6 / 18
Page 42
Virology research J 2017 Vol 1 Issue 2
July 26-27, 2017 | Vancouver, Canada
WORLD CONFERENCE ON STDs, STIs & HIV/AIDS
allied
academies
Background:
The prevalence of syphilis in pregnancy varies
across the globe and among different age groups within the
same country. In sub-Saharan Africa, syphilis prevalence
among pregnant women has been found to range from 2.5
to 18% among antenatal clinic attendees, with the highest
prevalence in the age group 35-49 years. Also, it is higher in
the rural than urban clinics.
Objectives:
To determine trends in syphilis prevalence using
the Venereal Disease Research Laboratory (VDRL) and the
Rapid Plasma Reagin (RPR) test among pregnant women
attending the public antenatal clinics in Gaborone, Botswana
(2004-2008).
Study design:
Cross-sectional study using routinely collected
antenatal data.
Results:
The overall syphilis prevalence amongst pregnant
women in Gaborone, Botswana decreased from 2.96% (95%
CI, 2.55-3.37) in 2004 to 1.15% (95% CI, 0.89-1.41) in 2008
(p < 0.001). The age specific prevalence per total number of
reactive VDRL/RPR was highest amongst pregnant women
aged 26 to 30 years (p < 0.001) and lowest for those aged
16 to 20 years (p < 0.025) during the period 2004-2008.
However, there were variations in syphilis prevalence rates
within and between the clinics.
Conclusion:
Syphilis sero-positivity inpregnancy inGaborone,
Botswana has been declining for the last five years, but was
more prevalent amongst pregnant women aged 26 to 30
years with the lowest prevalence among those aged 16 to
20 years during the period 2004 to 2008. This decline may
be attributed to a number of factors and in particular, the
adoption of the syndromic approach for management of
sexually transmitted infections in the country.
Keywords:
antenatal clinics, pregnant women, syphilis, sero-
positivity, sero-prevalence.
e:
waleganiyu@gmail.comSyphilis sero-positivity among pregnant women attending public antenatal clinics: A five Year analysis
from fifteen public primary health care facilities in Gaborone, Botswana
AB Ganiyu, L Mason
and
LH Mabuza
Clients’ satisfaction with HIV treatment services in Bamenda, Cameroon: a cross-sectional study.
Buh Amos Wung, Nde Fon Peter
and
Julius Atashili
University of Buea, Cameroon.
Background:
Clients have explicit desires or requests for
services when visiting hospitals; inadequate discovery of
their needs may result in dissatisfaction. Patient satisfaction
influences retention in HIV care, adherence to HAART and
serves as determinant to HIV suppression. This study’s
objectives were to quantify clients’ satisfaction with HIV
services in Bamenda and determine relationship between
satisfaction and clients’ socio-demographic/structural
characteristics.
Methods:
A cross-sectional study was conducted on HIV-
positive patients followed-up, on treatment and who
consulted in the Bamenda Regional Hospital treatment
centre between July and August 2014. Participants consent
was sought and data collected on client’s level of satisfaction
to staff-patient-communication, staff attitudes, privacy and
confidentiality and staffing and amenities situations in the
hospital. Data was collected using a structured questionnaire
interviewer-administered by investigator and trained health
personnel. Collected data was analyzed using Epi Info version
3.5.4 and clients’ satisfaction measured using frequencies
and percentages.
Results:
A total of 384 participants took part in this study and
their median age was 37 years (IQR: 29-46). Two hundred
and seventy-four (71.4%) participants were females. Overall
satisfaction with HIV services was 91.2% and participants
reported less satisfaction with overall staffing and amenities
situation of the centre (3.6%). In the multivariate analysis,
only being female, employed and perceiving high number of
nurses working at the treatment centre remained significant
predictors of overall satisfaction with HIV services.
Conclusion:
A high proportion of participants expressed
satisfaction with HIV services. However, some dissatisfaction
is masked in this high satisfaction level. This dissatisfaction
underscores need to improve staff attitudes, staff-patient-
communication, employ more staff and build better patient
facilities. Future studies need to focus on assessing long-
term progression of satisfaction levels with services and
determinants of satisfaction involving larger samples in
many treatment centres.
e:
bamosw@yahoo.fr