The need for further integration of services to prevent mother-to-child transmission of HIV and syphilis in Mwanza City, Tanzania.

Balira, Rebecca; Mabey, David; Weiss, Helen; Ross, David Anthony; Changalucha, John; Watson-Jones, Deborah; (2015) The need for further integration of services to prevent mother-to-child transmission of HIV and syphilis in Mwanza City, Tanzania. International journal of gynaecology and obstetrics, 130 Su (S1). S51-S57. ISSN 0020-7292 DOI: https://doi.org/10.1016/j.ijgo.2015.04.016

Abstract

OBJECTIVE: To assess the operational integration of maternal HIV testing and syphilis screening in Mwanza, Tanzania. METHODS: Interviews were conducted with 76 health workers (HW) from three antenatal clinics (ANC) and three maternity wards in 2008-2009 and 1137 consecutive women admitted for delivery. Nine ANC health education sessions and client flow observations were observed. RESULTS: Only 25.0% of HWs reported they had received training in both prevention of mother-to-child transmission (PMTCT) and syphilis screening. HIV and syphilis tests were sometimes performed in different rooms and results recorded in separate registers with different formats and the results were not always given by the same person. At delivery, most women had been tested for both HIV (79.4%) and syphilis (88.1%) during pregnancy. Of those not tested antenatally for each infection, 70.1% were tested for HIV at delivery but none for syphilis. CONCLUSION: Integration of maternal HIV and syphilis screening was limited. Integrated care guidelines and related health worker training should address this gap.

Additional Information

Item Type	Article
Faculty and Department	Faculty of Infectious and Tropical Diseases > Dept of Clinical Research Faculty of Epidemiology and Population Health > Dept of Infectious Disease Epidemiology
Research Centre	Centre for Maternal, Reproductive and Child Health (MARCH) Tropical Epidemiology Group
PubMed ID	25963906