In a cohort study of women of childbearing age in Abidjan, Côte d'Ivoire, we followed 473 HIV-infected women for 1551 person-years, and found that the incidence of pregnancy and livebirth decreased with decreasing CD4 cell counts. This has consequences in terms of scaling-up strategies for highly active antiretroviral therapy (HAART). Women who need HAART will be less likely than those who do not to be recruited into prenatal care facilities.
aINSERM U.593, Université Victor Segalen, Bordeaux 2, Bordeaux, France
bProgramme PAC-CI, Abidjan, Côte d'Ivoire
Received 6 December, 2004
Accepted 5 January, 2005