Evidence map›Paper›PMID 37824470›Full record

ArticlePloS one2023

HIV burden and the global fast-track targets progress among pregnant women in Tanzania calls for intensified case finding: Analysis of 2020 antenatal clinics HIV sentinel site surveillance.

Erick Mboya, Mucho Mizinduko, Belinda Balandya, Jeremiah Mushi, Amon Sabasaba, Davis Elias Amani, Doreen Kamori, George Ruhago, Prosper Faustine, Werner Maokola and 9 more

Abstract read
In one paragraph

Article in PloS one, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 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

10 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. 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

19 authors.

Erick MboyaMuhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania.ORCID 0000-0002-3279-6256
Mucho MizindukoMuhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania.
Belinda BalandyaMuhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania.
Jeremiah MushiMinistry of Health, Dodoma, Tanzania.
Amon SabasabaMuhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania.
Davis Elias AmaniMuhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania.ORCID 0000-0003-0563-8188
Doreen KamoriMuhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania.
George RuhagoMuhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania.
Prosper FaustineMinistry of Health, Dodoma, Tanzania.
Werner MaokolaMinistry of Health, Dodoma, Tanzania.
Veryeh SambuMinistry of Health, Dodoma, Tanzania.
Mukome NyamuhagataMinistry of Health, Dodoma, Tanzania.
Boniphace S JulluSt. Francis University College of Health and Allied Sciences, Morogoro, Tanzania.
Amir JuyaTanzania Field Epidemiology and Laboratory Training Program, Dar es Salaam, Tanzania.
Joan RugemalilaMuhimbili National Hospital, Dar es Salaam, Tanzania.
George MgomellaCentre for Diseases Control, Country Office, Dar es Salaam, Tanzania.
Sarah AsiimweGlobal Fund, Tanzania Country Team, Tanzania.
Andrea B PembeMuhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania.ORCID 0000-0002-8090-3298
Bruno SunguyaMuhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundFor successful HIV response, updated information on the burden and progress toward HIV elimination targets are required to guide programmatic interventions. We used data from the 2020 HIV sentinel surveillance to update on the burden and factors associated with HIV infection, HIV status awareness, and ART coverage among pregnant women in Tanzania mainland. METHODOLOGY: We conducted the surveillance in 159 antenatal clinics (ANC) from all 26 regions of Tanzania's mainland from September to December 2020. This cross-sectional study included all pregnant women (≥15 years) on their first ANC visit in the current pregnancy during the survey period. Routine HIV counselling and testing were done at the facility. A multivariable logistic regression model accounting for the survey design was used to examine factors associated with HIV infections.

results38,783 pregnant women were enrolled (median age (IQR) = 25 (21-30) years). HIV prevalence was 5.9% (95%CI: 5.3% - 6.6%), ranging from 1.9% in the Manyara region to 16.4% in the Njombe region. Older age, lower and no education, not being in a marital union, and living in urban or semi-urban areas were associated with higher odds of HIV infection. HIV status awareness among women who tested positive was 70.9% (95% CI: 67.5%- 74.0%). ART coverage among those aware of their status was 91.6% (86.5%- 94.9%). Overall, 66.6% (95% CI: 62.4%- 70.6%) of all pregnant women who tested positive for HIV knew their HIV status and were on ART.

conclusionHIV is increasingly prevalent among pregnant women in Tanzania mainland especially among older, those with lower or no formal education, those outside marital union, and pregnant women living in urban and semi-urban areas. Behind the global fast-target to end HIV/ AIDS, about a third of pregnant women living with HIV initiating ANC were not on ART. Interventions to increase HIV testing and linkage to care among women of reproductive age should be intensified.

Indexed as

Acquired Immunodeficiency SyndromeHIV InfectionsPregnancy Complications, InfectiousAdultCross-Sectional StudiesFemaleHumansPregnancyPregnant PeoplePrenatal CareSentinel SurveillanceTanzania

Identifiers

PMID37824470
PMCPMC10569580

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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.