Institut Supérieur des Sciences de la Santé, Université Nazi Boni, Bobo-Dioulasso, Burkina Faso.
Centre for Research in Epidemiology, Biostatistics and Clinical Research of the School of Public Health, Université Libre de Bruxelles, Brussels, Belgique.
BMC Womens Health. 2023 Mar 24;23(1):126. doi: 10.1186/s12905-023-02227-0.
The use of services to prevent mother-to-child transmission (PMTCT) of the human immunodeficiency virus (HIV) remains a serious challenge in sub-Saharan Africa. In the last decade, Burkina Faso has implemented numerous policies to increase the use of PMTCT services by pregnant women and their partners, as well as children. This study assesses trends in the uptake of PMTCT services in Burkina Faso from 2013 to 2020 in order to study the progress and gaps in achieving the national and international targets set for 2020.
A repeated cross-sectional analysis was performed using data extracted from district health information software version 2. Percentages were computed for each PMTCT indicator and comparisons between the years were made using a chi-square test for trends with a significance threshold of 5%. Regions were not compared with each other.
The proportion of pregnant women who were tested and received their results significantly increased from 47.9% in 2013 to 84.6% in 2020 (p value < 0.001). Of the 13 regions in the country, only 1 region met the 95% national targets whereas, 6 regions met the 90% international targets for this indicator. The proportions of HIV-positive women receiving antiretroviral therapy (ART) increased from 90.8% in 2013 to 100% in 2020. In the same period, the proportion of exposed infants who received antiretroviral prophylaxis increased from 64.3% in 2013 to 86.8% in 2020. Only 3 regions reached the national and international targets for this indicator. A positive trend was also observed for the indicator related to screening at 2 months or later of exposed infants using Polymerase Chain Reaction (PCR) technic; with the rate rising from 7.4% in 2013 to 75.7% in 2020. However, for this indicator, the national and international targets were not achieved considering the national and regional settings. Concerning the women's partners, the proportion of those who tested for HIV increased from 0.9% in 2013 to 4.5% in 2020, with only 1 region that fully met the national target of 10% in 2020. The prevalence of HIV in this particular group was 0.5% in 2020.
PMTCT indicators show an increase from 2013 to 2020 but with a strong disparity between regions. National and international targets have not been achieved for any indicator; except for those related to women receiving ART. Strengthening strategies to effectively engage women and their partners on the use of PMTCT cascade services could help reduce mother-to-child transmission in Burkina Faso.
在撒哈拉以南非洲地区，利用服务来预防母婴传播（PMTCT）艾滋病毒（HIV）仍然是一个严重的挑战。在过去的十年中，布基纳法索实施了许多政策，以增加孕妇及其伴侣以及儿童对 PMTCT 服务的使用。本研究评估了 2013 年至 2020 年布基纳法索 PMTCT 服务利用情况的趋势，以研究在实现 2020 年国家和国际目标方面的进展和差距。
使用从地区卫生信息软件版本 2 中提取的数据进行重复横断面分析。为每个 PMTCT 指标计算百分比，并使用卡方检验进行趋势比较，具有 5%的显著性阈值。地区之间不进行比较。
接受检测并收到结果的孕妇比例从 2013 年的 47.9%显著增加到 2020 年的 84.6%（p 值<0.001）。在该国的 13 个地区中，只有 1 个地区达到了 95%的国家目标，而 6 个地区达到了 90%的国际目标该指标。接受抗逆转录病毒治疗（ART）的 HIV 阳性妇女比例从 2013 年的 90.8%增加到 2020 年的 100%。同期，接受抗逆转录病毒预防的暴露婴儿比例从 2013 年的 64.3%增加到 2020 年的 86.8%。只有 3 个地区达到了国家和国际目标。用于检测的指标也呈现出积极趋势暴露婴儿在 2 个月或更晚时使用聚合酶链反应（PCR）技术进行筛查；该比率从 2013 年的 7.4%上升到 2020 年的 75.7%。然而，考虑到国家和地区背景，该指标并未达到国家和国际目标。关于妇女的伴侣，接受 HIV 检测的比例从 2013 年的 0.9%增加到 2020 年的 4.5%，只有 1 个地区在 2020 年完全达到了 10%的国家目标。该特定群体的艾滋病毒流行率为 2020 年为 0.5%。
PMTCT 指标显示 2013 年至 2020 年有所增加，但地区之间存在很大差距。除了与接受 ART 的妇女有关的指标外，没有任何指标达到国家和国际目标。加强战略，有效让妇女及其伴侣参与 PMTCT 级联服务的使用，可以帮助减少布基纳法索的母婴传播。
