Implementation of repeat HIV testing during pregnancy in Kenya: a qualitative study

Rogers, Anna Joy; Weke, Elly; Kwena, Zachary; Bukusi, Elizabeth A.; Oyaro, Patrick; Cohen, Craig R.; Turan, Janet M.

doi:10.1186/s12884-016-0936-6

Cited by 33 publications

(46 citation statements)

References 32 publications

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“…29,30 These groups are at high risk of becoming HIV infected during late pregnancy, receive no PMTCT services, have an increased risk of MTCT, and may constitute a significant proportion of cases of vertical transmission. 29,[31][32][33] Advocates and scholars across Africa have increasingly called for couple HIV testing and counseling (CHTC) during pregnancy to enhance PMTCT and family health. 34,35 However, attendance by male partners at ANC visits varies widely across sub-Saharan Africa.…”

Section: Introductionmentioning

confidence: 99%

Development and Piloting of a Home-Based Couples Intervention During Pregnancy and Postpartum in Southwestern Kenya

Turan

Darbes

Musoke

et al. 2018

AIDS Patient Care and STDs

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Engaging both partners of a pregnant couple can enhance prevention of mother-to-child transmission of HIV and promote family health. We developed and piloted an intervention to promote couple collaboration in health during pregnancy and postpartum in southwestern Kenya. We utilized formative data and stakeholder input to inform development of a home-based couples intervention. Next, we randomized pregnant women to intervention (n = 64) or standard care (n = 63) arms, subsequently contacting their male partners for enrollment. In the intervention arm, lay health workers conducted couple home visits, including health education, couple relationship and communication skills, and offers of couple HIV testing and counseling (CHTC) services. Follow-up questionnaires were conducted 3 months postpartum (n = 114 women, 86 men). Baseline characteristics and health behaviors were examined by study arm using t-tests, chi-square tests, and regression analyses. Of the 127 women randomized, 96 of their partners participated in the study. Of 52 enrolled couples in the intervention arm, 94% completed at least one couple home visit. Over 93% of participants receiving couple home visits were satisfied and no adverse social consequences were reported. At follow-up, intervention couples had a 2.78 relative risk of having participated in CHTC during the study period compared with standard care couples (95% confidence interval: 1.63-4.75), and significant associations were observed in other key perinatal health behaviors. This pilot study revealed that a home-based couples intervention for pregnant women and male partners is acceptable, feasible, and has the potential to enhance CHTC and perinatal health behaviors, leading to improved health outcomes.

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Section: Introductionmentioning

confidence: 99%

Development and Piloting of a Home-Based Couples Intervention During Pregnancy and Postpartum in Southwestern Kenya

Turan

Darbes

Musoke

et al. 2018

AIDS Patient Care and STDs

Self Cite

View full text Add to dashboard Cite

show abstract

“…With the increased evidence of higher risk of infection among pregnant and postpartum women [33] and poor implementation of repeat HIV testing during pregnancy [34,35], the findings show the feasibility [36] and cost-effectiveness [18] of home-based HIV counselling and testing. Beneficiaries of this study are national and sub-national stakeholders working to control and eradicate HIV, such as Ministries responsible for health, district-level health managers, and implementing partners;…”

Section: Discussionmentioning

confidence: 96%

Feasibility of home-based HIV counselling and testing and linking to HIV services among women delivering at home in Geita, Tanzania: A household longitudinal survey

Juma

Adamou

Amour

et al. 2019

Preprint

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Background Substantial number of women who deliver at home (WDH) are not captured in prevention of mother-to-child transmission (PMTCT) services. This delays HIV infection detection that negatively impacts endeavours to fight the HIV pandemic and the health of mothers and children. The study objective was to determine the feasibility of home-based HIV testing and linking to care for HIV services among WDH in Geita District Council, Tanzania.Methods A longitudinal household survey was conducted. The study involved all mentally-able women who delivered within two years (WDTY) preceding the survey and their children under the age of two. The study was conducted in Geita District Council in Geita Region, Tanzania from June to July 2017. Geita is among the region with high HIV prevalence and proportion of women delivering at home.Results Of the 993 women who participated in the study, 981 (98.8%) accepted household-based HIV counselling and testing (HBHCT) from the research team. HIV prevalence was 5.3% (52 women). HBHCT identified 26 (2.7%) new HIV infections; 23 (23.4%) were those tested negative at ANC and the remaining three (0.3%) were those who had no HIV test during the ANC visit. Among the 51 HIV+ women, 21 (40.4%) were enrolled in PMTCT services. Of the 32 HIV+ participants who delivered at home, eight (25.8%) were enrolled in the PMTCT compared to 100 percent (13/13) of the women who delivered at a health facility.Conclusion HBHCT uptake was high. HBHCT detected new HIV infection among WDH as well as seroconversion among women with previously negative HIV tests. The study findings emphasize the importance of extending re-testing to women who breastfeed. HBHCT is feasible and can be used to improve PMTCT services among WDH. BackgroundDespite major progress in implementing interventions for PMTCT in Sub-Saharan Africa, rates of new paediatric HIV infections remain unacceptably high, contributing to over 10% of new HIV infections globally and 15% of all HIV related mortality[1] .The PMTCT program effectively reduces mother-to-child transmission of HIV. Women are enrolled in the program at the health facility, either at an antenatal care (ANC) visit, or when they come for delivery. In Tanzania, only around 60-70% of pregnant women receive HIV counselling and testing

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“…With the increased evidence of higher risk of infection among pregnant and postpartum women [33] and poor implementation of repeat HIV testing during pregnancy [34,35], the findings show the feasibility [36] and cost-effectiveness [18] of home-based HIV counselling and testing. Facility and community-based HIV testing strategies [37] should be devised to achieve the 90-90-90 goals.…”

Section: Discussionmentioning

confidence: 96%

Feasibility of home-based HIV counselling and testing and linking to HIV services among women delivering at home in Geita, Tanzania: A household longitudinal survey

Juma

Adamou

Amour

et al. 2019

Preprint

View full text Add to dashboard Cite

Background Substantial number of women who deliver at home (WDH) are not captured in prevention of mother-to-child transmission (PMTCT) services. This delays HIV infection detection that negatively impacts endeavours to fight the HIV pandemic and the health of mothers and children. The study objective was to determine the feasibility of home-based HIV testing and linking to care for HIV services among WDH in Geita District Council, Tanzania. Methods A longitudinal household survey was conducted. The study involved all mentally-able women who delivered within two years (WDTY) preceding the survey and their children under the age of two. The study was conducted in Geita District Council in Geita Region, Tanzania from June to July 2017. Geita is among the region with high HIV prevalence and proportion of women delivering at home. Results Of the 993 women who participated in the study, 981 (98.8%) accepted household-based HIV counselling and testing (HBHCT) from the research team. HIV prevalence was 5.3% (52 women). HBHCT identified 26 (2.7%) new HIV infections; 23 (23.4%) were those tested negative at ANC and the remaining three (0.3%) were those who had no HIV test during the ANC visit. Among the 51 HIV+ women, 21 (40.4%) were enrolled in PMTCT services. Of the 32 HIV+ participants who delivered at home, eight (25.8%) were enrolled in the PMTCT compared to 100 percent (13/13) of the women who delivered at a health facility. Conclusion HBHCT uptake was high. HBHCT detected new HIV infection among WDH as well as seroconversion among women with previously negative HIV tests. The study findings emphasize the importance of extending re-testing to women who breastfeed. HBHCT can be used to improve PMTCT services among WDH.

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Implementation of repeat HIV testing during pregnancy in Kenya: a qualitative study

Cited by 33 publications

References 32 publications

Development and Piloting of a Home-Based Couples Intervention During Pregnancy and Postpartum in Southwestern Kenya

Development and Piloting of a Home-Based Couples Intervention During Pregnancy and Postpartum in Southwestern Kenya

Feasibility of home-based HIV counselling and testing and linking to HIV services among women delivering at home in Geita, Tanzania: A household longitudinal survey

Feasibility of home-based HIV counselling and testing and linking to HIV services among women delivering at home in Geita, Tanzania: A household longitudinal survey

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