Understanding Predictors of Early Antenatal Care Initiation in Relationship to Timing of HIV Diagnosis in South Africa

AIDS Patient Care and STDs
Cornelius NatteyDorina Onoya

Abstract

Effective prevention of mother-to-child transmission benefits from early presentation to antenatal care (ANC). It is, however, unclear whether a previous HIV diagnosis results in earlier initiation of ANC. We estimated the probability of early ANC initiation among women with a previous HIV-positive diagnosis compared to those who first tested for HIV during ANC and explored determinants of early ANC among HIV-positive women. We conducted an analysis of a cross-sectional survey among 411 HIV-positive adult (>18 years) women who gave birth at midwife obstetrics units in Gauteng between October 2016 and May 2017. Predictors of early ANC (defined as initiating ANC before or at 14 weeks of gestation) were assessed by multivariate log-binomial regression model. Overall, 51% (210) were diagnosed during pregnancy with 89% (188) initiating antiretroviral therapy on the same day of diagnosis. There was no meaningful difference in the timing of ANC initiation between women with previous HIV diagnosis [adjusted risk ratio (aRR) = 1.2; 95% confidence interval (95% CI): 0.9-1.7] compared with those diagnosed during pregnancy. Early ANC was predicted by planned pregnancy [aRR = 1.3; 95% CI: 1.1-1.7], parity (>2 children) [aRR = 0.6; 95% CI: 0...Continue Reading

References

Jul 18, 2003·Journal of Midwifery & Women's Health·Landon Myer, Abigail Harrison
Oct 18, 2003·Journal of Nursing Scholarship : an Official Publication of Sigma Theta Tau International Honor Society of Nursing·Behice Erci
Oct 24, 2003·Social Science & Medicine·Dana A GleiGermán Rodríguez
Jun 5, 2004·Midwifery·Thubelihle MatholeBeth Maina Ahlberg
Feb 8, 2005·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·I ParedesJ Eugenio
Mar 8, 2012·Tropical Medicine & International Health : TM & IH·Laura FergusonDavid A Ross

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Citations

Jan 1, 2020·BMC Health Services Research·Nelly JingaDorina Onoya

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