Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2017 Dec;17(4):963-973.
doi: 10.4314/ahs.v17i4.3.

Prevalence and predictors of unknown HIV status among women delivering in Mulago National Referral Hospital, Kampala, Uganda

Emily C Namara-Lugolobi  1 , Gertrude Nakigozi  2 , Zikulah Namukwaya  1 , Dan K Kaye  3 , Edith Nakku-Joloba  2
Affiliations

Prevalence and predictors of unknown HIV status among women delivering in Mulago National Referral Hospital, Kampala, Uganda

Emily C Namara-Lugolobi et al. Afr Health Sci. 2017 Dec.

Abstract

Introduction: Knowledge of a person's HIV status during pregnancy is critical for prevention of mother to child transmission of HIV.

Objectives: To determine the prevalence and factors associated with unknown HIV status among women delivering in Mulago Hospital.

Methods: This was a cross-sectional study of women that had just delivered. The women's demographic characteristics, health seeking behaviour, health system-related factors and knowledge on PMTCT were collected. Fisher's exact test, Wilcoxon rank sum test and logistic regression were used to test associations.

Results: The prevalence of unknown HIV status was 2.6% (10/382). Attending ANC at higher level facilities (OR =0.1 95% CI 0.0 - 0.4) and having been counselled for HIV testing during ANC (OR=0.1, 95% CI 0.0 - 0.4) were associated with likelihood of having a known HIV status. Out of the ten women with unknown HIV status, 4/6 who attended ANC in public/government accredited health facilities "opted out" of HIV testing due to personal reasons. Among the four who attended ANC in private clinics, two were not offered HIV testing and one "opted out".

Conclusion: Most participants had a known HIV status at labour (97%). Private clinics need to be supported to provide free quality HCT services in ANC.

Keywords: Kampala; Mulago National Referral Hospital; Uganda; Unknown HIV status; women delivering.

PubMed Disclaimer

Similar articles

See all similar articles

Cited by

References

    1. UNAIDS, author. Global Report: UNAIDS Report on the global AIDS Epidemic 2013.
    1. WHO, author. Antiretroviral drugs for treating pregnant women and preventing HIV infection in infants: towards universal access: recommendations for a public health approach. World Health Organization, Department of HIV/AIDS; 2010. - PubMed
    1. Chasela CS, Hudgens MG, Jamieson DJ, et al. Maternal or Infant Antiretroviral Drugs to Reduce HIV-1 Transmission. Obstetric Anesthesia Digest. 2010;31(3):187–188.
    1. Shapiro RL, Hughes MD, Ogwu A, et al. Antiretroviral regimens in pregnancy and breast-feeding in Botswana. New England Journal of Medicine. 2010;362(24):2282–2294. - PMC - PubMed
    1. Namukwaya Z, Mudiope P, Kekitiinwa A, et al. The impact of maternal highly active antiretroviral therapy and short-course combination antiretrovirals for prevention of mother-to-child transmission on early infant infection rates at the Mulago national referral hospital in Kampala, Uganda, January 2007 to May 2009. JAIDS Journal of Acquired Immune Deficiency Syndromes. 2011;56(1):69. - PubMed

MeSH terms

LinkOut - more resources