Hiv testing and counselling for women attending child health clinics: An opportunity for entry to prevent mother-to-child transmission and hiv treatment icon

Hiv testing and counselling for women attending child health clinics: An opportunity for entry to prevent mother-to-child transmission and hiv treatment


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STIs, HIV and AIDS: 2005 - 2008

HIV testing and counselling for women attending child health clinics: An opportunity for entry to prevent mother-to-child transmission and HIV treatment.



Author: Chersich MF; Luchters SM; Othigo MJ; Yard E; Mandaliya K

Source: International Journal of STD and AIDS. 2008 Jan;19(1):42-46.

Abstract: This study assessed the potential for HIV testing at child health clinics to increase knowledge of HIV status, and entry to infant feeding counselling and HIV treatment. At a provincial hospital in Mombasa, Kenya, HIV testing and counselling were offered to women bringing their child for immunization or acute care services. Most women said HIV testing should be offered in these clinics (472/493, 95.7%), with many citing the benefits of regular testing and entry to prevent mother-to-child transmission. Of 500 women, 416 (83.4%) received test results, 97.6% on the same day. After 50 participants, point-of-care testing replaced laboratory-based rapid testing. Uptake increased 2.6 times with point-of-care testing (95% confidence interval = 1.4-5.1; P = 0.003). Of 124 women who had not accessed HIV testing during pregnancy, 98 tested in the study (79.0%). Measured by uptake and attitudes, HIV testing in child health clinics is acceptable. This could optimize entry into HIV treatment, infant feeding counselling and family planning services. (author's)

Language: English

Keywords: KENYA | ^ RESEARCH REPORT | SURVEYS | MOTHERS | INFANT | ^ PREVENTION OF MOTHER-TO-CHILD TRANSMISSION | ^ HIV TESTING | COUNSELING | ^ CHILD HEALTH SERVICES | ^ HIV INFECTIONS | TREATMENT | BREASTFEEDING | ^ DEVELOPING COUNTRIES | ^ AFRICA, EASTERN | ^ AFRICA, SUB SAHARAN | AFRICA | ^ SAMPLING STUDIES | STUDIES | ^ RESEARCH METHODOLOGY | PARENTS | ^ FAMILY RELATIONSHIPS | ^ FAMILY CHARACTERISTICS | ^ FAMILY AND HOUSEHOLD | ^ SOCIOCULTURAL FACTORS | YOUTH | ^ AGE FACTORS | ^ POPULATION CHARACTERISTICS | ^ DEMOGRAPHIC FACTORS | POPULATION | ^ DISEASE TRANSMISSION CONTROL | ^ PREVENTION AND CONTROL | DISEASES | ^ LABORATORY EXAMINATIONS AND DIAGNOSES | ^ EXAMINATIONS AND DIAGNOSES | ^ MEDICAL PROCEDURES | MEDICINE | ^ HEALTH SERVICES | ^ DELIVERY OF HEALTH CARE | HEALTH | ^ CLINIC ACTIVITIES | ^ PROGRAM ACTIVITIES | PROGRAMS | ^ ORGANIZATION AND ADMINISTRATION | ^ MATERNAL-CHILD HEALTH SERVICES | ^ PRIMARY HEALTH CARE | ^ VIRAL DISEASES | ^ INFANT NUTRITION | NUTRITION



Document Number: 324667


Morbidity in the first year postpartum among HIV-infected women in Kenya.



Author: Chersich MF; Luchters SM; Yard E; Othigo JM; Kley N

^ Source: International Journal of Gynecology and Obstetrics. 2008 Jan;100(1):45-51.

Abstract: The objective was to assess the effects of HIV infection on morbidity and the needs of infected women for services in the first year postpartum. A cross-sectional study with 500 women attending a child-health clinic in Mombasa, Kenya. Postpartum duration was a median of 3.3 months (interquartile range, 1.9-6.1 months). The 54 HIV-infected women had a lower income and less financial support than the uninfected women, and they were more likely to experience fever, dyspnea, and dysuria, and to have genital warts (odds ratio [OR], 9.6; 95% confidence interval [CI], 2.6-35.6; P less than 0.001), candidiasis (OR, 2.9; 95% CI, 1.2-6.8; P=0.012), and bacterial vaginosis (OR, 1.8; 95% CI, 0.95-3.3; P=0.066). Six (nearly 15%) of the HIV-infected women had low- or high-grade squamous intraepithelial lesions, and 21 (42%) had an unmet need for contraception. More than half of all women were anemic, and normocytic anemia was predominant among the HIV infected. Compared with uninfected women, morbidity was increased for HIV-infected women during the year following delivery. This period could be used to offer these, and all-women, family planning services, cervical cancer screening, and treatment for anemia and reproductive tract infections. (author's)

Language: English

Keywords: KENYA | ^ RESEARCH REPORT | ^ CROSS SECTIONAL ANALYSIS | ^ POSTPARTUM WOMEN | ^ PERSONS LIVING WITH HIV/AIDS | MORBIDITY | ANEMIA | ^ POSTPARTUM PROGRAMS | ^ DEVELOPING COUNTRIES | ^ AFRICA, EASTERN | ^ AFRICA, SUB SAHARAN | AFRICA | ^ RESEARCH METHODOLOGY | PUERPERIUM | REPRODUCTION | ^ HIV INFECTIONS | ^ VIRAL DISEASES | DISEASES | ^ FAMILY PLANNING PROGRAMS | ^ FAMILY PLANNING






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