Evidence map›Paper›PMID 38195390›Full record

ArticleBMC pregnancy and childbirth2024

Assessing COVID-related concerns and their impact on antenatal and delivery care among pregnant women living with HIV in Kenya: a brief report.

Catherine Wexler, May Maloba, Sharon Mokua, Shadrack Babu, Nicodemus Maosa, Vincent Staggs, Kathy Goggin, Harshdeep Acharya, Emily A Hurley, Sarah Finocchario-Kessler

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in BMC pregnancy and childbirth, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04571684 (Evaluating the HITSystem to Improve PMTCT Retention and Maternal Viral Suppression in Kenya), which is not on this map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
0.6field-weighted citation impact, top 35% of its field
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.

NCT04571684 nacompletednot on this map

Evaluating the HITSystem to Improve PMTCT Retention and Maternal Viral Suppression in Kenya

TypeinterventionalSponsorUniversity of Kansas Medical CenterRan2020 to 2024Enrolled1,639ConditionsHIV, PregnancyArmsHITSystem 2.1
3 · Its place in the literature

Who cites it

0 citing papers in PubMed, 1 citations in OpenAlex.

No citing paper in PubMed yet.

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

10 authors at 3 institutions in 2 countries.

Catherine WexlerUniversity of Kansas Medical Center, Kansas, USA. cwexler@kumc.edu.
May MalobaGlobal Health Innovations, Nairobi, Kenya.
Sharon MokuaKenya Medical Research Institute, Nairobi, Kenya.
Shadrack BabuGlobal Health Innovations, Nairobi, Kenya.
Nicodemus MaosaGlobal Health Innovations, Nairobi, Kenya.
Vincent StaggsHealth Services and Outcomes Research, Children's Mercy Kansas City, Kansas, USA.
Kathy GogginHealth Services and Outcomes Research, Children's Mercy Kansas City, Kansas, USA.
Harshdeep AcharyaUniversity of Kansas Medical Center, Kansas, USA.
Emily A HurleyHealth Services and Outcomes Research, Children's Mercy Kansas City, Kansas, USA.
Sarah Finocchario-KesslerUniversity of Kansas Medical Center, Kansas, USA.
Children's Mercy Hospital · USUniversity of Kansas Medical Center · USKenya Medical Research Institute · KE

Funding

Evaluating the HITSystem to Improve PMTCT Retention and Maternal Viral Suppression in KenyaR01MH121245 · NIMH · UNIVERSITY OF KANSAS MEDICAL CENTER · PI KESSLER, SARAH FINOCCHARIO · 2020 to 2024
$3.5M
NIMH NIH HHS R01 MH121245NIMH NIH HHS R01MH121245
6 · The paper itself

Abstract

backgroundSome studies indicate that pregnant Kenyan women were concerned about Coronavirus disease 2019 (COVID-19) exposure during maternity care. We assessed concern regarding COVID-19 exposure and any impact on antenatal care (ANC) enrollment and/or hospital delivery among pregnant women living with human immunodeficiency virus (HIV) in Kenya.

methodsData were collected from 1,478 pregnant women living with HIV enrolled in prevention of mother to child transmission of HIV (PMTCT) care at 12 Kenyan hospitals from October 2020 to July 2022. Surveys were conducted when women first presented for PMTCT services at the study hospital and asked demographic questions as well as items related to concerns about COVID-19. A 5-point Likert scale (strongly disagree to strongly agree) assessed concerns about COVID-19 exposure and travel challenges. Gestational age at PMTCT enrollment, number of ANC appointments attended, and delivery location were compared among women who expressed COVID-19 concerns and those who did not.

resultsFew women reported delaying antenatal care (4.7%), attending fewer antenatal care appointments (5.0%), or having concerns about a hospital-based delivery (7.7%) because of COVID-19. More (25.8%) reported travel challenges because of COVID-19. There were no significant differences in gestational age at enrollment, number of ANC appointments, or rates of hospital-based delivery between women with concerns about COVID-19 and those without,

conclusionFew pregnant women living with HIV expressed concerns about COVID-19 exposure in the context of routine ANC or delivery care. Women with and without concerns had similar care seeking behaviors. The recognized importance of routine ANC care and facility-based deliveries may have contributed to these positive pregnancy indicators, even among women who worried about COVID-19 exposure.

trial registrationwww. CLINICALTRIALS: gov identifier NCT04571684.

Indexed as

COVID-19HIV InfectionsMaternal Health ServicesChildFemaleHumansInfectious Disease Transmission, VerticalKenyaPregnancyPregnant PeopleCOVID-19HITSystemHIVKenyaPrevention of mother to child transmission of HIV (PMTCT)

Identifiers

PMID38195390
PMCPMC10775612
OpenAlexW4390742944

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Registered trials

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.