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
. 2020 Sep 7;13(1):423.
doi: 10.1186/s13104-020-05266-0.

Factors associated with HIV and syphilis screenings among pregnant women at first antenatal visit in Lusaka, Zambia

Rindcy Davis  1   2 , Xu Xiong  3 , Fernando Althabe  4 , John Lefante  5 , Maria Luisa Cafferata  4 , Musaku Mwenechanya  6 , Friday Habulembe Mwanakalanga  6 , Elwyn Chomba  6 , Pierre Buekens  3
Affiliations

Factors associated with HIV and syphilis screenings among pregnant women at first antenatal visit in Lusaka, Zambia

Rindcy Davis et al. BMC Res Notes. .

Abstract

Objectives: To identify characteristics associated with obtaining HIV and syphilis screenings of pregnant women attending a first antenatal visit in Lusaka, Zambia.

Results: Among 18,231 participants from April 2015 to January 2016, 95% obtained HIV screening, 29% obtained syphilis screening, and 4% did not obtain antenatal HIV or syphilis screenings. Divorced/separated women were associated with a moderate decrease in prevalence of obtaining HIV (adjusted prevalence ratio (aPR) 0.88, 95% confidence interval (95% CI) 0.82, 0.95) and syphilis (aPR 0.51, 95% CI 0.27, 0.96) screenings compared to married women. Women with previous pregnancies were associated with a slight decrease in prevalence of obtaining HIV screening (aPR 0.97, 95% CI 0.95, 0.99) compared to women without previous pregnancy. Older women ≥ 35 years were associated with a slight decrease in prevalence of obtaining HIV screening (aPR 0.96, 95% CI 0.92, 0.99) compared to younger women. The statistically significant differences were not of clinical relevance as defined by a proportional difference of 10 percent. Findings of this study show that a vast majority of pregnant women are obtaining HIV screenings but not syphilis screenings during first antenatal visit. Provision of antenatal HIV and syphilis screening at first visit is only weakly related to patient level factors.

Keywords: Africa South of the Sahara; Antenatal screenings; HIV; Mother-to-child transmission; Syphilis; Zambia.

PubMed Disclaimer

Conflict of interest statement

The authors declare that they have no competing interests.

Similar articles

See all similar articles

Cited by

References

    1. Consolidated Guidelines on the Use of Antiretroviral Drugs for Treating and Preventing HIV Infection : Recommendations for a Public Health Approach. WHO. Geneva: World Health Organization; 2016. https://www.who.int/hiv/pub/guidelines/arv2013/en/. Accessed 24 Jan 2019. - PubMed
    1. Newman Owiredu M, Newman L, Nzomo T, Conombo Kafando G, Sanni S, Shaffer N, et al. Elimination of mother-to-child transmission of HIV and syphilis: a dual approach in the African Region to improve quality of antenatal care and integrated disease control. Int J Gynecol Obstet. 2015;130(2015):S27–S31. - PubMed
    1. WHO | Prevention of mother-to-child transmission (PMTCT). WHO. 2018. http://www.who.int/gho/hiv/epidemic_response/PMTCT_text/en/. Accessed 27 Mar 2018.
    1. Syphilis. 2015 Sexually Transmitted Diseases Treatment Guidelines. U.S. Department of Health & Human Services; 2015. https://www.cdc.gov/std/tg2015/syphilis.htm. Accessed 10 Aug 2020.
    1. Gomez GB, Kamb ML, Newman LM, Mark J, Broutet N, Hawkes SJ. Systematic reviews untreated maternal syphilis and adverse outcomes of pregnancy: a systematic review and meta-analysis. Bull World Heal Organ. 2013;9112(10):217–226. - PMC - PubMed