Evidence map›Paper›PMID 34065689›Full record

ArticleInternational journal of environmental research and public health2021

Prenatal HIV Test Uptake and Its Associated Factors for Prevention of Mother to Child Transmission of HIV in East Africa.

Feleke Hailemichael Astawesegn, Virginia Stulz, Kingsley E Agho, Haider Mannan, Elizabeth Conroy, Felix Akpojene Ogbo

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Article in International journal of environmental research and public health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 3 pooled it
–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

15 citing papers in PubMed, 3 syntheses or guidelines pooled it.

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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

6 authors.

Feleke Hailemichael AstawesegnTranslational Health Research Institute (THRI), Campbelltown Campus, Western Sydney University, Penrith, NSW 2751, Australia.ORCID 0000-0001-6435-8405
Virginia StulzSchool of Nursing and Midwifery Centre for Nursing and Midwifery Research, Western Sydney University, Kingswood, NSW 2340, Australia.ORCID 0000-0002-0275-8531
Kingsley E AghoSchool of Health Sciences, Western Sydney University, Penrith, NSW 2751, Australia.ORCID 0000-0003-4111-3207
Haider MannanTranslational Health Research Institute (THRI), Campbelltown Campus, Western Sydney University, Penrith, NSW 2751, Australia.
Elizabeth ConroyTranslational Health Research Institute (THRI), Campbelltown Campus, Western Sydney University, Penrith, NSW 2751, Australia.
Felix Akpojene OgboTranslational Health Research Institute (THRI), Campbelltown Campus, Western Sydney University, Penrith, NSW 2751, Australia.ORCID 0000-0001-5159-2315

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Identifying the socioeconomic and structural issues that act as enablers and/or barriers to HIV testing services is critical in combatting HIV/AIDS amongst mothers and children in Africa. In this study, we used a weighted sample of 46,645 women aged 15-49 who gave birth in the two years preceding the survey from the recent DHS dataset of ten East African countries. Multivariable logistic regression was used to investigate the factors associated with prenatal HIV test uptake in East Africa. The overall prenatal HIV test uptake for the prevention of mother-to-child transmission (PMTCT) of HIV was 80.8% (95% CI: 74.5-78.9%) in East Africa, with highest in Rwanda (97.9%, 95% CI: 97.2-98.3%) and lowest in Comoros (17.0%, 95% CI: 13.9-20.7%). Common factors associated with prenatal HIV test service uptake were higher maternal education level (AOR = 1.29; 95% CI: 1.10-1.50 for primary education and AOR = 1.96; 95% CI: 1.53-2.51 for secondary or higher education), higher partner education level (AOR = 1.24; 95% CI: 1.06-1.45 for primary education and AOR = 1.56; 95% CI: 1.26-1.94 for secondary or higher school), women from higher household wealth index (AOR = 1.29; 95% CI: 1.11-1.50 for middle wealth index; AOR = 1.57; 95% CL: 1.17-2.11 for rich wealth index), improved maternal exposure to the media, and increased awareness about MTCT of HIV. However, residents living in rural communities (AOR = 0.66; 95% CI: 0.51-0.85) and travelling long distances to the health facility (AOR = 0.8; 95% CI: 0.69-0.91) were associated with non-use of prenatal HIV test service in East African countries. In each East African country, factors associated with prenatal HIV test uptake for PMTCT varied. In conclusion, the pooled prenatal HIV test uptake for PMTCT of HIV was low in East Africa compared to the global target. Scaling up interventions to improve enablers whilst addressing barriers to the use of prenatal HIV test services are essential to end the HIV/AIDS epidemic in East African countries.

Indexed as

HIV InfectionsPregnancy Complications, InfectiousAfricaAfrica, EasternChildComorosFemaleHumansInfectious Disease Transmission, VerticalPregnancyRwandaSocioeconomic FactorsEast AfricaHIV/AIDSprenatal HIV testingprevention of mother to child HIV transmission

Identifiers

PMID34065689
PMCPMC8157019

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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.