ObjectiveTo understand the utilizations of health care and prevention of mother-to-child transmission (PMTCT) services for children and their mothers infected with HIV vertically in areas with high AIDS prevalence in Xinjiang and provide evidence for development of the protocol of elimination of HIV infection in children in Xinjiang.
MethodsThe demographic information of the mothers who gave births of HIV infected infants from 2011 to 2017 were collected from the “Information System for Integrated AIDS Prevention and Control Program in Xinjiang Uygur Autonomous Region” and “Information Management System for the Prevention of Mother-to-Child Transmission of HIV, Syphilis, and Hepatitis B”. Face-to-face interviews were conducted in these women to retrospectively collect information about their utilizations of maternal health care and PMTCT services with a self-designed questionnaire.
ResultsIn 114 mothers surveyed, 81.25% (117/144) had education level of junior middle school or below, and 81.25% (117/144) were farmers or housewives. The proportion of the mothers who received antenatal care during pregnancy was 61.81%, and 79.17% of the mothers were delivered in health care facilities. Up to 72.22% of the mothers had HIV test during pregnancy, in whom 75.96% were HIV positive. The proportion of mothers who were included in the PMTCT service system during pregnancy was 44.44%, and this proportion was 38.18% in southern Xinjiang and 64.71% in northern Xinjiang, the difference was significant.
ConclusionThere was significant differences in utilizations of maternal health care and PMTCT services in mothers of children infected with HIV vertically between southern area and northern area in Xinjiang. The education levels of mothers of the HIV infected infants were low, they were more likely to lack maternal health care awareness and less likely to use PMTCT. Health education among women at reproductive age and pregnant women should be further strengthened.
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