Women with disabilities in hearing: the last mile in the elimination of mother-to-child transmission of HIV – a cross-sectional study from Zambia

Chipanta, David; Stöckl, Heidi; Toska, Elona; Amo-Agyei, Silas; Chanda, Patrick; Mwanza, Jason; Kaila, Kelly; Matome, Chisangu; Tembo, Gelson; Thiabaud, Amaury; Keiser, Olivia; Estill, Janne

doi:10.1080/09540121.2021.1998313

Cited by 3 publications

(2 citation statements)

References 12 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Chintende et al 2017;Chipanta et al 2021;Chomba et al 2007;Hachipola, Mweemba, & Sitali 2017;Hearst et al 2021;Kapungwe et al 2011;Karban 2013;Katuta 2011;Magnussen 2011;Munakampe 2020;Mwale & Chita 2016;Mwansa 2010;Mwanza et al 2011;Mwape et al 2010; …”

unclassified

“…2014;Parsons, Bond, & Nixon 2015; Schenk et al 2020;Sikwese et al 2010;Simbyakula 2009;Simpamba, Struthers, & Mweshi 2016). However, just four of these were published in the past five years(Chipanta et al 2021;Hearst et al 2021;Munakampe 2020; Schenk et al 2020).Seven of the studies focused on experiences of healthcare and healthcare access(Hachipola, Mweemba, & Sitali 2017;Magnussen 2011;Mwansa 2010;Nixon et al 2014;Parsons, Bond, & Nixon 2015; Schenk et al 2020;Simpamba, Struthers, & Mweshi 2016), although just two looked at access to general healthcare for people with disabilities broadly, and these were over 10 years old(Magnussen 2011;Mwansa 2010). The remaining five looked at specific scenarios, such as access to HIV services or cervical cancer screening, or they looked at the experiences of a specific group of people with disabilities, such as children with neural tube defects(Hachipola, Mweemba, & Sitali 2017;Nixon et al 2014;Parsons, Bond, & Nixon 2015; Schenk et al 2020; …”

mentioning

confidence: 99%

See 1 more Smart Citation

Disability Research in Zambia: A Scoping Review

Scherer,

Banda-Chalwe,

Chansa-Kabali

et al. 2024

SJDR

View full text Add to dashboard Cite

Background: Globally, people with disabilities experience exclusion from health, education, employment, and other aspects of daily life. Evidence on lived experience across key life areas (such as education, health, and employment) is necessary to promote disability-inclusive policy and practice, but there is often limited evidence from sub-Saharan Africa and there is no current synthesis in Zambia. Objectives: This scoping review aimed to synthesise evidence relevant to the lived experience of people with disabilities in Zambia across key life areas, in order to support national disability policy and practice. Method: MEDLINE, Embase, Web of Science, CINAHL, PsycInfo, Global Health, Africa-Wide Information and grey literature sources were searched from database inception until June 2023, although after the database search, we included only articles published from 2007, after adoption of the United Nations Convention on the Rights of Persons with Disabilities. Articles of any study design that were relevant to disability in Zambia were included, although prevalence studies were excluded to keep the focus on lived experience. Search results were independently screened by two reviewers, first by title/abstract, then by full text. Study characteristics and key findings were extracted, with findings narratively synthesised across key topic areas, such as health, education, and family support. Results: From 10,327 search results, 122 articles were included. Over a third of included articles focused on education for children with disabilities (n = 41, 34%) and the majority were conducted in Lusaka Province (n = 73, 60%). The included research demonstrated a number of challenges experienced by people with disabilities in Zambia that impinge on their human rights, including inaccessible environments, stigma and discrimination, and limited support. Evidence is relatively limited in some key areas, including healthcare and employment, and there is need for up-to-date research. Conclusions: People with disabilities in Zambia experience daily challenges. There is need for action to improve disability inclusion in Zambia in line with the United Nations Convention on the Rights of Persons with Disabilities.

show abstract

unclassified

mentioning

confidence: 99%

Disability Research in Zambia: A Scoping Review

Scherer,

Banda-Chalwe,

Chansa-Kabali

et al. 2024

SJDR

View full text Add to dashboard Cite

show abstract

Differences between persons with and without disability in HIV prevalence, testing, treatment, and care cascade in Tanzania: a cross-sectional study using population-based data

Chipanta,

Mitra,

Amo-Agyei

et al. 2023

BMC Public Health

Self Cite

View full text Add to dashboard Cite

Background Persons with disability may have a higher HIV prevalence and be less likely than persons without disability to know their HIV-positive status, access antiretroviral therapy (ART), and suppress their HIV viral load (HIV care cascade). However, studies examining differences between persons with and without disability in HIV prevalence and the HIV care cascade are lacking. Using the Tanzania HIV Impact Survey (THIS) data collected between October 2016 and August 2017, we assessed differences in HIV prevalence and progress towards achieving the 2020 HIV care cascade target between persons with and without disability. Methods Using the Washington Group Short Set (WG-SS) Questions on Disability, we defined disability as having a functional difficulty in any of the six life domains (seeing, hearing, walking/climbing, remembering/ concentrating, self-care, and communicating). We classified respondents as disabled if they responded having either “Some Difficulty”, “A lot of difficulties” or “Unable to” in any of the WG-SS Questions. We presented the sample characteristics by disability status and analyzed the achievement of the cascade target by disability status, and sex. We used multivariable logistic regressions, and adjusted for age, sex, rural-urban residence, education, and wealth quintile. Results A total of 31,579 respondents aged 15 years and older had HIV test results. Of these 1,831 tested HIV-positive, corresponding to an estimated HIV prevalence of 4.9% (CI: 4.5 — 5.2%) among the adult population in Tanzania. The median age of respondents who tested HIV-positive was 32 years (with IQR of 21—45 years). HIV prevalence was higher (5.7%, 95% CI: 5.3—7.4%) among persons with disability than persons without disability (4.3%, 95% CI: 4.0 — 4.6%). Before adjustment, compared to women without disability, more women with disability were aware of their HIV-positive status (n = 101, 79.0%, 95% CI: 68.0—87.0% versus n = 703, 63.0%, 95% CI: 59.1—66.7%) and accessed ART more frequently (n = 98, 98.7%, 95% CI: 95.3—99.7% versus n = 661, 94.7%, 95% CI: 92.6—96.3%). After adjusting for socio-demographic characteristics, the odds of having HIV and of accessing ART did not differ between persons with and without disability. However, PLHIV with disability had higher odds of being aware of their HIV-positive status (aOR 1.69, 95% 1.05—2.71) than PLHIV without disability. Men living with HIV and with disability had lower odds (aOR = 0.23, 95% CI: 0.06—0.86) to suppress HIV viral loads than their counterparts without disability. Conclusion We found no significant differences in the odds of having HIV and of accessing ART between persons with and without disability in Tanzania. While PLHIV and disability, were often aware of their HIV-positive status than their non-disabled counterparts, men living with HIV and with disability may have been disadvantaged in having suppressed HIV viral loads. These differences are correctable with disability-inclusive HIV programming. HIV surveys around the world should include questions on disability to measure potential differences in HIV prevalence and in attaining the 2025 HIV care cascade target between persons with and without disability.

show abstract

Differences between persons with and without disability in HIV prevalence, testing, treatment, and care cascade in Tanzania: A cross-sectional study using population-based data

Chipanta

Mitra

Amo-Agyei

et al. 2023

Preprint

Self Cite

View full text Add to dashboard Cite

Background Persons with disability may have a higher HIV prevalence and be less likely than persons without disability to know their HIV-positive status, access antiretroviral therapy (ART), and suppress their HIV viral load (HIV testing, treatment, and care cascade, also known as the 90—90—90 and the 95—95—95 targets set to be achieved by 2020 and 2025, respectively). Methods Using the Tanzania HIV Impact Survey (THIS) data collected between October 2016 and August 2017, we assessed differences in HIV prevalence and progress towards achieving the 2020 HIV testing, treatment, and care cascade target between persons with and without disability. We presented the sample characteristics by disability status and analyzed the achievement of the cascade target by disability status, and sex. We used multivariate logistic regressions, and adjusted for age, sex, rural-urban-residence, education, wealth, and region. Results The sample comprised 1,831 people living with HIV (PLHIV) with a median age of 32 years (IQR 21—45). Approximately 11.8% (95% Confidence Interval [CI]: 10.2%—13.6%, n= 212) of PLHIV in Tanzania were disabled. HIV prevalence was higher (6.2%, 95% CI: 5.3%—7.4%) among persons with disability than persons without disability (4.7%, 95% CI: 4.4% — 5.1%); Women with disability were more aware of their HIV-positive status (n = 101, 79.0%, 95% CI: 68.0%—87.0% versus n = 703, 63.0%, 95% CI: 59.1%—66.7%) and accessed ART more frequently (n = 98, 98.7%, 95% CI: 95.3%—99.7% versus n = 661, 94.7%, 95% CI: 92.6%—96.3%) than women without disability. After adjusting for socio-demographic characteristics, the odds of having HIV and of accessing ART were not statistically different between PLHIV with and without disability. However, PLHIV with disability had higher odds of being aware of their HIV-positive status (aOR 1.69, 95% 1.05—2.71) than PLHIV without disability. Men on ART with disability had lower odds (aOR = 0.23, 95% CI: 0.06—0.86) to suppress HIV viral loads than their counterparts without disability. Conclusion We found no differences in HIV prevalence and access to ART between persons with and without disability in Tanzania. Whereas PLHIV disability, women in particular, were advantaged in knowing their HIV-positive status, men on ART with disability may have been disadvantaged in having suppressed HIV viral loads. These differences are correctable by disability-inclusive HIV programming. HIV surveys in multiple countries sampling more persons with disability are required to measure differences in HIV prevalence better and in attaining the 2025 HIV testing and treatment cascade target for both persons with and without disability.

show abstract

Women with disabilities in hearing: the last mile in the elimination of mother-to-child transmission of HIV – a cross-sectional study from Zambia

Cited by 3 publications

References 12 publications

Disability Research in Zambia: A Scoping Review

Disability Research in Zambia: A Scoping Review

Differences between persons with and without disability in HIV prevalence, testing, treatment, and care cascade in Tanzania: a cross-sectional study using population-based data

Differences between persons with and without disability in HIV prevalence, testing, treatment, and care cascade in Tanzania: A cross-sectional study using population-based data

Contact Info

Product

Resources

About