Determinants of voluntary antenatal HIV testing among pregnant women and their spouses in Burkina Faso: An analysis using 2021 DHS data
DOI:
https://doi.org/10.4314/rasp.v7i2.19Keywords:
Screening, prenatal, HIV, pregnant women, partners, Burkina FasoAbstract
Burkina Faso is experiencing a mixed HIV epidemic. Most new infections occur in heterosexual couples in stable unions. Antenatal care is an opportunity for early HIV testing of pregnant women and their partners with a view to eliminating HIV by 2030. The objective of our study is to analyze the determinants of HIV testing among pregnant women and their spouses in Burkina Faso. This was a secondary analysis of data from the fifth Demographic and Health Survey of Burkina Faso (EDSBF-V) conducted in 2021. The EDSBF-V used a two-stage stratified sampling technique. We used data from 577 pregnant women and their husbands. Associated factors were searched using a modified Poisson regression. The prevalence of screening was 59,4% among pregnant women and 26,0% for their spouses. Residential background, marital status, wealth index, stigmatizing attitudes toward PHAs, length of time living together, age at first sexual intercourse, condom use at last sexual intercourse, and Internet use were significantly associated with HIV testing. Our study shows a low level of screening among pregnant women and their partners. It is essential to strengthen and improve screening and counselling within the couple, and to encourage both partners to undergo screening during antenatal care and premarital check-ups.
References
Références bibliographiques
Archou, R., Ouadrhiri, M., Touil, D., Boucetta, M., Abdelkhalek, H., Rachid, A., & Kamélia, A. (2023). Test rapide de dépistage du VIH chez les femmes enceintes au Maroc : Etude sur les connaissances, perceptions et pratiques de réalisation. Journal of Nursing and Biomedical Sciences, 2(1). Consulté à l’adresse https://revues.imist.ma/index.php/JNBS/article/view/39446
Arije, O., Titus, R., Omisile, I., Dadi, A., Garba, D., Godpower, O., … Onayade, A. (2024). Process evaluation of the « Lafiyan Yara » project on enhancing access to HIV testing services using existing community structures in Nigeria. BMC Public Health, 24(1), 624. https://doi.org/10.1186/s12889-024-18045-4
Asaolu, I. O., Gunn, J. K., Center, K. E., Koss, M. P., Iwelunmor, J. I., & Ehiri, J. E. (2016). Predictors of HIV Testing among Youth in Sub-Saharan Africa : A Cross-Sectional Study. PLOS ONE, 11(10), 12. https://doi.org/10.1371/journal.pone.0164052
Asresie, M. B., Worku, G. T., & Bekele, Y. A. (2023). HIV Testing Uptake Among Ethiopian Rural Men : Evidence from 2016 Ethiopian Demography and Health Survey Data. HIV/AIDS - Research and Palliative Care, 15, 225‑234. https://doi.org/10.2147/HIV.S409152
Bott, S., Neuman, M., Helleringer, S., Desclaux, A., Asmar, K. E., Obermeyer, C. M., & Group, the M. (Multi-country A. T. and C. for H. S. (2015). Rewards and challenges of providing HIV testing and counselling services : Health worker perspectives from Burkina Faso, Kenya and Uganda. Health Policy and Planning, 30(8), 964‑975. https://doi.org/10.1093/heapol/czu100
Chanyalew, H., Girma, E., Birhane, T., & Chanie, M. G. (2021). Male partner involvement in HIV testing and counseling among partners of pregnant women in the Delanta District, Ethiopia. PLOS ONE, 16(3), e0248436. https://doi.org/10.1371/journal.pone.0248436
Chemaitelly, H., Awad, S. F., Shelton, J. D., & Abu-Raddad, L. J. (2014a). Sources of HIV incidence among stable couples in sub-Saharan Africa. Journal of the International AIDS Society, 17(1), 18765. https://doi.org/10.7448/IAS.17.1.18765
Chemaitelly, H., Awad, S. F., Shelton, J. D., & Abu-Raddad, L. J. (2014b). Sources of HIV incidence among stable couples in sub-Saharan Africa. Journal of the International AIDS Society, 17(1), 18765. https://doi.org/10.7448/IAS.17.1.18765
Desclaux, A., Ky-Zerbo, O., Somé, J., & Obermeyer, C. (2014). New issues for HIV Counseling and Testing in the time of Test and Treat in low prevalence countries : Insights from Burkina Faso Workshop Montpellier (France), April 29 2014. Medecine et sante tropicales, 24. https://doi.org/10.1684/mst.2014.0399
Dunkle, K. L., Stephenson, R., Karita, E., Chomba, E., Kayitenkore, K., Vwalika, C., … Allen, S. (2008). New heterosexually transmitted HIV infections in married or cohabiting couples in urban Zambia and Rwanda : An analysis of survey and clinical data. Lancet (London, England), 371(9631), 2183‑2191. https://doi.org/10.1016/S0140-6736(08)60953-8
Erena, A. N., Shen, G., & Lei, P. (2019). Factors affecting HIV counselling and testing among Ethiopian women aged 15-49. BMC Infectious Diseases, 19(1), 1076. https://doi.org/10.1186/s12879-019-4701-0
Ezeanolue, E. E., Obiefune, M. C., Yang, W., Ezeanolue, C. O., Pharr, J., Osuji, A., … Ehiri, J. E. (2017). What do You Need to Get Male Partners of Pregnant Women Tested for HIV in Resource Limited Settings? The Baby Shower Cluster Randomized Trial. AIDS and Behavior, 21(2), 587‑596. https://doi.org/10.1007/s10461-016-1626-0
Fassinou, L. C., Hien, H., Yombi, J. C., Nagot, N., & Kirakoya-Samadoulougou, F. (2023). Availability and readiness of the health facilities to provide HIV counseling and testing and prevention of mother-to-child transmission services in Burkina Faso : A trend analysis from 2012 to 2018. BMC Health Services Research, 23(1), 757. https://doi.org/10.1186/s12913-023-09757-1
Gizaw, Y. T., Boke, M. M., & Geremew, A. B. (2021). Determinants of HIV testing uptake among partners of pregnant women in Addis Ababa, Ethiopia : A community-based study. The Pan African Medical Journal, 39, 7. https://doi.org/10.11604/pamj.2021.39.7.27839
Hampanda, K. M., Pelowich, K., Freeborn, K., Graybill, L. A., Mutale, W., Jones, K. R., … Chi, B. H. (2023). Strategies to increase couples HIV testing and counselling in sub-Saharan Africa : A systematic review. Journal of the International AIDS Society, 26(3), e26075. https://doi.org/10.1002/jia2.26075
Ibrahim, M., Ipadeola, O., Adebayo, S., & Fatusi, A. (2013). Socio-demographic Determinants of HIV Counseling and Testing Uptake among Young People in Nigeria. International Journal of Prevention and Treatment, 2(3), 23‑31.
INSD. (2023). ANALYSE APPROFONDIE BAISSE DE LA FECONDITE AU BURKINA FASO : PHENOMENE GENERALISE OU CIRCONSCRIT A CERTAINES SOUS POPULATIONS ? Consulté à l’adresse https://www.insd.bf/sites/default/files/2024-07/Baisse%20de%20la%20f%C3%A9condit%C3%A9%20au%20Burkina%20Faso.pdf
Institut National de la Statistique et de la Démographie. (2023). Enquête Démographique et de Santé 2021 (p. 812). Consulté à l’adresse https://www.insd.bf/sites/default/files/2023-09/EDS%20Burkina%20Faso%202021_VF_07-09-23.pdf
Kirakoya-Samadoulougou, F., Jean, K., & Maheu-Giroux, M. (2017). Uptake of HIV testing in Burkina Faso : An assessment of individual and community-level determinants. BMC Public Health, 17, 486. https://doi.org/10.1186/s12889-017-4417-2
Lépine, A., Terris-Prestholt, F., & Vickerman, P. (2015). Determinants of HIV testing among Nigerian couples : A multilevel modelling approach. Health Policy and Planning, 30(5), 579‑592. https://doi.org/10.1093/heapol/czu036
Lepine, A., Terris-Prestholt, F., & Vickerman, P. (2015). Determinants of HIV testing among Nigerian couples : A multilevel modelling approach. Health Policy and Planning, 30(5), 579‑592. https://doi.org/10.1093/heapol/czu036
Markos Kachero, M., & Arba Kinfe, A. (2021). Utilization of HIV Test Service Among Pregnant Women’s Partners and Its Associated Factors in Selected Sub-Cities of Addis Ababa, 2019 : A Community-Based Cross-Sectional Study. HIV/AIDS (Auckland, N.Z.), 13, 135‑143. https://doi.org/10.2147/HIV.S289445
Matovu, J. K. B., Todd, J., Wanyenze, R. K., Kairania, R., Serwadda, D., & Wabwire-Mangen, F. (2016). Evaluation of a demand-creation intervention for couples’ HIV testing services among married or cohabiting individuals in Rakai, Uganda : A cluster-randomized intervention trial. BMC Infectious Diseases, 16(1), 379. https://doi.org/10.1186/s12879-016-1720-y
Millogo, A., Toe, P., Sanon, A., Konaté, B., Tassembedo, S., & Traoré, I. T. (2022). Représentations du VIH/Sida et partage de l’information sur la sérologie dans les couples sérodifférents au Burkina Faso. Santé Publique, 34(5), 727‑736. https://doi.org/10.3917/spub.225.0727
Ministère de la santé et de l’hygiène publique. (2021). Plan de l’élimination de la transmission mère-enfant du VIH, de la syphilis et de l’hépatite b 2021-2025. Burkina Faso.
Misganaw GW, Achamyeleh BT, ans et Getayeneh AT. (2021). Prévalence et facteurs associés au dépistage du VIH chez les femmes enceintes : Une analyse à plusieurs niveaux utilisant les récentes données d’enquêtes démographiques et sanitaires de 11 pays d’Afrique de l’Est. HIV/AIDS-Research and palliative care. Consulté à l’adresse https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7886292/
Muhindo, R., Nakalega, A., & Nankumbi, J. (2015). Predictors of couple HIV counseling and testing among adult residents of Bukomero sub-county, Kiboga district, rural Uganda. BMC Public Health, 15(1), 1171. https://doi.org/10.1186/s12889-015-2526-3
Mutale, W., Freeborn, K., Graybill, L. A., Lusaka, M. M., Mollan, K. R., Mweemba, O., … Chi, B. H. (2021). Addition of HIV self-test kits to partner notification services to increase HIV testing of male partners of pregnant women in Zambia : Two parallel randomised trials. The Lancet Global Health, 9(12), e1719‑e1729. https://doi.org/10.1016/S2214-109X(21)00393-4
ONUSIDA. (2022). Rapport mondial actualisé sur le sida 2022 (p. 373). Genève Suisse.
ONUSIDA. (2023). THE PATH THAT ENDS AIDS: UNAIDS GLOBAL AIDS UPDATE 2023 (No 2023; p. 196). Geneva: Joint United Nations Programme on HIV/AIDS. Consulté à l’adresse https://thepath.unaids.org/wp-content/themes/unaids2023/assets/files/2023_report.pdf
Organisation mondiale de la santé; Région Africaine. (2024). Rapport biennal 2022/2023; Rendre la santé accessible : L’engagement de l’OMS. OMS. Consulté à l’adresse https://www.afro.who.int/sites/default/files/2024-09/OMS%20Burkina%20Faso_Rapport%20biennal%202022-2023.pdf
Paulin, H. N., Blevins, M., Koethe, J. R., Hinton, N., Vaz, L. M., Vergara, A. E., … Wester, C. W. (2015). HIV testing service awareness and service uptake among female heads of household in rural Mozambique : Results from a province-wide survey. BMC Public Health, 15(1), 132. https://doi.org/10.1186/s12889-015-1388-z
Remien, R. H., Chowdhury, J., Mokhbat, J. E., Soliman, C., Adawy, M. E., & El-Sadr, W. (2009). Gender and Care : Access to HIV Testing, Care and Treatment. Journal of acquired immune deficiency syndromes (1999), 51(Suppl 3), S106‑S110. https://doi.org/10.1097/QAI.0b013e3181aafd66
Sharma, M., Ying, R., Tarr, G., & Barnabas, R. (2015). Systematic review and meta-analysis of community and facility-based HIV testing to address linkage to care gaps in sub-Saharan Africa. Nature, 528(7580), S77-85. https://doi.org/10.1038/nature16044
Sibanda, E. L., Tumushime, M., Mufuka, J., Mavedzenge, S. N., Gudukeya, S., Bautista-Arredondo, S., … Cowan, F. M. (2017). Effect of non-monetary incentives on uptake of couples’ counselling and testing among clients attending mobile HIV services in rural Zimbabwe : A cluster-randomised trial. The Lancet Global Health, 5(9), e907‑e915. https://doi.org/10.1016/S2214-109X(17)30296-6
Somé, J. F., Desclaux, A., Ky-Zerbo, O., Lougué, M., Kéré, S., Obermeyer, C., & Simaga, F. (2014). Les campagnes de dépistage du VIH, une stratégie efficace pour l’accès universel à la prévention et au traitement ? L’expérience du Burkina Faso. Medecine et sante tropicales, 24(1), 73‑79. https://doi.org/10.1684/mst.2014.0298
SP/CNLS-IST. (2021). Cadre stratégique national de lutte contre le VIH, le sida et les infections sexuellement transmissibles (CSN-Sida) 2021-2025. Burkina Faso.
SP/CNLS-IST, PSSLS-IST. (2021). Normes et protocoles de prise en charge médicale des personnes vivant avec le VIH au Burkina Faso (6ème édition). Burkina Faso.
Triulzi, I., Palla, I., Ciccacci, F., Orlando, S., Palombi, L., & Turchetti, G. (2019). The effectiveness of interventions to involve men living with HIV positive pregnant women in low-income countries : A systematic review of the literature. BMC Health Services Research, 19(1), 943. https://doi.org/10.1186/s12913-019-4689-6
Worku, M. G., Teshale, A. B., & Tesema, G. A. (2021). Prevalence and Associated Factors of HIV Testing Among Pregnant Women : A Multilevel Analysis Using the Recent Demographic and Health Survey Data from 11 East African Countries. HIV/AIDS (Auckland, N.Z.), 13, 181‑189. https://doi.org/10.2147/HIV.S297235
World Health Organization. (2012). Guidance on couples HIV testing and counselling including antiretroviral therapy for treatment and prevention in serodiscordant couples : Recommendations for a public health approach. WHO IRIS. Consulté à l’adresse https://iris.who.int/handle/10665/44646
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