OBJECTIVE: To assess coverage of repeat HIV testing among women who delivered in a Zambian hospital. HIV testing of pregnant women and repeat testing every 3 months during pregnancy and breastfeeding is the recommended policy in areas of high HIV prevalence. METHODS: A prospective implementation study in a second-level hospital in rural Zambia. Included were all pregnant women who delivered in hospital during May and June 2012. Data regarding antenatal visits and HIV testing were collected by two investigators using a standardised form. RESULTS: Of 401 women who delivered in hospital, sufficient antenatal data could be retrieved for 322 (80.3%) women. Of these 322 women, 301 (93.5%) had attended antenatal care (ANC) at least once. At the time of discharge after delivery in hospital, 171 (53.1%) had an unclear HIV status because their negative test result was more than 3 months ago or of an unknown date, or because they had not been tested at all during pregnancy or delivery. An updated HIV status was present for 151 (46.9%) women: 25 (7.8%) were HIV positive and 126 (39.1%) had tested negative within the last 3 months. In this last group, 79 (24.5%) had been tested twice or more during pregnancy. During the study period, none of the women was tested during admission for delivery. CONCLUSION: Despite high ANC coverage, opportunities for repeat HIV testing were missed in almost half of all women who delivered in this hospital in a high-prevalence HIV setting.
OBJECTIVE: To assess coverage of repeat HIV testing among women who delivered in a Zambian hospital. HIV testing of pregnant women and repeat testing every 3 months during pregnancy and breastfeeding is the recommended policy in areas of high HIV prevalence. METHODS: A prospective implementation study in a second-level hospital in rural Zambia. Included were all pregnant women who delivered in hospital during May and June 2012. Data regarding antenatal visits and HIV testing were collected by two investigators using a standardised form. RESULTS: Of 401 women who delivered in hospital, sufficient antenatal data could be retrieved for 322 (80.3%) women. Of these 322 women, 301 (93.5%) had attended antenatal care (ANC) at least once. At the time of discharge after delivery in hospital, 171 (53.1%) had an unclear HIV status because their negative test result was more than 3 months ago or of an unknown date, or because they had not been tested at all during pregnancy or delivery. An updated HIV status was present for 151 (46.9%) women: 25 (7.8%) were HIV positive and 126 (39.1%) had tested negative within the last 3 months. In this last group, 79 (24.5%) had been tested twice or more during pregnancy. During the study period, none of the women was tested during admission for delivery. CONCLUSION: Despite high ANC coverage, opportunities for repeat HIV testing were missed in almost half of all women who delivered in this hospital in a high-prevalence HIV setting.
Authors: Anna Joy Rogers; Elly Weke; Zachary Kwena; Elizabeth A Bukusi; Patrick Oyaro; Craig R Cohen; Janet M Turan Journal: BMC Pregnancy Childbirth Date: 2016-07-11 Impact factor: 3.007
Authors: Michael M Chanda; Amaya G Perez-Brumer; Katrina F Ortblad; Magdalene Mwale; Steven Chongo; Nyambe Kamungoma; Catherine Kanchele; Andrew Fullem; Leah Barresi; Till Bärnighausen; Catherine E Oldenburg Journal: AIDS Patient Care STDS Date: 2017-06-05 Impact factor: 5.078
Authors: Anna J Rogers; Eliud Akama; Elly Weke; Justin Blackburn; George Owino; Elizabeth A Bukusi; Patrick Oyaro; Zachary A Kwena; Craig R Cohen; Janet M Turan Journal: J Int AIDS Soc Date: 2017-12 Impact factor: 5.396
Authors: Lisa L Abuogi; John M Humphrey; Christian Mpody; Marcel Yotebieng; Pamela M Murnane; Kate Clouse; Lindah Otieno; Craig R Cohen; Kara Wools-Kaloustian Journal: J Virus Erad Date: 2018-11-15
Authors: Alison L Drake; Kerry A Thomson; Caitlin Quinn; Morkor Newman Owiredu; Innocent B Nuwagira; Lastone Chitembo; Shaffiq Essajee; Rachel Baggaley; Cheryl C Johnson Journal: J Int AIDS Soc Date: 2019-04 Impact factor: 5.396