Title |
Mother-to-Child Transmission of HIV and HIV-Free Survival in Swaziland: A Community-Based Household Survey
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Published in |
AIDS and Behavior, April 2018
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DOI | 10.1007/s10461-018-2121-6 |
Pubmed ID | |
Authors |
Caspian Chouraya, Rhoderick Machekano, Simangele Mthethwa, Krysia Lindan, Munamato Mirira, Kwashie Kudiabor, Michelle M. Gill, Gugu Maphalala, Godfrey Woelk, Laura Guay |
Abstract |
In Swaziland, no data are available on the rates of HIV infection and HIV-free survival among children at the end of the breastfeeding period. We performed a national crosssectional community survey of children born 18-24 months prior to the study, in randomly selected constituencies in all 4 administrative regions of Swaziland, from April to June 2015. Mother-to-child transmission (MTCT) of HIV and HIV-free survival rates were calculated for all HIV-exposed children. The overall HIV-free survival rate at 18-24 months was 95.9% (95% CI 94.1-97.2). The estimated proportion of HIV infected children among known HIV-exposed children was 3.6% (95% CI 2.4-5.2). Older maternal age, delivering at a health facility, and receiving antenatal antiretroviral drugs were independently associated with reduced risk for child infection or death. The Swaziland program for prevention of MTCT achieved high HIV-free survival (95.9%) and low MTCT (3.6%) rates at 18-24 months of age when Option A (infant prophylaxis) of the WHO 2010 guidelines was implemented. |
X Demographics
Geographical breakdown
Country | Count | As % |
---|---|---|
United States | 1 | 100% |
Demographic breakdown
Type | Count | As % |
---|---|---|
Members of the public | 1 | 100% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
Unknown | 90 | 100% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Student > Master | 15 | 17% |
Researcher | 11 | 12% |
Student > Bachelor | 9 | 10% |
Unspecified | 7 | 8% |
Student > Postgraduate | 5 | 6% |
Other | 16 | 18% |
Unknown | 27 | 30% |
Readers by discipline | Count | As % |
---|---|---|
Medicine and Dentistry | 19 | 21% |
Nursing and Health Professions | 13 | 14% |
Unspecified | 7 | 8% |
Social Sciences | 4 | 4% |
Immunology and Microbiology | 3 | 3% |
Other | 15 | 17% |
Unknown | 29 | 32% |