AI Article Synopsis
- The study highlights the high prevalence of hepatitis B virus among pregnant women in Vietnam, with a low occurrence of HIV and syphilis.
- A pilot program from 2012 to 2014 in Thai Nguyen province provided universal testing and interventions for these infections, achieving a 98% testing coverage among pregnant women.
- The results indicated that no infants contracted HIV or syphilis, while 27 infants had HBV, showing that integrated testing and prevention strategies are effective and warrant further investment for broader implementation.
Article Abstract
Pregnant women in Vietnam have a high prevalence of hepatitis B virus (HBV) and low prevalence of human immunodeficiency virus (HIV) and syphilis. This study aims to assess the feasibility and benefit of universal testing for HIV, HBV and syphilis in antenatal care (ANC) services. A pilot project was conducted in the Thai Nguyen province of Vietnam between 2012 and 2014. HIV, HBV and syphilis testing were offered to pregnant women. Interventions to eliminate mother-to child-transmission (MTCT) of the three pathogens were provided to infected mothers and their infants. Descriptive analysis was conducted, and the number of infections averted from integrating hepatitis B tests into ANC was estimated. Testing coverage for HIV, HBV and syphilis for the cohort of pregnant women during the pilot project was 98%. Prevalence of HIV, HBV and syphilis infections in this cohort was 0.14%, 7.8%, and 0.03%, respectively. No infant was infected with HIV or syphilis, while HBV infection was diagnosed in 27 infants (13.9%). An estimated 23 mother to child HBV infections were prevented by integrated interventions. The triple prevention of mother-to-child transmission of HIV, HBV and syphilis is feasible. Investment in the expansion of the integrated approach is required to achieve the goal of eliminating MTCT.
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| http://dx.doi.org/10.1177/0956462420953722 | DOI Listing |
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