Details:

Alternative Title:
PLoS One
Publisher's site:
http://dx.doi.org/10.1371/journal.pone.0098236
Personal Author:
Wiegert, Katherine ; Dinh, Thu-Ha ; Mushavi, Angela ; Mugurungi, Owen ; Kilmarx, Peter H.
Wiegert, Katherine ; Dinh, Thu-Ha ; Mushavi, Angela ; Mugurungi, Owen ; Kilmarx, Peter H. Less -
Description:
Background

We assessed the integration of PMTCT services during the postpartum period including early infant diagnosis of HIV (EID) and adult and pediatric antiretroviral therapy (ART) in maternal and child health (MCH) facilities in Zimbabwe

Methods and Findings

From August to December 2012 we conducted a cross-sectional survey of a nationally representative sample of 151 MCH facilities. A questionnaire was used to survey each site about staff training, dried blood spot sample (DBS) collection, turnaround time (TAT) for test results, PMTCT services, and HIV care and treatment linkages for HIV-infected mothers and children and HIV-exposed infants. Descriptive analyses were used.

Conclusions

Zimbabwe has successfully scaled up and integrated the national EID and PMTCT programs into the existing MCH setting. The long TAT of infant DBS test results and the lack of integrated ART programs in the MCH setting could reduce effectiveness of the national PMTCT and ART programs. Addressing these important gaps will support successful implementation of the 2014 Zimbabwe's PMTCT guidelines under which all HIV-infected pregnant and breastfeeding women will be offered life-long ART and decentralized ART care.


Subject:
[+]
Adult
Female
Health Facilities
HIV Infections
Humans
Infant
Infant, Newborn
Infectious Disease Transmission, Vertical
Post-Exposure Prophylaxis
Postpartum Period

Source:
PLoS One. 2014; 9(6).
Series:
PEPFAR
Pubmed ID:
24915422
Pubmed Central ID:
PMC4051591
Document Type:
Journal Article
Funding:
U2GGH00315-01/PEPFAR/United States
Place as Subject:
Zimbabwe
Collection(s):
CDC Public Access
Main Document Checksum:
[+]
urn:sha256:961f6283ada4bb1c6c11d592d27ac23c8a10d81b06b113a55a427623506b2de1
File Type:

Supporting Files

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