DOI: http://dx.doi.org/10.18203/2320-1770.ijrcog20172897

Prevalence and associated factors of HIV infection among pregnant women attending antenatal care at the Yaoundé central hospital

Jeanne Hortence Fouedjio, Florent Ymele Fouelifack, Loic Dongmo Fouelifa, Robinson Enow Mbu

Abstract


Background: HIV infection affects millions of people worldwide, especially in sub-Saharan Africa. Transmission occurs by several means including the transmission from mother to child. The objective of this study was to determine the prevalence and factors associated with HIV infection in women attending antenatal care at the Yaoundé Central Hospital.

Methods: We conducted an analytical cross-sectional study at the Obstetrics and Gynecologic Unit of the Yaoundé Central Hospital from 6th October 2015 to 30th June 2016. The sampling was consecutive. We included 360 pregnant women. Testing was done by a sensitive test and a specific test if the first was positive. Data analysis was done through Excel 2007 software EpiData Analysis Version 3.2 and STATA version 12.0 (Texas USA 2001). Statistical significance was accepted for a value of P <0.05.

Results: The average age of our population was 27.99±5.63 years, ranging from 15 and 47 years. HIV prevalence in this population was 13.1% (47/360). Factors associated with HIV were the primary level of study (OR=7.97; 95% CI=2.23 to 28.49, P=0.001) and multiple sexual partners (OR=4.82; CI 95%=2.24 to 10.38, P=0.002).

Conclusions: HIV prevalence in pregnant women at the Maternity of HCY is 13.1%. The low level of education and multiple sexual partners were significantly associated with HIV infection. We suggest the education of the girls who is a key factor in the empowerment of women.


Keywords


Antenatal care, HIV, Prevalence, Pregnancy, Yaoundé

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References


UNAIDS. The gap report; 2014. available from http://www.unaids.org/en/ressources/documents/2014/20140716 unaids gap report.

Demographic and Health Survey of Cameroon (EDS-MICS). HIV prevalence in Cameroon: results; 2011.

Ngemu E, Khayeka C, Kweka E, Choge J, Anino E, Oyoo E. Effectiveness of option B highly active antiretroviral therapy (HAART) prevention of mother-to-child transmission (PMTCT) in pregnant HIV women. BMC Res Notes. 2014;7:52.

Billong S, Fokam J, Billong E, Tsague G, Marie-Josée E, Fodjo R, et al.

Epidemiological distribution of HIV infection among pregnant women in the ten regions of Cameroon and strategic implications for prevention programs. Pan Afr Med J. 2015;23:3-9.

Kabinda JM, Akilimali TS, Miyanga AS, Donnen P, Michèle D-W. Hepatitis B, Hepatitis C and HIV in pregnant women in the community in the Democratic Republic of Congo. World J AIDS. 2015;5(02):124.

Zenebe Y, Mulu W, Yimer M. and Abera B. Sero-prevalence and risk factors of hepatitis b virus and human immunodeficiency virus infection among pregnant women in Bahir Dar city, Northwest Ethiopia: a cross sectional study. BMC Infect Dis. 2014;14:118.

Fouedjio J, Mbu R E, Fouelifack Y F, Kamga T, Wandji Nana J. Caesarean section in HIV-Infected Women: Materno-Fetal Prognosis at the Maternity Hospital of Yaounde Central Hospital. Health Sci Dis. 2014;15(3):1-7.

Kasenga F, Byass P, Emmelin M, and Hurtig AK. The implications of policy changes on the uptake of a PMTCT programme in rural Malawi: first three years of experience. Glob Healt Act. 2009;2:1-7.

Okerentugba PO, Uchendu SC, Okonko IO. Prevalence of HIV among pregnant women in Rumubiakani, Port Harcourt, Nigeria. Pub Health Res. 2015;5(2):58-65.

Manyahi J, Boniphace S, Jullu, Mathias I, Abuya, Juma J. Prevalence of HIV and syphilis infections among pregnant women attending antenatal clinics in Tanzania. BMC Public Health. 2015;15:501.

Ministry of Public Health and Population, Haitian Institute of Childhood. Sentinel serosurveillance study on the prevalence of HIV, Syphilis, hepatitis B and hepatitis C among pregnant women in Haiti 2006/2007, GHESKIO Centers; Centers for Disease Control and Prevention, Port-au-Prince, Haiti, July; 2007.

Adama G. Prevalence of HIV infection among pregnant women at the Fousseynidaou hospital in Kayes [Thesis]. Medicine: Kayes; 2008:55.

Bankole HO, Omoregie R, Oladeinde BO. Prevalence of HIV, HBV and HCV infections among pregnant women receiving antenatal care in traditional birth home in Benin city, Nigeria. Saudi J Health Sci. 2013;2(2):113-7.