Séroprévalence de l'infection au VIH-1 chez les femmes qui viennet d'accoucher
Date
1993-07
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Abstract
Les objectifs de cette recherche étaient donc d'estimer le taux d'infection au VIH-1 chez les femmes haïtiennes qui viennent d'accoucher dans la zone métropolitaine et dans le reste du pays ainsi qu'à l'échelle nationale. Un deuxième objectif était de valider un nouveau test sur papier filtre "l'immunodot dipstick test" développé par le laboratoire Programme for Appropriate Technology in Health (PATH). Cette étude a été réalisée par l'INSTITUT HAÏTIEN DE L'ENFANCE en collaboration avec le CENTRE D'ÉTUDES SUR LE SIDA DE MONTRÉAL au cours des années 91-92. Un plan d'échantillonage stratifiée par grappe a été utilisé. L'échantillon comprenait 60 grappes réparties en deux grandes strates définies sur une base géographique : une métropolitaine, une extra métropolitaine (le reste du pays). Le critère de sélection utilisé pour inclure des femmes dans cette enquête était qu'elles devaient avoir accouché durant l'année précédant le passage de l'enquête. L'échantillon comprenait mille deux cent quarante-cinq (1 245) femmes dont six cent douze (612) en strate métropolitaine et six cent trente-trois (633) en strate extra métropolitaine. Il s'agissait d'une enquête anonyme où les femmes pouvaient librement accepter d'y participer ou non. L'étude a été entreprise avec l'accord des comités d'éthique des différents organismes qui ont collaboré à cette recherche.
After making its first appearance in Haiti in 1979, AIDS rapidly became a major public health problem. Initially confined to the male population, HIV infection spread quickly to women and subsequently to their newborns. The extent and severity of HIV disease dictated the urgent need to estimate the prevalence of HIV infection among women of childbearing age. The objectives of this study were to estimate HIV-1 infection rates in metropolitan areas, extra-metropolitan areas, and at the country level among Haitian women who had recently given birth. A second objective was to assess the test performance characteristics of the immunodot dipstick test developed by the Program for Appropriate Technology in Health (PATH). The study was undertaken in 1991-92 by the lnstitut haïtien de l'Enfance in collaboration with the Centre for AIDS Studies in Montreal. A cluster sampling strategy was used. The overall sample included 60 clusters divided among two geographically defined strata: metropolitan and extra-metropolitan (the rest of the country). The only selection criteria used to include women in the study was that of having given birth in the prior twelve months. The total sample size was 1,245 women of whom 612 were located in the metropolitan stratum and 633 in the extra-metropolitan stratum. Women were free to either accept or refuse participation in this anonymous unlinked study. Ethical approval was sought and provided by the ethics committees of the various organizations collaborating in this research...
After making its first appearance in Haiti in 1979, AIDS rapidly became a major public health problem. Initially confined to the male population, HIV infection spread quickly to women and subsequently to their newborns. The extent and severity of HIV disease dictated the urgent need to estimate the prevalence of HIV infection among women of childbearing age. The objectives of this study were to estimate HIV-1 infection rates in metropolitan areas, extra-metropolitan areas, and at the country level among Haitian women who had recently given birth. A second objective was to assess the test performance characteristics of the immunodot dipstick test developed by the Program for Appropriate Technology in Health (PATH). The study was undertaken in 1991-92 by the lnstitut haïtien de l'Enfance in collaboration with the Centre for AIDS Studies in Montreal. A cluster sampling strategy was used. The overall sample included 60 clusters divided among two geographically defined strata: metropolitan and extra-metropolitan (the rest of the country). The only selection criteria used to include women in the study was that of having given birth in the prior twelve months. The total sample size was 1,245 women of whom 612 were located in the metropolitan stratum and 633 in the extra-metropolitan stratum. Women were free to either accept or refuse participation in this anonymous unlinked study. Ethical approval was sought and provided by the ethics committees of the various organizations collaborating in this research...
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Abstract provided in English
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The table of contents for this item can be shared with the requester. The requester may then choose one chapter, up to 10% of the item, as per the Fair Dealing provision of the Canadian Copyright Act
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IDRC Final Report
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Text
Keywords
HAITI, VIH-1, SANTE DE LA FEMME, SANTE DE LA MERE ET DE L'ENFANT, SEROPREVALENCE, MISE A L'EPREUVE, TECHNOLOGIE APPROPRIEE, ETUDES CLINIQUES, EPIDEMIOLOGIE, SANTE REPRODUCTIVE