An analysis of the uptake of anti-retroviral treatment among pregnant women in Nigeria from 2015 to 2020.

Autor:	Ikpeazu AE; National AIDS and STI Control Programme, Federal Ministry of Health, Abuja, Nigeria., Anya SE; UNAIDS Country Office, Abuja, Nigeria., Amenyah RN; UNAIDS Country Office, Abuja, Nigeria., Ijaodola OA; National AIDS and STI Control Programme, Federal Ministry of Health, Abuja, Nigeria., Bashorun AT; National AIDS and STI Control Programme, Federal Ministry of Health, Abuja, Nigeria., Ndukwe CD; National Agency for the Control of AIDS, Abuja, Nigeria., Davies A; United Nations Children's Fund Country Office, Abuja, Nigeria., Mobolaji-Bello M; National AIDS and STI Control Programme, Federal Ministry of Health, Abuja, Nigeria., Ukanwa C; National AIDS and STI Control Programme, Federal Ministry of Health, Abuja, Nigeria., Anosike AO; UNAIDS Country Office, Abuja, Nigeria., Daniel U; National Agency for the Control of AIDS, Abuja, Nigeria., Ogbang DA; UNAIDS Country Office, Abuja, Nigeria., Takpa KV; UNAIDS Country Office, Abuja, Nigeria., Ojo OA; World Health Organization Country Office, Abuja, Nigeria., Ogorry O; The President's Emergency Plan for AIDS Relief Coordination Office, Abuja, Nigeria., Akpu M; The President's Emergency Plan for AIDS Relief Coordination Office, Abuja, Nigeria., Ashefor G; National Agency for the Control of AIDS, Abuja, Nigeria., Ogundipe A; National Agency for the Control of AIDS, Abuja, Nigeria., Aliyu GG; National Agency for the Control of AIDS, Abuja, Nigeria., Morah E; UNAIDS Country Office, Abuja, Nigeria.
Jazyk:	angličtina
Zdroj:	PLOS global public health [PLOS Glob Public Health] 2023 Apr 04; Vol. 3 (4), pp. e0001749. Date of Electronic Publication: 2023 Apr 04 (Print Publication: 2023).
DOI:	10.1371/journal.pgph.0001749
Abstrakt:	The percentage of Human Immunodeficiency Virus (HIV) positive pregnant women that receive anti-retroviral treatment in Nigeria is low and has been declining. Consequently, 14% of all new infections among children in 2020 occurred in Nigeria. A detailed analysis of available data was undertaken to generate evidence to inform remedial actions. Data from routine service delivery, national surveys and models were analyzed for the six-year period from 2015 to 2020. Numbers and percentages were calculated for antenatal registrations, HIV testing, HIV positive pregnant women and HIV positive pregnant women on antiretroviral treatment. The Mann-Kendall Trend Test was used to determine the presence of time trends when the p-value was less than 0.05. In 2020, only 35% of an estimated 7.8 million pregnant women received antenatal care at a health facility that provided and reported PMTCT services. Within these facilities, the percentage of HIV-positive pregnant women on anti-retroviral treatment from 71% in 2015 to 88% in 2020. However, declining HIV positivity rates at these antenatal clinics and an absence of expansion of PMTCT services to other pregnant women due to cost-efficiency considerations contributed to a progressive decline in national PMTCT coverage rates. To achieve elimination of mother-to-child transmission of HIV, all pregnant women should be offered a HIV test, all who are HIV positive should be given anti-retroviral treatment, and all PMTCT services should be reported. Competing Interests: The authors have declared that no competing interests exist. (Copyright: © 2023 Ikpeazu et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.)
Databáze:	MEDLINE
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