Evaluating elimination of mother-to-child transmission of HIV in Suriname
A mixed method study
Bibliographic Data
| ID | 14965279 |
|---|---|
| Authors | Deborah Stijnberg (0000-0002-6171-5312, Anton de Kom University of Suriname, corresponding author), Suze Holband (National AIDS Program, Paramaribo, Suriname.), Regillio Charles (Academic Hospital Paramaribo, Paramaribo, Suriname.), Dorien Ulenaers (0000-0003-3935-4431, Hasselt University), Ward Schrooten (0000-0002-8659-2224, Hasselt University), Malti R Adhin (0000-0002-2001-9994, Anton de Kom University of Suriname) |
| Year | 2023 |
| Volume | 47 |
| Pages | 1 |
| Publication date | 2023-12-18 |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Revista Panamericana de Salud Pública (JOURNAL) |
| Journal identifiers | ISSN: 1020-4989 • E-ISSN: 1680-5348 |
| Publisher | Pan American Health Organization (PUBLISHER • US) |
| DOI | 10.26633/rpsp.2023.159 |
| PMID | 38111520 |
| OpenAlex | W4389921551 |
| Language | EN |
| Citations received | 1 |
| References cited | 13 |
Objectives. To evaluate the cascade of care for the elimination of mother-to-child-transmission of human immunodeficiency virus (HIV) in Suriname and identify sociodemographic and clinical factors preventing transmission to exposed infants. Methods. A mixed-methods study design was used. Antenatal care data from the 2018 cross-sectional multi-indicator cluster survey on 1 026 women aged 15–49 years who had had a live birth in the previous 2 years were used. Furthermore, national data on a cohort of 279 mothers with HIV and their 317 infants born from 2016 to 2018 were evaluated. Additionally, 13 cases of mother-to-child-transmission of HIV were reviewed. Results. In 89.3% of cases, no mother-to-child HIV transmission occurred. Early cascade steps show that 28.4% of women had unmet family planning needs, 15% had no antenatal visits, 8% delivered outside a health facility, and 71.5% received an HIV test during antenatal care. Of the pregnant women with HIV, 84.2% received antiretroviral therapy, while 95.5% of their infants received HIV prophylactic treatment. Receiving antiretroviral therapy for the mother (odds ratio (OR) 45.4, 95% confidence interval (CI) 9.6–215.3) and the child (OR 145.7, 95% CI 14.4–1477.4) significantly increased the odds of a negative HIV test result in infants. Conversely, living in the interior decreased the odds (OR 0.2, 95% CI 0.4–0.7) compared with urban living. Conclusions. HIV medication for mothers with HIV and their infants remains key in the prevention of mother-to-child-transmission of HIV. Early prenatal care with follow-up should be strengthened in Suriname
Antiretroviral therapy · Confidence interval · Environmental health · Family medicine · Human immunodeficiency virus (HIV · Logistic regression · Obstetrics · Odds · Odds ratio · Population · Prenatal care · Transmission (telecommunications · Viral load · Adolescent Sexual and Reproductive Health · HIV, Drug Use, Sexual Risk · HIV/AIDS Research and Interventions · Medicine · Internal Medicine · Pediatrics
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| Citations per year | 0.5 |
|---|---|
| Citation span | 2024 - 2024 (1) |
| Highly cited | No |