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. 2018 Jul;22(Suppl 1):105-113.
doi: 10.1007/s10461-018-2121-6.

Mother-to-Child Transmission of HIV and HIV-Free Survival in Swaziland: A Community-Based Household Survey

Caspian Chouraya  1 , Rhoderick Machekano  2 , Simangele Mthethwa  3 , Krysia Lindan  4 , Munamato Mirira  5 , Kwashie Kudiabor  6 , Michelle M Gill  2 , Gugu Maphalala  7 , Godfrey Woelk  2 , Laura Guay  2   8
Affiliations

Mother-to-Child Transmission of HIV and HIV-Free Survival in Swaziland: A Community-Based Household Survey

Caspian Chouraya et al. AIDS Behav. 2018 Jul.

Abstract

In Swaziland, no data are available on the rates of HIV infection and HIV-free survival among children at the end of the breastfeeding period. We performed a national crosssectional community survey of children born 18-24 months prior to the study, in randomly selected constituencies in all 4 administrative regions of Swaziland, from April to June 2015. Mother-to-child transmission (MTCT) of HIV and HIV-free survival rates were calculated for all HIV-exposed children. The overall HIV-free survival rate at 18-24 months was 95.9% (95% CI 94.1-97.2). The estimated proportion of HIV infected children among known HIV-exposed children was 3.6% (95% CI 2.4-5.2). Older maternal age, delivering at a health facility, and receiving antenatal antiretroviral drugs were independently associated with reduced risk for child infection or death. The Swaziland program for prevention of MTCT achieved high HIV-free survival (95.9%) and low MTCT (3.6%) rates at 18-24 months of age when Option A (infant prophylaxis) of the WHO 2010 guidelines was implemented.

Keywords: HIV-free survival; Mother-to-child transmission (MTCT) of HIV; Prevention of mother-to-child transmission (PMTCT) of HIV.

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Conflict of interest statement

Competing interests

The authors declare that they have no competing interests.

Figures

Figure 1
Figure 1
Flow chart of study participants.
See this image and copyright information in PMC

References

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