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Improving retention in the early infant diagnosis of HIV program in rural Mozambique by better service integration.
- Source :
-
Journal of acquired immune deficiency syndromes (1999) [J Acquir Immune Defic Syndr] 2011 Sep 01; Vol. 58 (1), pp. 115-9. - Publication Year :
- 2011
-
Abstract
- 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.
- Subjects :
- Adult
Anti-HIV Agents therapeutic use
Drug Therapy, Combination
Female
HIV Infections epidemiology
Humans
Infant, Newborn
Lamivudine administration & dosage
Lamivudine therapeutic use
Mozambique epidemiology
Nevirapine administration & dosage
Nevirapine therapeutic use
Pregnancy
Retrospective Studies
Rural Population
Young Adult
Zidovudine administration & dosage
Zidovudine therapeutic use
Delivery of Health Care methods
Delivery of Health Care organization & administration
HIV Infections diagnosis
HIV Infections prevention & control
Infectious Disease Transmission, Vertical prevention & control
Subjects
Details
- Language :
- English
- ISSN :
- 1944-7884
- Volume :
- 58
- Issue :
- 1
- Database :
- MEDLINE
- Journal :
- Journal of acquired immune deficiency syndromes (1999)
- Publication Type :
- Academic Journal
- Accession number :
- 21546845
- Full Text :
- https://doi.org/10.1097/QAI.0b013e31822149bf