Factors associated with HIV-positive sero-status among exposed infants attending care at health facilities in Bahir Dar administration, Ethiopia: Evidence from medical records

One of the health problems in Ethiopia is the high rate of HIV morbidity and mortality among pregnant and lactating women, and their infants. Therefore, this study aims to assess factors associated with HIV-positive sero-status among exposed infants attending care at health facilities in Bahir Dar a...

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Main Author: Asmamaw Ketemaw Tsehay
Format: Article
Language:English
Published: Taylor & Francis Group 2019-01-01
Series:Cogent Medicine
Subjects:
Online Access:http://dx.doi.org/10.1080/2331205X.2019.1623754
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author Asmamaw Ketemaw Tsehay
author_facet Asmamaw Ketemaw Tsehay
author_sort Asmamaw Ketemaw Tsehay
collection DOAJ
description One of the health problems in Ethiopia is the high rate of HIV morbidity and mortality among pregnant and lactating women, and their infants. Therefore, this study aims to assess factors associated with HIV-positive sero-status among exposed infants attending care at health facilities in Bahir Dar administration, Ethiopia. A facility-based cross-sectional study was carried at prevention of mother-to-child transmission (PMTCT) of HIV clinics in Bahir Dar administration, Ethiopia. The study participants were HIV-exposed infants enrolled at these clinics from 1 January to 30 December 2018. The data were taken from PMTCT logbooks and patient medical records. Data entered into Epi Info (V 3.5.1) and analysed by SPSS (V 20.0). Both bivariate and multivariate analyses carried out to identify factors associated with mother-to-child transmission of HIV. A total of 477 infant medical records were included in the study. The transmission of HIV from mother to child was 27 (5.8%, 95% confidence interval [CI]: 4.1, 8.3). Home delivery (adjusted odds ratio [AOR] = 3.2, 95% CI: 1.8, 10.2), infant not receiving antiretroviral (ARV) prophylaxis at birth (AOR = 4.1, 95% CI: 2.4, 13.5), episiotomy (AOR = 5.0, 95% CI: 2.2, 13.1) and mixed infant feeding practices (AOR = 4.4, 95% CI: 2.1, 14.4) were significantly associated with maternal to child transmission of HIV in the study.The rate of HIV infection among infants born from HIV-positive mothers was high. Factors associated with HIV sero-status of HIV exposed infants were home delivery, mixed feeding, episiotomy and ARV prophylaxis at birth.
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spelling doaj.art-45fc4772d3574135812d7e12f570d6072022-12-22T04:32:18ZengTaylor & Francis GroupCogent Medicine2331-205X2019-01-016110.1080/2331205X.2019.16237541623754Factors associated with HIV-positive sero-status among exposed infants attending care at health facilities in Bahir Dar administration, Ethiopia: Evidence from medical recordsAsmamaw Ketemaw Tsehay0College of Medicine and Health Science, Bahir Dar UniversityOne of the health problems in Ethiopia is the high rate of HIV morbidity and mortality among pregnant and lactating women, and their infants. Therefore, this study aims to assess factors associated with HIV-positive sero-status among exposed infants attending care at health facilities in Bahir Dar administration, Ethiopia. A facility-based cross-sectional study was carried at prevention of mother-to-child transmission (PMTCT) of HIV clinics in Bahir Dar administration, Ethiopia. The study participants were HIV-exposed infants enrolled at these clinics from 1 January to 30 December 2018. The data were taken from PMTCT logbooks and patient medical records. Data entered into Epi Info (V 3.5.1) and analysed by SPSS (V 20.0). Both bivariate and multivariate analyses carried out to identify factors associated with mother-to-child transmission of HIV. A total of 477 infant medical records were included in the study. The transmission of HIV from mother to child was 27 (5.8%, 95% confidence interval [CI]: 4.1, 8.3). Home delivery (adjusted odds ratio [AOR] = 3.2, 95% CI: 1.8, 10.2), infant not receiving antiretroviral (ARV) prophylaxis at birth (AOR = 4.1, 95% CI: 2.4, 13.5), episiotomy (AOR = 5.0, 95% CI: 2.2, 13.1) and mixed infant feeding practices (AOR = 4.4, 95% CI: 2.1, 14.4) were significantly associated with maternal to child transmission of HIV in the study.The rate of HIV infection among infants born from HIV-positive mothers was high. Factors associated with HIV sero-status of HIV exposed infants were home delivery, mixed feeding, episiotomy and ARV prophylaxis at birth.http://dx.doi.org/10.1080/2331205X.2019.1623754factorshiv sero-statusinfantethiopia
spellingShingle Asmamaw Ketemaw Tsehay
Factors associated with HIV-positive sero-status among exposed infants attending care at health facilities in Bahir Dar administration, Ethiopia: Evidence from medical records
Cogent Medicine
factors
hiv sero-status
infant
ethiopia
title Factors associated with HIV-positive sero-status among exposed infants attending care at health facilities in Bahir Dar administration, Ethiopia: Evidence from medical records
title_full Factors associated with HIV-positive sero-status among exposed infants attending care at health facilities in Bahir Dar administration, Ethiopia: Evidence from medical records
title_fullStr Factors associated with HIV-positive sero-status among exposed infants attending care at health facilities in Bahir Dar administration, Ethiopia: Evidence from medical records
title_full_unstemmed Factors associated with HIV-positive sero-status among exposed infants attending care at health facilities in Bahir Dar administration, Ethiopia: Evidence from medical records
title_short Factors associated with HIV-positive sero-status among exposed infants attending care at health facilities in Bahir Dar administration, Ethiopia: Evidence from medical records
title_sort factors associated with hiv positive sero status among exposed infants attending care at health facilities in bahir dar administration ethiopia evidence from medical records
topic factors
hiv sero-status
infant
ethiopia
url http://dx.doi.org/10.1080/2331205X.2019.1623754
work_keys_str_mv AT asmamawketemawtsehay factorsassociatedwithhivpositiveserostatusamongexposedinfantsattendingcareathealthfacilitiesinbahirdaradministrationethiopiaevidencefrommedicalrecords