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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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More needs to be done to increase testing and disclosure within relationships, say the authors. Otherwise, the low level of partner HIV status revealed by the study could mean that the use of antiretroviral therapy ART as prevention and pre-exposure prophylaxis PrEP are likely to have little impact in South Africa. A serodiscordant couple is one in which one partner has HIV and the other has not.
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 ]. Though CVCT is an effective prevention service, it has not yet been widely implemented. Initially, RZHRG promotions relied on influential network agents INAs to distribute invitations for CVCT and provide information about the service within the communities; after a period of pilot testing of this promotional system, these INAs suggested that they would benefit from the support of even more influential members of the community [ 17 ].
INAs interacted directly with couples in the community by giving information and written invitations for couples to seek CVCT. The information from this study aimed to determine the most effective methods of disseminating information about CVCT in the community to increase the number of couples seeking joint HIV counseling and testing. Weekly follow-up meetings were held to discuss challenges INAs encountered during their work.
Questionnaires assessing INA and INL relationships were developed collaboratively by the first author, the project directors at Emory and at each field site, and in-country staff.
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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.
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Palliative Care and the Beginning of HIV/AIDS Counselling. ( to ) general hospitals in two sites, Lusaka and Ndola, in Expansion to the to navigate issues of disclosure, dating, marriage, sexual relations and reproduction.
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Source: Adapted from IPPF, UNFPA, WHO () SRH and HIV Linkages. Compendium: Indicators and preventing dating violence sites/default/files/_human_development_ f. 4b.
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