在乌干达农村地区为艾滋病毒感染的男性和女性实施更安全的怀孕计划
Lynn T Matthews1, Moran Owembabazi2, Deogratius Tukwasibwe3
1Division of Infectious Diseases, University of Alabama at Birmingham Heersink School of Medicine, Birmingham, AL, USA.
Global public health
|May 8, 2024
概括
将更安全的怀孕护理整合到乌干达艾滋病毒诊所满足了需求,艾滋病毒感染者 (PWH) 中的病毒抑制率很高. 选择了不同的方法,显示出根据性别和艾滋病毒状况的独特偏好.
科学领域:
- 公共卫生 公共卫生
- 传染性疾病 传染性疾病
- 生殖健康 生殖健康
背景情况:
- 将综合性生殖健康服务整合到现有的艾滋病毒护理环境中,对于改善结果至关重要.
- 更安全的怀孕护理 (SCC) 旨在减少艾滋病毒感染者 (PWH) 和艾滋病毒血清不同夫妇之间的意外怀孕和艾滋病毒传播.
研究的目的:
- 评估将SCC整合到乌干达公共部门艾滋病毒诊所的可行性和结果.
- 评估客户的吸收,方法偏好和健康结果,包括病毒抑制和HIV血清转化.
主要方法:
- 健康家庭诊所计划注册了希望生育孩子的PWH或PWH的合作伙伴.
- 客户每季度接受咨询,并填写有关SCC方法偏好和结果的问卷.
- 临床数据追踪了PWH中的纵向病毒抑制和HIV阴性伴侣中的HIV血清转化.
主要成果:
- 在2016年11月至2020年1月期间,有361名客户 (53%是男性) 获得服务.
- 75%的客户是PWH,其中99%接受抗逆转录病毒疗法 (ART) 和97%的HIV血清不同伙伴关系.
- 经常选择的SCC方法包括ART (86%),无避孕套性行为 (74%) 和PrEP (40%),因性别和艾滋病毒状况而有所不同. 怀孕发生在22.5%的客户.
- 病毒抑制在入学时很高 (97%),在15个月后没有病毒抑制的人群中 (81%) 得到改善. 两个艾滋病毒阴性客户 (2%) 进行了血清转化.
结论:
- 在乌干达公共艾滋病毒诊所内,对更安全的怀孕护理有很大的需求.
- 客户对SCC方法的偏好因性别和艾滋病毒状况而异,突出了对量身定制咨询的需求.
- 结合SCC支持高病毒抑制率,可以有效预防艾滋病毒传播.
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