HIV Infection among Pregnant Women in Bobo-Dioulasso, Burkina Faso: Comparison of Voluntary and Blinded Seroprevalence Estimates

Summary: Little information is available regarding human immunodeficiency virus (HIV) infection among female sex workers (FSW) in Burkina Faso, West Africa. A cross-sectional study was conducted in Ouagadougou and Bobo-Dioulasso, the 2 largest cities of the country, to determine the prevalence of HIV infection and other sexually transmitted diseases (STDs) among FSWs, and to investigate the factors which were associated with HIV infection in this population. From October to November 1994, 426 FSWs were recruited. The method of anonymous and unlinked HIV screening recommended by the World Health Organization (WHO) was used. The overall HIV seroprevalence was 58.2% (95% confidence interval: 53.4-62.9) and 52.6% of FSWs had at least one STD agent. The most common STDs were trichomoniasis (23%), syphilis (15%) and gonorrhoea (13%). In a logistic regression analysis, risk factors for HIV infection were high gravidity ( 2 pregnancies), low perception of personal risk of HIV infection, syphilis and the presence of genital warts. These results suggest that FSWs in Burkina Faso need better information about HIV transmission and prevention and then need better access to STD detection and management services.

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HIV infection among pregnant women in Burkina Faso: a nationwide serosurvey

International Journal of STD & AIDS ◽

10.1258/0956462971918797 ◽

1997 ◽

Vol 8 (10) ◽

pp. 646-651 ◽

Cited By ~ 11

Author(s):

Lassina Sangare ◽

Nicolas Meda ◽

Salif Lankoande ◽

Eddy Van Dyck ◽

Michel Cartoux ◽

...

Keyword(s):

Hiv Infection ◽

Burkina Faso ◽

Pregnant Women ◽

Screening Method ◽

Syphilis Infection ◽

Cross Sectional ◽

Hiv Surveillance ◽

The North ◽

The Impact ◽

Syphilis Serology

To determine the prevalence of HIV infection among pregnant women in Burkina Faso and to identify factors associated with HIV infection in this population, we performed in 4 antenatal clinics in 4 urban centres located in the centre, the north, the east and the south-west of the country cross-sectional serological surveys between 7 October 1994 and 7 February 1995 using unlinked anonymous HIV screening method. In the towns included in the study more than 94% of pregnant women attend at least 2 antenatal consultations. In each centre all pregnant women attending an antenatal consultation during a 2-week period were invited to take part in a study to measure the prevalence of syphilis. Women with positive syphilis serology were offered treatment free of charge. A total of 1294 pregnant women were recruited into the study. There were no refusals. Thirty-two women (2.5%) had positive syphilis serology. The overall seroprevalence of HIV infection was 8% (95% confidence interval [CI]: 6.6-9.6). There was no evidence that the prevalence of syphilis or HIV infection varied between the 4 towns ( P =0.12 and 0.52 respectively). In logistic regression analyses only the presence of syphilis infection was associated with risk of HIV (odds ratio=3.4; 95% CI: 1.4-7.9). The prevalence of syphilis among pregnant women in Burkina Faso is relatively low compared with that of HIV infection. These results suggest that HIV epidemic in Burkina Faso is important and that there is an urgent need to intensify HIVprevention activities. The need for HIV surveillance in this sentinel population is urgent to follow the course of the epidemic and to measure the impact of interventions. One of the consequences of the high prevalence of HIV infection among pregnant women which requires greater attention in Burkina Faso is the increasing number of children who will be infected with HIV by vertical transmission.

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Acceptability of children's testing for HIV infection during routine care activities in the Pediatrics Department of Sourô Sanou Teaching Hospital in Bobo-Dioulasso (Burkina Faso)

Revue d Épidémiologie et de Santé Publique ◽

10.1016/j.respe.2018.09.007 ◽

2018 ◽

Vol 66 (6) ◽

pp. 363-367

Author(s):

M. Barro ◽

B. Sanogo ◽

A.S. Ouermi ◽

B.R. Zio ◽

A.B.I. Ouattara ◽

...

Keyword(s):

Hiv Infection ◽

Burkina Faso ◽

Teaching Hospital ◽

Routine Care ◽

Bobo Dioulasso

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Sexually Transmitted Diseases and Human Immunodeficiency Virus Infection among Women with Genital Infections in Burkina Faso

International Journal of STD & AIDS ◽

10.1177/095646249500600410 ◽

1995 ◽

Vol 6 (4) ◽

pp. 273-277 ◽

Cited By ~ 16

Author(s):

N Meda ◽

S Ledru ◽

M Fofana ◽

S Lankoandé ◽

G Soula ◽

...

Keyword(s):

Neisseria Gonorrhoeae ◽

Hiv Infection ◽

Burkina Faso ◽

Sexually Transmitted Diseases ◽

Trichomonas Vaginalis ◽

High Risk Group ◽

Genital Infections ◽

Sexually Transmitted ◽

Immunodeficiency Virus ◽

Bobo Dioulasso

Summary: This study reports the prevalence of sexually transmitted diseases (STDs) among gynaecological outpatients presenting at the Bobo-Dioulasso Hospital (Burkina Faso) with genital infections and examines the factors associated with HIV infection in this population. Of 245 eligible non-pregnant women, 220 consented to participate in the study. Seventy-seven per cent had sexually transmitted infections. The most common were: Trichomonas vaginalis (28%), Chlamydia trachomatis (27%), bacterial vaginosis (20%), Candida albicans (17%), Neisseria gonorrhoeae (11%). The prevalence of HIV infection was 42% (95% ci. 35.3, 48.3). Logistic regression analyses revealed Neisseria gonorrhoeae to be the only STD significantly associated with infection with HIV ( P = 0.04). A sedimentation rate greater than or equal to 100 mm in the first hour was also associated with HIV infection ( P < 0.001). Women consulting for genital infections constitute a high risk group for HIV infection and other STDs. Management of these women should focus on the early diagnosis and treatment of STDs.

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

AIDS ◽

10.1097/00002030-199817000-00016 ◽

1998 ◽

Vol 12 (17) ◽

pp. 2337-2344 ◽

Cited By ~ 52

Author(s):

Michel Cartoux ◽

Philippe Msellati ◽

Nicolas Meda ◽

Christiane Welffens-Ekra ◽

Laurent Mandelbrot ◽

...

Keyword(s):

Burkina Faso ◽

Pregnant Women ◽

Hiv Testing ◽

Bobo Dioulasso

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HIV among Female Sex Workers in Five Cities in Burkina Faso: A Cross-Sectional Baseline Survey to Inform HIV/AIDS Programs

AIDS Research and Treatment ◽

10.1155/2017/9580548 ◽

2017 ◽

Vol 2017 ◽

pp. 1-11 ◽

Cited By ~ 2

Author(s):

Henri Gautier Ouedraogo ◽

Odette Ky-Zerbo ◽

Adama Baguiya ◽

Ashley Grosso ◽

Sara Goodman ◽

...

Keyword(s):

Hiv Infection ◽

Burkina Faso ◽

Hiv Testing ◽

Sex Workers ◽

Female Sex Workers ◽

Multivariate Logistic Regression Analysis ◽

Hiv Prevalence ◽

Female Sex ◽

Bobo Dioulasso ◽

Hiv Aids

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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