HIV and sexually transmitted infections among women presenting at Urban primary health care clinics in two cities of sub-Saharan Africa

  • Elizabeth M Mbizvo Department of Obstetrics and Gynaecology, The National Hospital, University of Oslo N - 0027 Oslo, Norway.<br> Institute of General Practice and Community Medicine, Department of International Health, University of Oslo, Postbox 1130, Blindern 0317, Oslo,
  • Sia Msuya Department of Obstetrics and Gynaecology, The National Hospital, University of Oslo N - 0027 Oslo, Norway.<br> Institute of General Practice and Community Medicine, Department of International Health, University of Oslo, Postbox 1130, Blindern 0317, Oslo,
  • Akhtar Hussain Department of Obstetrics and Gynaecology, The National Hospital, University of Oslo N - 0027 Oslo, Norway.<br> Institute of General Practice and Community Medicine, Department of International Health, University of Oslo, Postbox 1130, Blindern 0317, Oslo,
  • Mike Chirenje Department of Obstetrics and Gynaecology, University of Zimbabwe, PO Box A-178, Avondale, Harare, Zimbabwe
  • Michael Mbizvo Department of Reproductive Health and Research, World Health Organization, CH 1211 Geneva - 27, Switzerland.
  • Noel Sam Kilimanjaro Christian Medical Centre, PO Box 3010, Moshi, Tanzania
  • Babil Stray-Pedersen Institute of General Practice and Community Medicine, Department of International Health, University of Oslo, Postbox 1130, Blindern 0317, Oslo, Norway
Keywords: HIV, sexually transmitted infections, women, Urban primary health care clinics, sub-Saharan Africa

Abstract

In a cross-sectional study, 786 consenting women from two cities in Africa, Harare and Moshi, attending primary health care clinics were interviewed, examined and tested for HIV and other sexually transmitted infections (STIs). The aim of the study was to assess and compare differences in the characteristics that may affect the prevalence of HIV/STIs among women in the two cities. Multivariate analysis was used to generate odds ratio. STIs and behaviour characteristics among this low risk group of women could not fully explain the higher HIV prevalence in Zimbabwe, 29.3% compared to 11.5% in Tanzania (p < 0.01). Interventions should target identified risk factors with particular attention to youths.

RÉSUMÉ
A travers une étude traversale, 786 femmes consentantes dans deux villes africaines à savoir Hararé et Moshi, qui fréquentaient les centres de santé primaire, ont été interviewées, examinées et ont fait des analyses pour determiner la présence du VIH et d'autres infections sexuellement transmissibles (ISTs). L'étude avait pour but d'évaluer et de comparer les différences par rapport aux caractéristiques qui pourraient affecter la fréquence de VIH/ISTs chez les femmes dans les deux villes. L'analyse multifactorielle a permis d'obtenir les rapports de chance. Les ISTs et les caractéristiques comportementales chez les groupes de femmes à haut risque ne pouvaient pas expliquer entièrement la fréquence plus élevée de VIH au Zimbabwe (29,3%) comparée à 11,5% en Tanzanie (p > 0,01). Les interiventions doivent viser les facteurs de risque identifiés tout en se concentrant sur la jeunesse.

Afr J Reprod Health Vol.9 (1) 2005: 88–98
Published
2005-10-11
Section
Articles

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eISSN: 1118-4841