Retention in care and viral suppression in the PMTCT continuum at a large referral facility in western Kenya

Bibliographic Data

ID15335820
AuthorsJohn Humphrey (0000-0003-3156-1065, Indiana University School of Medicine, corresponding author), Julia Songok (0000-0002-6431-0505, Moi University), Susan Ofner (0000-0001-8107-7859, Indiana University School of Medicine), Beverly Musick (0000-0003-0334-6798, Indiana University School of Medicine), Marsha Alera (0000-0001-9917-4446, AMPATH), Bett Kipchumba (0000-0003-3587-1917, Moi University), Megan S McHenry (0000-0001-6753-0928, Indiana University School of Medicine), James G Carlucci (0000-0002-3969-8544, Indiana University School of Medicine), Jun Park (0000-0002-2495-4015, Richard M. Fairbanks Foundation), Winfred Mwangi (0000-0002-6579-6957, Moi University), Constantin T Yiannoutsos (0000-0001-9014-3651, Richard M. Fairbanks Foundation), Constantin Yiannoutsos, Giorgos Bakoyannis (0000-0002-2789-2497, Richard M. Fairbanks Foundation), Kara Wools‐Kaloustian (0000-0002-3277-4452, Indiana University School of Medicine), Kara Wools-Kaloustian
Year2022
Volume26
Issue11
Pages3494-3505
Publication date2022-04-25
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueAIDS and Behavior (JOURNAL)
Journal identifiersISSN: 1090-7165 • E-ISSN: 1573-3254
PublisherSpringer Science+Business Media (PUBLISHER • DE)
DOI10.1007/s10461-022-03666-w
PMID35467229
OpenAlexW4224609755
LanguageEN
Citations received5
References cited51

Medical records of pregnant and postpartum women living with HIV and their infants attending a large referral facility in Kenya from 2015 to 2019 were analyzed to identify characteristics associated with retention in care and viral suppression. Women were stratified based on the timing of HIV care enrollment: known HIV-positive (KHP; enrolled pre-pregnancy) and newly HIV-positive (NHP; enrolled during pregnancy). Associations with retention at 18 months postpartum and viral suppression (< 1000 copies/mL) were determined. Among 856 women (20% NHP), retention was 83% for KHPs and 53% for NHPs. Viral suppression was 88% for KHPs and 93% for NHPs, but 19% of women were missing viral load results. In a competing risk model, viral suppression increased by 18% for each additional year of age but was not associated with other factors. Overall, 1.9% of 698 infants with ≥ 1 HIV test result were HIV-positive. Tailored interventions are needed to promote retention and viral load testing, particularly for NHPs, in the PMTCT continuum

Family medicine · Health psychology · Human immunodeficiency virus (HIV · Obstetrics · Pregnancy · Psychiatry · Psychological intervention · Public health · Referral · Viral load · Adolescent Sexual and Reproductive Health · HIV, Drug Use, Sexual Risk · HIV/AIDS Research and Interventions · Medicine · Nursing · Immunology · Internal Medicine