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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
general
HIV burden and the global fast-track targets progress among pregnant women in Tanzania calls for intensified case finding: Analysis of 2020 antenatal clinics HIV sentinel site surveillance
PLoS ONE, Volume 18, No. 10 October, Article e0285962, Year 2023
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Description
Background For successful HIV response, updated information on the burden and progress toward HIV elimination targets are required to guide programmatic interventions. We used data from the 2020 HIV sentinel surveillance to update on the burden and factors associated with HIV infection, HIV status awareness, and ART coverage among pregnant women in Tanzania mainland. Methodology We conducted the surveillance in 159 antenatal clinics (ANC) from all 26 regions of Tanzania's mainland from September to December 2020. This cross-sectional study included all pregnant women (≥15 years) on their first ANC visit in the current pregnancy during the survey period. Routine HIV counselling and testing were done at the facility. A multivariable logistic regression model accounting for the survey design was used to examine factors associated with HIV infections. Results 38,783 pregnant women were enrolled (median age (IQR) = 25 (21-30) years). HIV prevalence was 5.9% (95%CI: 5.3% - 6.6%), ranging from 1.9% in the Manyara region to 16.4% in the Njombe region. Older age, lower and no education, not being in a marital union, and living in urban or semi-urban areas were associated with higher odds of HIV infection. HIV status awareness among women who tested positive was 70.9% (95% CI: 67.5%- 74.0%). ART coverage among those aware of their status was 91.6% (86.5%- 94.9%). Overall, 66.6% (95% CI: 62.4%- 70.6%) of all pregnant women who tested positive for HIV knew their HIV status and were on ART. Conclusion HIV is increasingly prevalent among pregnant women in Tanzania mainland especially among older, those with lower or no formal education, those outside marital union, and pregnant women living in urban and semi-urban areas. Behind the global fast-target to end HIV/ AIDS, about a third of pregnant women living with HIV initiating ANC were not on ART. Interventions to increase HIV testing and linkage to care among women of reproductive age should be intensified. © 2023 This is an open access article, free of all copyright, and may be freely reproduced, distributed, transmitted, modified, built upon, or otherwise used by anyone for any lawful purpose. The work is made available under the Creative Commons CC0 public domain dedication.
Authors & Co-Authors
Mboya, Erick Alexander
Tanzania, Dar es Salaam
Muhimbili University of Health and Allied Sciences
Mizinduko, Mucho Michael
Tanzania, Dar es Salaam
Muhimbili University of Health and Allied Sciences
Balandya, Belinda Stella
Tanzania, Dar es Salaam
Muhimbili University of Health and Allied Sciences
Mushi, Jeremiah
Tanzania, Dar es Salaam
Ministry of Health and Social Welfare Dar es Salaam
Sabasaba, Amon Nkwabi
Tanzania, Dar es Salaam
Muhimbili University of Health and Allied Sciences
Amani, Davis Elias
Tanzania, Dar es Salaam
Muhimbili University of Health and Allied Sciences
Kamori, Doreen
Tanzania, Dar es Salaam
Muhimbili University of Health and Allied Sciences
Ruhago, George Mugambage
Tanzania, Dar es Salaam
Muhimbili University of Health and Allied Sciences
Faustine, Prosper
Tanzania, Dar es Salaam
Ministry of Health and Social Welfare Dar es Salaam
Maokola, Werner M.
Tanzania, Dar es Salaam
Ministry of Health and Social Welfare Dar es Salaam
Sambu, Veryeh
Tanzania, Dar es Salaam
Ministry of Health and Social Welfare Dar es Salaam
Nyamuhagata, Mukome
Tanzania, Dar es Salaam
Ministry of Health and Social Welfare Dar es Salaam
Jullu, Boniphace S.
Tanzania, Morogoro
St. Francis University
Juya, Amir
Tanzania, Dar es Salaam
Tanzania Field Epidemiology and Laboratory Training Program
Rugemalila, Joan
Tanzania, Dar es Salaam
Muhimbili National Hospital
Mgomella, George S.
Tanzania, Dar es Salaam
Centre for Diseases Control
Asiimwe, Sarah
Tanzania
Tanzania Country Team
Pembe, Andrea Barnabas
Tanzania, Dar es Salaam
Muhimbili University of Health and Allied Sciences
Sunguya, Bruno Fokas
Tanzania, Dar es Salaam
Muhimbili University of Health and Allied Sciences
Statistics
Authors: 19
Affiliations: 7
Identifiers
Doi:
10.1371/journal.pone.0285962
ISSN:
19326203
Research Areas
Health System And Policy
Infectious Diseases
Maternal And Child Health
Sexual And Reproductive Health
Study Design
Cross Sectional Study
Study Approach
Quantitative
Study Locations
Tanzania
Participants Gender
Female