HIV testing during pregnancy: use of secondary data to estimate 2006 test coverage and orevalence in Brazil
Braz. j. infect. dis
;
12(3): 167-172, June 2008. graf, tab
Article
in English
| LILACS
| ID: lil-493642
ABSTRACT
This paper describes a methodological proposal based on secondary data and the main results of the HIV-Sentinel Study among childbearing women, carried out in Brazil during 2006. A probabilistic sample of childbearing women was selected in two stages. In the first stage, 150 health establishments were selected, stratified by municipality size (<50,000; 50,000-399,999; 400,000+). In the second stage, 100-120 women were selected systematically. Data collection was based on HIV-test results registered in pre-natal cards and in hospital records. The analysis focused on coverage of HIV-testing during pregnancy and HIV prevalence rate. Logistic regression models were used to test inequalities in HIV-testing coverage during pregnancy by macro-region of residence, municipality size, race, educational level and age group. The study included 16,158 women. Results were consistent with previous studies based on primary data collection. Among the women receiving pre-natal care with HIV-test results registered in their pre-natal cards, HIV prevalence was 0.41 percent. Coverage of HIV-testing during pregnancy was 62.3 percent in the country as a whole, but ranged from 40.6 percent in the Northeast to 85.8 percent in the South. Significant differences according to race, educational level and municipality size were also found. The proposed methodology is low-cost, easy to apply, and permits identification of problems in routine service provision, in addition to monitoring compliance with Ministry of Health recommendations for pre-natal care.
Full text:
Available
Index:
LILACS (Americas)
Main subject:
Pregnancy Complications, Infectious
/
Prenatal Diagnosis
/
HIV Infections
/
Sentinel Surveillance
Type of study:
Controlled clinical trial
/
Diagnostic study
/
Prevalence study
/
Prognostic study
/
Risk factors
Limits:
Adult
/
Female
/
Humans
/
Pregnancy
Country/Region as subject:
South America
/
Brazil
Language:
English
Journal:
Braz. j. infect. dis
Journal subject:
Communicable Diseases
Year:
2008
Type:
Article
Affiliation country:
Brazil
Institution/Affiliation country:
Federal University of Paraná/BR
/
Maternal-Child Institute of Pernambuco/BR
/
Oswaldo Cruz Foundation/BR
/
State Health Secretary of São Paulo/BR
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