Improving Retention in the Early Infant Diagnosis of HIV Program in Rural Mozambique by Better Service Integration

被引：37

作者：

Ciampa, Philip J. ^{[1
,2
]}

Burlison, Janeen R. ^{[1
]}

Blevins, Meridith ^{[1
]}

Sidat, Mohsin ^{[3
]}

Moon, Troy D. ^{[1
,4
]}

Rothman, Russell L. ^{[2
]}

Vermund, Sten H. ^{[1
]}

机构：

[1] Vanderbilt Inst Global Hlth, Nashville, TN 37203 USA

[2] Vanderbilt Univ, Dept Gen Internal Med & Publ Hlth, Nashville, TN USA

[3] Univ Eduardo Mondlane, Dept Community Hlth, Maputo, Mozambique

[4] Friends Global Hlth LLC, Maputo, Mozambique

来源：

JAIDS-JOURNAL OF ACQUIRED IMMUNE DEFICIENCY SYNDROMES | 2011年 / 58卷 / 01期

关键词：

HIV/AIDS; prevention of mother-to-child transmission; sub-Saharan Africa; TO-CHILD TRANSMISSION; SINGLE-DOSE NEVIRAPINE; SCALING-UP; PREVENTION; IMPLEMENTATION; COUNTRIES; AFRICA; UGANDA;

D O I：

10.1097/QAI.0b013e31822149bf

中图分类号：

R392 [医学免疫学]; Q939.91 [免疫学];

学科分类号：

100102 ;

摘要：

Low mother/infant retention has impeded early infant diagnosis of HIV in rural Mozambique. We enhanced the referral process for postpartum HIV-infected women by offering direct accompaniment to the location of exposed infant testing before discharge. Retrospective record review for 395 women/infants (September 2009 to June 2010) found enhanced referral was associated with higher odds of follow-up (adjusted odds ratio = 3.18, 95% confidence interval: 1.76 to 5.73, P < 0.001); and among those followed-up, earlier infant testing (median follow-up: 33 days vs. 59 days, P = 0.01) compared with women receiving standard referral. This simple intervention demonstrates benefits gleaned from attention to system improvement through service integration without increasing staff.

引用

页码：115 / 119

页数：5

共 25 条

[1] Evaluation of a 5-year Programme to Prevent Mother-to-child Transmission of HIV Infection in Northern Uganda [J].

Ahoua, Laurence ;

Ayikoru, Harriet ;

Gnauck, Katherine ;

Odaru, Grace ;

Odar, Emmanuel ;

Ondoa-Onama, Christine ;

Pinoges, Loretxu ;

Balkan, Suna ;

Olson, David ;

Pujades-Rodriguez, Mar .

JOURNAL OF TROPICAL PEDIATRICS, 2010, 56 (01) :43-52

[2]

[Anonymous], IMPL GLOB HLTH IN CO

[3] Sociocultural and epidemiological aspects of HIV/AIDS in Mozambique [J].

Audet, Carolyn M. ;

Burlison, Janeen ;

Moon, Troy D. ;

Sidat, Mohsin ;

Vergara, Alfredo E. ;

Vermund, Sten H. .

BMC INTERNATIONAL HEALTH AND HUMAN RIGHTS, 2010, 10

[4] Antiretroviral Drugs in the Cupboard are Not Enough: The Impact of Health Systems' Performance on Mother-to-Child Transmission of HIV [J].

Barker, Pierre M. ;

Mphatswe, Wendy ;

Rollins, Nigel .

JAIDS-JOURNAL OF ACQUIRED IMMUNE DEFICIENCY SYNDROMES, 2011, 56 (02) :E45-E48

[5]

BRAUN M, 2011, J ACQUIR IMMUNE 0110

[6] Strategies for integrating primary health services in middle- and low-income countries at the point of delivery [J].

Briggs, C. J. ;

Garner, P. .

COCHRANE DATABASE OF SYSTEMATIC REVIEWS, 2006, (02)

[7]

Comite Nacional de Tratamento Antiretroviral, 2009, GUIA TRAT ANT INF OP

[8] Predictors of Successful Early Infant Diagnosis of HIV in a Rural District Hospital in Zambezia, Mozambique [J].

Cook, Rebecca E. ;

Ciampa, Philip J. ;

Sidat, Mohsin ;

Blevins, Meridith ;

Burlison, Janeen ;

Davidson, Mario A. ;

Arroz, Jorge A. ;

Vergara, Alfredo E. ;

Vermund, Sten H. ;

Moon, Troy D. .

JAIDS-JOURNAL OF ACQUIRED IMMUNE DEFICIENCY SYNDROMES, 2011, 56 (04) :E104-E109

[9] Breastfeeding, HIV transmission and infant survival: balancing pros and cons [J].

Coovadia, Hoosen ;

Kindra, Gurpreet .

CURRENT OPINION IN INFECTIOUS DISEASES, 2008, 21 (01) :11-15

[10] Current issues in prevention of mother-to-child transmission of HIV-1 [J].

Coovadia, Hoosen .

CURRENT OPINION IN HIV AND AIDS, 2009, 4 (04) :319-324

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