title: Impact of HIV counseling and testing among child-bearing women in Kinshasa, Zaïre.
abstract: OBJECTIVE
  To determine the impact of HIV counseling and testing among child-bearing women.
  
  
  METHODS
  Mama Yemo Hospital in Kinshasa, Zaïre.
  
  
  METHODS
  After informed consent, 187 HIV-seropositive and 177 HIV-seronegative child-bearing women received pre- and post-test counseling for HIV infection.
  
  
  METHODS
  Participant knowledge of HIV/AIDS and plans for notifying partners of serologic status and contraceptive use at the time of counseling, and actual partner involvement and contraception use 12 months later.
  
  
  RESULTS
  During pre-test counseling, participant knowledge of HIV infection was high, although 30% of women were unaware of perinatal HIV transmission, and 50% did not know that HIV infection could be asymptomatic. At post-test counseling, 70% of mothers (47% of HIV-seropositive, 94% of HIV-seronegative) intended to notify their partners and have joint counseling and testing, although after 12 months, only 2.2% of all women and 7.9% of those who desired assistance to notify their partner returned with their partners for joint counseling and testing. Similarly, 86% planned to use birth control (61% condoms), with HIV-seropositive women more likely to prefer condoms than HIV-seronegative women (71 versus 53%; P < 0.001). After 12-months, however, only 20% of HIV-seropositive women reported condom use, and the frequency of pregnancy in both groups was approximately equal.
  
  
  CONCLUSIONS
  HIV counseling and testing led to higher rates of contraceptive and condom use, although the actual level was lower than the intended use. To further reduce the risk of heterosexual and perinatal HIV transmission in families with an HIV-infected woman, counseling should also include their male partners.
authors.affiliation: Projet SIDA, Kinshasa, Zaïre.
authors.forename: W L
authors.initials: WL
authors.lastname: Heyward
authors.forename: V L
authors.initials: VL
authors.lastname: Batter
authors.forename: M
authors.initials: M
authors.lastname: Malulu
authors.forename: N
authors.initials: N
authors.lastname: Mbuyi
authors.forename: L
authors.initials: L
authors.lastname: Mbu
authors.forename: M E
authors.initials: ME
authors.lastname: St Louis
authors.forename: M
authors.initials: M
authors.lastname: Kamenga
authors.forename: R W
authors.initials: RW
authors.lastname: Ryder
mesh_terms: D000328:Adult; D017280:Condoms; D003267:Contraception; D003376:Counseling; D015023:Democratic Republic of the Congo; D005193:Family Planning Services; D005260:Female; D015658:HIV Infections / Q000517:prevention & control* / Q000635:transmission; D018023:HIV Seronegativity; D006679:HIV Seropositivity; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008297:Male; D011247:Pregnancy; D011251:Pregnancy Complications, Infectious; D012725:Sexual Behavior; D012747:Sexual Partners