Missed opportunities for human immunodeficiency virus testing among mothers delivering at Kampala International University Teaching Hospital, Uganda
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Date
2019-04
Authors
Journal Title
Journal ISSN
Volume Title
Publisher
Kampala International University. School of Health Sciences Western Campus
Abstract
Background: Although HTV testing should be routinely offered during Antenatal care, the
proportion of women giving birth without knowing their HIV status in Uganda is still significant
despite attending antenatal clinics therefore highlighting the significance of testing these women
during labour.
Objectives: To determine the prevalence of missed opportunities for HIV testing and associated
factors among mothers delivering at KIUTH.
Methodology: A cross-sectional study of 218 consecutively enrolled participants using
investigator questionnaire conducted from June to September 2018.
Results: The prevalence of missed opportunities for HIV testing was 11% and age was
significantly associated with missed opportunities for HIV testing (P=0.040). The prevalence of
HIV seropositive results was found to be 4.2%. This was also a seroconversion prevalence. The
major factors associated with missed opportunities for HIV testing were multiparity, obtaining
PMTCT information from VHTs and mothers who don’t attach any sociomarital consequences to
a positive HIV test result.
Conclusion: A significant proportion of mothers who delivered were found to have missed
opportunities for HTV testing during labor. There was evidence of HIV seroconversion and
possible mother to child transmission noted. Multiparity, obtaining MTCT information from
VHTs and mothers who don’t attach any sociomarital consequences to a positive HP! test result
are significant factors contributing to missed opportunities for HIV testing.
Recommendations: Equipping labour wards with HIV rapid tests and sensitizing medical
personnel in identification of women with missed opportuinities for HIV testing during labor. To
advocate for effective conselling after HIV testing for women who are found negative in
antenatal clinics so as to increase their risk perception for HIV infection even during pregnancy
to reduce seroconversion rates. Studies to help us further our understanding how multiparity, the
role of VHTs as a source of PMTCT information and not attaching any sociomarital
consequenses to a positive HP! test result by the mother brings about missed opportunities for
HP! testing during labor and even pregnancy.
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Description
A dissertation submitted in partial fulfillment of the requirements for the award of the degree of master of medicine in obstetrics and gynecology of Kampala International University
Keywords
Human immunodeficiency, Virus testing, Mothers, Kampala International University Teaching Hospital, Uganda