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Title:Uptake of voluntary counselling and testing for HIV by pregnant women in a prevention-of-mother-to-child-transmission programme at Aminu Kano Teaching Hospital, Nigeria
Author:Galadanci, Hadiza S.ISNI
Periodical:African Journal of AIDS Research
Geographic term:Nigeria
Subjects:maternal and child health care
pregnant women
External link:https://www.tandfonline.com/doi/abs/10.2989/AJAR.2008.
Abstract:Mother-to-child transmission is the main mode of HIV infection among children in developing countries. In 2003, as a result of government policy, a prevention-of-mother-to-child-transmission (PMTCT) programme was introduced at Aminu Kano Teaching Hospital in Nigeria. The aim of this study was to determine the pattern of voluntary counselling and testing (VCT) uptake and HIV seroprevalence among pregnant women using the service. Data on clients' sociodemographic characteristics, VCT uptake, and HIV seropositivity for the period January 2004 to December 2006 were taken from nationally prepared PMTCT registers kept at the hospital, and prospectively entered into a database. During the period, 6,887 women newly accessed antenatal care. 6,702 agreed to undergo HIV testing. Overall HIV prevalence among these pregnant women for the study period was 5.9 percent. The data have shown a statistically significant trend of rising HIV prevalence in this group: at 4.5 percent, prevalence was lowest in 2004; rose to 4.9 percent in 2005; and peaked at 7.6 percent in 2006. Overall, HIV seroprevalence was 3.5 percent among 15- to 19-year-old women, 7 percent among 25- to 29-year-old women, and 4.5 percent among women over age 40. There was an inverse relationship between parity (number of children borne) and HIV seroprevalence such that women of low parity had high HIV prevalence, and vice versa. Respectively, 11.4 percent, 5.7 percent, and 5.5 percent of the pregnant women first using VCT in the first, second, and third trimesters of their pregnancy were found to be HIV-positive. All women testing HIV-positive were informed of their serostatus and the modes of preventing mother-to-child transmission of HIV. Bibliogr., sum. [Journal abstract, edited]