Human immune deficiency virus (HIV) infection during pregnancy at Gadarif hospital, Eastern Sudan

Adam, Gamal K.; Ahmed, Mohammed; Ali, AbdelAziem A.

doi:10.1080/01443615.2016.1174838

Cited by 5 publications

(12 citation statements)

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“…The total sample size of participants was 15,479. Based on information retrieved from these studies; HIV prevalence ranged from 0 to 18.3% among different study populations, 75% of studies (9/12) reported a prevalence lower than 3% (0.7% [ 10 ], 1.3% [ 11 ], 1.5% [ 12 ], 0% [ 14 ], 0.4% [ 15 ], 0.3% [ 17 ], 0.9% [ 19 ], 0.7% [ 20 ] and 1.2% [ 21 ]), while 25% (3/12) of studies reported a prevalence equal or higher than 3% (3% [ 18 ], 5.7% [ 13 ], and 18.3% [ 16 ]). The result of meta-analysis; (Fig.…”

Section: Resultsmentioning

confidence: 99%

“…Five studies reported HIV prevalence among pregnant women in Sudan, one study was conducted in Kassala, Eastern Sudan [ 17 ], three in Khartoum State [ 11 , 12 , 14 ], and one in Gadarif State [ 15 ]. The prevalence rates ranged from 0 to 1.4%.…”

Section: Resultsmentioning

confidence: 99%

“…In 2013, Elhadi and colleagues reported that almost (30%) of two sites (among the Western and Northern zones) had a comprehensive knowledge of HIV, while it was below 10% at five other sites [ 10 ]. In 2016, Adam and colleagues determined that there is a significant association of HIV infection and residence as the majority of HIV infected pregnant women were of urban residence (69.2%) [ 15 ].…”

Section: Resultsmentioning

confidence: 99%

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Systematic review and meta-analysis of HIV, HBV and HCV infection prevalence in Sudan

Badawi¹,

Atif

Mustafa

2018

Virol J

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Viral hepatitis constitutes a global health problem; previous studies have affirmed a considerable morbidity and mortality from both acute infections and chronic complications. On the other hand, Human Immunodeficiency Virus (HIV) infection is also of known burden. Determining prevalence measures of these viruses is crucial for establishing appropriate country specific strategies regarding prevention, diagnosis, and containment. This systematic review was aimed to provide pooled seroprevalence estimates of the three viruses in Sudan. Structured review of the literature was conducted to obtain relevant studies published in both national and international databases. After assessment of quality and bias in all proposed studies, 57 prevalence studies were included. Meta-analysis was conducted for all studies and subgroup analysis was also approached. The total sample size of participants in included studies providing HIV antibodies prevalence was 15,479. Based on information retrieved from these studies, HIV prevalence ranged from 0 to 18.3% among different study populations. However, pooled prevalence estimate for HIV antibodies was 1%. Kassala, Eastern Sudan was the most endemic State (4.18%). The HBV reported seroprevalence rates ranged from 5.1 up to 26.81% among different populations and the overall pooled prevalence was 12.07%. For HCV antibodies; 2.74% was determined to be the pooled prevalence. Khartoum State was the most endemic State of both HBV and HCV with seroprevalence of 12.69% and 6.78%, respectively.Based on data reviewed and synthesized; there is no evidence for an HIV endemic in the general population of Sudan. However, both HBV and HCV seroprevalence rates are indicating otherwise. Reducing the overall burden of HIV, HBV and HCV infections will require new measures and national strategies and the recognition of the infections as one of the country’s priority issues.Electronic supplementary materialThe online version of this article (10.1186/s12985-018-1060-1) contains supplementary material, which is available to authorized users.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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Systematic review and meta-analysis of HIV, HBV and HCV infection prevalence in Sudan

Badawi¹,

Atif

Mustafa

2018

Virol J

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“…Studies from Sudan and Iran [39,41,42,49] suggested that WLHIV experienced high-risk pregnancy and stressful perinatal events post-HIV diagnosis. The Sudan study by Adam and colleagues [39] found that respondents had higher rates of anaemia during pregnancy, spontaneous preterm births, and neonatal deaths than the control group of HIV-negative women. Pregnant Iranian WLHIV commonly experienced psychological distress concerning the impact of pregnancy on their health and that of their baby [41,42,49].…”

Section: Perinatal Experiences and Outcomesmentioning

confidence: 99%

“…The majority of the Sudanese, Iranian, and Turkish WLHIV participating in the reviewed studies reported they had acquired HIV through sexual contact with their husband/partner with many expressing concern regarding their sexual life and satisfaction post-diagnosis [39,41,47,49,51]. Studies in Bangladesh, Iran, and Morocco suggested that most WLHIV remained married and sexually active [40,44,49].…”

Section: Sexual Satisfaction and Life After Hivmentioning

confidence: 99%

Sexual and reproductive health of women living with HIV in Muslim-majority countries: a systematic mixed studies review

Juliastuti

Dean

Fitzgerald

2020

BMC Int Health Hum Rights

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Background: The number of women living with the human immunodeficiency virus (WLHIV) in Muslim-majority countries has increased significantly in the last decade. These women are often marginalized and face insecure sexual and reproductive health (SRH) needs and rights. However, little is known about the multi-faceted factors influencing these women's fertility, contraceptive, and perinatal decisions and sexual life. This systematic mixed studies review aimed to synthesize the empirical evidence on social, cultural, and structural factors influencing the SRH of WLHIV in Muslim-majority countries. Methods: This review provides a synthesis of quantitative, qualitative and mixed-method research findings searched from PubMed, EMBASE, Scopus, CINAHL and Cochrane databases. We screened 3452 SRH studies involving WLHIV. The studies, published in English between 2008 and 2017, were from 20 Muslim-majority countries with increased numbers of WLHIV. The quality of eligible studies was appraised using a mixed-methods appraisal tool (MMAT) version 2011. Findings were thematically analysed by a hybrid deductive-inductive approach. Two independent reviewers were involved in the study selection, data extraction, quality appraisal, and data synthesis. Results: We included 13 SRH-related studies involving 1748 WLHIV in eight Muslim-majority countries. Most of these studies explored fertility desire and sexual health, while only a small proportion related to contraceptive use and the perinatal-care experience. We identified that WLHIV faced neglect of their SRH rights. These rights were predominantly affected by the socio-cultural, religious and health-services context of the women's lives, which directed them to unsafe sex practices and stressful perinatal experiences. Conclusions: This study points to the need for SRH laws, policies, and interventions which stop WLHIV experiencing SRH discrimination violence and achieving their SRH rights.

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Perinatal outcomes in women living with HIV‐1 and receiving antiretroviral therapy—a systematic review and meta‐analysis

Shinar

Agrawal

Ryu

et al. 2021

Acta Obstet Gynecol Scand

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Introduction Antiretroviral therapy‐naïve pregnant women living with HIV are at an increased risk for adverse pregnancy outcomes. It remains controversial whether this risk persists with antiretroviral therapy. We conducted a systematic review and meta‐analysis to evaluate whether pregnant women living with HIV and receiving antiretroviral therapy antenatally, are at an increased risk of adverse outcomes compared with HIV‐negative controls. Material and methods We searched MEDLINE, Embase, International Pharmaceutical Abstracts, EBM Reviews, PubMed (non‐MEDLINE records), EBSCO CINAHL Complete, Clarivate Web of Science, African Index Medicus, LILACS and Google Scholar for all observational studies comparing pregnant women living with HIV on antiretroviral therapy with HIV‐negative controls from 1 January 1994 to 10 August 2021 with no language or geographic restrictions. Perinatal outcomes included preterm birth (PTB), low birthweight, small‐for‐gestational age and preeclampsia. Using a random‐effects model we pooled raw data to generate odds ratio (OR) with 95% confidence intervals (CI) for each outcome. Sub‐analyses for high and low resource countries and time of antiretroviral therapy initiation were performed. This systematic review and meta‐analysis is registered with PROSPERO, number CRD42020182722. Results Of the 7900 citations identified, 27 were eligible for analysis (12 636 pregnant women living with HIV on antiretroviral therapy and 7 812 115 HIV‐negative controls). ORs (95% CI) of PTB (1.88 [1.63–2.17]), small‐for‐gestational age (1.60 [1.18–2.17]) and low birthweight (2.15 [1.58–2.92]) were significantly higher in pregnant women living with HIV than in HIV‐negative women, while the risk of preeclampsia (0.86 [0.57–1.30]) was comparable. The risk of PTB and low birthweight was higher in both high resource and low resource countries, while the risk of small‐for‐gestational age was higher only in the former. Preconceptional antiretroviral therapy was associated with a higher risk of PTB compared with antenatal initiation. Conclusions Pregnant women living with HIV on antiretroviral therapy have an increased risk of PTB, low birthweight and small‐for‐gestational age in high resource countries, as well as PTB and low birthweight in low income countries compared with HIV‐negative controls.

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Human immune deficiency virus (HIV) infection during pregnancy at Gadarif hospital, Eastern Sudan

Cited by 5 publications

References 4 publications

Systematic review and meta-analysis of HIV, HBV and HCV infection prevalence in Sudan

Systematic review and meta-analysis of HIV, HBV and HCV infection prevalence in Sudan

Sexual and reproductive health of women living with HIV in Muslim-majority countries: a systematic mixed studies review

Perinatal outcomes in women living with HIV‐1 and receiving antiretroviral therapy—a systematic review and meta‐analysis

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