Premium
The need for further integration of services to prevent mother‐to‐child transmission of HIV and syphilis in Mwanza City, Tanzania
Author(s) -
Balira Rebecca,
Mabey David,
Weiss Helen,
Ross David Anthony,
Changalucha John,
WatsonJones Deborah
Publication year - 2015
Publication title -
international journal of gynecology and obstetrics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.895
H-Index - 97
eISSN - 1879-3479
pISSN - 0020-7292
DOI - 10.1016/j.ijgo.2015.04.016
Subject(s) - syphilis , medicine , tanzania , transmission (telecommunications) , human immunodeficiency virus (hiv) , pregnancy , family medicine , pediatrics , obstetrics , environmental science , environmental planning , biology , electrical engineering , genetics , engineering
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.