Attitude of pregnant women towards HIV testing in Abidjan, Côte dʼIvoire and Bobo-Dioulasso, Burkina Faso

Background. Female sex workers (FSWs) are considered a vulnerable population for HIV infection and a priority for HIV/AIDS response programs. This study aimed to determine HIV prevalence among FSWs in five cities in Burkina Faso. Methods. FSWs aged 18 and older were recruited using respondent driven sampling (RDS) in five cities (Ouagadougou, Bobo-Dioulasso, Koudougou, Ouahigouya, and Tenkodogo) in Burkina Faso from 2013 to 2014. HIV testing was performed using the HIV testing national algorithm. We conducted bivariate and multivariate logistic regression analysis to assess correlates of HIV in all cities combined (not RDS-adjusted). Results. Among Ouagadougou, Koudougou, and Ouahigouya FSWs, RDS-adjusted HIV prevalence was 13.5% (95% Confidence Interval [CI]: 9.6–18.7), 13.3% (95% CI: 7.6–22.4), and 13.0% (95% CI: 7.6–21.3), respectively, compared to 30.1% (95% CI: 25.5–35.1) among Bobo-Dioulasso FSWs. Factors associated with HIV infection were age (adjusted odds ratio [aOR] = 7.84 95% CI: 3.78–16.20), being married or cohabitating (aOR = 2.43, 95% CI: 1.31–4.49), and history of pregnancy (aOR = 5.24, 95% CI: 1.44–18.97). Conclusion. These results highlight the need to strengthen HIV prevention among FSWs, through behavior change strategies, and improve access to sexual and reproductive health services.

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Prevalence of Group B Streptococcus among Pregnant Women in Bobo-Dioulasso (Burkina Faso)

Open Journal of Medical Microbiology ◽

10.4236/ojmm.2019.93008 ◽

2019 ◽

Vol 09 (03) ◽

pp. 63-76

Author(s):

Abdoul-Salam Ouédraogo ◽

Yacouba Sawadogo ◽

Der Adolphe Somé ◽

An Vercoutere ◽

Soufiane Sanou ◽

...

Keyword(s):

Burkina Faso ◽

Pregnant Women ◽

Group B Streptococcus ◽

Bobo Dioulasso ◽

Group B

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Prevalence and risk factors for Plasmodium falciparum malaria in pregnant women attending antenatal clinic in Bobo-Dioulasso (Burkina Faso)

BMC Infectious Diseases ◽

10.1186/s12879-014-0631-z ◽

2014 ◽

Vol 14 (1) ◽

Cited By ~ 15

Author(s):

Mamoudou Cisse ◽

Ibrahim Sangare ◽

Guekoun Lougue ◽

Sanata Bamba ◽

Dramane Bayane ◽

...

Keyword(s):

Risk Factors ◽

Plasmodium Falciparum ◽

Burkina Faso ◽

Pregnant Women ◽

Falciparum Malaria ◽

Plasmodium Falciparum Malaria ◽

Antenatal Clinic ◽

Bobo Dioulasso

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Seroprevalence of Latent Toxoplasma gondii Infection among HIV-infected Pregnant Women in Bobo-Dioulasso, Burkina Faso

Pakistan Journal of Biological Sciences ◽

10.3923/pjbs.2014.1074.1078 ◽

2014 ◽

Vol 17 (9) ◽

pp. 1074-1078 ◽

Cited By ~ 7

Author(s):

S. Bamba ◽

Y. Sourabie ◽

T.R. Guiguemde ◽

D.S. Karou ◽

J. Simpore ◽

...

Keyword(s):

Toxoplasma Gondii ◽

Burkina Faso ◽

Pregnant Women ◽

Bobo Dioulasso ◽

Toxoplasma Gondii Infection

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Combination Partner HIV Testing Strategies for HIV-positive and HIV-negative Pregnant Women

Case Medical Research ◽

10.31525/ct1-nct04124536 ◽

2019 ◽

Author(s):

Keyword(s):

Pregnant Women ◽

Hiv Testing ◽

Hiv Positive ◽

Testing Strategies ◽

Hiv Negative

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Does facility readiness promote high-quality of provider-initiated HIV testing and counseling to pregnant women? A national survey for improving policy of prevention of mother-to-child transmission of HIV in Tanzania

AIDS Research and Therapy ◽

10.1186/s12981-021-00362-y ◽

2021 ◽

Vol 18 (1) ◽

Author(s):

Deogratius Bintabara ◽

Athanase Lilungulu ◽

Shakilu Jumanne ◽

Mzee M. Nassoro ◽

Bonaventura C. Mpondo

Keyword(s):

Pregnant Women ◽

Hiv Testing ◽

Mother To Child Transmission ◽

Child Transmission ◽

High Quality ◽

Hiv Testing And Counseling ◽

Mother To Child ◽

Facility Readiness ◽

Testing And Counseling

Abstract Background Provider-initiated HIV testing and counseling (PITC) is a recommended approach to screen for HIV to all pregnant women during antenatal care (ANC) visits, and all with HIV positive results have to be enrolled into prevention of mother-to-child transmission of HIV (PMTCT) program. However, little is known about the relationship between facility readiness and the uptake of PITC to pregnant women attending ANC in Tanzania. Therefore, this study assessed whether the facility readiness promotes the uptake of PITC to the pregnant women attending ANC for the purpose of improving the PMTCT interventions in Tanzania. Methods This study analyzed data for health facilities obtained from the 2014–2015 Tanzania service provision assessment survey. The Primary outcome measure was a composite variable (with score of 0–5) in which its higher scores indicates provision of high-quality of PITC. Also, facilities scored higher in the PMTCT service readiness index were considered to have high readiness to provide PMTCT services. In Poisson regression analyses, a series of models were fitted to assess whether there is an association between provision of high-quality of PITC and facility readiness. In all statistical analysis, a P < 0.05 was considered significant. Results Out of 1853 included first-visit ANC consultations, only about one-third of pregnant women received all five components required for PITC. The mean percentage of PMTCT readiness score was moderate 63.96 [61.32–66.59]%. In adjusted model, we found that facility with high readiness to provide PMTCT services was significantly associated with the provision of high-quality of PITC (model 2: [β = 0.075, P = 0.00]). Conclusion In order to increase high-quality of PITC services, efforts should be made to improve the PMTCT facility readiness by increasing availability of trained staffs, diagnostic tools, and ARTs among health facilities in Tanzania.

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Changes over time in HIV testing and counselling uptake and associated factors among youth in Zambia: a cross-sectional analysis of demographic and health surveys from 2007 to 2018

BMC Public Health ◽

10.1186/s12889-021-10472-x ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Aimé Bitakuya Heri ◽

Francesca L. Cavallaro ◽

Nurilign Ahmed ◽

Maurice Mubuyaeta Musheke ◽

Mitsuaki Matsui

Keyword(s):

Pregnant Women ◽

Hiv Testing ◽

Health Surveys ◽

Health Centre ◽

Demographic And Health Surveys ◽

Common Source ◽

Cross Sectional ◽

Government Health ◽

Hiv Testing And Counselling ◽

Testing Uptake

Abstract Introduction Zambia is among the countries with the highest HIV burden and where youth remain disproportionally affected. Access to HIV testing and counselling (HTC) is a crucial step to ensure the reduction of HIV transmission. This study examines the changes that occurred between 2007 and 2018 in access to HTC, inequities in testing uptake, and determinants of HTC uptake among youth. Methods We carried out repeated cross-sectional analyses using three Zambian Demographic and Health Surveys (2007, 2013–14, and 2018). We calculated the percentage of women and men ages 15–24 years old who were tested for HIV in the last 12 months. We analysed inequity in HTC coverage using indicators of absolute inequality. We performed bivariate and multivariate logistic regression analyses to identify predictors of HTC uptake in the last 12 months. Results HIV testing uptake increased between 2007 and 2018, from 45 to 92% among pregnant women, 10 to 58% among non-pregnant women, and from 10 to 49% among men. By 2018 roughly 60% of youth tested in the past 12 months used a government health centre. Mobile clinics were the second most common source reaching up to 32% among adolescent boys by 2018. Multivariate analysis conducted among men and non-pregnant women showed higher odds of testing among 20–24 year-olds than adolescents (aOR = 1.55 [95%CI:1.30–1.84], among men; and aOR = 1.74 [1.40–2.15] among women). Among men, being circumcised (aOR = 1.57 [1.32–1.88]) and in a union (aOR = 2.44 [1.83–3.25]) were associated with increased odds of testing. For women greater odds of testing were associated with higher levels of education (aOR = 6.97 [2.82–17.19]). Education-based inequity was considerably widened among women than men by 2018. Conclusion HTC uptake among Zambian youth improved considerably by 2018 and reached 65 and 49% tested in the last 12 months for women and men, respectively. However, achieving the goal of 95% envisioned by 2020 will require sustaining the success gained through government health centres, and scaling up the community-led approaches that have proven acceptable and effective in reaching young men and adolescent girls who are less easy to reach through the government facilities.

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Testing strategies for couple engagement in prevention of mother-to-child transmission of HIV and family health in Kenya: study protocol for a randomized controlled trial

Trials ◽

10.1186/s13063-020-04956-1 ◽

2021 ◽

Vol 22 (1) ◽

Author(s):

Zachary Kwena ◽

Liza Kimbo ◽

Lynae A. Darbes ◽

Abigail M. Hatcher ◽

Anna Helova ◽

...

Keyword(s):

Pregnant Women ◽

Hiv Testing ◽

Standard Care ◽

Family Health ◽

Child Transmission ◽

Home Based ◽

Self Testing ◽

The Cost ◽

Mother To Child ◽

Testing And Counseling

Abstract Background HIV-related maternal deaths and HIV infection among infants remain unacceptably high across sub-Saharan Africa despite increased antenatal care attendance and provision of antiretroviral therapy to pregnant women. In the Jamii Bora (“Better Family” in Swahili) Study, we seek to test the efficacy of an interdependence theory-based couple intervention. The intervention reaches pregnant women and male partners through home visits by male-female pairs of lay health workers. The aim is to increase access to home-based couples’ HIV testing and counseling services to improve family health. Methods This is a three-arm randomized control trial among 1080 pregnant women 15 years of age or older, living with their male partners, and who have not undergone couples’ HIV testing and counseling in Kisumu and Migori Counties in Kenya. Couples will be randomized into three groups: home-based couple visits, HIV self-testing kits for couple use, or standard care (male partner clinic invitation letters). Participants will be followed up to 18 months postpartum. The study has three aims: in aim 1, we will determine the effects of the intervention on our primary outcome of couple HIV testing, compared to HIV self-testing kits and standard care; in aim 2, we will examine the intervention impact on HIV prevention behaviors, facility delivery, and postnatal healthcare utilization, as well as secondary health outcomes of maternal viral suppression and HIV-free child survival up to 18 months for couples living with HIV; and in aim 3, we will compare the cost-effectiveness of the home-based couple intervention to the less resource-intensive strategies used in the other two study arms. Assessments with couples are conducted at baseline, late pregnancy, and at months 3, 6, 12, and 18 after birth. Discussion The results from this study will inform decision-makers about the cost-effective strategies to engage pregnant couples in the prevention of mother-to-child transmission and family health, with important downstream benefits for maternal, paternal, and infant health. Trial registration ClinicalTrials.gov NCT03547739. Registered on May 9, 2018

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