HealthDay News — A community-based intervention that includes health education and on-site laboratory testing can increase uptake of HIV testing in pregnant women in southeast Nigeria, according to a study published online in the The Lancet Global Health.

Echezona E. Ezeanolue, MD, from the University of Nevada in Las Vegas and colleagues conducted a cluster randomized trial involving 3,002 self-identified pregnant women aged 18 years and older who attended 40 churches in southeast Nigeria. 

Churches were randomized to intervention or control groups; the Healthy Beginning Initiative intervention included health education and on-site laboratory testing implemented during baby showers. Participants attending control churches were referred to health facilities as standard. Confirmed HIV testing was assessed as the primary outcome.

Continue Reading

The researchers found that 79 and 80% of women attended antenatal care in the intervention and control groups, respectively. Overall, 92% of women in the intervention group and 55% in the control group had an HIV test (adjusted odds ratio, 11.2).

“Culturally adapted, community-based programs such as the Healthy Beginning Initiative can be effective in increasing HIV screening in pregnant women in resource-limited settings,” the authors write.


1.Ezeanolue E, Obiefune MC, CO Ezeanolue, et al. Effect of a congregation-based intervention on uptake of HIV testing and linkage to care in pregnant women in Nigeria (Baby Shower): a cluster randomised trial.Lancet Glob Health. 2015; 3(11): e692–e700.