Situation Analysis of HIV, Hepatitis B, and Syphilis among Pregnant Women: A Case of Burco General Hospital, Somaliland
Abstract
Background: Sexually transmitted diseases like HIV, Hepatitis B and Sexually Transmitted Diseases like syphilis remain a public health concern, with 2.3 million deaths per year and 1 million people newly infected per day. This accounts for about 14% of deaths from infectious and parasitic diseases globally. These diseases can be vertically transmitted and have a particular burden on pregnant and newborns, especially in low-income countries. Objectives: This study aims to determine the seroprevalence and determinants of HIV, Hepatitis B and Syphilis among pregnant women attending the obstetric department of Burco General Hospital, Somaliland. Methodology: quantitative research with a cross-sectional study design using semi-structured questionnaires and rapid test kits were used to screen 271 pregnant women attending the hospital. Both descriptive and analytic statistics were calculated using SPSS v20. Adjusted odds ratios (AOR) and their 95% confidence interval (CI) were calculated with a level of significance set at 5%. Results: the prevalence of HIV, Hepatitis B, and Syphilis among pregnant women attending Burco General Hospital was 0.4%, 4.1%, and 3% respectively. The cross-reactivity of HIV/HBV was 9.1%. There was no significant risk factor outcome regarding sociodemographic and obstetric characteristics. Conclusion and recommendations: Infectious diseases are a public health burden among pregnant women in Burao. However, antenatal care provides an excellent opportunity to screen women for infections that are common and treatable and can be transmitted vertically. Ministry of Health should adopt proper prevention and control intervention guidelines to reduce the risk of these three infections in line with WHO triple elimination guidelines
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References
AIDs Commission, (2021). Somalia HIV national strategic plan and M & E Framework 2021-2023. Retrieved from https://www.somalimedicalarchives.org/media/attachments/2021/09/18/final_federal_nsp_2021-2023_june2020.pdf
Bafa, T. A., & Egata, A. D. (2020). Seroepidemiological patterns and predictors of hepatitis B, C and HIV viruses among pregnant women attending antenatal care clinic of Atat Hospital, Southern Ethiopia. SAGE Open Medicine. 2020 Jan;8:2050312119900870.doi/10.1177/2050312119900870. doi/10.1177/205031211990087
Bancha, B., Kinfe, A. A., Chanko, K. P., Workie, S. B., & Tadese, T. (2020). Prevalence of hepatitis B viruses and associated factors among pregnant women attending antenatal clinics in public hospitals of Wolaita Zone, South Ethiopia. PLoS One. 2020 May 7;15(5):e0232653. doi: 10.1371/journal.pone.0232653. PMID: 32379803; PMCID: PMC7205295.
Masika, (2017). Integrated HIV and sexually transmitted infections, bio-behavioral survey amongst key populations in SOMALIA (2017). https://moh.gov.so/en/wp- content/uploads/2020/07/2017-IBBS-Survey-Somalia-Final-Report-1.pdf
Central Statistics Department, Ministry of Planning and National Development, Somaliland (2020). The Somaliland health and demographic survey. Hargeisa: somaliland goverment.
Dahie, H. A., & Heyle, A. A. (2017). Prevalence of Hepatitis B and Its Associated Factors Among Pregnant Women in Mogadishu, Somalia. Archives of Business Research. 2017 Nov 29;5(11).DOI: 10.14738/abr.511.3876. DOI: 10.14738/abr.511.3876.
Dionne-Odom, J., Mbah, R., Rembert, N. J., Tancho, S., Halle-Ekane, G. E., Enah, C., et al. (2016). Hepatitis B, HIV, and syphilis seroprevalence in pregnant women and blood donors in Cameroon. Infectious diseases in obstetrics and gynecology. 2016 Aug 8;2016. http://dx.doi.org/10.1155/2016/4359401.
Genetu K, Abere K, Tachbele E. (2020). Magnitudes and Correlates of Human Immunodeficiency Virus, Hepatitis B Virus, and Syphilis among Pregnant Mothers Attending Antenatal Care in Addis Ababa, Ethiopia. Infectious Diseases in Obstetrics and Gynecology. 2022 Feb 16;2022. https://doi.org/10.1155/2022/6156613
Ismail, S. A., Cuadros, D. F., & Benova, L. (2017). Hepatitis B in Egypt: A cross‐sectional analysis of prevalence and risk factors for active infection from a nationwide survey. Liver international. 2017 Dec;37(12):1814- 22. Doi.org/10.1111/liv.13469.
Kurtay, S., & Hussein, A. I. (2022). Prevalence of Human Immunodeficiency Virus Among Pregnant Women. International Journal of Women's Health. 2022 Dec 31:1803-6. DOI: 10.2147/IJWH.S392442.
Macêdo, V. C., Lira, P. I. C., Frias, P. G., Romaguera, L. M. D., Caires, S. F. F., & Ximenes, R. A. A. (2017). Risk factors for syphilis in women: case-control study. Rev Saude Publica. 2017;51:78.
Sebastião, C. S., Neto, Z., Jandondo, D., Mirandela, M., Morais, J., & Brito, M. (2020). HIV, hepatitis B virus, hepatitis C virus, and syphilis among pregnant women attending antenatal care in Luanda, Angola: Seroprevalence and risk factors. Journal of Medical Virology. 2020 Dec;92(12):3265-70.
Shimelis T, Tadesse E. (2015). The diagnostic performance evaluation of the SD BIOLINE HIV/syphilis Duo rapid test in southern Ethiopia: a cross-sectional study. BMJ open. 2015 Apr 1;5(4):e007371.
Schumann H, Rubagumya K, Rubaihayo J, Harms G, Wanyenze R. K, Theuring S. (2020). The incidence of HIV and associated risk factors among pregnant women in Kabarole District, Uganda. PLoS One. 2020 Jun 5;15(6):e0234174. https://doi.org/10.1371/journal.pone.0234174
Sebastião C. S, Neto Z, Jandondo D, Mirandela M, Morais J, Brito M, (2020). HIV, hepatitis B virus, hepatitis C virus, and syphilis among pregnant women attending antenatal care in Luanda, Angola: Seroprevalence and risk factors. Journal of Medical Virology. 2020 Dec;92(12):3265-70. DOI: 10.1002/jmv.26148
Stoltey, J. E., & Cohen, S. E. (2015). Syphilis transmission: a review of the current evidence. Sexual health. 2015 Feb 23;12(2):103-9. doi:10.1071/SH14174.
Tadiwos, M. B., Kanno, G. G., Areba, A. S., Kabthymer, R. H., Abate, Z. G., & Aregu, M. B. (2021). Sero-Prevalence of Hepatitis B Virus Infection and Associated Factors Among Pregnant Women Attending Antenatal Care Services in Gedeo Zone, Southern Ethiopia. J Prim Care Community Health. 2021 Jan- Dec;12:2150132721993628. doi: 10.1177/2150132721993628. PMID: 33565356; PMCID: PMC7878950. UNAIDS (2014). Retrieved from www.unaids.org: www.unaids.org/sites/default/files/country/documents/SOM_narrative_report_2015.pdf
UNAIDS global aids update (2022). Geneva: Joint United Nations Programme on HIV/AIDS. 2022. License: CC BY-NC-SA 3.0 IGO. Retrieved from https://www.unaids.org/sites/default/files/media_asset/JC3032_AIDS_Data_book_2021_En.pdf
UNAIDS DATA, (2021). Geneva: Joint United Nations Programme on HIV/AIDS;2021. Licence: CC BY-NC-SA 3.0 IGO.
Valente, F., Lago, Barbara Vieira do, Castro, C. A. V. d., Almeida, A. J. d., Gomes, S. A., & Soares, C. C. (2010) Valente, F., Lago, B. V., Castro, C. A. V., Almeida, A. J., Gomes, S. A., & Soares, C. C. (2010). Epidemiology and molecular characterization of hepatitis B virus in Luanda, Angola.
World Health Organization, (2021). Global progress report on HIV, viral hepatitis and sexually transmitted infections, 2021: accountability for the global health sector strategies 2016–2021: actions for impact. Geneva: World Health Organization Licence: CC BY-NC-SA 3.0 IGO.
World Health Organization, (2017). Guidelines on Hepatitis B and C testing. Geneva: World Health Organization, 2017. Licence: CC BY-NC-SA 3.0 IGO.
World Health Organization, (2021. Regional Office for Eastern Mediterranean, 2021. Retrieved from https://www.emro.who.int/somalia/news/world-aids-day-reaching-more-people-with-hiv-services-and-reducing-inequalities.html
World Health Organization, (2021). Global guidance on criteria and processes for validation: elimination of mother-to-child transmission of HIV, syphilis and hepatitis B virus. Geneva: World Health Organization; 2021. Licence: CC BY-NC-SA 3.0 IGO.
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