The silent HIV epidemic among pregnant women within rural Northern Tanzania.

BMC Public Health
Khadija I Yahya-MalimaK Fylkesnes

Abstract

Many national antenatal clinics (ANC) based HIV surveillance systems in sub-Saharan Africa have limited coverage of remote rural sites, a weakness that compromises adequate estimation, monitoring and development of effective preventive and care programmes. To address this void in rural Manyara and Singida within Northern Tanzania, we conducted antenatal clinic-based sentinel surveillance. We consecutively enrolled 1377 counselled and consenting pregnant women attending ANC clinics for the first time during the current pregnancy. The study was conducted in six antenatal clinics, within three divisions of rural Manyara and Singida regions in 2003/2004. Interviews were conducted and blood samples for routine purposes were collected and tested for anti-HIV IgG antibody anonymously, using Bionor HIV-1 & 2 assay. Among enrollees, 94% (1296/1377) participated fully. The overall prevalence of HIV was 2.0% (95%CI: 1.34-2.97). The highest HIV prevalence was among women aged between 15-19 years in both rural and remote rural populations. The odds of HIV infection was 4.3 (95%CI: 1.42-12.77) times among women reporting more than one lifetime sexual partners compared with those with one partner. HIV infection was associated with history of ...Continue Reading

References

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Citations

Jul 4, 2009·Health Care for Women International·Gustavo Romero-GutiérrezAna Lilia Ponce-Ponce De Léon
Jun 3, 2008·BMC Infectious Diseases·Khadija I Yahya-MalimaLars Haarr
Jun 15, 2007·BMC Public Health·Khadija I Yahya-MalimaKnut Fylkesnes
Aug 1, 2008·BMC Public Health·Daniel G DatikoBernt Lindtjørn
Oct 12, 2014·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Estomih R MdumaErling Svensen
Oct 28, 2014·Frontiers in Psychiatry·Shervin AssariKhodabakhsh Ahmadi
Jan 1, 2008·International Quarterly of Community Health Education·Paul E Terry
Mar 13, 2008·BJOG : an International Journal of Obstetrics and Gynaecology·N A HabibR T Lie
Nov 7, 2007·Journal of Acquired Immune Deficiency Syndromes : JAIDS·Gita RamjeeUNKNOWN HPTN 055 Study Team

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