Surveillance of HIV and syphilis infections among antenatal clinic attendees in Tanzania-2003/2004
2006

HIV and Syphilis Infections in Tanzanian Antenatal Clinics

Sample size: 17813 publication Evidence: high

Author Information

Author(s): Swai Roland O, Somi G Geofrey R, Matee Mecky I, Killewo Japhet, Lyamuya Eligius F, Kwesigabo Gideon, Tulli Tuhuma, Kabalimu Titus K, Ng'ang'a Lucy, Isingo Raphael, Ndayongeje Joel

Primary Institution: National AIDS Control Programme, Dar es Salaam, Tanzania

Hypothesis

What is the prevalence of HIV and syphilis infections among women attending antenatal clinics in Tanzania?

Conclusion

The high HIV prevalence among antenatal clinic attendees in Tanzania highlights the need for improved voluntary counseling and testing services and access to antiretroviral drugs.

Supporting Evidence

  • 8.7% of women tested positive for HIV, with the highest prevalence in women aged 25-34 years.
  • 7.3% of women tested positive for syphilis, with the highest prevalence in women aged 35-49 years.
  • HIV prevalence increased with education level, from 5.2% among uneducated women to 9.3% among those with primary education.
  • Co-infection of HIV and syphilis was observed in 0.7% of the participants.

Takeaway

This study found that many pregnant women in Tanzania have HIV and syphilis, so it's important to help them get tested and treated.

Methodology

A sero-survey was conducted among pregnant women attending selected ANC clinics in Tanzania, with blood samples collected for HIV and syphilis testing.

Potential Biases

There may be risks of bias due to the reliance on self-reported data and the potential for untrained personnel conducting tests.

Limitations

The study may have limitations due to the use of rapid tests without confirmatory testing for syphilis and potential biases in sample collection.

Participant Demographics

Participants were women attending antenatal clinics, primarily aged 25-34 years, with variations in education levels.

Statistical Information

P-Value

p<0.001

Confidence Interval

95% CI = 8.3–9.1 for HIV; 95% CI = 6.9–7.7 for syphilis

Statistical Significance

p<0.001

Digital Object Identifier (DOI)

10.1186/1471-2458-6-91

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