Evidence map›Paper›PMID 30899603›Full record

ArticleInternational journal of MCH and AIDS2019

Maternity Waiting Home Use by HIV-positive Pregnant Women in Zambia: Opportunity for Improved Prevention of Maternal to Child Transmission of HIV.

Rachael Bonawitz, Kathleen Lucy McGlasson, Jeanette L Kaiser, Thandiwe Ngoma, Jody Lori, Carol Boyd, Godfrey Biemba, Davidson H Hamer, Nancy A Scott

Abstract read
In one paragraph

Article in International journal of MCH and AIDS, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Low syphilis treatment rates and associated birth outcomes in pregnant women with and without HIV in Zambia: A cohort study.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2026
    Article
  2. Article
  3. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Rachael BonawitzDepartment of Global Health, Boston University School of Public Health, 801 Massachusetts Avenue, Crosstown Center 3 Floor, Boston, MA, USA.
Kathleen Lucy McGlassonDepartment of Global Health, Boston University School of Public Health, 801 Massachusetts Avenue, Crosstown Center 3 Floor, Boston, MA, USA.
Jeanette L KaiserDepartment of Global Health, Boston University School of Public Health, 801 Massachusetts Avenue, Crosstown Center 3 Floor, Boston, MA, USA.
Thandiwe NgomaRight to Care, 11059, Off Brentwood Road Mikwala House, Longacres, Lusaka, ZAMBIA.
Jody LoriCenter for Global Affairs & PAHO/WHO Collaborating Center, University of Michigan School of Nursing, 426 N Ingalls St, Ann Arbor, MI, USA.
Carol BoydCenter for the Study of Drugs, Alcohol, Smoking and Health, University of Michigan School of Nursing, 426 N Ingalls St, Ann Arbor, MI, USA.
Godfrey BiembaNational Health Research Authority, University Teaching Hospital Pediatric Centre of Excellence, P.O. Box 30075, Lusaka, ZAMBIA.
Davidson H HamerDepartment of Global Health, Boston University School of Public Health, 801 Massachusetts Avenue, Crosstown Center 3 Floor, Boston, MA, USA.
Nancy A ScottDepartment of Global Health, Boston University School of Public Health, 801 Massachusetts Avenue, Crosstown Center 3 Floor, Boston, MA, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMaternity waiting homes (MWHs), defined as residential lodging near health facilities, are an intervention to improve access to maternal care recommended by the World Health Organization. Little is known about utilization of MWHs by HIV-positive women. This paper describes: 1) maternal awareness and utilization of MWHs in rural Zambia among HIV-positive women, and 2) health outcomes for HIV-positive women and their infants with regards to utilization of MWHs.

methodsData were collected from recently delivered women (delivered after 35 weeks in the previous 12 months) living >9.5 km from 40 health facilities in rural Zambia. For our analysis, primary outcomes were compared between self-identified HIV-positive and HIV-negative women in the sample. Primary outcomes include: 1) awareness of MWHs and 2) utilization of MWHs. We summarized simple descriptive statistics, stratified by maternal self-reported HIV status. We conducted bivariate analyses using chi-square tests, t-tests and Wilcoxon rank sum test.

resultsAmong 2,381 women, 50 (2.4%) self-identified as HIV-positive. HIV-positive women were older and had more pregnancies and children than HIV-negative women (p<0.001). There was no difference in awareness of MWHs, but HIV-positive women were more likely to use a MWH than HIV-negative women. There was no difference in receipt of infant antiretroviral prophylaxis between women who did or did not stay at a MWH. CONCLUSION AND GLOBAL HEALTH IMPLICATIONS: Though HIV prevalence in this sample was lower than expected, MWHs may represent a useful strategy to improve prevention of mother to child transmission of HIV in high prevalence, low-resource settings.

Indexed as

HIVMaternity waiting homesPMTCTZambia

Identifiers

PMID30899603
PMCPMC6423550

What OpenQuestion holds

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LicenceCC BY-NC-SA
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.