Uptake of HIV and syphilis testing by pregnant women and their male partners in a programme for Prevention of Mother-to-Child HIV transmission in Uganda

Publication Date: 
Sunday, May 11, 2008
Kizito D, Woodburn PW, Kesande B, Ameke C, Nabulime J, Muwanga M, Grosskurth H, Elliott AM

OBJECTIVE:
To describe uptake of HIV and syphilis testing in a prevention of mother-to-child HIV transmission programme in Uganda.

METHODS:
Analysis of data from routine HIV and syphilis testing at Entebbe Hospital antenatal services.

RESULTS:
A total of 20,738 women attended antenatal services. Exactly 62.8% of women, but only 1.8% of their male partners, accepted testing for HIV; 82.2% of women, but only 1.1% of their male partners accepted syphilis testing. Partners of women with positive HIV results were more likely to come for subsequent testing. Of 200 couples whose partners accepted HIV-testing within 30 days of one another, 19 (9.5%) were HIV-discordant, representing 65.5% of couples with at least one partner HIV-positive. HIV prevalence was 12.6% for women and 10.8% for men; syphilis prevalence was 4.0% for women and 6.2% for men.

CONCLUSION:
Uptake of HIV and syphilis testing was fairly good among pregnant women attending antenatal clinics at Entebbe Hospital, but very low among their male partners. The level of HIV-discordant couples was high. These clinics should be made more couples-friendly to identify both HIV-positive men for treatment and discordant couples for HIV prevention.

Publisher: 
Tropical Medicine & International Health
MRC/UVRI Authors: