ArticleBulletin of the World Health Organization2008
Declining HIV prevalence among young pregnant women in Lusaka, Zambia.
Article in Bulletin of the World Health Organization, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.
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Who cites it
20 citing papers in PubMed, 1 synthesis or guideline pooled it, 39 citations in OpenAlex.
- Seroprevalence of HIV among pregnant women in Ethiopia: a systematic review and meta-analysis.BMC research notes · 2018Pooled it
- Systematic review and meta-analysis of seroprevalence of human immunodeficiency virus serological markers among pregnant women in Africa, 1984-2020.World journal of critical care medicine · 2023Article
- Syphilis and human immunodeficiency virus infections among pregnant women attending antenatal care clinic of Gondar family guidance association, Northwest Ethiopia: implication for prevention of mother to child transmission.Reproductive health · 2019Article
- Congenital cytomegalovirus, parvovirus and enterovirus infection in Mozambican newborns at birth: A cross-sectional survey.PloS one · 2018Observational
- Underutilisation of routinely collected data in the HIV programme in Zambia: a review of quantitatively analysed peer-reviewed articles.Health research policy and systems · 2017Review
- Premature adult mortality in urban Zambia: a repeated population-based cross-sectional study.BMJ open · 2016Article
- Can Disease-Specific Funding Harm Health? in the Shadow of HIV/AIDS Service Expansion.Demography · 2015Article
- Spatial clustering of measles cases during endemic (1998-2002) and epidemic (2010) periods in Lusaka, Zambia.BMC infectious diseases · 2015Article
- Article
- Article
- Decline in sexual risk behaviours among young people in Zambia (2000-2009): do neighbourhood contextual effects play a role?PloS one · 2013Article
- The burden of knowing: balancing benefits and barriers in HIV testing decisions. a qualitative study from Zambia.BMC health services research · 2012Article
- Article
- Optimal time on HAART for prevention of mother-to-child transmission of HIV.Journal of acquired immune deficiency syndromes (1999) · 2011Article
- Causes of stillbirth, neonatal death and early childhood death in rural Zambia by verbal autopsy assessments.Tropical medicine & international health : TM & IH · 2011Article
- Implementation of the Zambia electronic perinatal record system for comprehensive prenatal and delivery care.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2011Article
- Modern contraceptive and dual method use among HIV-infected women in Lusaka, Zambia.Infectious diseases in obstetrics and gynecology · 2011Article
- Heterogeneous and decreasing HIV prevalence among women seeking antenatal care in Kinshasa, Democratic Republic of Congo.International journal of epidemiology · 2010Article
- HIV prevalence and associated behavioral factors in Lesotho, Kenya, Malawi, and Uganda.Croatian medical journal · 2010Article
- Implementation of cervical cancer prevention services for HIV-infected women in Zambia: measuring program effectiveness.HIV therapy · 2010Article
Corrections and comments
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Authors and funding
10 authors at 1 institution in 1 country.
Funding
Abstract
objectiveHIV prevention has been ongoing in Lusaka for many years. Recent reports suggest a possible decline in HIV sero-incidence in Zambia and some neighbouring countries. This study aimed to examine trends in HIV seroprevalence among pregnant and parturient women between 2002 and 2006.
methodsWe analysed HIV seroprevalence trends from two Lusaka sources: (i) antenatal data from a city-wide programme to prevent mother-to-child HIV transmission, and (ii) delivery data from two anonymous unlinked cord-blood surveillances performed in 2003 and again in 2005-2006, where specimens from > 97% of public-sector births in each period were obtained and analysed.
findingsBetween July 2002 and December 2006, the Lusaka district tested 243 302 antenatal women for HIV; 54 853 (22.5%) were HIV infected. Over this period, the HIV seroprevalence among antenatal attendees who were tested declined steadily from 24.5% in the third quarter of 2002 to 21.4% in the last quarter of 2006 (P < 0.001). The cord-blood surveillances were conducted between June and August 2003 and again between October 2005 and January 2006. Overall HIV seroprevalence declined from 25.7% in 2003 to 21.8% in 2005-2006 (P = 0.001). Among women < or =17 years of age, seroprevalence declined from 12.1% to 7.7% (P = 0.015).
conclusionHIV seroprevalence appears to be declining among antenatal and parturient women in Lusaka. The decline is most dramatic among women < or = 17 years of age, suggesting a reduction in sero-incidence in this important age group.
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