title: Uptake of HIV and syphilis testing of pregnant women and their male partners in a programme for prevention of mother-to-child HIV transmission in Uganda.
abstract: OBJECTIVE
  To describe uptake of HIV and syphilis testing in a prevention of mother-to-child HIV transmission programme in Uganda.
  
  
  METHODS
  Analysis of data from routine HIV and syphilis testing at Entebbe Hospital antenatal services.
  
  
  RESULTS
  A total of 20,738 women attended antenatal services. Exactly 62.8% of women, but only 1.8% of their male partners, accepted testing for HIV; 82.2% of women, but only 1.1% of their male partners accepted syphilis testing. Partners of women with positive HIV results were more likely to come for subsequent testing. Of 200 couples whose partners accepted HIV-testing within 30 days of one another, 19 (9.5%) were HIV-discordant, representing 65.5% of couples with at least one partner HIV-positive. HIV prevalence was 12.6% for women and 10.8% for men; syphilis prevalence was 4.0% for women and 6.2% for men.
  
  
  CONCLUSIONS
  Uptake of HIV and syphilis testing was fairly good among pregnant women attending antenatal clinics at Entebbe Hospital, but very low among their male partners. The level of HIV-discordant couples was high. These clinics should be made more couples-friendly to identify both HIV-positive men for treatment and discordant couples for HIV prevention.
authors.affiliation: Medical Research Council/Uganda Virus Research Institute (MRC/UVRI), Uganda Research Unit on AIDS, Entebbe, Uganda.
authors.forename: Dennison
authors.initials: D
authors.lastname: Kizito
authors.forename: Patrick W
authors.initials: PW
authors.lastname: Woodburn
authors.forename: Beleth
authors.initials: B
authors.lastname: Kesande
authors.forename: Christine
authors.initials: C
authors.lastname: Ameke
authors.forename: Juliet
authors.initials: J
authors.lastname: Nabulime
authors.forename: Moses
authors.initials: M
authors.lastname: Muwanga
authors.forename: Heiner
authors.initials: H
authors.lastname: Grosskurth
authors.forename: Alison M
authors.initials: AM
authors.lastname: Elliott
mesh_terms: D003376:Counseling / Q000706:statistics & numerical data; D005260:Female; D015658:HIV Infections / Q000175:diagnosis* / Q000635:transmission; D006801:Humans; D018445:Infectious Disease Transmission, Vertical / Q000517:prevention & control*; D008297:Male; D008403:Mass Screening / Q000706:statistics & numerical data*; D008429:Maternal Welfare; D010342:Patient Acceptance of Health Care; D011247:Pregnancy; D011251:Pregnancy Complications, Infectious / Q000175:diagnosis*; D011295:Prenatal Care / Q000706:statistics & numerical data*; D012747:Sexual Partners; D013587:Syphilis / Q000175:diagnosis* / Q000635:transmission; D014454:Uganda