Retention in care among HIV positive pregnant and breastfeeding women in a rural district in Zimbabwe: A dataset analysis
Background: Studies have been done on retention
in care for the general population but little is known of this phenomenon for HIV
positive pregnant and breastfeeding women (PPBW). St Albert’s Mission Hospital data
showed that 10% PPBW were lost to follow up. We determined retention in care in
Methods: We conducted a cross sectional descriptive
study using records of PPBW receiving care at the hospital from January 2016 to
December 2018. We manually abstracted data from registers and from electronic records
for analysis onto an Excel based abstraction sheet. We generated survival curves
for the PPBW. We obtained waiver of informed consent for analysis of
Results: All pregnant women initiated in ART
before ANC were retained up to between 25 and 30 months, where about 75% remained
in care. Among those initiated during pregnancy, about 70% were no longer in care
by 10 months of follow up. Retention rates were better for pregnant women initiated
before ANC (p-value = 0.0272. log rank chi square test). Most breastfeeding women
were still in care up to between 30 and 40 months for both who were initiated in
pregnancy and before ANC for their current pregnancy. Thereafter a small drop in
retention rates for those initiated on ART during pregnancy is noted (log rank chi
square test p-value= 0.2183). Women initiated before ANC and those initiated during
had generally the same retention rates.
Conclusion: Retention in care is high among PPBW
but lower if ART initiation was due to the current pregnancy.
Keywords: retention in care, pregnant, breastfeeding, survival
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