Ebola virus disease outbreak in Guinea: what effects on prevention of mother-to-child transmission of HIV services?
Abstract Background An unprecedented epidemic of Ebola virus disease (EVD) affected Guinea in 2014 and 2015. It weakened the already fragile Guinean health system. This study aimed to assess the effects of the outbreak on Prevention of Mother-to-Child Transmission of HIV (PMTCT) services in 2014. Me...
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| Format: | Article |
| Language: | English |
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BMC
2018-04-01
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| Series: | Reproductive Health |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s12978-018-0502-y |
| _version_ | 1828155274204020736 |
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| author | Niouma Nestor Leno Alexandre Delamou Youssouf Koita Thierno Souleymane Diallo Abdoulaye Kaba Therese Delvaux Wim Van Damme Marie Laga |
| author_facet | Niouma Nestor Leno Alexandre Delamou Youssouf Koita Thierno Souleymane Diallo Abdoulaye Kaba Therese Delvaux Wim Van Damme Marie Laga |
| author_sort | Niouma Nestor Leno |
| collection | DOAJ |
| description | Abstract Background An unprecedented epidemic of Ebola virus disease (EVD) affected Guinea in 2014 and 2015. It weakened the already fragile Guinean health system. This study aimed to assess the effects of the outbreak on Prevention of Mother-to-Child Transmission of HIV (PMTCT) services in 2014. Methods We conducted a cross-sectional retrospective study. Data was collected from 60 public health centers (30 in the EVD affected areas and 30 in the unaffected areas). The comparison of PMTCT indicators between the period before Ebola (2013) and during Ebola (2014) was done using the t- test for the means and the Chi-square test for the proportions. Results This study showed a substantial and significant reduction in the mean number of antenatal care visits (ANC) in the affected localities, 1617 ± 53 in 2013 versus 1065 ± 29 in 2014, p = 0.0004. This would represent 41% drop in health facilities’ performance. On the other hand, in the unaffected localities, the fall was not significant. The same observations were made about the number of HIV tests performed for pregnant women and the number of HIV positive pregnant women initiating ARVs. The study also noted an increase in the proportion of women tested HIV+ but who did not receive ARVs (12% in 2013 versus 44% in 2014) and HIV+ pregnant women who delivered at home (18% in 2014 versus 7% in 2013). Conclusion This study showed that PMTCT services, which are one of the key services to improve maternal and child health, were affected in Guinea during this Ebola outbreak in 2014 compared to 2013. |
| first_indexed | 2024-04-11T22:51:59Z |
| format | Article |
| id | doaj.art-9de8535cb0294c3398c5948a4e0f475c |
| institution | Directory Open Access Journal |
| issn | 1742-4755 |
| language | English |
| last_indexed | 2024-04-11T22:51:59Z |
| publishDate | 2018-04-01 |
| publisher | BMC |
| record_format | Article |
| series | Reproductive Health |
| spelling | doaj.art-9de8535cb0294c3398c5948a4e0f475c2022-12-22T03:58:34ZengBMCReproductive Health1742-47552018-04-011511910.1186/s12978-018-0502-yEbola virus disease outbreak in Guinea: what effects on prevention of mother-to-child transmission of HIV services?Niouma Nestor Leno0Alexandre Delamou1Youssouf Koita2Thierno Souleymane Diallo3Abdoulaye Kaba4Therese Delvaux5Wim Van Damme6Marie Laga7Bureau de Stratégie et de Développement du Ministère de la SantéChair de Santé Publique de l’Université Gamal Abdel Nasser de ConakryProgramme National de Prise en Charge Sanitaire et de Prévention des IST/VIH/Sida (PNPCSP) du Ministère de la SantéSecrétariat Exécutif du Comité National de Lutte contre le Sida (SECNLS)Bureau de Stratégie et de Développement du Ministère de la SantéDepartment of Public Health, Institute of Tropical MedicineDepartment of Public Health, Institute of Tropical MedicineDepartment of Public Health, Institute of Tropical MedicineAbstract Background An unprecedented epidemic of Ebola virus disease (EVD) affected Guinea in 2014 and 2015. It weakened the already fragile Guinean health system. This study aimed to assess the effects of the outbreak on Prevention of Mother-to-Child Transmission of HIV (PMTCT) services in 2014. Methods We conducted a cross-sectional retrospective study. Data was collected from 60 public health centers (30 in the EVD affected areas and 30 in the unaffected areas). The comparison of PMTCT indicators between the period before Ebola (2013) and during Ebola (2014) was done using the t- test for the means and the Chi-square test for the proportions. Results This study showed a substantial and significant reduction in the mean number of antenatal care visits (ANC) in the affected localities, 1617 ± 53 in 2013 versus 1065 ± 29 in 2014, p = 0.0004. This would represent 41% drop in health facilities’ performance. On the other hand, in the unaffected localities, the fall was not significant. The same observations were made about the number of HIV tests performed for pregnant women and the number of HIV positive pregnant women initiating ARVs. The study also noted an increase in the proportion of women tested HIV+ but who did not receive ARVs (12% in 2013 versus 44% in 2014) and HIV+ pregnant women who delivered at home (18% in 2014 versus 7% in 2013). Conclusion This study showed that PMTCT services, which are one of the key services to improve maternal and child health, were affected in Guinea during this Ebola outbreak in 2014 compared to 2013.http://link.springer.com/article/10.1186/s12978-018-0502-yEbolaEffectsPMTCTHealth systemGuinea |
| spellingShingle | Niouma Nestor Leno Alexandre Delamou Youssouf Koita Thierno Souleymane Diallo Abdoulaye Kaba Therese Delvaux Wim Van Damme Marie Laga Ebola virus disease outbreak in Guinea: what effects on prevention of mother-to-child transmission of HIV services? Reproductive Health Ebola Effects PMTCT Health system Guinea |
| title | Ebola virus disease outbreak in Guinea: what effects on prevention of mother-to-child transmission of HIV services? |
| title_full | Ebola virus disease outbreak in Guinea: what effects on prevention of mother-to-child transmission of HIV services? |
| title_fullStr | Ebola virus disease outbreak in Guinea: what effects on prevention of mother-to-child transmission of HIV services? |
| title_full_unstemmed | Ebola virus disease outbreak in Guinea: what effects on prevention of mother-to-child transmission of HIV services? |
| title_short | Ebola virus disease outbreak in Guinea: what effects on prevention of mother-to-child transmission of HIV services? |
| title_sort | ebola virus disease outbreak in guinea what effects on prevention of mother to child transmission of hiv services |
| topic | Ebola Effects PMTCT Health system Guinea |
| url | http://link.springer.com/article/10.1186/s12978-018-0502-y |
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