Integration of Prevention of Mother-to-Child Transmission of HIV (PMTCT) Postpartum Services with Other HIV Care and Treatment Services within the Maternal and Child Health Setting in Zimbabwe, 2012

Details

• Alternative Title:
  PLoS One
• Personal Author:
  Wiegert, Katherine ; Dinh, Thu-Ha ; Mushavi, Angela ; Mugurungi, Owen ; Kilmarx, Peter H.
• 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.
  
  
• Subjects:
  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).
• DOI:
  http://dx.doi.org/10.1371/journal.pone.0098236
• Pubmed ID:
  24915422
• Pubmed Central ID:
  PMC4051591
• Document Type:
  Journal Article
• Funding:
  U2GGH00315-01/PEPFAR/United States
• Name as Subject:
  United States. President's Emergency Plan For AIDS Relief (PEPFAR)
• Place as Subject:
  Zimbabwe
• Volume:
  9
• Issue:
  6
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha-512:9911f14e978e77d3c120cef16933bfe79f295857c2facd742b0169362df2c423b45cfd22f8c9621e3b80ad96bf68895fe10ee8139bb20c8940e025771782713e
• Download URL:
  https://stacks.cdc.gov/view/cdc/23948/cdc_23948_DS1.pdf
• File Type:
  [PDF - 320.18 KB ]