Document Type
Article
Publication Date
3-22-2018
Identifier
DOI: 10.1186/s13104-018-3304-y; PMCID: PMC5863850
Abstract
OBJECTIVE: 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.
RESULTS: 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.
Journal Title
BMC Res Notes
Volume
11
Issue
1
MeSH Keywords
Adult; Anti-HIV Agents; Cohort Studies; Female; HIV Infections; Humans; Infant, Newborn; Infectious Disease Transmission, Vertical; Interviews as Topic; Pregnancy; Pregnancy Complications, Infectious; Pregnancy Outcome; Prenatal Care; Uganda
Keywords
HIV infected women in care; prevention of mother-to-child transmission; Service utilization
Recommended Citation
Wanyenze RK, Goggin K, Finocchario-Kessler S, et al. 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. BMC Res Notes. 2018;11(1):187. Published 2018 Mar 22. doi:10.1186/s13104-018-3304-y
Included in
Community Health and Preventive Medicine Commons, Maternal and Child Health Commons, Obstetrics and Gynecology Commons, Public Health Education and Promotion Commons, Women's Health Commons
Comments
Grant support
This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
Publisher's Link: https://bmcresnotes.biomedcentral.com/articles/10.1186/s13104-018-3304-y