36
views
0
recommends
+1 Recommend
0 collections
    0
    shares
      • Record: found
      • Abstract: found
      • Article: found
      Is Open Access

      Women with HIV in Indonesia: are they bridging a concentrated epidemic to the wider community?

      research-article

      Read this article at

      Bookmark
          There is no author summary for this article yet. Authors can add summaries to their articles on ScienceOpen to make them more accessible to a non-specialist audience.

          Abstract

          Background

          Male injecting drug users drove the onset of the HIV epidemic in Indonesia but over time more women have been diagnosed. We examined the relative proportion of female patients in an HIV cohort and characterized their probable transmission route and reproductive profile.

          Designs

          Prospective cohort study in a referral hospital in West Java.

          Methods

          Interviews with standardized questionnaires, physical and laboratory examinations were done for 2622 individuals enrolled in HIV care between 2007 and 2012. The proportion of women in this cohort was compared with national estimates. The general characteristics of HIV-infected women and men as well as the sexual and reproductive health of HIV-infected women were described.

          Results

          The proportion of female patients enrolled in HIV care increased from 22.2 % in 2007 to 38.3 % in 2012, in line with national estimates. Women were younger than men, fewer reported a history of IDU (16.1 vs. 73.8 %, p < 0.001) and more were tested for HIV because of a positive partner (25.5 vs. 4.0 %, p < 0.001). The majority of women were in their reproductive age, had children, and were not using contraceptives at the time of enrolment.

          Conclusion

          HIV-infected women in Indonesia have specific characteristics that differ them from women in the general population. Further research to elucidate the characteristics of women exposed to HIV, their access to testing and care and sexual and reproductive needs can help reduce transmission to women and children in the context of concentrated HIV epidemic in Indonesia.

          Related collections

          Most cited references9

          • Record: found
          • Abstract: found
          • Article: not found

          Human immunodeficiency virus, hepatitis B and hepatitis C in an Indonesian prison: prevalence, risk factors and implications of HIV screening.

          To determine the prevalence and behavioural correlates of HIV, HBV and HCV infections among Indonesian prisoners and to examine the impact of voluntary counselling and testing for all incoming prisoners on access to antiretroviral treatment (ART). In a non-anonymous survey in an Indonesian prison for drug-related offences, all incoming prisoners and symptomatic resident prisoners were counselled and offered testing for HIV, hepatitis B and C. Screening was performed in 679 incoming prisoners, of whom 639 (94.1%) agreed to be tested, revealing a seroprevalence of 7.2% (95% CI 5.2-9.2) for HIV, 5.8% (95% CI 3.9-7.6) for HBsAg and 18.6% (95% CI 15.5-21.6) for HCV. Of 57 resident prisoners tested, 29.8% were HIV-positive. HIV infection was strongly associated with injecting drug use (IDU; P < 0.001), but not with a history of unsafe sex. Screening of incoming prisoners was responsible for diagnosing and treating HIV in 73.0%, respectively, and 68.0% of HIV-positive individuals. HIV and HCV are highly prevalent among incoming Indonesian prisoners and almost entirely explained by IDU. Our study is the first to show that voluntary HIV counselling and testing during the intake process in prison may greatly improve access to ART in a developing country. © 2010 Blackwell Publishing Ltd.
            Bookmark
            • Record: found
            • Abstract: found
            • Article: not found

            Towards Comprehensive Women's Healthcare in Sub-Saharan Africa: Addressing Intersections Between HIV, Reproductive and Maternal Health

            Abstract: This themed supplement to JAIDS: Journal of Acquired Immune Deficiency Syndromes focuses on the critical intersections between HIV, reproductive, and maternal health services in the health systems of sub-Saharan Africa. The epidemiology of HIV among women of reproductive age on the sub-continent demands a holistic conceptualization and comprehensive approaches to ensure that HIV, reproductive, and maternal health are optimally addressed. Yet, in many instances, the national and global responses to these health issues remain siloed. Women's health needs and new global and national guidelines for HIV treatment raise important policy, programmatic, and operational questions regarding service integration, scale-up, and health systems functioning. In June 2013, the Maternal Health Task Force at the Harvard School of Public Health, the United States Agency for International Development, and the United States Centers for Disease Control and Prevention convened an international technical meeting of researchers, policymakers, and practitioners to discuss the existing evidence base about the interconnections between HIV, reproductive, and maternal health and identify the most important knowledge gaps and research priorities. The articles in this special issue deepen and expand on those discussions by (1) providing empirical evidence about challenges, (2) identifying how improving clinical care and models of service delivery, strengthening health systems, and addressing social dynamics can contribute to better outcomes, and (3) mapping future research directions. Together, these articles underscore that new policy frameworks and integrated approaches are necessary but not sufficient to address health system challenges. Addressing the multiple needs of women of reproductive age who are living with HIV or are at risk of acquiring HIV is a complex undertaking that requires improved access to, utilization and quality of comprehensive women's healthcare. Continued evaluation and knowledge generation are needed to ensure that potential health gains are actualized.
              Bookmark
              • Record: found
              • Abstract: found
              • Article: not found

              Female sexual partners of male people who inject drugs in vietnam have poor knowledge of their male partners' HIV status.

              Vietnam's HIV epidemic is concentrated among male people who inject drugs (PWID), and their female sexual partners (SPs) may be at risk for infection. HIV prevention interventions for SPs were implemented in Hanoi, Dien Bien Province, and Ho Chi Minh City (HCMC), and data from linked surveys used to evaluate these interventions offered an unusual opportunity to assess knowledge of HIV status within couples.
                Bookmark

                Author and article information

                Contributors
                Annisa.Rahmalia@radboudumc.nl
                rudiw98@gmail.com
                hinta.meijerink@gmail.com
                agnesariantana_sppk@yahoo.co.id
                b.alisjahbana@gmail.com
                Nel.Roeleveld@radboudumc.nl
                Andre.vanderVen@radboudumc.nl
                MLaga@itg.be
                Reinout.vanCrevel@radboudumc.nl
                Journal
                BMC Res Notes
                BMC Res Notes
                BMC Research Notes
                BioMed Central (London )
                1756-0500
                9 December 2015
                9 December 2015
                2015
                : 8
                : 757
                Affiliations
                [ ]Tuberculosis and HIV Research Centre, Faculty of Medicine Universitas Padjadjaran, Jl. Dr. Eijkman No. 38, Bandung, 40161 Indonesia
                [ ]Department of Internal Medicine, Radboud University Medical Centre, Nijmegen, The Netherlands
                [ ]Department of Internal Medicine, Faculty of Medicine Universitas Padjadjaran, Bandung, Indonesia
                [ ]Department of Clinical Pathology, Faculty of Medicine Universitas Padjadjaran, Bandung, Indonesia
                [ ]Department for Health Evidence, Radboud University Medical Centre, Nijmegen, The Netherlands
                [ ]Department of Paediatrics, Radboud University Medical Centre, Nijmegen, The Netherlands
                [ ]Department of Public Health, Institute of Tropical Medicine, Antwerp, Belgium
                Article
                1748
                10.1186/s13104-015-1748-x
                4673839
                26645634
                967b4bdf-a554-4bfd-9f53-5962c60bcffe
                © Rahmalia et al. 2015

                Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License ( http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver ( http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.

                History
                : 4 June 2015
                : 25 November 2015
                Categories
                Research Article
                Custom metadata
                © The Author(s) 2015

                Medicine
                hiv,women,reproductive health,concentrated epidemic,indonesia
                Medicine
                hiv, women, reproductive health, concentrated epidemic, indonesia

                Comments

                Comment on this article