Mother to Child Transmission of HIV and Associated Factors Among HIV Exposed Infants at Public Health Facilities, Dessie Town, Ethiopia

Yibeltal Asmamaw Yitayew,1 Daniel Mengistu Bekele,2 Birhanu Wondimeneh Demissie,3 Zeleke Argaw Menji2 1Department of Nursing, College of Medicine and Health Sciences, Wollo University, Dessie, Ethiopia; 2School of Nursing and Midwifery, College of Health Science, Addis Ababa University, Addis Ababa,...

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Autores principales:	Yitayew YA, Bekele DM, Demissie BW, Menji ZA
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2019
Materias:	hiv mtct hiv exposed infants risk factors ethiopia Immunologic diseases. Allergy RC581-607
Acceso en línea:	https://doaj.org/article/12b2e4efda2b4b72845588a2a0f792ac
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spelling	oai:doaj.org-article:12b2e4efda2b4b72845588a2a0f792ac2021-12-02T04:45:54ZMother to Child Transmission of HIV and Associated Factors Among HIV Exposed Infants at Public Health Facilities, Dessie Town, Ethiopia1179-1373https://doaj.org/article/12b2e4efda2b4b72845588a2a0f792ac2019-12-01T00:00:00Zhttps://www.dovepress.com/mother-to-child-transmission-of-hiv-and-associated-factors-among-hiv-e-peer-reviewed-article-HIVhttps://doaj.org/toc/1179-1373Yibeltal Asmamaw Yitayew,1 Daniel Mengistu Bekele,2 Birhanu Wondimeneh Demissie,3 Zeleke Argaw Menji2 1Department of Nursing, College of Medicine and Health Sciences, Wollo University, Dessie, Ethiopia; 2School of Nursing and Midwifery, College of Health Science, Addis Ababa University, Addis Ababa, Ethiopia; 3Department of Nursing, College of Medicine and Health Sciences, Wolaita Sodo University, Sodo, EthiopiaCorrespondence: Birhanu Wondimeneh DemissieDepartment of Nursing, College of Medicine and Health Sciences, Wolaita Sodo University, Sodo, EthiopiaEmail birhanuwondimeneh@gmail.comBackground: Vertical transmission of Human Immunodeficiency Virus (HIV) is the primary route of infection among children. Ethiopia is among the top ten countries in the world with the highest burden of HIV infections among children. Therefore we aimed to assess mother to child transmission (MTCT) of HIV and associated factors among HIV exposed infants (HEIs).Methods: A cross-sectional study was conducted using retrospective data collected from HEIs paired with their mothers who had received the services in prevention of mother to child transmission (PMTCT) programs from January 2014 to December 2017 in public health facilities in Dessie town. Data of a total of 313 HEIs paired with their mothers were obtained by using semi-structured data extraction proforma from their medical records. The data were processed in Epi-info version 7.1.2.0 and analyzed using SPSS version 22. Crude and adjusted odds ratios with their 95% confidence intervals and p-value were used to identify significant factors.Results: The prevalence of HIV among exposed infants was 3.8%. Absence of maternal antenatal care visit (AOR = 4.6, 95% CI: 1.17–17.99), home delivery (AOR = 4.2, 95% CI: 1.04 −16.76), absence of antiretroviral intervention to the mother (AOR= 5.7, 95% CI: 1.10–29.36), and failure to initiate nevirapine prophylaxis for the infant (AOR = 5.3, 95% CI: 1.11 −25.44) were significant factors of MTCT of HIV.Conclusion: Prevalence of MTCT of HIV was low (3.8%) in Dessie town public health facilities. Having ANC visit, delivery at health facility, maternal ARV drug intake, and infant ARV prophylaxis were the significant protective factors against MTCT of HIV. Promoting ANC service utilization among pregnant women and providing counseling as well as setting up linkage with PMTCT and giving ARV intervention to all HIV positive pregnant women and timely initiation of NVP prophylaxis to all HEIs should be recommended by the minister of health and health facilities.Keywords: HIV, MTCT, HIV exposed infants, risk factors, EthiopiaYitayew YABekele DMDemissie BWMenji ZADove Medical Pressarticlehivmtcthiv exposed infantsrisk factorsethiopiaImmunologic diseases. AllergyRC581-607ENHIV/AIDS: Research and Palliative Care, Vol Volume 11, Pp 343-350 (2019)
institution	DOAJ
collection	DOAJ
language	EN
topic	hiv mtct hiv exposed infants risk factors ethiopia Immunologic diseases. Allergy RC581-607
spellingShingle	hiv mtct hiv exposed infants risk factors ethiopia Immunologic diseases. Allergy RC581-607 Yitayew YA Bekele DM Demissie BW Menji ZA Mother to Child Transmission of HIV and Associated Factors Among HIV Exposed Infants at Public Health Facilities, Dessie Town, Ethiopia
description	Yibeltal Asmamaw Yitayew,1 Daniel Mengistu Bekele,2 Birhanu Wondimeneh Demissie,3 Zeleke Argaw Menji2 1Department of Nursing, College of Medicine and Health Sciences, Wollo University, Dessie, Ethiopia; 2School of Nursing and Midwifery, College of Health Science, Addis Ababa University, Addis Ababa, Ethiopia; 3Department of Nursing, College of Medicine and Health Sciences, Wolaita Sodo University, Sodo, EthiopiaCorrespondence: Birhanu Wondimeneh DemissieDepartment of Nursing, College of Medicine and Health Sciences, Wolaita Sodo University, Sodo, EthiopiaEmail birhanuwondimeneh@gmail.comBackground: Vertical transmission of Human Immunodeficiency Virus (HIV) is the primary route of infection among children. Ethiopia is among the top ten countries in the world with the highest burden of HIV infections among children. Therefore we aimed to assess mother to child transmission (MTCT) of HIV and associated factors among HIV exposed infants (HEIs).Methods: A cross-sectional study was conducted using retrospective data collected from HEIs paired with their mothers who had received the services in prevention of mother to child transmission (PMTCT) programs from January 2014 to December 2017 in public health facilities in Dessie town. Data of a total of 313 HEIs paired with their mothers were obtained by using semi-structured data extraction proforma from their medical records. The data were processed in Epi-info version 7.1.2.0 and analyzed using SPSS version 22. Crude and adjusted odds ratios with their 95% confidence intervals and p-value were used to identify significant factors.Results: The prevalence of HIV among exposed infants was 3.8%. Absence of maternal antenatal care visit (AOR = 4.6, 95% CI: 1.17–17.99), home delivery (AOR = 4.2, 95% CI: 1.04 −16.76), absence of antiretroviral intervention to the mother (AOR= 5.7, 95% CI: 1.10–29.36), and failure to initiate nevirapine prophylaxis for the infant (AOR = 5.3, 95% CI: 1.11 −25.44) were significant factors of MTCT of HIV.Conclusion: Prevalence of MTCT of HIV was low (3.8%) in Dessie town public health facilities. Having ANC visit, delivery at health facility, maternal ARV drug intake, and infant ARV prophylaxis were the significant protective factors against MTCT of HIV. Promoting ANC service utilization among pregnant women and providing counseling as well as setting up linkage with PMTCT and giving ARV intervention to all HIV positive pregnant women and timely initiation of NVP prophylaxis to all HEIs should be recommended by the minister of health and health facilities.Keywords: HIV, MTCT, HIV exposed infants, risk factors, Ethiopia
format	article
author	Yitayew YA Bekele DM Demissie BW Menji ZA
author_facet	Yitayew YA Bekele DM Demissie BW Menji ZA
author_sort	Yitayew YA
title	Mother to Child Transmission of HIV and Associated Factors Among HIV Exposed Infants at Public Health Facilities, Dessie Town, Ethiopia
title_short	Mother to Child Transmission of HIV and Associated Factors Among HIV Exposed Infants at Public Health Facilities, Dessie Town, Ethiopia
title_full	Mother to Child Transmission of HIV and Associated Factors Among HIV Exposed Infants at Public Health Facilities, Dessie Town, Ethiopia
title_fullStr	Mother to Child Transmission of HIV and Associated Factors Among HIV Exposed Infants at Public Health Facilities, Dessie Town, Ethiopia
title_full_unstemmed	Mother to Child Transmission of HIV and Associated Factors Among HIV Exposed Infants at Public Health Facilities, Dessie Town, Ethiopia
title_sort	mother to child transmission of hiv and associated factors among hiv exposed infants at public health facilities, dessie town, ethiopia
publisher	Dove Medical Press
publishDate	2019
url	https://doaj.org/article/12b2e4efda2b4b72845588a2a0f792ac
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Mother to Child Transmission of HIV and Associated Factors Among HIV Exposed Infants at Public Health Facilities, Dessie Town, Ethiopia

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