy during and after pregnancy in low-income, middle-income, and high-income countriesAIDS, 2012
- What Will It Take to Eliminate Pediatric HIV? Reaching WHO Target Rates of Mother-to-Child HIV Transmission in Zimbabwe: A Model-Based AnalysisPLoS Medicine, 2012
- Impact of Integrated Family Planning and HIV Care Services on Contraceptive Use and Pregnancy OutcomesJAIDS Journal of Acquired Immune Deficiency Syndromes, 2011
- Uptake of family planning methods and unplanned pregnancies among HIV‐infected individuals: a cross‐sectional survey among clients at HIV clinics in UgandaJournal of the International AIDS Society, 2011
- What will it take to achieve virtual elimination of mother-to-child transmission of HIV? An assessment of current progress and future needsSexually Transmitted Infections, 2010
- Operational evaluation of a service for prevention of mother-to-child transmission of HIV in rural Uganda: barriers to uptake of single-dose nevirapine and the role of birth reportingTropical Medicine & International Health, 2010
- Fertility preferences and the need for contraception among women living with HIV: the basis for a joint action agendaAIDS, 2009
- Access to HIV/AIDS care for mothers and children in sub-Saharan Africa: adherence to the postnatal PMTCT programAIDS Care, 2009
- Reproductive Intentions and Outcomes among Women on Antiretroviral Therapy in Rural Uganda: A Prospective Cohort StudyPLOS ONE, 2009