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
Loading...
Date
2018
Journal Title
Journal ISSN
Volume Title
Publisher
BMC research notes
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.
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.
Description
Keywords
PMTCT, Service utilization, HIV infected women in care
Citation
Wanyenze, R. K., Goggin, K., Finocchario-Kessler, S., Beyeza-Kashesya, J., Mindry, D., Birungi, J., ... & Wagner, G. J. (2018). 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 research notes, 11(1), 1-5.https://doi.org/10.1186/s13104-018-3304-y