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Brief Report: HIV Testing Among Pregnant Women Who Attend Antenatal Care in Malawi

Overview
Journal J Acquir Immune Defic Syndr
Specialty Infectious Diseases
Date 2015 May 8
PMID 25950205
Citations 18
Authors
Lyson Tenthani
Andreas D Haas
Matthias Egger
Joep J van Oosterhout
Andreas Jahn
Frank Chimbwandira
Kali Tal
Landon Myer
Janne Estill
Olivia Keiser
Affiliations
Soon will be listed here.
Abstract

Malawi adopted the Option B+ strategy in 2011. Its success in reducing mother-to-child transmission depends on coverage and timing of HIV testing. We assessed HIV status ascertainment and its predictors during pregnancy. HIV status ascertainment was 82.3% (95% confidence interval: 80.2 to 85.9) in the pre-Option B+ period and 85.7% (95% confidence interval: 83.4 to 88.0) in the Option B+ period. Higher HIV ascertainment was independently associated with higher age, attending antenatal care more than once, and registration in 2010. The observed high variability of HIV ascertainment between sites (50.6%-97.7%) and over time suggests that HIV test kit shortages and insufficient numbers of staff posed major barriers to reducing mother-to-child transmission.

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