ArticleSexually transmitted infections2015
Factors associated with uptake of services to prevent mother-to-child transmission of HIV in a community cohort in rural Tanzania.
Article in Sexually transmitted infections, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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Who cites it
15 citing papers in PubMed, 29 citations in OpenAlex.
- Spatial variation of HIV testing and associated factors among pregnant women: a Spatial and multilevel analysis, DHS of sub-Saharan African countries.BMC public health · 2025Article
- Socioeconomic inequalities in uptake of HIV testing during antenatal care: evidence from Sub-Saharan Africa.International journal for equity in health · 2024Article
- Spatial patterns and associated factors of HIV testing and counselling (HTC) as a component of antenatal care services in Ethiopia.PloS one · 2024Article
- Does facility readiness promote high-quality of provider-initiated HIV testing and counseling to pregnant women? A national survey for improving policy of prevention of mother-to-child transmission of HIV in Tanzania.AIDS research and therapy · 2021Article
- Prevalence and Associated Factors of HIV Testing Among Pregnant Women: A Multilevel Analysis Using the Recent Demographic and Health Survey Data from 11 East African Countries.HIV/AIDS (Auckland, N.Z.) · 2021Article
- Women's healthcare decision-making capacity and HIV testing in sub-Saharan Africa: a multi-country analysis of demographic and health surveys.BMC public health · 2020Article
- Prevalence and factors associated with HIV and syphilis infection among children aged 0-36 months in Kilimanjaro, Tanzania: a community-based cross-sectional study.Tropical medicine and health · 2019Article
- Impact of linkage quality on inferences drawn from analyses using data with high rates of linkage errors in rural Tanzania.BMC medical research methodology · 2018Article
- Article
- Point-of-contact interactive record linkage (PIRL) between demographic surveillance and health facility data in rural Tanzania.International journal of population data science · 2017Article
- Utilization of HIV testing services among pregnant mothers in low income primary care settings in northern Ethiopia: a cross sectional study.BMC pregnancy and childbirth · 2017Article
- Gaps in Adolescent Engagement in Antenatal Care and Prevention of Mother-to-Child HIV Transmission Services in Kenya.Journal of acquired immune deficiency syndromes (1999) · 2017Article
- Uptake of services for prevention of mother-to-child transmission of HIV in a community cohort in rural Tanzania from 2005 to 2012.BMC health services research · 2016Article
- Factors influencing acceptability of voluntary HIV testing among pregnant women in Gamboma, Republic of Congo.BMC research notes · 2015Article
- Challenges with routine data sources for PMTCT programme monitoring in East Africa: insights from Tanzania.Global health action · 2015Article
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Authors and funding
9 authors at 2 institutions in 2 countries.
Funding
Abstract
objectivesThis study aimed to identify factors associated with access to HIV care and antiretroviral (ARV) drugs for prevention of mother-to-child transmission (PMTCT) of HIV among HIV-positive pregnant women in a community cohort in rural Tanzania (Kisesa).
methodsKisesa-resident women who tested HIV-positive during HIV serosurveillance and were pregnant (while HIV-positive) between 2005 and 2012 were eligible. Community cohort records were linked to PMTCT and HIV clinic data from four facilities (PMTCT programme implemented in 2009; referrals to city-based hospitals since 2005) to ascertain service use. Factors associated with access to HIV care and ARVs during pregnancy were analysed using logistic regression.
resultsOverall, 24% of women accessed HIV care and 12% accessed ARVs during pregnancy (n=756 pregnancies to 420 women); these proportions increased over time. In multivariate analyses for 2005-2012, being married, prior voluntary counselling and testing, increasing age, increasing year of pregnancy and increasing duration of infection were independently associated with access to care and ARVs. Residence in roadside areas was an independent predictor of access to care but not ARVs. There was no evidence of an interaction with time period.
conclusionsAccess to PMTCT services was low in this rural setting but improved markedly over time. There were fairly few sociodemographic differentials although support for young women and those without partners may be needed. Further decentralisation of HIV services to more remote areas, promotion of voluntary counselling and testing and implementation of Option B+ are likely to improve uptake and may bring women into care and treatment sooner after infection.
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