Preventing mother-to-child transmission of HIV in Western Kenya: operational issues.
![Thumbnail](/bitstream/handle/11295/30597/Abstract.pdf.jpg?sequence=4&isAllowed=y)
View/ Open
Date
2005-11Author
van't, Hoog AH
Mbori-Ngacha, DA
Marum, LH
Otieno, JA
Misore, AO
Nganga, LW
Decock, KM
Type
ArticleLanguage
enMetadata
Show full item recordAbstract
OBJECTIVES:
To improve uptake in a program to prevent mother-to-child HIV transmission and describe lessons relevant for prevention of mother-to-child transmission programs in resource-poor settings.
METHODS:
Implementation of a pilot project that evaluates approaches to increase program uptake at health facility level at New Nyanza Provincial General Hospital, a public hospital in western Kenya, an area with high HIV prevalence. Client flow was revised to integrate counseling, HIV testing, and dispensing of single-dose nevirapine into routine antenatal services. The number of facilities providing PMCT services was expanded to increase district-wide coverage. Main outcome measures were uptake of counseling, HIV testing, nevirapine, and estimated program impact.
RESULTS:
Uptake of counseling and testing improved from 55 to 68% (P < 0.001), nevirapine uptake from 57% to 70% (P < 0.001), and estimated program impact from 15% to 23% (P = 0.03). Aggregate reports compare well with computer-entered data.
CONCLUSION:
Addressing institutional factors can improve uptake, but expected program impact remains low for several reasons, including relatively low efficacy of the intervention and missed opportunities in the labor room.
URI
http://www.ncbi.nlm.nih.gov/pubmed/16249710http://erepository.uonbi.ac.ke:8080/xmlui/handle/123456789/30597
Citation
J Acquir Immune Defic Syndr. 2005 Nov 1;40(3):344-9.Publisher
University of Nairobi. Centers for Disease Control and Prevention Kenya, Kisumu, Kenya Department of Paediatrics and Child Health, Univeristy of Nairobi, Kenya
Collections
- Faculty of Health Sciences (FHS) [10378]