At-scale evidence from 26 national household surveys on the prevention of mother-to-child transmission of HIV cascade

Health Policy and Planning
Nicholas Wilson

Abstract

Prevention of mother-to-child transmission of HIV (PMTCT) can virtually eliminate vertical HIV transmission, yet more than 160 000 children were newly infected with HIV in 2016. We conducted a pooled analysis of national household surveys from 26 sub-Saharan African countries and calculated PMTCT coverage and access using unconditional and conditional likelihoods. Logistic regression analysis adjusted for country of residence was used to measure the association between socio-demographic factors and PMTCT coverage. The largest loss in the PMTCT cascade access occurred at being offered a HIV test at an antenatal care (ANC) clinic visit, with only 62.6% of women visiting an ANC clinic being offered a HIV test. Logistic regression analysis adjusted for country of residence indicated that completing primary school was associated with a higher likelihood of completing each step in the PMTCT cascade, including being offered a HIV test [odds ratio 2.18 (95% CI: 2.09-2.26)]. Urban residence was associated with a higher likelihood of completing each step in the PMTCT cascade, including being offered a HIV test [odds ratio 2.23 (95% CI: 2.15-2.30)]. To increase progression through the PMTCT cascade, policy-makers should target the likelih...Continue Reading

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Citations

Jun 11, 2020·Journal of Acquired Immune Deficiency Syndromes : JAIDS·Lynne M MofensonEmma Sacks

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