Effectiveness evaluation on prevention of mother-to-child transmission of HIV in Henan province, 2002-2014
Wang Qi
Si Heng
Ma Yanmin
Nie Yugang
Fan Panying
Li Ning
Sun Dingyong
Wang Zhe
Abstract：Objective To evaluate the effectiveness of the interventions on preventing mother-to-child transmission of HIV, and explore the influencing factors.Methods The data regarding the pregnant and infants were collected, including demographic characteristics, antiviral therapy, HIV infections of infants between 2002 and 2014 through follow-up.Multivariate logistic regression model was used to explore the influencing factors.Results By the end of the year 2014, 10 208 94 pregnant accepted the service of HIV test, 2 428 cases were infected by HIV, and the positive rate of HIV was 0.024%.The HIV tested positive rate decreased year by year (P=0.027).Among 1 673 infants reported from 2002 to 2014, 1 515 infants survived for more than month one and a half years, 101 infants were dead, and 57 were lost of follow up.64 infants were tested HIV-postitive, and 1 451 infants were tested HIV-negative.The MTCT rate was 4.22%, the corrective MTCT rate was 6.25%.Drug blockade rates of puerperae and infants were 76.96% and 92.5% respectively.The detection rate of HIV in early pregnancy was 70.5%.Accepting the services in early pregnancy (OR=0.23, 95% CI: 0.07-0.72), standardized antiviral therapy (OR=0.46, 95% CI:0.23-0.95), artificial feeding (OR=0.09, 95% CI: 0.02-0.35) may be the main protective factors, and episiotomies on delivery (OR=3.52, 95% CI: 1.49-8.27) may be the risk factors.Conclusion The HIV transmission of mother to child and mortality is higher.It is necessary to increase quality of services to the HIV pregnant and infants.
Keywords：AIDSmother to child transmissioninfantinfluence factors
Publication Date：2017-01-01
Online Publishing Date：2026-09-12(First online date of this platform, not the publication date of the document)
Pages：4( 1537-1540 )