ArticleAIDS care2018
Non-disclosure to male partners and incomplete PMTCT regimens associated with higher risk of mother-to-child HIV transmission: a national survey in Kenya.
Article in AIDS care, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.
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Who cites it
18 citing papers in PubMed, 29 citations in OpenAlex.
- The effect of weekly interactive text-messaging on early infant HIV testing in Kenya: a randomised controlled trial (WelTel PMTCT).Scientific reports · 2021Trial
- Social concerns related to HIV status disclosure and participation in the prevention of mother-to-child transmission of HIV care among pregnant women in Kenya.BMC pregnancy and childbirth · 2020Trial
- Factors associated with exclusive breastfeeding by maternal HIV status: a population-based survey in Kenya.International breastfeeding journal · 2024Article
- Stigma, depression, and quality of life among people with pulmonary tuberculosis diagnosed through active and passive case finding in Nepal: a prospective cohort study.BMC global and public health · 2024Article
- Understanding mother-to-child transmission of HIV among mothers engaged in HIV care in Kenya: a case report.International breastfeeding journal · 2024Article
- "I had Made the Decision, and No One was Going to Stop Me" -Facilitators of PrEP Adherence During Pregnancy and Postpartum in Cape Town, South Africa.AIDS and behavior · 2021Article
- Optimizing HIV retesting during pregnancy and postpartum in four countries: a cost-effectiveness analysis.Journal of the International AIDS Society · 2021Article
- Factors associated with the timely uptake of initial HIV virologic test among HIV-exposed infants attending clinics within a faith-based HIV program in Kenya; a cross-sectional study.BMC public health · 2021Article
- HIV-Positive Status Disclosure to Sexual Partner and Associated Factors Among Adult HIV-Positive Patients in Debre Markos Town, 2019.HIV/AIDS (Auckland, N.Z.) · 2021Article
- A Landscape Analysis of Offering HIV Testing Services Within Family Planning Service Delivery.Frontiers in reproductive health · 2021Article
- HIV status disclosure patterns and male partner reactions among pregnant women with HIV on lifelong ART in Western Kenya.AIDS care · 2020Article
- HIV Community-Level Stigmatizing Attitudes in Tanzania: Perspectives from Antenatal Care.The East African health research journal · 2020Article
- A mixed-methods assessment of disclosure of HIV status among expert mothers living with HIV in rural Nigeria.PloS one · 2020Article
- Correlates of HIV detection among breastfeeding postpartum Kenyan women eligible under Option B.PloS one · 2019Article
- eHealth and Prevention of Mother-to-Child Transmission of HIV.Current HIV/AIDS reports · 2018Review
- Prevalence and correlates of non-disclosure of maternal HIV status to male partners: a national survey in Kenya.BMC public health · 2018Article
- Factors Affecting Uptake of PMTCT Services, Lodwar County Referral Hospital, Turkana County, Kenya, 2015 to 2016.Journal of the International Association of Providers of AIDS CareArticle
- Postpartum Depression and Prevention of Mother-to-Child Transmission of HIV in Kenya.The Journal of the Association of Nurses in AIDS Care : JANACArticle
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Authors and funding
12 authors at 6 institutions in 2 countries.
Funding
Abstract
Health worker experience and community support may be higher in high HIV prevalence regions than low prevalence regions, leading to improved prevention of mother-to-child HIV transmission (PMTCT) programs. We evaluated 6-week and 9-month infant HIV transmission risk (TR) in a high prevalence region and nationally. Population-proportionate-to-size sampling was used to select 141 clinics in Kenya, and mobile teams surveyed mother-infant pairs attending 6-week and 9-month immunizations. HIV DNA testing was performed on HIV-exposed infants. Among 2521 mother-infant pairs surveyed nationally, 2423 (94.7%) reported HIV testing in pregnancy or prior diagnosis, of whom 200 (7.4%) were HIV-infected and 188 infants underwent HIV testing. TR was 8.8% (4.0%-18.3%) in 6-week and 8.9% (3.2%-22.2%) in 9-month cohorts including mothers with HIV diagnosed postpartum, of which 53% of infant infections were due to previously undiagnosed mothers. Of 276 HIV-exposed infants in the Nyanza survey, TR was 1.4% (0.4%-5.3%) at 6-week and 5.1% (2.5%-9.9%) at 9-months. Overall TR was lower in Nyanza, high HIV region, than nationally (3.3% vs. 7.2%, P = 0.02). HIV non-disclosure to male partners and incomplete ARVs were associated with TR in both surveys [aOR = 12.8 (3.0-54.3); aOR = 5.6 (1.2-27.4); aOR = 4.5 (1.0-20.0), aOR = 2.5, (0.8-8.4), respectively]. TR was lower in a high HIV prevalence region which had better ARV completion and partner HIV disclosure, possibly due to programmatic efficiencies or community/peer/partner support. Most 9-month infections were among infants of mothers without prior HIV diagnosis. Strategies to detect incident or undiagnosed maternal infections will be important to achieve PMTCT.
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