Olakunde Babayemi O, Adeyinka Daniel A, Oladele Tolulope, Ozigbu Chamberline E
1 434818 National Agency for Control of AIDS (NACA) , Abuja, Nigeria.
2 National AIDS & STIs Control Programme, Federal Ministry of Health, Abuja, Nigeria.
Int J STD AIDS. 2018 Mar;29(4):404-409. doi: 10.1177/0956462417739752. Epub 2017 Oct 26.
In this study, we assessed male partner testing and the serodiscordance rate among pregnant women and their partners in the prevention of mother-to-child transmission (PMTCT) programme in Nigeria. We conducted a retrospective analysis of the consolidated national health sector PMTCT data over a five-year period (2012-2016). Over the period, a total of 11,833,062 pregnant women were tested for HIV with a positivity rate of 2.2%. About 266,188 (2.2%) of sexual partners of pregnant women who presented at PMTCT clinics had an HIV test within the period. The uptake of male partner testing varied across the years, ranging from 22,269 (1.7%) in 2012 to 90,603 (2.9%) in 2014 (χ for trend = 1320; p < 0.001). Overall, the proportion of partners of HIV-negative pregnant women who tested was higher than the proportion of partners of HIV-positive pregnant women (81% versus 19%, respectively). The serodiscordance rate among partners who tested over the five-year period was 18%. The serodiscordance rate declined from 24% in 2012 to 13% in 2016 (χ for trend = 1202; p < 0.001). Partner testing in the PMTCT programme in Nigeria has remained low in the last five years while the clinic-based serodiscordance rate among partners appears to be declining. There is a need for multilevel interventions to address the possible barriers to partner testing in the PMTCT programme and intensification of the HIV combination prevention approach in the HIV response.
在本研究中，我们评估了尼日利亚预防母婴传播（PMTCT）项目中男性伴侣检测情况以及孕妇及其伴侣之间的血清学不一致率。我们对全国卫生部门五年期间（2012 - 2016年）整合的PMTCT数据进行了回顾性分析。在此期间，共有11,833,062名孕妇接受了HIV检测，阳性率为2.2%。在PMTCT诊所就诊的孕妇中，约266,188名（2.2%）性伴侣在此期间接受了HIV检测。男性伴侣检测的接受率逐年不同，从2012年的22,269名（1.7%）到2014年的90,603名（2.9%）（趋势χ值 = 1320；p < 0.001）。总体而言，HIV阴性孕妇的伴侣接受检测的比例高于HIV阳性孕妇的伴侣（分别为81%和19%）。五年期间接受检测的伴侣中血清学不一致率为18%。血清学不一致率从2012年的24%降至2016年的13%（趋势χ值 = 1202；p < 0.001）。在过去五年中，尼日利亚PMTCT项目中的伴侣检测率一直较低，而基于诊所的伴侣血清学不一致率似乎在下降。有必要采取多层次干预措施，以解决PMTCT项目中伴侣检测可能存在的障碍，并加强HIV应对中HIV联合预防方法。
