Research Article | | Peer-Reviewed

Factors Associated with Screening of Spouses of HIV-Positive Pregnant Women in Three Prenatal Consultation Centers in Bangui

Received: 9 November 2023    Accepted: 24 November 2023    Published: 11 December 2023
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Abstract

Introduction: Approximately1.5 million children aged 0-14 are infected with HIV worldwide. Most of these children acquired HIV through mother-to-child transmission. One of the barriers to eliminating mother-to-child transmission of HIV is fear of reactions from partners of pregnant women to HIV testing and sharing of results. To optimize partner testing of pregnant women who test positive for HIV, WHO has recommended HIV partner notification services. It isIn this context, our study aims to determine the proportion of spouses of HIV-positive pregnant women who tested themselves after notification of their partner's HIV status and to identify the factors associated with this screening. Patients and methods: This was a cross-sectional study with descriptive and analytical aims. The study populationEast constitutedpregnant women living with HIV followed in the three ANC centers. AllThe HIV-positive pregnant woman meeting the inclusion criteria and seen in consultation during the study period was retained. Women are recruited during their visit to the CPN center. Data were entered and analyzed using Epi info version software. Results: We recorded a total of 182 HIV-positive women during the study period. Their age varied between 17 and 43 years with an average of 28 years (± 6). The majority of women (53.8%) and spouses (58.2%) have reached secondary school level. Around 65.9% of spouses were informed of their partner's HIV status. Among the 120 spouses who were informed of their partner's HIV status, 70% agreed to be tested and 30% refused the test. Around 65.9% of spouses were informed of their partner's HIV status. Notification was made in 51.7% of cases by the women themselves (passive notification), in 10% of cases by women through a written notification letter by a health provider and in 38.3% of cases by health personnel after the woman's consent (assisted notification). Factors associated with spousal screening in multivariate analysis were spousal age and type of notification. Conclusion: Many challenges remain to be overcome, in particular the poor access of pregnant women to prenatal consultations and the fight against stigmatization which constitute a barrier to the screening service. A combination of approaches such as partner notification and self-testing could be tried to improve the participation of spouses in the prevention of mother-to-child transmission of HIV.

Published in Science Journal of Public Health (Volume 11, Issue 6)
DOI 10.11648/j.sjph.20231106.13
Page(s) 206-210
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Joint, Screening, HIV, Infected Pregnant Women, Bangui

References
[1] UNAIDS. Global HIV statistics. 2023 information sheet.
[2] WHO. Involve men in the prevention of mother-to-child transmission of HIV. World Health Organization, Geneva, 2012 (http://www.who.int/hiv/pub/vct/WHO_HIV_11_01/en/index.html, accessed online August 3, 2023.
[3] WHO. HIV testing services. WHO recommends that support for partner notification be provided to people living with HIV. Guidance note, December 2016. http://www.who.int/hiv/topics/vct/en, consulted online August 5, 2023.
[4] MutaleW, Freeborn K, Graybill LA, Lusaka MM, Mollan KR, Mweemba O et al. Addition of HIV self-test kits to partner notification services to increase HIV testing of male partners of pregnant women in Zambia: two parallel randomized trials. Lancet Global Health 2021; 9: e1719–29.
[5] Tolossa T, Wakuma B, Besho M, Mulisa D, Fekadu G, Bayisa L, et al. (2021) HIV serostatus disclosure and associated factors among HIV positive pregnant and lactating women at Nekemte public health facilities, western Ethiopia. PLoS ONE 16 (3): e0248278.
[6] Ambissa M, Sendo EG, Assefa Y, Guta A (2021) HIV-positive status disclosure to a sexual partner and associated factors among HIV-positive pregnant women attending antenatal care in Dire Dawa, Ethiopia: A cross-sectional study. PLoS ONE16 (4): e0250637.
[7] HershowRB, Zimba CC, Mweemba O, Chibwe KF, Phanga T, Dunda W et al. Perspectives on HIV partner notification, partner HIV self-testing and partner home-based HIV testing by pregnant and postpartum women in antenatal settings: a qualitative analysis in Malawi and Zambia. Journal of the International AIDS Society 2019, 22 (S3): e25293.
[8] WHO. Consolidated guidelines on HIV testing services, 2019. Geneva: World Health Organization; 2020. License: CC BY-NC-SA 3.0 IGO.
[9] Hatcher AM, Woollett N, Pallitto CC, Mokoatle K, Stockl H, MacPhail C, et al. Bidirectional links between HIV and intimate partner violence in pregnancy: implications for prevention of mother-to-child transmission. J Int AIDS Soc. 2014; 17: 19233.
[10] Shamu S, Zarowsky C, Shefer T, Temmerman M, Abrahams N. Intimatepartner violence after disclosure of HIV test results among pregnant women in Harare, Zimbabwe. PLoS One. 2014; 9 (10): e109447.
[11] Groves AK, Reyes HLM, Moodley D, Maman S. HIV positive diagnosis duringpregnancy increases risk of IPV postpartum among women with no history of IPV in their relationship. AIDS Behav. 2018; 22 (6): 1750–7.
[12] Central African Network of People Living with HIV. “People Living with HIV Stigma and Discrimination Index”. Central African Republic, Bangui, 2018.
[13] Taklemariam Gizaw Y, Muluneh Boke M, Alehegn Bishaw Geremew A. Determinants of HIV testing uptake among partners of pregnant women in Addis Ababa, Ethiopia: a community-based study. Pan African Medical Journal. 2021; 39 (7). 10.11604.
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    Saint Calvaire Henri, D., Jean de Dieu, L., Sylvain Honore, W., Rodrigue Herman, D., Emmanuel, F., et al. (2023). Factors Associated with Screening of Spouses of HIV-Positive Pregnant Women in Three Prenatal Consultation Centers in Bangui. Science Journal of Public Health, 11(6), 206-210. https://doi.org/10.11648/j.sjph.20231106.13

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    ACS Style

    Saint Calvaire Henri, D.; Jean de Dieu, L.; Sylvain Honore, W.; Rodrigue Herman, D.; Emmanuel, F., et al. Factors Associated with Screening of Spouses of HIV-Positive Pregnant Women in Three Prenatal Consultation Centers in Bangui. Sci. J. Public Health 2023, 11(6), 206-210. doi: 10.11648/j.sjph.20231106.13

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    AMA Style

    Saint Calvaire Henri D, Jean de Dieu L, Sylvain Honore W, Rodrigue Herman D, Emmanuel F, et al. Factors Associated with Screening of Spouses of HIV-Positive Pregnant Women in Three Prenatal Consultation Centers in Bangui. Sci J Public Health. 2023;11(6):206-210. doi: 10.11648/j.sjph.20231106.13

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  • @article{10.11648/j.sjph.20231106.13,
      author = {Diemer Saint Calvaire Henri and Longo Jean de Dieu and Woromogo Sylvain Honore and Doyama-Woza Rodrigue Herman and Fandema Emmanuel and Gresenguet Gerard},
      title = {Factors Associated with Screening of Spouses of HIV-Positive Pregnant Women in Three Prenatal Consultation Centers in Bangui},
      journal = {Science Journal of Public Health},
      volume = {11},
      number = {6},
      pages = {206-210},
      doi = {10.11648/j.sjph.20231106.13},
      url = {https://doi.org/10.11648/j.sjph.20231106.13},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.sjph.20231106.13},
      abstract = {Introduction: Approximately1.5 million children aged 0-14 are infected with HIV worldwide. Most of these children acquired HIV through mother-to-child transmission. One of the barriers to eliminating mother-to-child transmission of HIV is fear of reactions from partners of pregnant women to HIV testing and sharing of results. To optimize partner testing of pregnant women who test positive for HIV, WHO has recommended HIV partner notification services. It isIn this context, our study aims to determine the proportion of spouses of HIV-positive pregnant women who tested themselves after notification of their partner's HIV status and to identify the factors associated with this screening. Patients and methods: This was a cross-sectional study with descriptive and analytical aims. The study populationEast constitutedpregnant women living with HIV followed in the three ANC centers. AllThe HIV-positive pregnant woman meeting the inclusion criteria and seen in consultation during the study period was retained. Women are recruited during their visit to the CPN center. Data were entered and analyzed using Epi info version software. Results: We recorded a total of 182 HIV-positive women during the study period. Their age varied between 17 and 43 years with an average of 28 years (± 6). The majority of women (53.8%) and spouses (58.2%) have reached secondary school level. Around 65.9% of spouses were informed of their partner's HIV status. Among the 120 spouses who were informed of their partner's HIV status, 70% agreed to be tested and 30% refused the test. Around 65.9% of spouses were informed of their partner's HIV status. Notification was made in 51.7% of cases by the women themselves (passive notification), in 10% of cases by women through a written notification letter by a health provider and in 38.3% of cases by health personnel after the woman's consent (assisted notification). Factors associated with spousal screening in multivariate analysis were spousal age and type of notification. Conclusion: Many challenges remain to be overcome, in particular the poor access of pregnant women to prenatal consultations and the fight against stigmatization which constitute a barrier to the screening service. A combination of approaches such as partner notification and self-testing could be tried to improve the participation of spouses in the prevention of mother-to-child transmission of HIV.
    },
     year = {2023}
    }
    

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  • TY  - JOUR
    T1  - Factors Associated with Screening of Spouses of HIV-Positive Pregnant Women in Three Prenatal Consultation Centers in Bangui
    AU  - Diemer Saint Calvaire Henri
    AU  - Longo Jean de Dieu
    AU  - Woromogo Sylvain Honore
    AU  - Doyama-Woza Rodrigue Herman
    AU  - Fandema Emmanuel
    AU  - Gresenguet Gerard
    Y1  - 2023/12/11
    PY  - 2023
    N1  - https://doi.org/10.11648/j.sjph.20231106.13
    DO  - 10.11648/j.sjph.20231106.13
    T2  - Science Journal of Public Health
    JF  - Science Journal of Public Health
    JO  - Science Journal of Public Health
    SP  - 206
    EP  - 210
    PB  - Science Publishing Group
    SN  - 2328-7950
    UR  - https://doi.org/10.11648/j.sjph.20231106.13
    AB  - Introduction: Approximately1.5 million children aged 0-14 are infected with HIV worldwide. Most of these children acquired HIV through mother-to-child transmission. One of the barriers to eliminating mother-to-child transmission of HIV is fear of reactions from partners of pregnant women to HIV testing and sharing of results. To optimize partner testing of pregnant women who test positive for HIV, WHO has recommended HIV partner notification services. It isIn this context, our study aims to determine the proportion of spouses of HIV-positive pregnant women who tested themselves after notification of their partner's HIV status and to identify the factors associated with this screening. Patients and methods: This was a cross-sectional study with descriptive and analytical aims. The study populationEast constitutedpregnant women living with HIV followed in the three ANC centers. AllThe HIV-positive pregnant woman meeting the inclusion criteria and seen in consultation during the study period was retained. Women are recruited during their visit to the CPN center. Data were entered and analyzed using Epi info version software. Results: We recorded a total of 182 HIV-positive women during the study period. Their age varied between 17 and 43 years with an average of 28 years (± 6). The majority of women (53.8%) and spouses (58.2%) have reached secondary school level. Around 65.9% of spouses were informed of their partner's HIV status. Among the 120 spouses who were informed of their partner's HIV status, 70% agreed to be tested and 30% refused the test. Around 65.9% of spouses were informed of their partner's HIV status. Notification was made in 51.7% of cases by the women themselves (passive notification), in 10% of cases by women through a written notification letter by a health provider and in 38.3% of cases by health personnel after the woman's consent (assisted notification). Factors associated with spousal screening in multivariate analysis were spousal age and type of notification. Conclusion: Many challenges remain to be overcome, in particular the poor access of pregnant women to prenatal consultations and the fight against stigmatization which constitute a barrier to the screening service. A combination of approaches such as partner notification and self-testing could be tried to improve the participation of spouses in the prevention of mother-to-child transmission of HIV.
    
    VL  - 11
    IS  - 6
    ER  - 

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Author Information
  • Faculty of Health Sciences, University of Bangui, Bangui, Central African Republic

  • Faculty of Health Sciences, University of Bangui, Bangui, Central African Republic

  • Communicable Diseases Unit, Interstate Center for Higher Education in Central African Public Health, Brazzaville, Republic of Congo

  • Faculty of Health Sciences, University of Bangui, Bangui, Central African Republic

  • Faculty of Health Sciences, University of Bangui, Bangui, Central African Republic

  • Faculty of Health Sciences, University of Bangui, Bangui, Central African Republic

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