Evaluating elimination of mother-to-child transmission of HIV in Suriname: a mixed method study
Objectives. To evaluate the cascade of care for the elimination of mother-to-child-transmission of human immunodeficiency virus (HIV) in Suriname and identify sociodemographic and clinical factors preventing transmission to exposed infants. Methods. A mixed-methods study design was used. Antenatal care data from the 2018 cross-sectional multiindicator cluster survey on 1 026 women aged 15–49 years who had had a live birth in the previous 2 years were used. Furthermore, national data on a cohort of 279 mothers with HIV and their 317 infants born from 2016 to 2018 were evaluated. Additionally, 13 cases of mother-to-child-transmission of HIV were reviewed. Results. In 89.3% of cases, no mother-to-child HIV transmission occurred. Early cascade steps show that 28.4% of women had unmet family planning needs, 15% had no antenatal visits, 8% delivered outside a health facility, and 71.5% received an HIV test during antenatal care. Of the pregnant women with HIV, 84.2% received antiretroviral therapy, while 95.5% of their infants received HIV prophylactic treatment. Receiving antiretroviral therapy for the mother (odds ratio (OR) 45.4, 95% confidence interval (CI) 9.6–215.3) and the child (OR 145.7, 95% CI 14.4–1477.4) significantly increased the odds of a negative HIV test result in infants. Conversely, living in the interior decreased the odds (OR 0.2, 95% CI 0.4–0.7) compared with urban living. Conclusions. HIV medication for mothers with HIV and their infants remains key in the prevention of motherto-child-transmission of HIV. Early prenatal care with follow-up should be strengthened in Suriname..
| Medienart: |
E-Artikel |
|---|
| Erscheinungsjahr: |
2023 |
|---|---|
| Erschienen: |
2023 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:47 |
|---|---|
| Enthalten in: |
Revista Panamericana de Salud Pública - 47(2023), 159, Seite 9 |
| Sprache: |
Englisch ; Spanisch ; Portugiesisch |
|---|
| Beteiligte Personen: |
Deborah Stijnberg [VerfasserIn] |
|---|
| Links: |
doi.org [kostenfrei] |
|---|
| Themen: |
Arctic medicine. Tropical medicine |
|---|
| doi: |
10.26633/RPSP.2023.159 |
|---|
| funding: |
|
|---|---|
| Förderinstitution / Projekttitel: |
|
| PPN (Katalog-ID): |
DOAJ099093138 |
|---|
| LEADER | 01000naa a22002652 4500 | ||
|---|---|---|---|
| 001 | DOAJ099093138 | ||
| 003 | DE-627 | ||
| 005 | 20240414012821.0 | ||
| 007 | cr uuu---uuuuu | ||
| 008 | 240414s2023 xx |||||o 00| ||eng c | ||
| 024 | 7 | |a 10.26633/RPSP.2023.159 |2 doi | |
| 035 | |a (DE-627)DOAJ099093138 | ||
| 035 | |a (DE-599)DOAJ5112bef0f1024ff8a1a29b63720ab915 | ||
| 040 | |a DE-627 |b ger |c DE-627 |e rakwb | ||
| 041 | |a eng |a spa |a por | ||
| 050 | 0 | |a RC955-962 | |
| 050 | 0 | |a RA1-1270 | |
| 100 | 0 | |a Deborah Stijnberg |e verfasserin |4 aut | |
| 245 | 1 | 0 | |a Evaluating elimination of mother-to-child transmission of HIV in Suriname: a mixed method study |
| 264 | 1 | |c 2023 | |
| 336 | |a Text |b txt |2 rdacontent | ||
| 337 | |a Computermedien |b c |2 rdamedia | ||
| 338 | |a Online-Ressource |b cr |2 rdacarrier | ||
| 520 | |a Objectives. To evaluate the cascade of care for the elimination of mother-to-child-transmission of human immunodeficiency virus (HIV) in Suriname and identify sociodemographic and clinical factors preventing transmission to exposed infants. Methods. A mixed-methods study design was used. Antenatal care data from the 2018 cross-sectional multiindicator cluster survey on 1 026 women aged 15–49 years who had had a live birth in the previous 2 years were used. Furthermore, national data on a cohort of 279 mothers with HIV and their 317 infants born from 2016 to 2018 were evaluated. Additionally, 13 cases of mother-to-child-transmission of HIV were reviewed. Results. In 89.3% of cases, no mother-to-child HIV transmission occurred. Early cascade steps show that 28.4% of women had unmet family planning needs, 15% had no antenatal visits, 8% delivered outside a health facility, and 71.5% received an HIV test during antenatal care. Of the pregnant women with HIV, 84.2% received antiretroviral therapy, while 95.5% of their infants received HIV prophylactic treatment. Receiving antiretroviral therapy for the mother (odds ratio (OR) 45.4, 95% confidence interval (CI) 9.6–215.3) and the child (OR 145.7, 95% CI 14.4–1477.4) significantly increased the odds of a negative HIV test result in infants. Conversely, living in the interior decreased the odds (OR 0.2, 95% CI 0.4–0.7) compared with urban living. Conclusions. HIV medication for mothers with HIV and their infants remains key in the prevention of motherto-child-transmission of HIV. Early prenatal care with follow-up should be strengthened in Suriname. | ||
| 650 | 4 | |a hiv | |
| 650 | 4 | |a infectious disease transmission, vertical | |
| 650 | 4 | |a suriname | |
| 653 | 0 | |a Medicine | |
| 653 | 0 | |a R | |
| 653 | 0 | |a Arctic medicine. Tropical medicine | |
| 653 | 0 | |a Public aspects of medicine | |
| 700 | 0 | |a Suze Holband |e verfasserin |4 aut | |
| 700 | 0 | |a Regillio Charles |e verfasserin |4 aut | |
| 700 | 0 | |a Dorien Ulenaers |e verfasserin |4 aut | |
| 700 | 0 | |a Ward Schrooten |e verfasserin |4 aut | |
| 700 | 0 | |a Malti R. Adhin |e verfasserin |4 aut | |
| 773 | 0 | 8 | |i In |t Revista Panamericana de Salud Pública |d Pan American Health Organization, 2018 |g 47(2023), 159, Seite 9 |w (DE-627)DOAJ000129496 |x 16805348 |7 nnns |
| 773 | 1 | 8 | |g volume:47 |g year:2023 |g number:159 |g pages:9 |
| 856 | 4 | 0 | |u https://doi.org/10.26633/RPSP.2023.159 |z kostenfrei |
| 856 | 4 | 0 | |u https://doaj.org/article/5112bef0f1024ff8a1a29b63720ab915 |z kostenfrei |
| 856 | 4 | 0 | |u https://iris.paho.org/handle/10665.2/58884 |z kostenfrei |
| 856 | 4 | 2 | |u https://doaj.org/toc/1020-4989 |y Journal toc |z kostenfrei |
| 856 | 4 | 2 | |u https://doaj.org/toc/1680-5348 |y Journal toc |z kostenfrei |
| 912 | |a GBV_USEFLAG_A | ||
| 912 | |a GBV_DOAJ | ||
| 951 | |a AR | ||
| 952 | |d 47 |j 2023 |e 159 |h 9 | ||