Metrics details. Many African adults do not know that partners in steady or cohabiting relationships can have different HIV test results. INLs were identified in the faith-based, non-governmental, private, and health sectors. INLs and INAs were interviewed about demographic characteristics, promotional efforts, and working relationships. Influential social networks can successfully promote evidence-based HIV prevention in Africa. Peer Review reports. Sub-Saharan Africa, where an estimated 1. Voluntary HIV counseling and testing VCT programs are an effective and feasible approach for increasing serostatus awareness and decreasing high-risk behavior [ 4 ].
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Obstacles to Accessing HIV/AIDS Treatment in Zambia. and children living with HIV/AIDS and the most HIV treatment sites in Zambia. and HIV/AIDS currently focus on adolescent girls’ attitudes to sex, dating, and HIV.
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Keywords: antiretroviral therapy, fetal growth restriction, HIV, low birthweight, pregnancy outcomes dating based on LMP is known to contain error.
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Antenatal vaginal progesterone VP reduces the risk of preterm birth PTB in women with shortened cervical length, and we hypothesize that it may also prevent PTB in women with HIV as their primary risk factor. We conducted a pilot feasibility study in Lusaka, Zambia to investigate uptake, adherence, and retention in preparation for a future efficacy trial. This was a double-masked, placebo-controlled, randomized trial of mg daily self-administered VP suppository or placebo.
Pregnant women with HIV who were initiating or continuing antiretroviral therapy were eligible for participation.
Of 50, HIV-infected women with antenatal visits between January and September , 4, women met the inclusion criteria. These findings were consistent across several sensitivity analyses. Longer duration of cART was not associated with poor fetal growth among term pregnancies in our cohort. However, the relationship between cART and adverse pregnancy outcomes remains complicated.
Continued work is required to investigate causality. However, cART use during pregnancy could negatively affect fetal growth. Duration of cART during pregnancy is directly related length of gestation, making it difficult to meaningfully assess the association between duration of treatment and PTB. We, therefore, limited our analysis cohort to those infants delivered at term.
We conducted a retrospective cohort analysis of HIV-infected pregnant women attending public antenatal healthcare facilities in Lusaka, Zambia. Duration of cART is directly related to length of gestation; with each week that a woman remains pregnant and on cART, the probability of having a preterm birth diminishes. This could result in a spurious association between duration of treatment and preterm birth, where women on cART longer appear less likely to have a preterm birth.
For this reason, we limited our analysis cohort to those infants delivered at term and focused on an outcome of LBW. In resource-limited settings such as Zambia, where ultrasound is not routinely available, LBW among infants delivered at term can be considered a proxy for IUGR. To minimize confounding, this group was also excluded.
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