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Prevalence and Risk Factors Associated with HIV Infection among Pregnant Antenatal Care Attendees in Limpopo Province, South Africa Boshomane, Itumeleng Tebele; Tshabalala, Kontswi Donald; Mokoena, Oratilwe Penwell; Ntuli, Thembelihle Sam
Berkala Kedokteran Vol 20, No 1 (2024)
Publisher : Fakultas Kedokteran Universitas Lambung Mangkurat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20527/jbk.v20i1.18773

Abstract

Early screening for HIV infection provides an opportunity for mother-to-child transmission and optimizes the care of HIV-infected mothers and unborn babies to improve clinical outcomes. This study aimed to determine the prevalence and the risk factors associated with HIV infection among pregnant women attending antenatal care at the District Hospital and its feeder community health center of the Limpopo Province (LP), South Africa. The study was a cross-sectional descriptive study carried out over 2-months from 01 May 2019 to 30 June 2019.  A consecutive sample of pregnant women who attended antenatal care during the study period was asked to participate. In total, 211 pregnant women participated in this study.  Their mean age was 28.4±5.7 years, ranging from 18 to 41 years.  More than half (56.4%) were aged <30 years old, 51.7% had secondary education, 71.1% were unmarried, and 72.0% were unemployed. The majority (66.4%) of pregnant women had multiple pregnancies and 70.6% were in the third trimester. Few (0.95%, n=2) had a history of alcohol use. The HIV prevalence was 15.2%, and significantly high in illiterate, elementary school-educated and multiparous women. The HIV infection rate in this setting is relatively associated with the level of education and parity. The social risk factors of health in each municipality should be considered when local health authorities implement policies. Women should be continually provided with health education about modes of transmission of HIV prevention particularly those with lower levels of education and reproductive age.
Health Systems and Patient-related Factors Contributing to Late Antenatal Care Attendance among Pregnant Women in Limpopo Province, South Africa Ntuli, Thembelihle Sam; Matlala, France; Raesebe Johanna, Mokolome; Mokoena, Oratilwe Penwell
Babali Nursing Research Vol. 5 No. 4 (2024): October
Publisher : Babali Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37363/bnr.2024.54391

Abstract

Background: Antenatal care is a maternal health service provided throughout pregnancy to identify risks of complications and reduce maternal and perinatal mortality. The study aimed to assess the prevalence and reasons for the late initiation of antenatal care. Methods: A facility-based cross-sectional study was conducted at three primary healthcare centres in Limpopo province, South Africa, from October to November 2020. A consecutive sample of 231 pregnant women who received antenatal care during the data collection period participated in the study. Data analysis was performed using SPSS version 25. Results: The findings indicate that 43.12% of the women initiated antenatal care late. The most common reasons for late initiation included lack of information, cultural beliefs, distance to the facility, waiting times, and the operating hours of the facility. Conclusion: There is an urgent need to develop and implement educational programs for antenatal care, strengthen community-based services, and evaluate staff workload at the study sites.