HIV testing and knowledge on mother-to-child transmission among pregnant women attending antenatal care at Vanga hospital, Democratic Republic of Congo

Background. Human immunodeficiency virus (HIV) causes an infectious disease that can be transmitted from an infected mother to child. Prevention of Mother-to-Child Transmission (PMTCT) programs provide a range of services to women and children that can reduce the risk of vertical transmission of HI...

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Main Authors: Junior Mudji, Victoria Olarewaju, Blaise Madinga, Justice Malala, Auguy Kayeye, Yves Horsmans
Format: Article
Language:English
Published: PAGEPress Publications 2023-05-01
Series:Journal of Public Health in Africa
Subjects:
Online Access:https://publichealthinafrica.org/jphia/article/view/1991
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author Junior Mudji
Victoria Olarewaju
Blaise Madinga
Justice Malala
Auguy Kayeye
Yves Horsmans
author_facet Junior Mudji
Victoria Olarewaju
Blaise Madinga
Justice Malala
Auguy Kayeye
Yves Horsmans
author_sort Junior Mudji
collection DOAJ
description Background. Human immunodeficiency virus (HIV) causes an infectious disease that can be transmitted from an infected mother to child. Prevention of Mother-to-Child Transmission (PMTCT) programs provide a range of services to women and children that can reduce the risk of vertical transmission of HIV. Unfortunately, PMTCT programs face many challenges in rural Democratic Republic of Congo, DRC. Methods. A cross-sectional study was conducted among 460 pregnant women attending antenatal care at Vanga Hospital in the Vanga health zone, DRC from March 11th to June 25th, 2019. Serological tests were performed and a pre-tested questionnaire regarding HIV knowledge was given to all participants. Data were analysed with STATA 13.0. Descriptive statistics of key variables were computed and logistic regression was used to assess the association between participant’s characteristics and knowledge of MTCT. Results. Among the participants, 95.4% (439/460) reported that they have heard about HIV, 82.4% (378/460) indicated sexual intercourse as one of the routes of HIV transmission but only 30.4 % (139/460) mentioned MTCT as one of the routes. In addition, only 10.1% (46/460) had knowledge of the existence of PMTCT. Participant’s age (>29 years), education level, previous antenatal care and previous HIV tests were significantly associated with knowledge of MTCT. Also, age (>29 years) and education level were significantly associated with previous HIV test uptake. Most of pregnant women 82.3% (376/460) reported that they have never been tested in the past for HIV infection and the prevalence was at 0.9% (4/460). Conclusion. Knowledge of MTCT of HIV, previous uptake of HIV testing and prevalence was low. The rural setting of Vanga and insufficient HIV sensitization activities are considered contributors to this. While the low prevalence is a positive finding, much needs to be done to improve uptake of HIV testing and knowledge of HIV MTCT.
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spelling doaj.art-15e3eeb0621e48e4a7cddd1ceb2a7d962023-05-25T10:29:22ZengPAGEPress PublicationsJournal of Public Health in Africa2038-99222038-99302023-05-0110.4081/jphia.2023.1991HIV testing and knowledge on mother-to-child transmission among pregnant women attending antenatal care at Vanga hospital, Democratic Republic of CongoJunior Mudji0Victoria Olarewaju1Blaise Madinga2Justice Malala3Auguy Kayeye4Yves Horsmans5Hôpital Evangélique de Vanga, Vanga Mission; Protestant University of Congo, Department of Family Medicine and Primary CareSwiss Tropical and Public Health Institute, Medical Department, Basel; University of Basel, BaselHôpital Evangélique de Vanga, Vanga Mission; Protestant University of Congo, Department of Family Medicine and Primary CareHôpital Evangélique de Vanga, Vanga MissionDivision Provincial de la Sante, Coordonnation Provincial/PNLS Kwilu, BandunduDepartment of Hepato-Gastroenterology, Cliniques Universitaires Saint-Luc, U.C.L., Avenue Hippocrate, Brussels Background. Human immunodeficiency virus (HIV) causes an infectious disease that can be transmitted from an infected mother to child. Prevention of Mother-to-Child Transmission (PMTCT) programs provide a range of services to women and children that can reduce the risk of vertical transmission of HIV. Unfortunately, PMTCT programs face many challenges in rural Democratic Republic of Congo, DRC. Methods. A cross-sectional study was conducted among 460 pregnant women attending antenatal care at Vanga Hospital in the Vanga health zone, DRC from March 11th to June 25th, 2019. Serological tests were performed and a pre-tested questionnaire regarding HIV knowledge was given to all participants. Data were analysed with STATA 13.0. Descriptive statistics of key variables were computed and logistic regression was used to assess the association between participant’s characteristics and knowledge of MTCT. Results. Among the participants, 95.4% (439/460) reported that they have heard about HIV, 82.4% (378/460) indicated sexual intercourse as one of the routes of HIV transmission but only 30.4 % (139/460) mentioned MTCT as one of the routes. In addition, only 10.1% (46/460) had knowledge of the existence of PMTCT. Participant’s age (>29 years), education level, previous antenatal care and previous HIV tests were significantly associated with knowledge of MTCT. Also, age (>29 years) and education level were significantly associated with previous HIV test uptake. Most of pregnant women 82.3% (376/460) reported that they have never been tested in the past for HIV infection and the prevalence was at 0.9% (4/460). Conclusion. Knowledge of MTCT of HIV, previous uptake of HIV testing and prevalence was low. The rural setting of Vanga and insufficient HIV sensitization activities are considered contributors to this. While the low prevalence is a positive finding, much needs to be done to improve uptake of HIV testing and knowledge of HIV MTCT. https://publichealthinafrica.org/jphia/article/view/1991HIV testingknowledgemother-to-child transmissionpregnant womenDemocratic Republic of Congo (DRC)
spellingShingle Junior Mudji
Victoria Olarewaju
Blaise Madinga
Justice Malala
Auguy Kayeye
Yves Horsmans
HIV testing and knowledge on mother-to-child transmission among pregnant women attending antenatal care at Vanga hospital, Democratic Republic of Congo
Journal of Public Health in Africa
HIV testing
knowledge
mother-to-child transmission
pregnant women
Democratic Republic of Congo (DRC)
title HIV testing and knowledge on mother-to-child transmission among pregnant women attending antenatal care at Vanga hospital, Democratic Republic of Congo
title_full HIV testing and knowledge on mother-to-child transmission among pregnant women attending antenatal care at Vanga hospital, Democratic Republic of Congo
title_fullStr HIV testing and knowledge on mother-to-child transmission among pregnant women attending antenatal care at Vanga hospital, Democratic Republic of Congo
title_full_unstemmed HIV testing and knowledge on mother-to-child transmission among pregnant women attending antenatal care at Vanga hospital, Democratic Republic of Congo
title_short HIV testing and knowledge on mother-to-child transmission among pregnant women attending antenatal care at Vanga hospital, Democratic Republic of Congo
title_sort hiv testing and knowledge on mother to child transmission among pregnant women attending antenatal care at vanga hospital democratic republic of congo
topic HIV testing
knowledge
mother-to-child transmission
pregnant women
Democratic Republic of Congo (DRC)
url https://publichealthinafrica.org/jphia/article/view/1991
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