Sero-Prevalence of Syphilis and HIV and Associated Factors in Pregnant Women Attending Antenatal Care Clinics in Debre Berhan Public Health Institutions, Ethiopia
American Journal of Biomedical and Life Sciences
Volume 6, Issue 3, June 2018, Pages: 56-62
Received: Jun. 12, 2018; Accepted: Jun. 27, 2018; Published: Jul. 24, 2018
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Authors
Seblewongale Zinabie, Department of Medicine, Debre Berhan University, Debre Berhan, Ethiopia
Emishaw Belachew, Department of Medicine, Debre Berhan University, Debre Berhan, Ethiopia
Teferi Yidenek, Field Epidemiology, North Shewa Zone Health Bureau, Debre Berhan, Ethiopia
Moges Lewetegn, Department of Medical Laboratory Science, Debre Berhan University, Debre Berhan, Ethiopia
Tsegahun Asfaw, Department of Medical Laboratory Science, Debre Berhan University, Debre Berhan, Ethiopia
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Abstract
Syphilis is one of the sexually transmitted infections caused by bacteria known as Treponema pallidum and it is transmitted through sexual contact, via blood transfusion, or transplacentally from a pregnant woman to her fetus. Among STIs, syphilis and HIV are significant public health problems in Ethiopia and causes several adverse pregnancy outcomes. Thus this study aims to assess magnitude of both infections among pregnant women attending antenatal care. Facility based retrospective cross-sectional study was conducted in Debre Berhan public health institutions and data was collected using pretested checklist. Finally data was entered to EPI Data3.02 and analyzed using SPSS version21. P-value < 0.05 was considered statistically significant difference. Among the total participants, 179 (47%) were in the age group of 25-34 years, 220 (57%) were living in urban settings and majority 256 (67%) of the pregnant mothers were married. The overall prevalence of syphilis and HIV in pregnant mothers were 7 (1.8%) and 28 (7.2%) respectively. The highest number of syphilis and HIV prevalence were reported in 2015. Previous history of STD for syphilis (AOR 9.4; 95% CI 1.6-25) and HIV (AOR 8.2; 95% CI 2.2-31.8), previous history of still birth for syphilis (AOR 4.9; 95% CI 1.1-23.4) and HIV (AOR 5.6; 95% CI 1.8-17.1) and partner HIV test positive for HIV (AOR 11.9; 95%CI 1.18-20.6) are risk factor. The result shows syphilis and HIV infections were prevalent among pregnant women, indicating that they are still significant public health problems. Therefore, there should be health education for every pregnant woman regarding prevention of the two infection and partner testing is recommended.
Keywords
Associated Factors, HIV, Pregnant Mather, Sero-prevalence, Syphilis
To cite this article
Seblewongale Zinabie, Emishaw Belachew, Teferi Yidenek, Moges Lewetegn, Tsegahun Asfaw, Sero-Prevalence of Syphilis and HIV and Associated Factors in Pregnant Women Attending Antenatal Care Clinics in Debre Berhan Public Health Institutions, Ethiopia, American Journal of Biomedical and Life Sciences. Vol. 6, No. 3, 2018, pp. 56-62. doi: 10.11648/j.ajbls.20180603.14
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Copyright © 2018 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
References
[1]
Msuya SE, Uriyo J, Hussain A, et al. Prevalence of sexually transmitted infections among pregnant women with known HIV status in northern Tanzania. Reprod Health. 2009;6:4.
[2]
Minichiello V, Rahman S, Hussain R. Epidemiology of sexually transmitted infections in global indigenous populations: data availability and gaps. Int J STD AIDS. 2013;24(10):759-768.
[3]
The World Bank. Sexually transmitted infections in developing countries: current concepts and strategies on improving STI prevention, treatment, and control [webpage on the Internet] Washington, DC: The World Bank; 2008.
[4]
Jolly DH, Mueller MP, Chen M, et al. Concurrency and other sexual risk behaviors among black young adults in a southeastern city. AIDS Educ Prev 2016; 28(1):59-76.
[5]
Dolwick Grieb SM, Davey-Rothwell M, Latkin CA. Concurrent sexual partnerships among urban African American high risk women with main sex partners. AIDS Behav 2012; 16(2):323–333. DOI: 10. 1007/s10461-0119954-6.
[6]
Hogben M, Leichliter JS. Social determinants and sexually transmitted disease disparities. Sex Transm Dis 2008; 35(12):S13- S18.
[7]
Fatima N, Malik A, Khan PA, Ali S, Khan HM. Sero prevalence of syphilis infection among patients attending Antenatal Care & Sexually transmitted disease (STD) clinics : observations from a tertiary care hospital of northern India. 2014: 2 (1):6-9.
[8]
World Health Organization Guidelines for the Treatment of Treponema Pallidum (Syphilis). 2016.
[9]
Chiduo M, Theilgaard ZP, Bakari V, et al. Prevalence of sexually transmitted infections among women attending antenatal clinics in Tanga, northeastern Tanzania. Int J STD AIDS. 2012;23(5):325-329.
[10]
Frickmann H, Schwarz NG, Girmann M, et al. Serological survey of HIV and syphilis in pregnant women in Madagascar. Trop Med Int Health. 2013;18(1):35-39.
[11]
Ramos JM, Toro C, Reyes F, Amor A, Gutiérrez F. Seroprevalence of HIV-1, HBV, HTLV-1 and Treponema pallidum among pregnant women in a rural hospital in Southern Ethiopia. J Clin Virol. 2011;51(1):83-85.
[12]
Federal Democratic Republic of Ethiopia Minestry of health: Report on the 2014 Round Antenatal Care based Sentinel HIV Surveillance in Ethiopia. 2015;(July).
[13]
Magnitude of HIV and syphilis seroprevalence among pregnant women in Gondar, Northwest Ethiopia : a cross-sectional study. 2015;75-82.
[14]
Endris M, Deressa T, Belyhun Y, Moges F. Seroprevalence of syphilis and human immunodeficiency virus infections among pregnant women who attend the University of Gondar teaching hospital, Northwest Ethiopia : a cross sectional study. 2015;1–7.
[15]
African E, Journal M. Prevalence of Syphilis in Pregnancy in Addis Ababa. 2000; 77 (4):212-6.
[16]
Federal Democratic Republic of Ethiopia Minestry of health: Report on the 2014 Round Antenatal Care based Sentinel HIV Surveillance in Ethiopia. 2015;(July).
[17]
Chegen A. Assessment of magnitude of HIV and syphilis and associated factors among pregnant women attending antenatal care in Wolmera district, Addis Ababa university, college of health sciences:2017(Un published).
[18]
Mulu A, Kassu A, Tessema B, Yismaw G, Tiruneh M. Seroprevalence of Syphilis and HIV-1 during Pregnancy in a Teaching Hospital in Northwest Ethiopia. 2007;193-5.
[19]
Federal Democratic Republic of Ethiopia Minestry of health: Report on the 2009 Round Antenatal Care Sentinel HIV Surveillance in Ethiopia. 2011.
[20]
Dionne-odom J, Mbah R, Rembert NJ, Tancho S, Halle-ekane GE, Enah C, et al. Hepatitis, HIV, and Syphilis Seroprevalence in Pregnant Women and Blood Donors in Cameroon. 2016;2016.
[21]
World Health Organization (WHO): HIV in the African region, 2013; 13-14.
[22]
EPHI. Report on the 2014 Round Antenatal Care based Sentinel HIV Surveillance in Ethiopia. Addis Ababa: The Ethiopia public health institution 2015.
[23]
Kwiek JJ, Mwapasa V, Alker AP, Muula AS. Socio-demographic characteristics associated with HIV and syphilis seroreactivity among pregnant women in Blantyre, Malawi, 2000-2004. Malawi Medical Journal. 2004 2008; 20(3):80-5.
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