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Early detection of pediatric HIV through uptake of infant HIV testing is critical for access to treatment and child survival. While structural barriers have been well described, a greater understanding of social and behavioral factors that may relate to maternal uptake of early infant HIV testing services is urgently needed.

In , HIV-positive married postpartum women were recruited at a large public health facility in Lusaka to participate in a cross-sectional survey. Simple and multiple logistic regression models determined significant predictors of maternal uptake of early infant HIV testing. In the adjusted model, uptake of early infant HIV testing was associated with female-directed emotional intimate partner violence aOR 0. Domestic relationship dynamics, including emotional violence and HIV status disclosure to the male partner, may play an important role in maternal uptake of early infant HIV testing.

These findings provide additional evidence for the link between intimate partner violence against women and poor HIV-related health outcomes. Programs that adequately screen for and address various forms of intimate partner violence within the context of prevention of mother-to-child transmission are recommended.

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