ArticlePloS one2016
HIV Prevalence and Antenatal Care Attendance among Pregnant Women in a Large Home-Based HIV Counseling and Testing Program in Western Kenya.
Article in PloS one, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers.
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Who cites it
25 citing papers in PubMed.
- Bridging Income Generation with Group Integrated Care for cardiovascular risk reduction: Rationale and design of the BIGPIC study.American heart journal · 2017Trial
- Article
- Optimizing Identification and Care of Pregnant/Breastfeeding Women Living With HIV in Resource-Limited Settings.Journal of the International AIDS Society · 2026Article
- Low effective coverage of HIV testing and counselling services during antenatal care in Ethiopia: evidence from the demographic and health survey and service provision assessment.BMJ public health · 2024Article
- Article
- The feasibility and impact of deploying a four-tests panel at antenatal care in primary health care facilities of a developing country, Kenya.Frontiers in public health · 2024Article
- 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
- HIV testing and knowledge on mother-to-child transmission among pregnant women attending antenatal care at Vanga Hospital, Democratic Republic of Congo.Journal of public health in Africa · 2023Article
- Intersectional Stigma and Implementation of HIV Prevention and Treatment Services for Adolescents Living with and at Risk for HIV: Opportunities for Improvement in the HIV Continuum in Sub-Saharan Africa.AIDS and behavior · 2023Article
- Perinatal Depressive Symptoms and Viral Non-suppression Among a Prospective Cohort of Pregnant Women Living with HIV in Nigeria, Kenya, Uganda, and Tanzania.AIDS and behavior · 2023Article
- HIV is still a major public health problem among pregnant women attending ANC in Referral Hospitals of the Amhara Regional State, Ethiopia: a cross sectional study.BMC women's health · 2022Article
- HIV Prevention Tools Across the Pregnancy Continuum: What Works, What Does Not, and What Can We Do Differently?Current HIV/AIDS reports · 2022Review
- Subnational estimates of factors associated with under-five mortality in Kenya: a spatio-temporal analysis, 1993-2014.BMJ global health · 2021Article
- Article
- Social Support Mitigates Negative Impact of Food Insecurity on Antiretroviral Adherence Among Postpartum Women in Western Kenya.AIDS and behavior · 2020Article
- Knowledge of HIV status among mothers accompanying their infants for immunization in Machakos, Kenya, 2014.East African journal of applied health monitoring and evaluation · 2020Article
- Geophagy among a Cohort of Kenyan Women with Mixed HIV Status: A Longitudinal Analysis.The American journal of tropical medicine and hygiene · 2019Article
- The use of home-based HIV testing and counseling in low-and-middle income countries: a scoping review.BMC public health · 2019Article
- Response to Questionable assumptions mar modelling of Kenya home-based testing campaigns - a comment on "Optimal timing of HIV home-based counselling and testing rounds in Western Kenya" (Olney et al. 2018).Journal of the International AIDS Society · 2019Article
- A novel household water insecurity scale: Procedures and psychometric analysis among postpartum women in western Kenya.PloS one · 2018Article
Corrections and comments
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Authors and funding
9 authors.
Funding
Abstract
objectiveTo describe the uptake of and factors associated with HIV prevalence among pregnant women in a large-scale home-based HIV counseling and testing (HBCT) program in western Kenya.
methodsIn 2007, the Academic Model Providing Access to Healthcare Program (AMPATH) initiated HBCT to all individuals aged ≥13 years and high-risk children <13 years. Included in this analysis were females aged 13-50 years, from 6 catchment areas (11/08-01/12). We used descriptive statistics and logistic regression to describe factors associated with HIV prevalence.
resultsThere were 119,678 women eligible for analysis; median age 25 (interquartile range, IQR: 18-34) years. Of these, 7,396 (6.2%) were pregnant at the time of HBCT; 4,599 (62%) had ever previously tested for HIV and 2,995 (40.5%) had not yet attended ANC for their current pregnancy. Testing uptake among pregnant women was high (97%). HBCT newly identified 241 (3.3%) pregnant HIV-positive women and overall HIV prevalence among all pregnant women was 6.9%. HIV prevalence among those who had attended ANC in this pregnancy was 5.4% compared to 9.0% among those who had not. Pregnant women were more likely to newly test HIV-positive in HBCT if they had not attended ANC in the current pregnancy (AOR: 6.85, 95% CI: 4.49-10.44).
conclusionsPregnant women who had never attended ANC were about 6 times more likely to newly test HIV-positive compared to those who had attended ANC, suggesting that the cascade of services for prevention of mother-to-child HIV transmission should optimally begin at the home and village level if elimination of perinatal HIV transmission is to be achieved.
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