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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

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 servi...

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Autores principales: Wanyenze, Rhoda K., Goggin, Kathy, Finocchario-Kessler, Sarah, Beyeza-Kashesya, Jolly, Mindry, Deborah, Birungi, Josephine, Woldetsadik, Mahlet, Wagner, Glenn J.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5863850/
https://www.ncbi.nlm.nih.gov/pubmed/29566724
http://dx.doi.org/10.1186/s13104-018-3304-y
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author Wanyenze, Rhoda K.
Goggin, Kathy
Finocchario-Kessler, Sarah
Beyeza-Kashesya, Jolly
Mindry, Deborah
Birungi, Josephine
Woldetsadik, Mahlet
Wagner, Glenn J.
author_facet Wanyenze, Rhoda K.
Goggin, Kathy
Finocchario-Kessler, Sarah
Beyeza-Kashesya, Jolly
Mindry, Deborah
Birungi, Josephine
Woldetsadik, Mahlet
Wagner, Glenn J.
author_sort Wanyenze, Rhoda K.
collection PubMed
description 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.
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spelling pubmed-58638502018-03-27 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 Wanyenze, Rhoda K. Goggin, Kathy Finocchario-Kessler, Sarah Beyeza-Kashesya, Jolly Mindry, Deborah Birungi, Josephine Woldetsadik, Mahlet Wagner, Glenn J. BMC Res Notes Research Note 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. BioMed Central 2018-03-22 /pmc/articles/PMC5863850/ /pubmed/29566724 http://dx.doi.org/10.1186/s13104-018-3304-y Text en © The Author(s) 2018 Open AccessThis 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.
spellingShingle Research Note
Wanyenze, Rhoda K.
Goggin, Kathy
Finocchario-Kessler, Sarah
Beyeza-Kashesya, Jolly
Mindry, Deborah
Birungi, Josephine
Woldetsadik, Mahlet
Wagner, Glenn J.
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
title 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
title_full 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
title_fullStr 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
title_full_unstemmed 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
title_short 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
title_sort 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
topic Research Note
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5863850/
https://www.ncbi.nlm.nih.gov/pubmed/29566724
http://dx.doi.org/10.1186/s13104-018-3304-y
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