Integration of HIV Testing into Maternal, Newborn, and Child Health Weeks for Improved Case Finding and Linkage to Prevention of Mother-to-Child Transmission Services in Benue State, Nigeria

Akinleye, Olusoji; Dura, Gideon; Wagt, Arjan de; Davies, Abiola; Chamla, Dick

doi:10.3389/fpubh.2017.00071

Cited by 10 publications

(10 citation statements)

References 20 publications

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“…One explanation for this comes from a report from Uganda in which having multiple partners was found to be a barrier to engagement in couples-based services because of the risk of positive results that made their spouses threatening. 22,23 There have been studies conducted in Africa that have shown usually high rates of positive HIV test results in countries such as Nigeria (2.1% in females 24 ) and Mozambique (5% in males, 18% in females 25 ). While the studies in Thailand have found the rates have been 0.5% in the period between 1999-2008 and 0.4% in 2009-2010, these were concordant infection.…”

Section: Discussionmentioning

confidence: 99%

<p>Rate of Couple HIV Testing in a Prenatal Care Clinic and Factors Associated with Refusal of Testing Among Male Partners</p>

Pollahan¹,

Thinkhamrop²,

Kongwattanakul³

et al. 2019

HIV

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Objective: To determine the rate of HIV testing in couples during pregnancy and the reasons and risk factors related to male partners refusing to be tested. Materials and methods: This was a cross-sectional study conducted in pregnant women undergoing prenatal care after receiving information about HIV testing on their first visit. After 20 weeks of gestation, they were approached to participate in the study, which consisted of an interview and examination of their medical records. Data collection included the women's socioeconomic status, obstetric condition and serological test results together with their partner information. If relevant, the partner's reasons for refusing to undergo HIV testing. Results: A total of 400 pregnant women were recruited between February and August 2018, 150 (37.5%) of whose male partners underwent HIV testing. There were five couples in which one or both members were found to be positive for HIV: 1 seroconcordant couple, 1 serodiscordant couple in which the pregnant woman was positive, and 3 serodiscordant couples in which the male partners were positive. The most common reason for male partners refusing to take the test was their already having been tested once before. The women having had other sexual partners prior to their current partners was a significant risk factor for the partners refusing to be tested. Conclusion: There was a low rate of couple HIV testing and a substantial portion of discordant infection among positive couples. Routine couples counseling and testing should be encouraged to reduce the vertical transmission and the number of new cases of HIV infection.

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Section: Discussionmentioning

confidence: 99%

<p>Rate of Couple HIV Testing in a Prenatal Care Clinic and Factors Associated with Refusal of Testing Among Male Partners</p>

Pollahan¹,

Thinkhamrop²,

Kongwattanakul³

et al. 2019

HIV

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show abstract

“…Higher rates are reported in Nigeria (6%) [3]; in Cameroon (7.6%) [4]. In contexts of low levels of consumption of prevention of motherto-child transmission services.…”

Section: Discussionmentioning

confidence: 91%

“…With the increasing coverage of HIV screening, the new directions of the World Health Organization and the Joint United Nations Program on HIV/AIDS rely on the implementation of a surveillance conducted among pregnant women attending prenatal consultations, based on data collected from the PTME program [2,3]. Benin has a national strategic plan to eliminate mother-to-child transmission, having made available 946 PTME sites in 2016.…”

Section: Introductionmentioning

confidence: 99%

Epidemiological Profile of HIV Pregnant Women at the University Hospital Centre for Mother and Child Lagoon (Benin)

Mshs¹,

Om²,

M³

et al. 2018

Clinics Mother Child Health

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Objective: Vertical transmission of HIV remains the second mode of infection in Benin. To study the epidemiological aspects of HIV infection during the pregnancy at University Hospital Centre for Mother and Child Lagoon (CHU-MEL). Patients and methods: We conducted a descriptive cross-sectional study at the Mother and Child Hospital in Benin from 1 January 2015 to 30 June 2017. The sampling was exhaustive. The selection criteria were: all pregnant or parturient seropositive who were taken care of during the study period at HOMEL. The data analysis was done with the Epi Info software, by calculating averages and standard deviations. Results and conclusion: The prevalence rate of HIV amongst pregnant women was 1.9% (188/9554). The average age was 30 years old ± 5 years. They were married (45.6%), crafts women (67.7%), lived in a monogamous family (60.3%) and gave birth at least once (73.8%). The prevalence rate varied depending on the level of education; it was lower among the unschooled (17.5%), around (7.4%) among those who went to high school and higher among those with an intermediate level of education. HIV prevalence remains stable in the population of pregnant women. The education of young girls and the increasing purchasing power of women must be taken into consideration when drafting HIV control strategies.

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“…Integration of HIV testing into maternal, newborn and child health (MNCH) “weeks” (biannual campaign‐style events designed to expand health service access) may also be promising. In a single week, across 13 local government areas in Nigeria’s Benue State, more than 50,000 pregnant women were educated about HIV testing and >99% subsequently underwent testing via an opt out approach [54]. Risk stratification and other triage strategies should be used to increase the efficiency of such testing approaches in identifying pregnant women living with HIV.…”

Section: Resultsmentioning

confidence: 99%

Accelerating progress towards the elimination of mother‐to‐child transmission of HIV: a narrative review

et al. 2020

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Introduction Findings from biomedical, behavioural and implementation studies provide a rich foundation to guide programmatic efforts for the prevention of mother‐to‐child HIV transmission (PMTCT). Methods We summarized the current evidence base to support policy makers, programme managers, funding agencies and other stakeholders in designing and optimizing PMTCT programmes. We searched the scientific literature for PMTCT interventions in the era of universal antiretroviral therapy for pregnant and breastfeeding women (i.e. 2013 onward). Where evidence was sparse, relevant studies from the general HIV treatment literature or from prior eras of PMTCT programme implementation were also considered. Studies were organized into six categories: HIV prevention services for women, timely access to HIV testing, timely access to ART, programme retention and adherence support, timely engagement in antenatal care and services for infants at highest risk of HIV acquisition. These were mapped to specific missed opportunities identified by the UNAIDS Spectrum model and embedded in UNICEF operational guidance to optimize PMTCT services. Results and discussion From May to November 2019, we identified numerous promising, evidence‐based strategies that, properly tailored and adopted, could contribute to population reductions in vertical HIV transmission. These spanned the HIV and maternal and child health literature, emphasizing the importance of continued alignment and integration of services. We observed overlap between several intervention domains, suggesting potential for synergies and increased downstream impact. Common themes included integration of facility‐based healthcare; decentralization of health services from facilities to communities; and engagement of partners, peers and lay workers for social support. Approaches to ensure early HIV diagnosis and treatment prior to pregnancy would strengthen care across the maternal lifespan and should be promoted in the context of PMTCT. Conclusions A wide range of effective strategies exist to improve PMTCT access, uptake and retention. Programmes should carefully consider, prioritize and plan those that are most appropriate for the local setting and best address existing gaps in PMTCT health services.

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Integration of HIV Testing into Maternal, Newborn, and Child Health Weeks for Improved Case Finding and Linkage to Prevention of Mother-to-Child Transmission Services in Benue State, Nigeria

Cited by 10 publications

References 20 publications

<p>Rate of Couple HIV Testing in a Prenatal Care Clinic and Factors Associated with Refusal of Testing Among Male Partners</p>

<p>Rate of Couple HIV Testing in a Prenatal Care Clinic and Factors Associated with Refusal of Testing Among Male Partners</p>

Epidemiological Profile of HIV Pregnant Women at the University Hospital Centre for Mother and Child Lagoon (Benin)

Accelerating progress towards the elimination of mother‐to‐child transmission of HIV: a narrative review

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