Prevalence of HIV and syphilis infections among pregnant women attending antenatal clinics in Tanzania, 2011

The occurrence of HIV-1 and syphilis infections during pregnancy poses major health risks to the foetus due to mother-to-child transmission. We conducted surveillance of HIV and syphilis infections among pregnant women attending antenatal clinics (ANCs) in Mainland Tanzania in 2011. This surveillanc...

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Veröffentlicht in:BMC public health 2015-05, Vol.15 (1), p.501-501, Article 501
Hauptverfasser: Manyahi, Joel, Jullu, Boniphace S, Abuya, Mathias I, Juma, James, Ndayongeje, Joel, Kilama, Bonita, Sambu, Veryeh, Nondi, Josef, Rabiel, Bernard, Somi, Geoffrey, Matee, Mecky I
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container_issue 1
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container_title BMC public health
container_volume 15
creator Manyahi, Joel
Jullu, Boniphace S
Abuya, Mathias I
Juma, James
Ndayongeje, Joel
Kilama, Bonita
Sambu, Veryeh
Nondi, Josef
Rabiel, Bernard
Somi, Geoffrey
Matee, Mecky I
description The occurrence of HIV-1 and syphilis infections during pregnancy poses major health risks to the foetus due to mother-to-child transmission. We conducted surveillance of HIV and syphilis infections among pregnant women attending antenatal clinics (ANCs) in Mainland Tanzania in 2011. This surveillance was carried out in 133 ANCs selected from 21 regions in Tanzania. In each region, six ANC sites were selected, with urban, semi-urban, and rural areas contributing two each. All pregnant women who were attending selected sentinel ANC sites for the first time at any pregnancy between September and December 2011 were enrolled. Serial ELISA assays were performed to detect HIV infection in an unlinked anonymous manner using dried blood spot (DBS) after routine syphilis testing. Data analysis was conducted using Stata v.12 software. A total of 39,698 pregnant women representing 2.4 % of all pregnant women (1.68 million) attending ANCs in the Mainland Tanzania were enrolled. The overall HIV prevalence was found to be 5.6 % (95 % CI: 5.4-5.8 %). The risk for HIV infection was significantly higher among women aged 25-34 (cOR = 1.97, 95 % CI: 1.79-2.16; p < 0.05), older than 35 years (cOR = 1.88, 95 % CI: 1.62-2.17; p < 0.05) and those having 1-2 and 3-4 previous pregnancies. HIV infection was less prevalent among women attending rural ANC clinics (cOR = 0.46, 95 % CI 0.4-0.52; p < 0.05). The overall syphilis prevalence was 2.5 % (95 % CI: 2.3, 3.6). The risk for syphilis infection was significantly higher among women attending semi-urban and rural clinics and those having 3-4, and 5 previous pregnancies (p < 0.05). Marital status and level of education were not statistically significant with either of the two infections. HIV and syphilis co-infections occurred in 109 of 38,928 (0.3 %). The overall prevalence of HIV infection (5.6 %) and syphilis (2.5 %) found among pregnant women attending ANC clinics in Tanzania calls for further strengthening of current intervention measures, which include scaling up the integration of prevention of mother to child transmission (PMTCT) services in Reproductive and Child Health (RCH) clinics.
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We conducted surveillance of HIV and syphilis infections among pregnant women attending antenatal clinics (ANCs) in Mainland Tanzania in 2011. This surveillance was carried out in 133 ANCs selected from 21 regions in Tanzania. In each region, six ANC sites were selected, with urban, semi-urban, and rural areas contributing two each. All pregnant women who were attending selected sentinel ANC sites for the first time at any pregnancy between September and December 2011 were enrolled. Serial ELISA assays were performed to detect HIV infection in an unlinked anonymous manner using dried blood spot (DBS) after routine syphilis testing. Data analysis was conducted using Stata v.12 software. A total of 39,698 pregnant women representing 2.4 % of all pregnant women (1.68 million) attending ANCs in the Mainland Tanzania were enrolled. The overall HIV prevalence was found to be 5.6 % (95 % CI: 5.4-5.8 %). The risk for HIV infection was significantly higher among women aged 25-34 (cOR = 1.97, 95 % CI: 1.79-2.16; p &lt; 0.05), older than 35 years (cOR = 1.88, 95 % CI: 1.62-2.17; p &lt; 0.05) and those having 1-2 and 3-4 previous pregnancies. HIV infection was less prevalent among women attending rural ANC clinics (cOR = 0.46, 95 % CI 0.4-0.52; p &lt; 0.05). The overall syphilis prevalence was 2.5 % (95 % CI: 2.3, 3.6). The risk for syphilis infection was significantly higher among women attending semi-urban and rural clinics and those having 3-4, and 5 previous pregnancies (p &lt; 0.05). Marital status and level of education were not statistically significant with either of the two infections. HIV and syphilis co-infections occurred in 109 of 38,928 (0.3 %). The overall prevalence of HIV infection (5.6 %) and syphilis (2.5 %) found among pregnant women attending ANC clinics in Tanzania calls for further strengthening of current intervention measures, which include scaling up the integration of prevention of mother to child transmission (PMTCT) services in Reproductive and Child Health (RCH) clinics.</description><identifier>ISSN: 1471-2458</identifier><identifier>EISSN: 1471-2458</identifier><identifier>DOI: 10.1186/s12889-015-1848-5</identifier><identifier>PMID: 25994129</identifier><language>eng</language><publisher>England: BioMed Central Ltd</publisher><subject>Adolescent ; Adult ; Age Factors ; Analysis ; Disease transmission ; Female ; Health aspects ; HIV Infections - epidemiology ; Humans ; Information management ; Marital Status ; Marriage ; Parity ; Pregnancy ; Pregnancy Complications, Infectious - epidemiology ; Prenatal Care ; Prevalence ; Rural Population ; Statistics ; Syphilis - epidemiology ; Tanzania - epidemiology ; Young Adult</subject><ispartof>BMC public health, 2015-05, Vol.15 (1), p.501-501, Article 501</ispartof><rights>COPYRIGHT 2015 BioMed Central Ltd.</rights><rights>Manyahi et al.; licensee BioMed Central. 2015</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c466t-d76f1d68eee724c766f1adcb2b362d6d0eab19e66be6192522403423cd40c5cc3</citedby><cites>FETCH-LOGICAL-c466t-d76f1d68eee724c766f1adcb2b362d6d0eab19e66be6192522403423cd40c5cc3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4492104/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4492104/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,860,881,27901,27902,53766,53768</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25994129$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Manyahi, Joel</creatorcontrib><creatorcontrib>Jullu, Boniphace S</creatorcontrib><creatorcontrib>Abuya, Mathias I</creatorcontrib><creatorcontrib>Juma, James</creatorcontrib><creatorcontrib>Ndayongeje, Joel</creatorcontrib><creatorcontrib>Kilama, Bonita</creatorcontrib><creatorcontrib>Sambu, Veryeh</creatorcontrib><creatorcontrib>Nondi, Josef</creatorcontrib><creatorcontrib>Rabiel, Bernard</creatorcontrib><creatorcontrib>Somi, Geoffrey</creatorcontrib><creatorcontrib>Matee, Mecky I</creatorcontrib><title>Prevalence of HIV and syphilis infections among pregnant women attending antenatal clinics in Tanzania, 2011</title><title>BMC public health</title><addtitle>BMC Public Health</addtitle><description>The occurrence of HIV-1 and syphilis infections during pregnancy poses major health risks to the foetus due to mother-to-child transmission. 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The risk for HIV infection was significantly higher among women aged 25-34 (cOR = 1.97, 95 % CI: 1.79-2.16; p &lt; 0.05), older than 35 years (cOR = 1.88, 95 % CI: 1.62-2.17; p &lt; 0.05) and those having 1-2 and 3-4 previous pregnancies. HIV infection was less prevalent among women attending rural ANC clinics (cOR = 0.46, 95 % CI 0.4-0.52; p &lt; 0.05). The overall syphilis prevalence was 2.5 % (95 % CI: 2.3, 3.6). The risk for syphilis infection was significantly higher among women attending semi-urban and rural clinics and those having 3-4, and 5 previous pregnancies (p &lt; 0.05). Marital status and level of education were not statistically significant with either of the two infections. HIV and syphilis co-infections occurred in 109 of 38,928 (0.3 %). 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We conducted surveillance of HIV and syphilis infections among pregnant women attending antenatal clinics (ANCs) in Mainland Tanzania in 2011. This surveillance was carried out in 133 ANCs selected from 21 regions in Tanzania. In each region, six ANC sites were selected, with urban, semi-urban, and rural areas contributing two each. All pregnant women who were attending selected sentinel ANC sites for the first time at any pregnancy between September and December 2011 were enrolled. Serial ELISA assays were performed to detect HIV infection in an unlinked anonymous manner using dried blood spot (DBS) after routine syphilis testing. Data analysis was conducted using Stata v.12 software. A total of 39,698 pregnant women representing 2.4 % of all pregnant women (1.68 million) attending ANCs in the Mainland Tanzania were enrolled. The overall HIV prevalence was found to be 5.6 % (95 % CI: 5.4-5.8 %). The risk for HIV infection was significantly higher among women aged 25-34 (cOR = 1.97, 95 % CI: 1.79-2.16; p &lt; 0.05), older than 35 years (cOR = 1.88, 95 % CI: 1.62-2.17; p &lt; 0.05) and those having 1-2 and 3-4 previous pregnancies. HIV infection was less prevalent among women attending rural ANC clinics (cOR = 0.46, 95 % CI 0.4-0.52; p &lt; 0.05). The overall syphilis prevalence was 2.5 % (95 % CI: 2.3, 3.6). The risk for syphilis infection was significantly higher among women attending semi-urban and rural clinics and those having 3-4, and 5 previous pregnancies (p &lt; 0.05). Marital status and level of education were not statistically significant with either of the two infections. HIV and syphilis co-infections occurred in 109 of 38,928 (0.3 %). The overall prevalence of HIV infection (5.6 %) and syphilis (2.5 %) found among pregnant women attending ANC clinics in Tanzania calls for further strengthening of current intervention measures, which include scaling up the integration of prevention of mother to child transmission (PMTCT) services in Reproductive and Child Health (RCH) clinics.</abstract><cop>England</cop><pub>BioMed Central Ltd</pub><pmid>25994129</pmid><doi>10.1186/s12889-015-1848-5</doi><tpages>1</tpages><oa>free_for_read</oa></addata></record>
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subjects Adolescent
Adult
Age Factors
Analysis
Disease transmission
Female
Health aspects
HIV Infections - epidemiology
Humans
Information management
Marital Status
Marriage
Parity
Pregnancy
Pregnancy Complications, Infectious - epidemiology
Prenatal Care
Prevalence
Rural Population
Statistics
Syphilis - epidemiology
Tanzania - epidemiology
Young Adult
title Prevalence of HIV and syphilis infections among pregnant women attending antenatal clinics in Tanzania, 2011
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