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Utilization of prevention of mother-to-child transmission (PMTCT) services among pregnant women in HIV care in Uganda: a 24-month cohort of women from pre-conception to post-delivery.

Utilization of prevention of mother-to-child transmission (PMTCT) services among pregnant women in HIV care in Uganda: a 24-month cohort of women from pre-conception to post-delivery.
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Wanyenze RK, Goggin K, Finocchario-Kessler S, Beyeza-Kashesya J, Mindry D, Birungi J, Woldetsadik M, Wagner GJ,


Wanyenze RK, Goggin K, Finocchario-Kessler S, Beyeza-Kashesya J, Mindry D, Birungi J, Woldetsadik M, Wagner GJ, (click to view)

Wanyenze RK, Goggin K, Finocchario-Kessler S, Beyeza-Kashesya J, Mindry D, Birungi J, Woldetsadik M, Wagner GJ,

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BMC research notes 2018 03 2211(1) 187 doi 10.1186/s13104-018-3304-y

Abstract
OBJECTIVE
We assessed the uptake of prevention of mother-to-child transmission (PMTCT) services in a cohort of HIV infected women in care at The AIDS Support Organization Jinja and Kampala in Uganda, who were trying to conceive, over a period of 24 months, to inform the strengthening of PMTCT service access for women in care.

RESULTS
Of the 299 women 127 (42.5%) reported at least one pregnancy within 24 months; 61 women (48.0%) delivered a live child. Of the 55 who had a live birth at the first pregnancy, 54 (98.2%) used antenatal care (ANC) starting at 15.5 weeks of gestation on average and 47/49 (95.9%) delivered at a health facility. Excluding miscarriages, 54 (98.2%) received ARVs during pregnancy. Of the 49 live births with post-delivery data, 37 (75.5%) tested the infant for HIV. 79 of the 127 (68.7%) spoke with providers about childbearing. Communication with providers was associated with ANC use (65.8% vs. 41.7%; p = .015). Despite the high rate of miscarriages and late ANC start, this study shows very high uptake of PMTCT services among PLHIV in care and their infants. Improved provider-client communication could enhance ANC attendance and PMTCT outcomes among HIV infected women in care.

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