Table 5

Illustrative comparison of birth outcomes and HIV status in public sector pregnancies (2015) with and without MomConnect registration

Total Western CapeWithout MomConnect registrationWith MomConnect registration
Birth outcomes (n)82 45567 47814 977
 Live birth75 154 (91.1%)60 544 (89.7%)14 610 (97.5%)
 Stillbirth1774 (2.2%)1571 (2.3%)203 (1.4%)
 Miscarriage2422 (2.9%)2310 (3.4%)112 (0.7%)
 Termination3105 (3.8%)3050 (4.5%)55 (0.4%)
HIV-positive status (n)118 52297 11821 404
 Unknown*84 539 (71.3%)68 664 (70.7%)15 875 (74.2%)
 Negative8433 (7.1%)71 000 (7.3%)1333 (6.2%)
 Positive25 550 (21.6%)21 354 (22.0%)4196 (19.6%)
Categories for HIV-positive pregnant women
 ART prior to pregnancy15 622 (61.1%)13 359 (62.6%)2263 (53.9%)
 ART during pregnancy5087 (19.9%)3619 (16.9%)1468 (35.0%)
 Positive prior to pregnancy, no antenatal or postnatal evidence of ART1725 (6.8%)1555 (7.3%)170 (4.1%)
 Positive prior to pregnancy, started ART postnatally667 (2.6%)638 (3.0%)29 (0.7%)
 Positive during pregnancy, no antenatal or postnatal evidence of ART497 (1.9%)453 (2.1%)44 (1.0%)
 Positive during pregnancy, started ART postnatally561 (2.2%)527 (2.5%)34 (0.8%)
 Positive after pregnancy, no antenatal or postnatal evidence of ART738 (2.9%)636 (3.0%)102 (2.4%)
 Positive after pregnancy, started ART postnatally653 (2.6%)567 (2.7%)86 (2.0%)
  • *HIV testing is predominantly done through point-of-care tests with the results not captured digitally. Since the overwhelming majority of pregnant women are tested for HIV antenatally and those with HIV are readily identifiable from other data sources, unknown HIV status usually implies being HIV-uninfected.

  • ART, antiretroviral therapy.