Utilization of prevention of mother-to-child HIV transmission services in HIV positive women diagnosed before and after the pregnancy in Guangxi

ObjectiveTo analyze the utilization of comprehensive intervention service to prevent mother-to-child transmission of HIV in pregnant women diagnosed with HIV infection before and after pregnancy in Guangxi Zhuang Autonomous Region, and compare the differences in service utilization.

MethodsThe information about the utilization of the comprehensive intervention service in pregnant women diagnosed with HIV infection and delivered from July 1, 2017 to June 30, 2018 and their babies in Guangxi were collected from information system, the HIV positive pregnant women diagnosed before and after pregnancy were divided into two groups. Software SPSS 22.0 was used to analyze the difference in comprehensive intervention service utilization between two groups.

ResultsA total of 595 HIV infected pregnant women and 598 HIV exposed infants were included in this study. Among them, 454 HIV infected pregnant women were diagnosed before pregnancy, involving 456 HIV exposed infants, and 141 HIV infected pregnant women were diagnosed after pregnancy, involving 142 HIV exposed infants. The age of the pregnant women was (30.8±5.4) years. There were significant differences between two groups in constituent ratios of demographic characteristics, such as age, educational level, marital status, number of pregnancy and number of birth. There was no significant differences in constituent ratios of ethnic group and occupation. The utilization of comprehensive intervention service was inadequate in both groups, but the acceptances of maternal health care, antiviral treatment, and infant HIV testing services were superior in the pregnant women diagnosed before pregnancy than those diagnosed after pregnancy.

ConclusionThe utilization of comprehensive intervention service to prevent mother to child transmission of HIV was inadequate in HIV infected pregnant women in Guangxi, and the late utilization of health care services during pregnancy and inadequate antiretroviral treatment were the weakness in the prevention of mother to child transmission of HIIV, so it is necessary to strengthen the health education to improve the awareness of the prevention of mother to child transmission of HIIV and increase the utilization of comprehensive intervention services in pregnant women to achieve the goal of blocking mother to child transmission of HIV.