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Feasibility and acceptability of rapid HIV screening in a labour ward in Togo
- Source :
- Journal of the International AIDS Society
- Publication Year :
- 2012
- Publisher :
- Wiley, 2012.
-
Abstract
- Background: HIV screening in a labour ward is the last opportunity to initiate an antiretroviral prophylaxis among pregnant women living with HIV to prevent mother-to-child HIV transmission. Little is known about the feasibility and acceptability of HIV screening during labour in West Africa. Findings: A cross-sectional survey was conducted in the labour ward at the Tokoin Teaching Hospital in Lome (Togo) between May and August 2010. Pregnant women admitted for labour were randomly selected to enter the study and were interviewed on the knowledge of their HIV status. Clinical and biological data were collected from the individual maternal health chart. HIV testing or re-testing was systematically proposed to all pregnant women. Among 1530 pregnant women admitted for labour, 508 (32.2%) were included in the study. Information on HIV screening was available in the charts of 359 women (71%). Overall, 467 women accepted HIV testing in the labour ward (92%). The HIV prevalence was 8.8% (95% confidence interval: 6.4 to 11.7%). Among the 41 women diagnosed as living with HIV during labour, 34% had not been tested for HIV during pregnancy and were missed opportunities. Antiretroviral prophylaxis had been initiated antenatally for 24 women living with HIV and 17 in the labour room. Conclusions: This study is the first to show in West Africa that HIV testing in a labour room is feasible and well accepted by pregnant women. HIV screening in labour rooms needs to be routinely implemented to reduce missed opportunities for intervention aimed at HIV care and prevention, especially PMTCT. Keywords: HIV; mother-to-child transmission; acceptance; labour; Africa. (Published: 18 July 2012) Citation: Ekouevi DK et al. Journal of the International AIDS Society 2012, 15 :17380 http://www.jiasociety.org/index.php/jias/article/view/17380 | http://dx.doi.org/10.7448/IAS.15.2.17380
- Subjects :
- Adult
Program evaluation
Pediatrics
medicine.medical_specialty
Cross-sectional study
Population
Short Report
Developing country
HIV Infections
labour
Interviews as Topic
Acquired immunodeficiency syndrome (AIDS)
Pregnancy
medicine
Humans
Mass Screening
Pregnancy Complications, Infectious
education
reproductive and urinary physiology
Mass screening
education.field_of_study
business.industry
Transmission (medicine)
mother-to-child transmission
Public Health, Environmental and Occupational Health
HIV
virus diseases
Patient Acceptance of Health Care
medicine.disease
Cross-Sectional Studies
Infectious Diseases
Anti-Retroviral Agents
Togo
Family medicine
Africa
Female
business
acceptance
Subjects
Details
- ISSN :
- 17582652
- Volume :
- 15
- Database :
- OpenAIRE
- Journal :
- Journal of the International AIDS Society
- Accession number :
- edsair.doi.dedup.....4d8e5c020c0b60f96785a0e1fc710bd4