HIV viral load non-suppression and associated factors among pregnant and postpartum women in rural northeastern South Africa: a cross-sectional survey.
Nobubelo Kwanele NganduCarl J LombardThandiwe Elsie MbiraAdrian PurenCatriona WaittAndrew J PrendergastThorkild TylleskärPhilippe Van de PerreAmeena Ebrahim GogaPublished in: BMJ open (2022)
The prevalence of mVL ≤1000 copies/mL of 85.3% among pregnant and postpartum WLHIV and attending public healthcare centres in this rural district is below the 2020 90-90-90 and 2030 95-95-95 UNAIDS targets. Given that low-level viraemia may also increase the risk of vertical HIV transmission, we recommend strengthened implementation of the new guidelines which include better ART options, improved ART regimen switching and mVL monitoring schedules, and intensified psychosocial support for younger women, while exploring district-level complementary interventions, to sustain VLs below 50 copies/mL among all women.
Keyphrases
- south africa
- hiv positive
- antiretroviral therapy
- healthcare
- hiv infected
- polycystic ovary syndrome
- human immunodeficiency virus
- pregnancy outcomes
- hiv aids
- pregnant women
- hiv testing
- mental health
- hepatitis c virus
- cervical cancer screening
- primary care
- breast cancer risk
- men who have sex with men
- risk factors
- quality improvement
- skeletal muscle
- adipose tissue