Showing 1 - 20 of 63 Results for "antenatal care)"

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Antenatal Care - Testing and Counseling
Safe Motherhood and Prevention of Vertical Transmission
In 2007, only an estimated 18% of pregnant women were offered HIV tests (ITPC, 2009). "The purpose of antenatal VCT should be to help a woman prepare for a possible positive HIV diagnosis [and] to provide her with information about PMTCT options" (De Bruyn and Paxton, 2005: 145). In developing country settings, between eight and ten percent of women report having received PMTCT interventions (P...
Antenatal Care - Treatment
Safe Motherhood and Prevention of Vertical Transmission
Antiretroviral treatment (ART) for women living with HIV is vital to ensuring safe motherhood and reducing vertical transmission. But not all pregnant women access treatment. For women in high-income countries where access to triple therapy during pregnancy has been the standard of care and is near universal, rates of vertical HIV transmission are as low as 0.4%, for example, in Canada (Forbes ...
Screening for TB during routine antenatal care in high HIV prevalent settings may result in increased TB detection rates in women and is acceptable to most women, although stigma may be a barrier.
Tuberculosis
3 studies Gray IV, V PMTCT, TB, antenatal care), screening, stigma, treatment Malawi, South Africa
Screening for TB during routine antenatal care in high HIV prevalent settings may result in increased TB detection rates in women and is acceptable to most women, although stigma may be a barrier. [See %{s:51}]
Structuring Health Services to Meet Women’s Needs
1 study
Further interventions are needed to provide couples counseling and testing to reduce seroconversion during pregnancy. Studies found that inadequate numbers of couples are counseled on safer sex during pregnancy and that despite national guidelines, repeat testing during pregnancy is not routinely done. Studies also found that inadequate spaces for men in antenatal care as well as gender norms that discouraged men from accompanying women to antenatal care discouraged couples testing.
Antenatal Care - Testing and Counseling
1 study
Integrating ARV therapy into antenatal care, rather than referring women separately for HIV treatment, can reduce time to treatment and increase adherence for pregnant women living with HIV. [See also %{c:25}] Note: A review found that no one model of care fully addressed all barriers for women, but the most effective models focused on the period of transition between pregnancy and postpartum (Colvin et al., 2014).
Antenatal Care - Treatment
9 studies Gray IIIa, IIIb, IV Zambi, antenatal care, pregnancy, treatment Kenya, Mozambique, Rwanda, South Africa, Zambia
Additional efforts are needed to improve information and counseling about HIV during ANC to ensure that pregnant women and their sexual partners have adequate information. Studies found significant numbers of pregnant women received HIV tests with no counseling and reported that HIV testing was a mandatory part of their antenatal care. Studies also found that HIV-positive women feared transmitting HIV to their babies through casual contact. Studies found some providers assured women that treatment guaranteed that there would be no vertical transmission. In addition, studies found that some couples erroneously believed that sex during pregnancy causes miscarriages. Studies have also found that women who have tested HIV-negative at their first antenatal visit had seroconverted to HIV-positive by 12 months following delivery.
Antenatal Care - Testing and Counseling
1 study
Routinely offered testing that is voluntary and accompanied by counseling is acceptable to most women.
Antenatal Care - Testing and Counseling
9 studies Gray II, IIIb, IV, V HIV testing, PMTCT, antenatal care, pregnancy Botswana, Ecuador, Ethiopia, Europe, Hong Kong, Kenya, Malawi, Uganda, United States, Zimbabwe
Multiple strategies are needed to promote male involvement in ways that meet pregnant women’s needs. Studies found that some women found their partners’ involvement controlling and/or violent and other women wanted more autonomy in health decision-making. Studies also found men lacked information on vertical transmission and felt excluded from PMTCT programs. Other studies found that women indicated that they could not discuss their HIV serostatus with their husbands.
Antenatal Care - Testing and Counseling
1 study
Further interventions are needed to reduce barriers to HIV testing. Studies found that fear of partner notification, risk of domestic violence, the unreliability of rapid HIV tests, test availability, long waiting times at the clinic, costs for transport, lack of childcare and the need for partner consent were barriers to HIV testing. The impact of rapid testing during labor and delivery for HIV-positive women has yet to be assessed and HIV test results were not provided prior to delivery.
Antenatal Care - Testing and Counseling
1 study
Improved record keeping on HIV counseling, serostatus, and treatment is needed to improve referrals and linkages with other health care services. A study found that record keeping of HIV staging and CD4 counts was inadequate.
Antenatal Care - Testing and Counseling
1 study
HIV testing must be linked to access to treatment.
Antenatal Care - Testing and Counseling
1 study
Criminalization of HIV transmission may lead pregnant women to not seek testing and care. A study in Ukraine with pregnant women found that providers told women who tested HIV-positive that they carry criminal liability and others did not access care. A global review found that in some countries, vertical transmission is criminalized.
Antenatal Care - Testing and Counseling
1 study
In some settings, repeat testing of HIV-negative women during pregnancy is warranted. One study found that acute infection resulted in high rates of vertical transmission. Another study found that of 750 consecutive pregnant women, with an HIV prevalence of 37.3%, 0.9% of women were acutely infected and thus at a high risk of vertical transmission. HIV RNA assays to detect acute infection are very costly (US$1,313) and have not been used routinely in resource-limited settings.
Antenatal Care - Testing and Counseling
1 study
Involving partners, with women’s consent, can result in increased testing and disclosure and may reduce risk of vertical transmission and infant mortality.
Antenatal Care - Testing and Counseling
4 studies Gray II, IIIa, IIIb HIV testing, PMTCT, STIs, antenatal care, condoms, counseling, pregnancy, sexual partners India, Kenya, South Africa
Informed and appropriate counseling during ANC can lead to increased discussion between partners and increased protective behaviors such as condom use.
Antenatal Care - Testing and Counseling
2 studies Gray IIIb, V HIV testing, PMTCT, antenatal care, communication, condom use, counseling, pregnancy Côte d’Ivoire, Honduras, India, Rwanda, Zambia
Testing for and treating syphilis in conjunction with HIV testing for pregnant women will reduce congenital syphilis and can reduce perinatal transmission HIV.
Antenatal Care - Testing and Counseling
3 studies Gray IIIa, IIIb HIV testing, PMTCT, syphilis Malawi, Ukraine, Zambia
Counseling for both pregnant women and future fathers to circumcise male infants may reduce HIV acquisition and transmission when those male infants become sexually active young men. [See also %{s:5}]
Antenatal Care - Testing and Counseling
3 studies Gray I, IV, V male circumcision, transmission Botswana
Further interventions are needed to incorporate violence prevention, screening and counseling services into PMTCT testing and counseling. [See also %{s:59}] Studies found high rates of violence, sexual coercion and abuse among HIV-positive pregnant women, particularly when accessing HIV testing or during disclosure.
Antenatal Care - Testing and Counseling
1 study
Additional efforts are needed to ensure confidentiality in testing. Studies found that women were tested without their consent and that providers did not protect women’s confidentiality.
Antenatal Care - Testing and Counseling
1 study